ATI Pharmacology Questions Ch. 1-6

A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication the the newly licensed nurse understands the process?

"Another nurse should listen to the phone call"

A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give?

"Change positions slowly when you move from sitting to standing"

A nurse is competing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I will apply the patch to an area of skin with no hair."

A nurse is preparing to administer leucovorin to a client who has cancer and is receiving chemotherapy with methotrexate. Which of the following responses should the nurse use when the client asks why leucovorin is being given?

"Leucovorin protects healthy cells from methotrexate's toxic effect"

A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about potential contraindications to a medication for which of the following clients?

- a client who takes prednisone and has a possible fungal infection - a client who has chronic liver disease and is taking hydrocodone/acetaminophen - a client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy

A nurse is caring for several clients who came to the clinic for a seasonal influenza immunization. The nurse should identify that which of the following clients is a candidate to receive the vaccine via nasal spray rather than injection?

17 yo who has a hypersensitivity to penicillin

A nurse manager is reviewing the facility's policies for IV therapy with the members of his team. The nurse manager should remind the team that which of the following techniques helps minimize the risk of catheter embolism?

Avoiding reinserting the needle into an IV catheter

A nurse is teaching a client who has breast cancer about tamoxifen. Which of the following adverse effects of tamoxifen should the nurse discuss with the client?

Abnormal uterine bleeding

A nurse at a provider's office is preparing to administer RV, DTa, Hib, PCV13, and IPV immunizations to a 4 month-old infant. Which of the following actions should the nurse plan to take.

Administer subcutaneous injections in the anterolateral thigh, give the infant his pacifier during vaccine injections

A nurse assessing client's IV catheter insertion site notes a hematoma. Which of the following actions should the nurse take?

Apply warm compresses to the insertion site Elevate the client's arm

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

Ask the client to look up at the ceiling Drop the medication into the center of the client's conjunctival sac Instruct the client to close her eye gently after instillation

A nurse is caring for a client who receives rituximab to treat non-hodgkin's leukemia and who asks the nurse how riuximab works. Which of the following should the nurse include?

Binds with specific antigens on tumor cells

A nurse is caring for a patient who has breast cancer and asks why she is receiving a combination therapy of cyclophosphamide, methotrexate, and fluorouracil. The response by the nurse should include that the combination chemotherapy is used to do which of the following?

Decrease medication resistance, attack cancer cells at different stages of cell growth , Decrease injury to normal body cells

A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client?

CNS

A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take?

Distend the veins by using a blood pressure cuff

A nurse is assessing a client's IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis?

Erythema, Pain

A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages?

Liver failure, Concurrent use of medication the same pathway metabolizes Rationale: - increased renal excretion decreases the concentration of the medication, requiring an increased dosage - increased medication-metabolizing enzymes decreases the concentration of the medication, requiring an increased dosage - peripheral vascular disease impairs distribution, requiring an increased dosage

A nurse is caring for a client who is being treated with interferon Alfa-2b for malignant melanoma. For which of the following adverse effects should the nurse monitor?

Muscle aches, peripheral neuropathy, depression

A nurse is reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take?

Obtain a blood specimen immediately prior to administering the next dose of medication.

A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication?

One

A 12 month old child just received the first measles, mumps and rubella (MMR) vaccine. For which of the following possible reactions to this vaccine should the nurse teach the parents to monitor?

Rash, swollen glands, bruising

A nurse is teaching a group of new parents about immunizations. The nurse should instruct the parents that the series for which of the following vaccines is completed prior to the first birthday?

Rotavirus vaccine

A nurse is preparing to administer cyclophosphamide IV to a client who has Hodgkin's disease. Which of the following medications should the nurse expect to administer concurrently with the chemotherapy to prevent an adverse effect of cyclophosphamide?

Uroprotectant agent, such as meson

A nurse is caring for a group of clients who are not protected against varicella. The nurse should prepare to administer the varicella vaccine at this time to which of the following clients?

a 32 year old man who has essential hypertension

A nurse is caring for a client who is taking oral oxycodone. The client states he is also taking ibuprofen in three recommended doses daily. The nurse should identify that an interaction between these two medication will cause which of the following?

an increase in the expected therapeutic effect of both medications

A nurse is reviewing a new prescription for ondansetron 4mg PO PRN for nausea and vomiting for a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the prescription with the provider?

frequency

A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client?

inactivated influenza vaccine

A nurse is preparing to administer medications to a 4 month old infant. Which of the following pharmokinetic principles should the nurse consider when administering medications to this client?

infants have immature liver functioning infants' blood-brain barrier is poorly developed Infants have an increased ability to absorb topical medications

A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines?

maintain skill competency monitor for adverse effects safeguard medications

A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness?

reduced hepatic function

A nurse reviewing a client's health record notes a new prescription of lisinopril 10 mg PO qd. The nurse should identify this as which of the following types or prescriptions?

routine

A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states that she took penicillin 3 years ago and developed a rash. Which of the following action should the nurse take?

withhold the medication