ATI PHARMACOLOGY PROCTORED EXAM, RATED A

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A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider (SATA)? Hemoglobin 7.0 g/dl Platelets 75... ,000/mm3 Potassium 5.2 meq/l A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. Which of the following instructions should the nurse include (SATA)? Blood glucose levels will be monitored during therapy Avoid contact with people who have known infections Grapefruit juice can increase the effects of the medication A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? Doxycycline A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? Bone density scans A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching? "I know smoking makes ranitidine less effective." A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages? 2 months A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? "I will taper off the medication before discontinuing it." A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol? Asthma A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? Naloxone A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? Urinary retention A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? Place monitoring cords and tubes in a stockinet A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? Bleeding gums 1. A nurse is admitting a client to a long-term care facility. While reconcilingthe medication prescribed at home with those prescribed in the facility, the nursediscovers a discrepancy in the dosages. Which action should the nursetake? o Clarify the medication dosages with theprovider. o Change the prescribed medication dosages to reconcile thediscrepancy o Contact the pharmacist regarding the dosagediscrepancies o Ask a family member to verify the medicationdosages 2. A nurse is caring for a client who is receiving a fentanyl transdermalsystem (Duragesic). What is important to document in the client’srecord? o Fluidintake o Skinintegrity o Respiratoryrate o Pulserate 3. A nurse is caring for a client who has acute angina and has a prescription fornitroglycerin. Which of the following is an appropriate intervention for the nurse totake whenadministering thismedication? o Massage the nitroglycerin ointment completely into theskin. o Replace the nitroglycerin transdermal patch every 4hours. o Administer a sustained nitroglycerin tabletorally. o Administer a nitroglycerin tablet sublingually every 5minutes. 4. A nurse is preparing to administer infliximab (Remicade) to a client who hasrheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects?(Select all thatapply.) o Bradycardia o Jaundice o Polyuria oUrtipeniao Fever a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? Clopidogrel 12. a nurse is assessing a who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication?Watery diarrhea 13. a nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching? Cromolyn is a long-term management medication 14. a nurse is reviewing the medications of a client is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications? Imipramine 15. a nurse is reviewing a client’s medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated?Glaucoma 16. a nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?Blurred vision 17. math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = 0.4 18. a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider? Fentanyl 19. charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report? a client who has a lithium level of 1.8 receives her morning dose 20. a nurse is caring for a client who has an alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? Implement seizure precautions 21. a nurse is planning care for a group of clients. which of the fol [Show More]

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