ATI Pharmacology Practice 2023

125 mL/hr

A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D5W) over 2 hr by intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr?

wheezing

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?

100 mL/hr

A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has streoptococci infeciton. Available is clindamycin premixed in 50 mL 0.9% NaCl. The nurse should set the IV pump to deliver how many mL/hr?

inject the medication into the abdomen above the level of the iliac crest

A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take?

administer the medications 5 min apart

a nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?

"will avoid drinking grapefruit juice"

a nurse is teaching a client who is taking atorvastatin daily. which of the following statements by the client indicates an understanding of the teaching?

"you should avoid grapefruit juice"

a nurse is teaching a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

asthma

A NURSE is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. the nurse should inform the client that this medicaiton is contraindicated in clients who have a history of the following conditions?

swelling of the tongue

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?

24 mL/hr

A nurse is caring for a client who has a DVT and is prescribed heparin by continuous infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr?

42 units

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of insulin that the nurse should prepare in the insulin syringe?

respirations are unlabored

A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to epinephrine?

8 gtt/min

A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/min?

100 mL/hr

A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hr. The should set the IV pump to deliver how many mL/hr?

tachycardia

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?

spironolactone

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?

PT 45 seconds

A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking warfarin. For which of the following results should the nurse notify the provider?

"report changes in hearing"

A nurse is teaching a client who has a new prescription for bumetanide. Which if the following instructions should the nurse include in the teaching?

"I have started taking ginger root to treat my joint stiffness"

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?

liver function tests

A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of following baseline examinations should the nurse include in the teaching?

"heparin does not dissolve clots. It stops new clits from forming"

a nurse if caring for a client who has thrombophlebitis and is receiving heparin by continuous iv infusion the client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

"i will be sure to take the albuterol before taking cromolyn"

a nurse if providing discharge teaching to a client who has asthma and new prescription for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

albuterol

a nurse if teaching a client who has a new diagnosis of asthma which the following medications should the nurse instruct the client to use to abort an acute asthma attack?

"a headache is an expected adverse effect of the medication"

a nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?

audible inspiratory stridor

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?

increased urine output

a nurse is assessing a client who is receiving a continuous iv infusion of dopamine. Which of the following findings should the nurse recognize as a therapeutic effect?

systolic blood pressure is increased

a nurse is assessing a client who is receiving dopamine iv to treat left ventricular failure which of the following findings should indicate to the nurse that the medicaiton is having a therapeutic effect?

decrease the infusion rate on the IV

a nurse is assessing a client who is receiving iv vancomycin. the nurse notes a flushing of the neck and tachycardia. which of the following actions should the nurse take?

amoxicillin-clavulanate

a nurse is caring for a child who is allergic to penicillin the nurse should verify which of the following prescriptions with the provider?

monitor the serum medication levels

a nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medicaiton?

red-colored urine

a nurse is caring for a client who has active TB and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

check the client's vital signs

a nurse is caring for a client who has congestive heart failure and is taking digoxin daily the client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first

"crushing the medicaiton might cause you to have a stomachache or indigestion"

a nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

0.5 tablets

a nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg po daily. available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose?

hyperuricemia

a nurse is caring for a client who has heart failure and is receiving iv furosemide. the nurse should monitor the client for which of the following electrolyte imbalances?

acteaminophen

a nurse is caring for a client who is in her third trimester of pregnancy the client asks the nurse about over-the-counter medications is a pregnancy risk category B?

protamine

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?

furosemide

a nurse is caring for a client whose serum potassium level is 5.3 mEq/L. which of the following scheduled medications should the nurse plan to administer?

phenylephrine

a nurse is planning care for a client who has a detached retina and is preoperative for surgical repair. The nurse should prepare to administer which of the following medications?

2 tablets

a nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin 125 mg tablets. How many tablets should the nurse administer with each dose?

5.6 mL

a nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer?

chekc the client for a penicillin allergy

a nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take?

the nurse should not expel the air bubble in the prefilled syringe

a nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

44 gtt/min

a nurse is preparing to administer lactated ringers 400 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

urticaria

a nurse is preparing to transfuse one unit of packed rbc to a client who experienced a mild allergic reaction during a previous transfusion the nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?

depression

a nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast the nurse should instruct the client to report which of the following adverse effects to the provider?

"increase your daily intake of dietary fiber"

a nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina which of the following instructions should the nurse include?

"i should leave the patch in place until it is time for the next dose"

a nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin paste. Which of the following state by the client indicates the need for further teaching?

do not use salt substitutes while taking this medication

a nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide?

take the medication early in the day

a nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?

" the INR is a standardized test that eliminates the variations between prothrombin times"

a nurse is providing teaching to a client who is taking warfarin about monitoring its therapeutic effects. Which of the following explanations should the nurse provide about the INR test?

specific characteristics of the medications

a nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

a history of left-sided heart failure

a nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol which of the following findings should the nurse investigate further?

provide a list of a client's current medications during admission to a health care facility

a nurse is teaching a class about medication reconciliation which of the following infomration should the nurse include in the teaching?

"you might have to stop taking this medication 5 days before any planned surgeris"

a nurse is teaching a client who has a new prescription for clopidogrel which of the following instructions should the nurse include?

" you should report any tendon discomfort you experience while taking this medication"

a nurse is teaching a client who has a urinary tract infection and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?

bradycardia

a nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following should the nurse includes as adverse effects of this medication?

methicillin-resistant Staphylococcus aureus

a nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is indicated for which of the following infections?

"warfarin takes several days to work, so the IV heparin will be be used until

nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days the provider prescribes warfarin po without discontinuing the heparin. The client asks the nurse why both anticogaulants are necessary. Which of the following statements should the nurse make?

the client's age is 62

the nurse is assessing a client prior to administering a seaonal 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 vaccin (LAIV)?