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ATI Practice Pharmacology Exam QA

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1. A nurse is caring for a client who is receiving intravenous therapy and observes redness and inflammation along the vein. The nurse would identify this finding as which of the following complicatio... ns of IV therapy? a. Phlebitis b. Infiltration c. Venous spasm d. Extravasation - ANSWER a. Phlebitis 2. A nurse is reviewing the plan of care with a client who has a new prescription for lovastatin. Which of the following statements by the client should indicate to the nurse a need for further assessment? a. "I was just diagnosed with hepatitis B." b. "I should avoid drinking grapefruit juice." c. "I take metformin for my diabetes." d. "I am trying to decrease my dietary fat intake." - ANSWER d. "I am trying to decrease my dietary fat intake." 3. A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make? a. "You should report monthly to have your blood drawn to monitor kidney function while taking this medication." b. "You will need to take two or more medications to treat your disease." c. "You should anticipate taking medication to treat your disease for at least the next three years." d. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease." - ANSWER d. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease." 4. A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication? a. Furosemide b. Nitroglycerin c. Indomethacin d. Albuterol - ANSWER b. Nitroglycerin 5. A nurse is providing discharge dietary teaching to a client who has a new prescription for theophylline. Which of the following instructions should the nurse include? a. "Avoid caffeinated beverages." b. "Take the medication with meals." c. "Restrict milk products." d. "Limit your sodium intake." - ANSWER a. "Avoid caffeinated beverages." 6. A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first? a. Potassium chloride 10 mEq/hr b. Bicarbonate by IV infusion c. 0.9% sodium chloride 15 mL/kg/hr d. Subcutaneous insulin injections - ANSWER c. 0.9% sodium chloride 15 mL/kg/hr 7. A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments? a. Cardiac output b. Urine output c. Blood pressure d. Stroke volume - ANSWER c. Blood pressure 8. A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should be taken first? a. File an incident report. b. Report the missed dosage to the client's provider. c. Determine factors that led to the omission. d. Assess the client for adverse reactions. - ANSWER b. Report the missed dosage to the client's provider. 9. A nurse is completing a medication reconciliation for a client prior to his transfer to a long-term care facility. Which of the following actions should the nurse take? a. Include medications the client received in the acute setting but will no longer need after transfer. b. Remove duplicate medications of different dosages from the reconciliation list. c. Compare the current list of mediations to medications the client will receive after transfer. d. Omit over-the-counter medications from the at-home medication list. - ANSWER b. Remove duplicate medications of different dosages from the reconciliation list. 10. A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report? a. The client has chemotherapy 12 hr before the medication was administered. b. The nurse flushed the client's IV line dextrose 5% in water before and after medication was administered. c. The medication vial sat at room temperature for 2 hr before it was administered d. The client's absolute neutrophil count was 2,500/mm3 before the medication was administered. - ANSWER a. The client has chemotherapy 12 hr before the medication was administered. 11. A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction? a. Polyuria b. Hypotension c. Nausea d. Bradycardia - ANSWER b. Hypotension 12. A nurse is preparing to administer digoxin to a client who has heart failure. The nurse should withhold the medication for which of the following findings? a. BP 160/90 mm Hg b. Urinary output 30mL/hr c. Weight gain of 0.7 kg (1.5lb) in 24 hr d. Pulse rate 56/min - ANSWER a. BP 160/90 mm Hg 13. A nurse is preparing to administer medication to a client who has a prescription for epoetin alfa. Which of the following routes of administration should the nurse plan to use? a. Inhalation b. Oral c. Intravenous d. Transdermal - ANSWER c. Intravenous 14. A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? a. A client received an infusion of lipids through a central line. b. A client who has asthma was administered tiotropium via inhalation. c. A client received 0900 medications at 0930. - ANSWER c. A client received 0900 medications at 0930. 15. A nurse is reviewing a client's laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contract the provider? a. INR 1.0 b. Potassium 2.5 mEq/L c. WBC count 8,000/mm3 d. Sodium 141 mEq/L - ANSWER b. Potassium 2.5 mEq/L 16. A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment? a. INR b. Potassium level c. BUN d. WBC count - ANSWER d. WBC count 17. A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypokalemia b. Hypocalcemia c. Hypomagnesemia d. Hyponatremia - ANSWER d. Hyponatremia 18. A nurse is teaching a client's partner how to administer an otic medication to the client. Which of the following statements by the client's partner indicates an understanding of the teacher? a. "I will make sure the solution is cool prior to instilling the drops." b. "I will have my partner tilt their head back while I am instilling the drops." c. "I will have my partner lie down on their back while I am instilling the drops." d. "I will pull the pinna upward and outward prior to instilling the drops." - ANSWER d. "I will pull the pinna upward and outward prior to instilling the drops." 19. A nurse is caring for a client who has a peripheral IV catheter and a prescription for IV fluid replacement. The nurse should cover the insertion with which of the following types of dressing? a. Sterile gauze bandage b. Transparent membrane dressing c. Adhesive bandage d. Hydrocolloid dressing - ANSWER b. Transparent membrane dressing 20. A nurse is reviewing the laboratory results of a client who has atrial fibrillation and a prescription for warfarin. After informing the provider that the INR is 2.5, the nurse should expect which of the following prescriptions? a. Withhold the medication. b. Increase the dose of the medication. c. Administer the current dose of the medication. d. Decrease the dose of the medication. - ANSWER c. Administer the current dose of the medication. 21. A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction? a. Hyperglycemia b. Dry cough c. Pedal edema d. Fever - ANSWER d. Fever 22. A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider? a. Potassium 4.2 mEq/L b. WBC count 5,000 mm3 c. Total bilirubin 1.5 mg/dL d. Hct 44% - ANSWER c. Total bilirubin 1.5 mg/dL 23. A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should indicate to the nurse a therapeutic response to the mediation? a. Increase in WBC count b. Decrease in urine output c. Increase in serum glucose d. Decrease in blood pressure - ANSWER b. Decrease in urine output 24. A nurse is providing teaching to a client who want to stop smoking and has purchased a transdermal smoking patch. Which of the following information should the nurse provide? a. The transdermal patch releases nicotine rapidly. b. Rotate the application site every week. c. The transdermal patch can cause insomnia. d. Leave the patch in place for 8 hr each day. - ANSWER c. The transdermal patch can cause insomnia. 25. A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis, which of the following actions should the nurse take? a. Use a gravity flow set. b. Administer the medication over 2 hr. c. Prime the tubing with 0.9% sodium chloride. d. Discard the medication if it is yellow. - ANSWER b. Administer the medication over 2 hr. 26. A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter? a. Nondominant dorsal venous arch b. Nondominant forearm basilic vein c. Dominant distal dorsal vein d. Dominant antecubital basilic vein - ANSWER b. Nondominant forearm basilic vein 27. A nurse is client for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. The nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (Select all that apply.) a. Systolic blood pressure 130 mm Hg b. Decreased level of consciousness c. Absence of deep-tendon reflexes d. Report of chills e. Urine output 80 mL in 4 hr - ANSWER c. Absence of deep-tendon reflexes e. Urine output 80 mL in 4 hr 28. A nurse is providing a discharge teaching to a client who has a new prescription for furosemide. Which of the following instructions nurse include in the teaching? a. "Increase the amount of potassium in your diet." b. "Take the medication before going to bed." c. "Weigh yourself on the same day each week." d. "This medication should be taken on an empty stomach." - ANSWER a. "Increase the amount of potassium in your diet." 29. A nurse is applying a nitroglycerin transdermal patch for a client who has angina. Which of the following actions should the nurse take? a. Apply the patch to the same site every 24 hr. b. Apply the patch to a hairless area of the skin. c. Apply the patch to a bony prominence of on the chest. d. Apply a 4 x 4 dressing over the patch. - ANSWER b. Apply the patch to a hairless area of the skin. 30. A nurse is reviewing the medical record of a client who is requesting an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives? a. Ovarian cysts b. Anxiety disorder c. Client age of 36 years d. History of deep-vein thrombosis - ANSWER a. Ovarian cysts 31. A nurse is providing teaching to a client who is to receive a series of allergy tests. The nurse should instruct the client to avoid the following medications for up to 4 weeks before the procedure. a. Pseudoephedrine hydrochloride b. Albuterol c. Acetaminophen d. Diphenhydramine - ANSWER b. Albuterol 32. A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication? a. Furosemide b. Nitroglycerin c. Indomethacin d. Albuterol - ANSWER b. Nitroglycerin 33. A nurse is providing teaching to a client who has a new prescription for bumetanide for heart failure. Which of the following instructions should the nurse include in the teaching? a. "You should take the medication at bedtime." b. "You should monitor for hearing difficulties." c. "You should decrease your intake of foods high in potassium." d. "You should take this medication on an empty stomach." - ANSWER b. "You should monitor for hearing difficulties." 34. A nurse is teaching a class about administering IV fluids to treat dehydration. The nurse should include in the teaching that which of the following laboratory values indicates effective treatment of dehydration? a. Serum hematocrit 55% b. BUN 28 mg/dL c. Serum Osmolarity 310 mOsm/L d. Urine specific gravity 1.020 - ANSWER d. Urine specific gravity 1.020 35. A nurse is preparing to administer clindamycin to a client who states she forgot to report to the provider that she is allergic to penicillin, which of the following actions should the nurse take? a. Give the client the prescribed dose of clindamycin. b. Premedicate the client with epinephrine before administering the antibiotic. c. Obtain a prescription for an alternative antibiotic. d. Administer the clindamycin using a desensitization schedule. - ANSWER a. Give the client the prescribed dose of clindamycin. 36. A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor for which of the following changes in their vital signs? a. Decreased temperature b. Increase pulse rate c. Decreased respiratory rate d. Increased blood pressure - ANSWER b. Increase pulse rate 37. A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescription should the nurse clarify with the provider? a. Ondansetron b. Acetaminophen c. Nalbuphine d. Insulin glargine - ANSWER d. Insulin glargine 38. A nurse is caring for an older adult client who is taking prednisone for a long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this drug? a. Hemolytic anemia b. Hypoglycemia c. Bone loss d. Liver toxicity - ANSWER c. Bone loss 39. A nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. Which of the following laboratory values indicates an adverse effect of this medication? a. WBC 3,000/mm3 b. BUN 15 mg/dL c. Hct 45% d. Platelets 250,000/mm3 - ANSWER a. WBC 3,000/mm3 40. A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following should the nurse include in the teaching? (Select all that apply.) a. "Drink the elixir using a straw to prevent staining your teeth." b. "Increase your intake of dairy products to increase the absorption of this medication." c. "Take the medication with an antacid if it upsets your stomach." d. "Stop taking the medication if your stools become green or black." e. "Increase your fiber intake to prevent constipation." - ANSWER a. "Drink the elixir using a straw to prevent staining your teeth." e. "Increase your fiber intake to prevent constipation." 41. A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects? a. Tinnitus b. Peripheral edema c. Drowsiness d. Alopecia - ANSWER c. Drowsiness 42. A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? a. "I should take this medication with 8 ounces of milk." b. "I should take an antacid with this medication to prevent stomach upset." c. "I should notify my provider if my stools turn black." d. "I should stay upright for at least 15 minutes after taking this medication." - ANSWER d. "I should stay upright for at least 15 minutes after taking this medication." 43. A nurse is assessing a client who has asthma and prescription for albuterol. The nurse should monitor the client for which of the following adverse effects? a. Drowsiness b. Fever c. Constipation d. Tachycardia - ANSWER d. Tachycardia 44. A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse - ANSWER b. Distended neck veins 45. A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. "Discontinue the patch if you experience a headache." b. "Apply a new patch if they have chest pain." c. "Cover the patch with dry gauze when taking a shower." d. "Remove the patch prior to going to bed." - ANSWER d. "Remove the patch prior to going to bed." 46. A nurse is caring for client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension - ANSWER d. Hypotension 47. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? a. Urticaria b. Bradycardia c. Pallor d. Dyspepsia - ANSWER a. Urticaria 48. A nurse is mixing a regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus following actions should the nurse take first? a. Withdraw the regular insulin from the viral b. Withdraw a NPH insulin from the vial c. Inject air into the NPH vial d. Inject air into the regular insulin vial - ANSWER a. Withdraw the regular insulin from the viral 49. A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema d. Insomnia - ANSWER a. Nausea 50. A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine specific gravity 1.020 d. LDL 120 mg/dL - ANSWER a. BUN 15 mg/dL 51. A nurse is planning to administer medication to an older client who has dysphagia. Which of the following actions should the nurse plan to take? a. Tilt the clients head back when administering the medications. b. Mix the medications with a semisolid food for the client. c. Administer more than one pill to the client at a time. d. Place the medications on the back of the client's tongue. - ANSWER b. Mix the medications with a semisolid food for the client. 52. A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect? a. Oxygen saturation 96% b. PaCO2 30 mm Hg c. Increase in BP d. Decrease in protein - ANSWER c. Increase in BP 53. A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Sodium 137 mEq/L b. Hct 4.3% c. Hgb 15 g/dL d. Creatinine 2.5 mg/dL - ANSWER d. Creatinine 2.5 mg/dL 54. A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a. Apply firm pressure to the injection site following administration b. Administer the medication into the client's muscle c. Expel the air bubble from the syringe prior to injection d. Insert the syringe needle halfway into the client's skin - ANSWER d. Insert the syringe needle halfway into the client's skin 55. A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report? a. ePTT 90 seconds b. Hgb 16 g/dL c. INR 1.6 d. WBC 6,000/mm3 - ANSWER a. ePTT 90 seconds 56. A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? a. Sodium 1.38 mEq/dL b. Magnesium 1.5 mEq/L c. BUN level 10 mg/dL d. Potassium 2.9 mEq/L - ANSWER d. Potassium 2.9 mEq/L 57. A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Urinary tract infection d. Deep vein thrombosis - ANSWER a. Osteoporosis 58. A nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? a. Use nasal decongestion 15 mins before the medication if you have b. Stuffy nose Lie down for 1 hour after administering the medication c. Administer the medication into one nostril once per week d. Plan to self-administer this medication for the next 6 months - ANSWER a. Use nasal decongestion 15 mins before the medication if you have 59. a nurse is assessing a client who received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse's priority? a. Back pain b. Flushing c. Nausea d. Uterine tachysystole - ANSWER 60. A nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? a. Messages the site to enhance absorption b. Injections the medication into a muscle c. Administers the medication into the abdomen d. Aspirates the medication after injection - ANSWER c. Administers the medication into the abdomen 61. A nurse is assessing a client how has been taking digoxin and ...... which of the following findings to the nurse indicates this client has developed digoxin toxicity? a. Ringing in the ears b. Hyperkalemia c. Blurred vision d. Hypertension - ANSWER c. Blurred vision 62. A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider? a. Insomnia b. Bruxism c. Confusion d. Weight loss - ANSWER c. Confusion 63. A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. In which of the following locations should the nurse place the catheter? a. A vein on the client's wrist b. A vein in the client's dominant arm c. A vein proximal to the previous site d. A vein that feels hard to the touch - ANSWER c. A vein proximal to the previous site [Show More]

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