ATI Pharm Practice A

Provide a list of the client's current medications during admission to a health care facility. 1)Liver function tests 2)Gallbladder studies 3)Thyroid function studies 4)Blood glucose levels

Liver function tests

A nurse is reviewing the laboratory data on a client who has a new prescription for heparin for treatment of a pulmonary embolism. Which of the following data should the nurse report to the provider? 1)Hematocrit 45% 2)Partial thromboplastin time (PTT) 65 seconds 3)White blood cell count 8,000/mm3 4)Platelets 74,000/mm3

Platelets 74,000/mm3

A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication? 1)Ototoxicity 2)Tachycardia 3)Postural hypotension 4)Hypokalemia

Postural hypotension

A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose?

Protamine

A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching? 1)Do not include over-the-counter medications in the medication reconciliation report. 2)Provide a list of the client's current medications during the change of shift report. 3)Do not perform reconciliation for a client at discharge from a health care facility. 4)Provide a list of the client's current medications during admission to a health care facility.

Provide a list of the client's current medications during admission to a health care facility.

A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? (Select all that apply.) 1)A website that ends in .com 2)Published journals 3)Pharmacists 4)Physicians' Desk Reference 5)Pharmaceutical sales representatives

Publishes journals pharmacists, physician's desk reference

A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment? 1)Blood pressure 2)Apical heart rate 3)Respiratory rate 4)Temperature

Respiratory rate

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions? 1)Reduces inflammation 2)Suppresses the urge to cough 3)Dries mucous membranes 4)Stimulates secretions

Stimulates secretions

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects? 1)Drowsiness 2)Constipation 3)Oliguria 4)Tachycardia

Tachycardia

A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg/day by intermittent IV bolus every 8 hr. Which of the following manifestations indicate the client is experiencing gentamicin toxicity? (Select all that apply.) 1)Insomnia 2)Tinnitus 3)Dizziness 4)Restlessness 5)Xerostomia

Tinnitus and Dizziness

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer? 1)Epinephrine 2)Atropine 3)Protamine 4)Vitamin K

Vitamin K

A nurse is reviewing the medication list for a client who has a new prescription for warfarin. The nurse should recognize that which of the following medications is incompatible with warfarin? 1)Furosemide 2)Alprazolam 3)Vitamin K 4)Vitamin A

Vitamin K

A nurse is collecting data on a client who has a new prescription for ampicillin. The nurse should recognize which of the following findings is a priority? 1)Nausea 2)Vomiting 3)Wheezing 4)Moniliasis

Wheezing

A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching? 1)"I'll rinse my mouth after taking this medication." 2)"I'll take this medication when I get an asthma attack." 3)"I'll take this medication once a day in the evening." 4)"I'll use a spacer device when I inhale this medication."

"I'll take this medication once a day in the evening." Montelukast, a leukotriene modifier, is used to prevent asthma exacerbations. The client should take it on a daily basis once a day in the evening.

A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include? 1)"Take this medication with food." 2)"You might have to stop taking this medication 5 days before any planned surgeries." 3)"Take this medication three times daily." 4)"Expect to have black-colored stools while taking this medication."

"You might have to stop taking this medication 5 days before any planned surgeries."

A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider? 1)Localized redness at the catheter insertion site 2)Client report of a headache 3)Client report of tinnitus 4)Audible inspiratory stridor

Audible inspiratory stridor

A nurse is admitting a client who states he takes ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking? 1)Famotidine 2)Levothyroxine 3)Warfarin 4)Loratadine

Warfarin

A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? 1)"Do not take antihistamines with this medication." 2)"Take the medication on an empty stomach." 3)"Stop taking the medication immediately for a headache." 4)"Expect to develop diarrhea initially."

"Do not take antihistamines with this medication."

A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority? 1)"He takes a 2-hour nap every day after school." 2)"He says he feels sick to his stomach after taking this medication." 3)"He has so many new bruises on his body." 4)"He says his mouth is always dry."

"He has so many new bruises on his body."

A nurse is teaching a client who has multiple sclerosis and a new prescription for dantrolene. Which of the following statements by the client indicates an understanding of the teaching? 1)"I need to apply a sunscreen when I go outside." 2)"I can take an over-the-counter antihistamine for allergies when I'm taking this drug." 3)"I should take this medication when my spasms are bad." 4)"My muscle strength should improve a lot in 2 to 3 days."

"I need to apply a sunscreen when I go outside."

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.3 mL

A nurse is administering a unit of RBC 350 mL over 3 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

117 mL/hr

A nurse is caring for a client who has a prescription for 3,000 mL of dextrose 5% in 0.45% sodium chloride to infuse IV over 24 hr. The nurse initiates an IV infusion of 1,000 mL of this fluid at 0800. At what time should the nurse prepare to initiate the second 1,000 mL bag? 1)1600 2)2400 3)1200 4)1800

1600

A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

21 gtt/min

A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

31 drops/min

A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience dyspnea and tongue swelling. Which of the following actions should the nurse perform first? 1)Obtain intravenous fluids for administration. 2)Record the observed data in medical record. 3)Deliver a dose of aminophylline by inhalation. 4)Administer epinephrine subcutaneously.

Administer epinephrine subcutaneously.

A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess? 1)Amylase 2)Creatinine 3)Aspartate aminotransferase (AST) 4)Antidiuretic hormone (ADH)

Aspartate aminotransferase (AST) The greatest risk to this client is liver injury from the combined adverse effects of alcohol and acetaminophen. Therefore, the priority laboratory value for the nurse to evaluate is AST because an elevated level is an indication of liver damage.

A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication? 1)Bradycardia 2)Tremor 3)Cough 4)Constipation

Bradycardia

A nurse is preparing to initiate a transfusion of packed RBC for a client who has anemia. Which of the following actions should the plan to nurse take? 1)Leave the client 5 min after beginning the transfusion. 2)Infuse the transfusion at a rate of 200 mL/hr. 3)Check the client's vital signs every hour during the transfusion. 4)Flush the blood tubing with dextrose 5% in water.

Check the client's vital signs every hour during the transfusion.

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication? 1)Heart rate 46/min 2)Oxygen saturation 95% 3)Respiratory rate 18/min 4)Blood pressure 160/94 mm Hg

Heart rate 46/min

A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication the client might be experiencing a hemolytic reaction? 1)Flushing 2)Dyspnea 3)Hypotension 4)Vomiting

Hypotension A hemolytic reaction causes hypotension, headache, apprehension, chest pain, and low-back pain.

A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take? 1)Infuse the medication with an IV pump. 2)Cover the IV container with dark paper. 3)Administer a test dose first. 4)Infuse the medication at 35 mg/min.

Infuse the medication with an IV pump.

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.) 1)The medication will stimulate flow of mucus. 2)The medication will prevent wheezing. 3)The medication will open the airways. 4)The medication will reduce inflammation. 5)The medication will decrease coughing episodes.

Prevent wheezing, open airways, and decrease coughing episodes

A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method? 1)Ginseng 2)Gingko biloba 3)St. John's wort 4)Saw palmetto

St. John's wort

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? 1)Sedation 2)Increased appetite 3)White coating in the mouth 4)Dry oral mucous membranes

White coating in the mouth

A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching? 1)"I will expect the color of my urine to be amber." 2) "I should expect dark, tarry stools." 3)"I should expect increased bruising." 4)"I will not get as many infections."

"I should expect dark, tarry stools"

A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include? 1)"Take this medication daily to prevent headaches." 2)"Activate the patch 30 minutes after application." 3)"Use contraception while taking this medication." 4)"You can bathe with the patch in place."

"Use contraception while taking this medication." Sumatriptan can cause teratogenesis and should not be used during pregnancy.

A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication? 1)The client experiences less muscle pain. 2)The client's seizure threshold is reduced. 3)The client experiences an increased ease of breathing. 4)The client's platelet count is increased.

The client experiences an increased ease of breathing.

A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAIV)? 1)The client's age is 62. 2)The client smokes one pack of cigarettes a day 3)The client has a history of myocardial infarction. 4)The client has recently traveled to Europe.

The client's age is 62. Clients must be between the ages of 2 and 49 to receive the LIAV; therefore, it is contraindicated for this client. Pregnancy and immunocompromised status are also contraindications.

A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take? 1)Insert the needle at a 45º angle. 2)Aspirate for a blood return before depressing the plunger. 3)The nurse should not expel the air bubble in the prefilled syringe. 4)Administer the medication 2.54 cm (1 in) from the umbilicus.

The nurse should not expel the air bubble in the prefilled syringe. The nurse should not expel the air bubble that is in the pre-filled syringe prior to administering the medication.