ATI PHARMACOLOGY PROCTORED EXAM 2019- UPDATED STUDY GUIDE1. A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepo
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ATI PHARMACOLOGY PROCTORED EXAM 2019- UPDATED STUDY GUIDE1. A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide-Librium?
Minimize Diaphoresis Maintain abstinence Lessen Craving
Prevent delirium tremens
2. A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching?
I will drink a glass of milk when I take the risedronate
I will take the risedronate 15 minutes after my evening meal
I should take an antacid with the risedronate to avoid nausea
I should sit up for 30 minutes after taking the risedronate
3. A nurse is assessing a client one hour after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective?
The client's vital signs are within normal limits.
The client has not requested additional medication. the client is resting comfortably with eyes closed.
The client rates pain as three on a scale from zero to 10.
4. A nurse is administering donzepil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately?
Dyspepsia. Diarrhea. Dizziness. Dyspnea
5. A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor an report?
tingling of fingers constipation weight gain oliguria
6. A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. which of the following information should the nurse include in the teaching?
the medication should be taken one hour prior to eating it takes 48 hours for therapeutic effects to occur
tablets should not be crushed or chewed
decreased respirations might occur
7. A nurse is providing teaching to a client who has a gastric ulcer in a new prescription for famotidine. Which of the following instructions should the nurse include?
take the medication on an empty stomach for full effectiveness
you may discontinue this medication when stomach discomfort subsides
report yellowing of the skin
you will be taking this medication for two weeks
8. A nurse is preparing to administer ciprofloxacin 15 milligrams per kilogram PO every 12 hours to a child who weighs 44 pounds how many milligrams should the nurse administer per dose round to the nearest whole number
300 mg
9. A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. which of the following action should the nurse take first?
report the incident to the charge nurse notify the provider
check the client's blood glucose
fill out an incident report
10. A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. before the client can obtain a refill the nurse should advise the client that which of the following test is required?
serum calcium
pregnancy test
24 hour urine collection for protein Aspartate aminotransferase level
11. A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. the nurse should monitor for which of the following findings as an indication that the client is ready for discharge?
the clients capnography has returned to baseline the client can respond to their name when called the client is passing flatus
the client is requesting oral intake
12. A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous Ivy infusion for deep vein thrombosis the nurse should discontinue the medication infusion for which of the following client findings?
potassium 5.0 MEQ/L aptt two times the control hemoglobin 15 g/dL platelets 96,000/mm3
13. A nurse received a verbal order from the provider to administer morphine 5 milligrams every four hours subcutaneously for severe pain as needed the nurse should identify which of the following entries as the correct format for the medication administration record
MSO4 5mg subcut every 4 hr PRN severe pain Morphine 5 mg subcut every 4 hr PRN severe pain MSO4 5 mg SQ every 4 hr PRN severe pain
Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain
14. 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 per minute which of the following medications should the nurse plan to administer?
methadone naloxone diazepam bupropion
15. A nurse is teaching a client about warfarin. the client asked if they can take aspirin while taking the warfarin. which of the following responses should the nurse make?
it is safe to take enteric coated aspirin
aspirin will increase the risk of bleeding
acetaminophen may be substituted for aspirin
the INR lab work must be monitored more frequently if aspirin is taken
16. A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. the nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine?
Constipation drowsiness facial flushing itching
17. A nurse is planning care for a client who has hypertension and is starting to take metoprolol. which of the following interventions should the nurse include in the plan of care?
weigh the client weekly
determine apical pulse prior to administering
administer the medication 30 minutes prior to breakfast monitor the client for jaundice
18. a nurse is caring for a client who is receiving filgrastim. which of the following findings should the nurse document to indicate the effectiveness of the therapy?
increased neutrophil count increased RBC count decreased prothrombin time decreased triglycerides
19. A nurse is preparing to administer dextrose 5% in water (d5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? Round to the nearest whole number.
100 gtt/min
20. A nurse is teaching a client about cyclobenzaprine. which of the following client statement should indicate to the nurse that the teaching is effective?
I will have increased saliva production
I will continue taking the medication until the rash disappears
I will taper off the medication before discontinuing it I will report any urinary incontinence
21. A nurse is caring for the parent of a newborn the parents ask the nurse when their newborn should receive the first diphtheria tetanus and pertussis vaccine (Dtap). the nurse should instruct the parent that their newborn should receive the immunization at which of the following ages?
at birth two months six months 15 months
22. A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate which of the following actions of sucralfate should the nurse include in the teaching?
decreases stomach acid secretion neutralizes acids in the stomach forms a protective barrier over ulcers treats ulcers by eradicating H pylori
23. A nurse is assessing a client who is taking propylthiouracil for treatment of Graves' disease. which of the following findings should the nurse identify as an indication that the medication has been effective?
decrease in WBC count
decrease in amount of time sleeping increase in appetite
increase inability to focus
24. A nurse is caring for a client who has acute acetaminophen toxicity. the nurse should anticipate administering which of the following medications?
vitamin K acetylcysteine benztropine physostigmine
25. A nurse is assessing a client's vital signs prior to the administration of PO digoxin the client's BP is 144/86 mm Hg, heart rate is 55/minute and respiratory rate is 20/minute. the nurse should withhold the medication and contact the provider for which of the following findings?
diastolic BP systolic BP heart rate respiratory rate
26. a nurse is reviewing the laboratory results of a client who is taking digoxin for heart failure. which of the following results should the nurse report to the provider?
calcium level 9.2 mg/dL magnesium level 1.6 mEq/dL digoxin level 1.1 ng/mL potassium level 2.8 mEq/L
27. A nurse is assessing a client after administering a second dose of cefazolin Ivy the nurse notes the client has anxiety hypotension and dyspnea. which of the following medications should the nurse administer first?
Diphenhydramine albuterol inhaler epinephrine Prednisone
28. A nurse is caring for a client who is receiving heparin therapy via continuous Ivy infusion to treat a pulmonary embolism. which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider?
vomiting
blood in the urine positive Chovstek’s sign ringing in the ears
29. A nurse is providing discharge instructions to a client who has heart failure in a new prescription for cat captopril. which of the following client statements indicates an understanding of the teaching?
I should take the medication with food
I should take naproxen if I develop joint pain
I should tell my provider if I develop a sore throat
I should expect the medication to cause my urine to look orange
30. A nurse is providing discharge teaching about handling medication to a client who is continuing taking oral transmucosal fentanyl Raspberry flavored lozenges on a stick. which of the following information should the nurse include in the teaching?
Chew on the medication stick to release the medication
leave the medication stick in one location of the mouth until melted allow the medication one hour for analgesic effects to begin
store unused medication sticks in a storage container
31. A nurse is reviewing the medication administration record of a client who has hypocalcemia in a new prescription for IV calcium gluconate. the nurse should identify that which of the following medications can interact with calcium gluconate?
Felodipine Guafenesin digoxin regular insulin
32. A nurse is caring for a client who receives 0.9% sodium chloride 1 L over 4 hours instead of over 8 hours as prescribed. which of the following information should the nurse enter as a complete documentation of the incident?
IV fluid infused over 4 hours instead of the prescribed 8 hours. client tolerated fluids well. provider notified
0.9% sodium chloride 1L IV over 4 hours. vital signs stable provider notified
1L of 0.9% sodium chloride completed at 0900 client denies shortness of breath IV fluid initiated at 0500 lungs clear to auscultation
33. A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication?
oral Candidiasis
headache joint pain
adrenal suppression
34. A nurse on the acute care unit is caring for a client who is receiving gentamicin Ivy the nurse should report. which of the following findings to the provider as an adverse effect of the medication?
Constipation Tinnitus hypoglycemia joint pain
35. A nurse is preparing to administer medication to a client who has gout. the nurse discovered that an error was made during the previous shift and the client received atenolol instead of allopurinol. which of the following actions should the nurse take first?
obtain the clients blood pressure contact the clients provider inform the charge nurse complete an incident report
36. A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone in albuterol inhalers. which of the following instructions should the nurse include in the teaching?
take beclomethasone to avoid an acute attack
use beclomethasone 5 minutes before using albuterol
limit your calcium and vitamin D intake when taking beclomethasone
rinse your mouth after inhaling the beclomethasone
37. A nurse is caring for a client who is in labor the client is receiving oxytocin by continuous IV infusion within maintenance IV solution. the external fetal heart rate monitor indicates late decelerations. which of the following actions should the nurse take first?
turn the client to a side-lying position
disconnect the clients oxytocin from the maintenance IV apply oxygen to the client by face mask
increase the clients maintenance IV infusion rate
38. A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. which of the following instructions should the nurse include in the teaching plan?
(select all that apply )
report muscle pain to the provider
avoid taking the medication with grapefruit juice
take the medication in the early morning
expect a flushing of the skin as a reaction to the medication expect
therapy with this medication to be lifelong
39. A nurse is teaching a group of unit nurses about medication reconciliation. which of the following information should the nurse include in the teaching?
the client's provider is required to complete medication reconciliation
medication reconciliation at discharge is limited to the medication ordered at the time of discharge
A transition in care requires the nurse to conduct medication reconciliation
medical reconciliation is limited to the name of the medications that the client is currently taking
40. a nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. which of the following findings should the nurse identify as an adverse effect of the medication?
Cough joint pain alopecia insomnia
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