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Pharmacology ATI Answers. 1. A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, “What does this medication do?” Which of the following response ...

Pharmacology ATI Answers. 1. A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, “What does this medication do?” Which of the following responses should the nurse make? a. “It helps your heart return to a normal rhythm.” b. “It dissolves blood clots.” c. “It can reduce your risk of having a stroke.” d. “It helps to prevent bleeding in atrial fibrillation.” 2. A nurse is caring for a client who has diabetes insipidus. Which of the following laboratory values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder? a. Sodium 152 mEq/L b. Potassium 6.0 mEq/L c. Creatinine clearance 50 mL/min d. Aspartate aminotransferase (AST) 52 units/L 3. A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client? a. Ipratropium b. Albuterol sulfate c. Tiotropium d. Budesonide 4. A nurse is caring for a client who has a dry nonproductive cough. Which of the following types of medication should the nurse recommend? a. Expectorant b. Mucolytic c. Bronchodilator d. Antitussive 5. A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs? a. Nasal congestion b. Tremors c. Tinnitus d. Frontal headache 6. A nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of the medication? a. BP 132/84 mmHg b. Blood glucose 106 mg/dL c. Decreased deep tendon reflexes d. Maternal heart rate >120/min 7. A nurse is teaching about levodopa with a family member of a client who has Parkinson’s disease. Which of the following pieces of information should the nurse include? a. “A full therapeutic response may take several months to happen.” b. “This medication should be taken with high-protein foods.” c. “A full therapeutic response might cause vivid dreams.” d. “The medication is given at the onset of mild symptoms.” 8. A nurse is preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take? a. Administer the medication over 4 to 5 minutes b. Place the client in a high-Fowler’s position c. Assess the client’s pain level after administering the medication d. Review the client’s last set of vital signs 9. A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? a. Raynaud’s phenomenon b. Migraine headaches c. Ulcerative colitis d. Anemia 10. A nurse is teaching a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching? a. “You can lie down 15 minutes after taking this medication.” b. “Take this medication on an empty stomach.” c. “Crush this medication to improve absorption.” d. “Avoid taking antacids or supplements that contain calcium while taking this medication.” 11. A nurse is providing teaching to the parents of a child who has a new prescription for lamotrigine for a seizure disorder. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? a. Diplopia b. Dizziness c. Rash d. Headache 12. A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for fluoxetine. The client asks the nurse, “When should I notice the benefits of this medication?” Which of the following responses should the nurse make? a. “You should expect decreased manifestations within a few days.” b. “Manifestations decrease after about 2 months.” c. “You should expect decreased manifestations immediately.” d. “Manifestations will decrease after several weeks.” 13. A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? a. Fluid overload b. Bronchospasm c. Electrolyte imbalance d. Tachycardia 14. A nurse working in a mental health facility is admitting a client with opioid use disorder who is experiencing withdrawal. The nurse should anticipate a prescription for which of the following medications from the provider? a. Methylnaltrexone b. Methadone c. Naloxone d. Hydromorphone 15. A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider? a. Aspirin EC 325 mg per NG tube daily b. Atorvastatin 40 mg per NG tube daily c. Propranolol 20 mg per NG tube daily d. Sucralfate 2 g oral suspension per NG tube BID 16. A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse include in the teaching? a. Plan to use a type of short-duration insulin in the infusion pump b. Replace the infusion pump set every 4 days c. Turn off the infusion pump for at least 3 hours each day d. Move the infusion pump catheter 1.27 cm (0.5 in) away from the old site. 17. A nurse is teaching a client who has a prescription for doxycycline for the treatment of a Helicobacter pylori infection. Which of the following instructions should the nurse include in the teaching? a. Take this medication with meals to decrease gastrointestinal upset b. Continue this medication if you become pregnant c. Wear protective clothing while in the sun d. Expect to have severe diarrhea while taking this medication 18. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril? a. Tongue swelling b. Low potassium level c. Runny nose d. Bruising 19. A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect? a. Diarrhea b. Anxiety c. Nausea and vomiting d. Dry mouth 20. A nurse is reviewing the laboratory data for a client who has Alzheimer’s disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the client’s risk for reduced clearance of the medication? a. ALT 60 international units/L b. Creatinine clearance 35 mL/min c. HbA1c 5% d. BMI 31 21. A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the client’s medical history? a. Recent myocardial infarction b. History of hemorrhagic stroke c. Current outbreak of psoriasis d. History of hypertension 22. A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? a. Tachycardia b. Oliguria c. Xerostomia (dry mouth) d. Miosis 23. A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication? a. Tachycardia b. Oliguria c. Hyperkalemia d. Weight gain 24. A nurse is reviewing the medical record of a client who has schizophrenia and prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? a. Troponin b. Total cholesterol c. Creatinine d. Thyroid stimulating hormone . 25. A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? a. “I will need to get laboratory testing prior to a refill of this medication.” b. “I will use this medication for a short period of time.” c. “I will need to take this medication for 1 week before results are seen.” d. “I will need to change the medication to prevent building up a tolerance.” 26. A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? a. “I should take my medication with antacids to minimize gastric upset.” b. “This type of medication does not require blood monitoring.” c. “I should let my dentist know I'm taking this medication.” d. “I should expect to experience some unusual eye movement when taking this medication.” 27. A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take? a. Infuse 0.9% sodium chloride 1,000 mL IV fluid bolus b. Schedule the client for electroencephalogram c. Obtain WBC with absolute neutrophil count d. Place the client on a tyramine free diet 28. A nurse is teaching a client who is to start taking diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? a. Blurred vision b. Shortness of breath c. Muscle twitching d. Dry cough 29. A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? a. Chest pressure b. White patches on the tongue c. Bruising d. Insomnia 30. 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? a. Cholelithiasis b. Asthma c. Angina pectoris d. Tachycardia 31. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? a. Administer the medication outside the 5 cm (2 inch) radius of the umbilicus b. Aspirate for blood return before injecting c. Rub vigorously after the injection to promote absorption d. Place a pressure dressing on the injection site to prevent bleeding 32. 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? a. Schedule the client for the last surgery of the day b. Place monitoring cords and tubes in a stockinet c. Choose rubber injection ports for fluid administration d. Ensure phenytoin IV is readily available 33. A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? a. Carbamazepine b. Sumatriptan c. Atenolol d. Glipizide 34. A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all the apply.) a. Blood glucose levels will be monitored during therapy b. Avoid contact with people who have known infections c. Take the medication 1 hr before breakfast d. Decrease dietary intake of foods containing potassium e. Grapefruit juice can increase the effects of the medication 35. 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 tests is required? a. Serum calcium b. Pregnancy test c. 24 hr urine collection for protein d. Aspartate aminotransferase level 36. A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? a. Take medication with food b. Expect a fine, red rash as a transient effect c. Drink 8 to 10 glasses of water daily d. Store the medication in the refrigerator 37. 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.) a. Report muscle pain to the provider b. Avoid taking the medication with grapefruit juice c. Take the medication in the early morning d. Expect a flushing of the skin as a reaction to the medication e. Expect therapy with this medication to be lifelong 38. A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? a. “I will apply the patch once a week for 2 weeks.” b. “I will leave the existing patch on for 4 hours after applying the new patch.” c. “I will fold sticky sides of the old patch together before disposing it.” d. “I will apply the patch within 14 days of menses.” 39. A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include? a. Take the medication on an empty stomach b. Avoid crowds c. Discontinue the medication if palpitations occur d. Change positions slowly 40. 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 and report? a. Tingling of fingers b. Constipation c. Weight gain d. Oliguria 41. A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching? a. Check for bruising while taking this medication b. Take the medication on an empty stomach c. The medication can cause anxiety d. Increase iron intake with this medication 42. A nurse in a provider’s office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? a. Hyperventilation b. Heartburn c. Anorexia d. Swollen ankles . 43. A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching? a. “This medication increases your risk for hypertension.” b. “Avoid potassium rich foods in your diet.” c. “Take each dose of medication in the evening before bed.” d. “Drink a glass of milk with each dose of medication.” 44. A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? a. “I have tendonitis, so I haven’t been able to exercise.” b. “I take a stool softener for chronic constipation.” c. “I take medicine for my thyroid.” d. “I am allergic to sulfa” 45. A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is contraindication to this medication? a. Hyperthyroidism b. Intestinal obstruction c. Glaucoma d. Low blood pressure 46. A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need to further teaching? a. “I will give my child a dose as soon as wheezing starts.” b. “My child should rinse out his mouth after using the inhaler.” c. “My child should exhale completely before placing the inhaler in his mouth.” d. “If my child has difficulty breathing in the dose, a spacer can be used.” 47. A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching? a. Respiratory depression can occur 7 min after the morphine is administered b. The morphine will peak in 10 min c. Withhold the morphine if the client has a respiratory rate less than 16/min d. Administer the morphine over 2 min 48. A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.) a. BUN b. PTT c. Aspartate aminotransferase (AST) d. Urinalysis e. Alanine aminotransferase (ALT) 49. A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests? a. Platelet count b. Electrolyte levels c. Thyroid function d. Liver function 50. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? a. Amantadine b. Bupropion c. Phenelzine d. Hydroxyzine 51. A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? a. Hearing examination b. Glucose tolerance test c. Electrocardiogram d. Pulmonary function test 52. A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? a. Antiestrogenic b. Antimicrobial c. Androgenic d. Anti-inflammatory 53. A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as a contraindication to ceftriaxone? a. Gentamicin b. Clindamycin c. Piperacillin d. Sulfamethoxazole-trimethoprim 54. A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? a. Insomnia b. Hypotension c. Bleeding d. Constipation 55. A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget’s disease of the bone. Which of the following actions should be the nurse’s priority? a. Administer the medication to the client before breakfast in the morning b. Ambulate the client to a chair prior to administering the medication. c. Give the medication to the client with water rather than milk d. Teach the client how to take the medication at home 56. A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client’s parent on administering the medication? a. Give the medication in the morning daily b. Administer the medication 2 hr before exercise c. Give the medication at the onset of wheezing d. Administer the granules mixed with 20 oz of water 57. A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool age child. Which of the following actions should the nurse plan to take? (Select all that apply.) a. Spread the cream over the lateral surface of both forearms b. Apply to intact skin c. Apply the medication an hour before the procedure begins d. Cleanse the skin prior to procedure e. Use a visual pain rating scale to evaluate effectiveness of the treatment. 58. A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? a. Thyroid hormone assay b. Liver function test c. Erythrocyte sedimentation rate d. Brain natriuretic peptide 59. A nurse in a coronary care unit is admitting a client who has had CPR following cardiac arrest. The client is receiving lidocaine IV at 2mg/min. When the clients ask the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? a. Prevents dysrhythmias b. Slows intestinal motility c. Dissolves blood clots d. Relieves pain 60. A nurse in a provider’s clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil? a. Isosorbide b. Phenytoin c. Metronidazole d. Prednisone 61. A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? a. A decrease in blood sugar b. A decrease in blood pressure c. A decrease in urine output d. A decrease in specific gravity