PHARM ATI PRACTICE A

When should newborns receive their first dose of the DTaP vaccine?

2 months

What is an antidote for acetaminophen toxicity?

Acetylcysteine

What medication should be administered for a cholinergic crisis?

Atropine

A nurse is providing teaching to a client who has MS and a new prescription for methylprednisolone. Which of the following instructions should the nurse include?

Blood glucose levels will be monitored Avoid contact with people who have infections Grapefruit juice will increase the effects

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?

Bibasilar crackles

A nurse is administering donepezil to a client who has Alezheimer's disease. Which of the following findings should the nurse report to the provider immediately?

Dyspnea

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 medications will interfere with the effectiveness of the contraceptives?

Carbamazepine

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective?

I will taper off the medication before discontinuing it

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?

Decreased respirations might occur

A nurse is planning care for a client with HTN and is to start taking metoprolol. Which of the following interventions should the nurse include in the plan of care?

Determine apical pulse prior to adminsitering

A nurse is reviewing the MAR of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications interact with calcium gluconate.

Digoxin

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching?

Dry mouth Blurred vision Dry eyes

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer?

Epinephrine

Antidote for benzodiazepines such as diazepam?

Flumazenil

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription of sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?

Forms a protective barrier over ulcers

A nurse at an urgent care is collecting history from a female client who has a UTI. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the statements indicates a contraindication for administering this medication?

I have tendonitis, so I haven't been able to exercise

A nurse is teaching 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 should sit up for 30 minutes after taking the risedronate

A nurse is providing discharge instructions to a client who has heart failure and a new prescription of captopril. Which of the following client statements indicates an understanding of the teaching?

I should tell my provider if I develop a sore throat

A nurse is instructing a client on the application of a nitroglycerin transdermal patch. Which statement by the client indicates an understanding of the teaching?

I will take the patch off right after my evening meal

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse identify that the client should discontinue which of the following OTC medications?

Ibuprofen (NSAIDS)

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. The following finding should the nurse identify as an indication that the medication is effective?

Increase in ability to focus

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

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?

Insomnia

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effects?

Miosis (pupillary constriction)

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take?

Monitor the client for constipation

Antidote for opioid overdose?

Naloxone (Narcan)

A nurse is planning to teach about the use of a spacer to a child who has a new prescription for fluticasone inhaler to treat chronic asthma. The nurse should indicate that the spacer decreases the risk for which of the following adverse effects of the medication?

Oral candidiasis

A nurse is reviewing an ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia?

Presence of U-waves

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?

Report muscle pain Avoid grapefruit juice Lifelong therapy

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for famotidine. Which of the following instructions should the nurse include?

Report yellowing of the skin

What should be included in teaching for a client taking beclomethasone and albuterol inhalers for asthma?

Rinse your mouth after inhaling the beclomethasone

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the adverse effects should the nurse monitor?

Sedation

A nurse is providing discharge teaching about handling medication to a client who is to continue using transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following info should the nurse include in teaching?

Store unused medication sticks in a storage container

Client is taking heloperidol for schizophrenia. The nurse should include which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)?

Temp of 103.5 F

A nurse is assessing a client 1 hr 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 rates pain as 3 on a scale from 0 to 10

A nurse is assessing a client who is postop following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that patient is ready for discharge?

The clients capnography has returned to baseline

A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which following adverse effects should the nurse instruct the client to monitor and report?

Tingling of fingers

A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?

Tinnitus

When would chlordiazepoxide be indicated for a patient experiencing acute alcohol withdrawal?

To prevent delirium tremens