ATI Pharm A Form

A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? 1) report the incident to the charge nurse 2) notify the provider 3) check the client's blood glucose 4) fill out an incident report

3

A nurse in an ED is caring for a client who has MG and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer? 1) potassium iodide 2) glucagon 3) atropine 4) protamine

3

A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following to the provider as a manifestation of neuroleptic malignant syndrome (NMS)? 1) Temperature of 39.7° C (103.5° F) 2) Urinary retention 3) Heart rate 56/min 4) Muscle flaccidity

1

A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge? 1) The client's capnography has returned to baseline. 2) The client can respond to their name when called. 3) The client is passing flatus. 4) The client is requesting oral intake.

1

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? 1) constipation 2) drowsiness 3) facial flushing 4) itching

1

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? 1) tingling of fingers 2) constipation 3) weight gain 4) oliguria

1

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes that the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? 1) diphenhydramine 2) albuterol inhaler 3) epi 4) prednisone

3

A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer deceases the risk for which of the following adverse effect of the medication? 1) oral candidiasis 2) headache 3) joint pain 4) adrenal suppression

1

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? 1) Administer the medication outside the 5-cm (2-in) radius of the umbilicus. 2) Aspirate for blood return before injecting. 3) Rub vigorously after the injection to promote absorption. 4) Place a pressure dressing on the injection site to prevent bleeding.

1

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? 1) constipation 2) tinnitus 3) hypoglycemia 4) joint pain

2

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? 1) carbamazepine 2) sumatriptan 3) atenolol 4) glipizide

1

A nurse is providing teaching to a client who has MS and a new prescription for methylprednisolone. Which instructions should the the nurse include? Select all that apply. Blood glucose levels will be monitored during therapy. Avoid contact with people who have known infections. Take the medication 1 hr before breakfast. Decrease dietary intake of foods containing potassium. Grapefruit juice can increase the effects of the medication

A, B, E

ECG findings for hypokalemia? tall, tented T-waves presence of U-waves widened QRS complex ST elevation

B

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? 1) obtain the client's BP 2) contact the client's provider 3) inform the charge nurse 4) complete an incident

1

A nurse is preparing to administer medication to a client who tells the nurse, " I don't want to take my fluid pill until I get home today." Which of the following action should the nurse take? 1) Document the refusal and inform the client's provider. 2) File an incident report with the risk manager. 3) Contact the pharmacist to pick up the medication. 4) Give the client the medication to take at home and document that it was administered.

1

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 int he teaching plan? Select all that apply. 1) Report muscle pain to the provider. 2) Avoid taking the medication with grapefruit juice. 3) Take the medication in the early morning. 4) Expect a flushing of the skin as a reaction to the medication. 5) Expect therapy with this medication to be lifelong.

1, 2, 5

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? Select all that apply. 1) dry mouth 2) tinnitus 3) blurred vision 4) bradycardia 5) dry eyes

1, 3, 5

A nurse at a clinic is providing follow up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? 1) tingling toes 2) sexual dysfunction 3) absence of dreams 4) pica

2

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? 1) methadone 2) naloxone 3) diazepam 4) bupropion

2

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? 1) 1000 2) 0900 3) 0830 4) 1200

3

A nurse is teaching a client 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? 1) "I will drink a glass of milk when I take the risedronate." 2) "I will take the risedronate 15 minutes after my evening meal." 3) "I should take an antacid with the risedronate to avoid nausea." 4) "I should sit up for 30 minutes after taking the risedronate."

4

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? 1) the medication should be taken 1 hr prior to eating 2) it takes 48 hr for effects to occur 3) tablets should not be crushed or chewed 4) decreased respirations might occur

4

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications? 1) aspirin 2) ibuprofen 3) ranitidine 4) bisacodyl

2

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? 1) The client's provider is required to complete medication reconciliation. 2) Medication reconciliation at discharge is limited to the medication ordered at the time of discharge. 3) A transition in care requires the nurse to conduct medication reconciliation. 4) Medical reconciliation is limited to the name of the medications that the client is currently taking

3

A nurse is the ED is caring for a client who overdosed on diazepam. Which of the medications should the nurse anticipate administering? 1) ondansetron 2) magnesium sulfate 3) flumazenil 4) protamine sulfate

3

Which of the following actions of sucralfate should the nurse include in the teaching? 1) decreases stomach acid secretion 2) neutralizes acids in the stomach 3) forms a protective barrier over ulcers 4) treats ulcers by eradicating H. pylori

3

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? 1) dyspepsia 2) diarrhea 3) dizziness 4) dyspnea

4

A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? 1) serum calcium 2) pregnancy test 3) 24-hr urine collection 4) asparate aminotransferase level

2

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? 1) vomiting 2) blood in the urine 3) positive chvostek's sign 4) ringing in the ears

2

A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? 1) IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified. 2) 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified. 3) 1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath. 4) IV fluid initiated at 0500. Lungs clear to auscultation.

2

A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages? 1) at birth 2) 2 months 3) 6 months 4) 15 months

2

A nurse is planning care for a client who has HTN and is to start taking metoprolol. Which of the following interventions should the nurse include in the plan of care? 1) weigh daily 2) determine apical pulse prior to giving 3) administer 30 min prior to breakfast 4) monitor the client for jaundice

2

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? 1) muscle weakness 2) sedation 3) tinnitus 4) peripheral edema

2

A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? 1) "Take one tablet three times a day before meals." 2) "Take one tablet at onset of migraine." 3) "Take up to eight tablets as needed within a 24-hour period." 4) "Take one tablet every 15 minutes until migraine subsides."

2

A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? 1) "it is safe to take an enteric-coated aspirin" 2) "aspirin will increase risk of bleeding" 3) "acetaminophen may be substituted for aspirin" 4) "the INR lab work must be monitored more frequently"

2

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. What instructions should the nurse include? 1) "take the medication on an empty stomach" 2) "you may discontinue the medication when discomfort subsides" 3) "report yellowing of the skin" 4) "store the medication in the refrigerator"

3

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? 1) "I will have increased saliva production." 2) "I will continue taking the medication until the rash disappears." 3) "I will taper off the medication before discontinuing it." 4) "I will report any urinary incontinence."

3

A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? 1) felodipine 2) guaifenesin 3) digoxin 4) regular insulin

3 *can cause hypercalcemia & toxicity

A nurse is assessing a client who has myasthenia graves and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? 1) tachycardia 2) oliguria 3) xerostomia 4) miosis

4

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? 1) decrease in WBC 2) decrease in the amount of time sleeping 3) increase in appetite 4) increase in ability to focus

4

A nurse is planning care for a client who is receiving mannitol via continuous infusion. The nurse should monitor for which adverse effects? 1) weight loss 2) increase intraocular pressure 3) auditory hallucinations 4) bibasilar crackles

4

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client client who has hyperkalemia. Which of the following action should the nurse plan to take? 1) hold the client's other PO medications until 8 hr afterwards 2) inform the client that this medication can turn stool a light tan color 3) keep the client's solution in the refrigerator for up to 72 hours 4) monitor the client for constipation

4

A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? 1) "I should take the medication with food" 2) "I should take naproxen if I develop joint pain" 3) "I should expect the medication to cause my urine to look orange" 4) "I should tell my provider if I develop a sore throat"

4

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. which of the following finding should the nurse identify as an adverse effect of the medication? 1) cough 2) joint pain 3) alopecia 4) insomnia

4

A nurse is reviewing the lab results for a client who is receiving heparin via continuous IV infusion for DVT. The nurse should discontinue the medication infusion for which of the following client findings? 1) potassium 5.0 mEq/L 2) aPTT 2 times the control 3) hemoglobin 15 g/dL 4) platelets 96,000/mm3

4

A nurse is reviewing the laboratory test results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider? 1) calcium level 9.2 2) magnesium level 1.6 3) digoxin level 1.1 4) potassium level 2.8

4