ATI Pharmacology
When administering the medication Spironolactone, when is the best time to administer it? a. Evening b. Noon c. At bedtime d. Morning
D
When taking Nitroglycerine (transdermal), you should have how many hours nitrate free each day? A. 1-2 hours B. 5-10 hours C. 3-4 hours D. 10-12 hours
D
Which of the following types of insulin is "long-acting"? a. Lispro (Humalog) b. NPH (Humulin N) c. Regular insulin (Humulin R) d. Glargine (Lantus)
D
A nurse is caring for a client who is refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make?
"By not taking your furosemide, you might retain fluid and develop swelling."
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 the instructions?
"Take one tablet at onset of migraine."
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?
0830
A client has begun therapy with theophylline (Theo-24). The nurse should plan to teach the client to limit the intake of which items while taking this medication? 1. Coffee, cola, and chocolate 2. Oysters, lobster, and shrimp 3. Melons, oranges, and pineapple 4. Cottage cheese, cream cheese, and dairy creamers
1
A client taking lithium carbonate reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/ L. This level is indicative of which finding? 1. Toxic 2. Normal 3. Slightly above normal 4. Excessively below normal
1
A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/ L and is complaining of anorexia. The health care provider prescribes determination of the serum digoxin level to rule out digoxin toxicity. The nurse checks the results, knowing that which value is the therapeutic serum level (range) for digoxin? 1. 0.5 to 2 ng/ mL 2. 1.2 to 2.8 ng/ mL 3. 3.0 to 5.0 ng/ mL 4. 3.5 to 5.5 ng/ mL
1
A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? 1. Jaundice 2. Constipation 3. Oral candidiasis 4. Sedation
1
A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? 1, Amantadine. 2, Bupropion 3, Phenelzine 4, Hydroxyzine
1 used as an antiparkinsonian agent, to treat extrapyramidal reactions
A nurse is caring for several patients who have bipolar disorder. The nurse should recognize that which of the following medications are appropriate for treating this condition (Select all that apply): 1) paraoxetine (Paxil) 2) lithium (Lethane) 3) tranylcypromine (Parnate) 4) valproic acid (Depakote) 5) phenytoin (Dilantin) 6) carbamazepine (tegretol)
1, 2, 4, 6
A client receiving tricyclic antidepressants arrives at the mental health clinic. Which observation would indicate that the client is following the medication plan correctly? 1. Client reports not going to work for this past week. 2. Client complains of not being able to "do anything" anymore. 3. Client arrives at the clinic neat and appropriate in appearance. 4. Client reports sleeping 12 hours per night and 3 to 4 hours during the day
3
A client has been taking isoniazid for 11 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem? 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation
2
A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach theclient to take which action? 1. Use alcohol in small amounts only. 2. Report yellow eyes or skin immediately. 3. Increase intake of Swiss or aged cheeses. 4. Avoid vitamin supplements during therapy
2
A client who has been taking buspirone (Buspar) for 1 month returns to the clinic for a follow-up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred? 1. Paranoid thought process 2. Rapid heartbeat or anxiety 3. Alcohol withdrawal symptoms 4. Thought broadcasting or delusions
2
A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? 1) Allergic response 2) Superinfection 3) Renal toxicity 4) Hepatotoxicity
2
A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? 1. Raynaud's phenomenon 2. Migraine headaches 3. Ulcerative colitis 4. Anemia
2
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? 1) Hyperthyroidism 2) Intestinal obstruction 3) Glaucoma 4) Low blood
2
A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which finding is noted on assessment? 1. Proteinuria of 3 + 2. Respirations of 10 breaths/ minute 3. Presence of deep tendon reflexes 4. Serum magnesium level of 6 mEq/ L
2
Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication? 1. Gastric atony 2. Urinary strictures 3. Neurogenic atony 4. Gastroesophageal reflux
2
The nurse has a prescription to give a client salmeterol (Serevent Diskus), two puffs, and beclomethasone dipropionate (Qvar), two puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure? 1. Beclomethasone first and then the salmeterol 2. Salmeterol first and then the beclomethasone 3. Alternating a single puff of each, beginning with the salmeterol 4. Alternating a single puff of each, beginning with the beclomethasone
2
The nurse is performing a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this client visit regarding the side/ adverse effects of the medication? 1. Cardiovascular symptoms 2. Gastrointestinal dysfunctions 3. Problems with mouth dryness 4. Problems with excessive sweating
2
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority? 1, Administer the medication to the client before breakfast in the morning. 2, Ambulate the client to a chair prior to administering the medication. 3. Give the medication to the client with water rather than milk. 4. Teach the client how to take the medication at home.
2 Do not administer alendronate to the patient while the patient is lying down.
The nurse is monitoring a client who is taking digoxin (Lanoxin) for adverse effects. Which findings are characteristic of digoxin toxicity? Select all that apply. 1. Tremors 2. Diarrhea 3. Irritability 4. Blurred vision 5. Nausea and vomiting
2, 4, 5
A nurse is caring for a client who is taking tamoxifen (Nolvadex) for treatment of breast cancer. The nurse should inform the client that which of the side effects can develop:(Select all that apply) 1) Bradycardia 2) Menstrual irregularities 3) Petechia 4) Hot flashes 5) Vaginal discharge
2,4,5
A client has a prescription to take guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will perform which action? 1. Take an extra dose if fever develops 2. Take the medication with meals only 3. Take the tablet with a full glass of water 4 .Decrease the amount of daily fluid intake
3
A client has been started on long-term therapy with rifampin (Rifadin). The nurse should provide which information to the client about the medication? 1. Should always be taken with food or antacids 2. Should be double-dosed if one dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months
3
A client is diagnosed with an ST- segment elevation myocardial infarction (STEMI) and is receiving tissue plasminogen activator, alteplase (Activase, tPA). Which action is a priority nursing intervention? 1. Monitor for kidney failure. 2. Monitor psychosocial status. 3 Monitor for signs of bleeding.
3
A client with tuberculosis is being started on antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed? 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine level
3
A miotic medication has been prescribed for the client with glaucoma and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client? 1. "The medication will help dilate the eye to prevent pressure from occurring." 2. "The medication will relax the muscles of the eyes and prevent blurred vision." 3. "The medication causes the pupil to constrict and will lower the pressure in the eye." 4. "The medication will help block the responses that are sent to the muscles in the eye."
3
A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? 1) Insomnia 2) Hypotension 3) Bleeding 4) Constipation
3
A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? 1) Reduces blood pressure 2) Inhibits clotting of fistula 3) Promotes RBC production 4) Stimulates growth of neutrophils
3
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? 1. Nausea 2. Metallic taste 3. Fever 4. Drowsiness
3
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? 1. Methimazole 2. Somatropin 3. Levothyroxine 4. Propylthiouracil
3
The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. Which assessment finding would cause the nurse to immediately discontinue the oxytocin infusion? 1. Fatigue 2. Drowsiness 3. Uterine hyperstimulation 4. Early decelerations of the fetal heart rate
3
The nurse is planning to administer hydrochlorothiazide to a client. The nurse understands that which is a concern related to the administration of this medication? 1. Hypouricemia, hyperkalemia 2. Increased risk of osteoporosis 3. Hypokalemia, hyperglycemia, sulfa allergy 4. Hyperkalemia, hypoglycemia, penicillin allergy
3
The nurse should report which assessment finding to the health care provider (HCP) before initiating thrombolytic therapy in a client with pulmonary embolism? 1. Adventitious breath sounds 2. Temperature of 99.4 ° F orally 3. Blood pressure of 198/ 110 mm Hg 4. Respiratory rate of 28 breaths/ minute
3
Zafirlukast (Accolate) is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication? 1. Platelet count 2. Neutrophil count 3. Liver function tests 4. Complete blood count
3
A client being treated for heart failure is administered intravenous bumetanide. Which outcome indicates the medication has achieved the expected effect? 1. Cough becomes productive of frothy pink sputum 2. The serum potassium level changes from 3.8 to 3.1 mEq/ L 3. B-natriuretic peptide (BNP) factor increases from 200 to 262 pg/ mL 4. Urine output increases from 10 mL/ hour to greater than 50 mL hourly
4
A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the side and adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication? 1. Insomnia 2. Constipation 3. Hypotension 4. Bronchospasm
4
A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? 1) Hyperkalemia 2) Hypertension 3) Constipation 4) Nephrotoxicity
4
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? 1. Ibuprofen 2. Naproxen 3. Aspirin 4. Acetaminophen
4
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? 1) Ibuprofen (NSAIDS) 2) Naproxen (NSAIDS) 3) Aspirin (NSAIDS) 4) Acetaminophen (anlagesics)
4
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? 1, ecchymosis 2, decrease urine output. 3, increase blood pressure. 4, dizziness
4
A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? 1. "Take hydrochlorothiazide as needed for edema." 2. Check your weight once each week." 3. "Take the hydrochlorothiazide on an empty stomach." 4. "Take the hydrochlorothiazide in the morning."
4
Phenazopyridine (Pyridium) is prescribed for a client for symptomatic relief of pain resulting from a lower urinary tract infection. The nurse should provide the client with which information regarding this medication? 1. Take the medication at bedtime. 2. Take the medication before meals. 3. Discontinue the medication if a headache occurs. 4. A reddish orange discoloration of the urine may occur
4
Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The nurse administering the medication understands that which is the primary action of this medication? 1. It increases DNA and RNA synthesis. 2. It promotes the biosynthesis of nucleic acids. 3. It increases estrogen concentration and estrogen response. 4. It competitively binds to estrogen receptors on tumors and other tissue targets
4
The nurse has given a client taking ethambutol (Myambutol) information about the medication. The nurse determines that the client understands the instructions if the client states he or she will immediately report which finding? 1. Impaired sense of hearing 2. Gastrointestinal side effects 3. Orange-red discoloration of body secretions 4. Difficulty in discriminating the color red from green
4
The nurse has just administered the first dose of omalizumab (Xolair) to a client. Which statement by the client would alert the nurse that the client may be experiencing a life-threatening effect? 1. "I have a severe headache." 2. "My feet are quite swollen." 3. "I am nauseated and may vomit." 4. "My lips and tongue are swollen."
4
**At what amount does Acetaminophen stop controlling pain? A. Over 1,000 mg B. 750 mg C. Over 1,500 mg D. 150 mg
A
???A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? a. "I can take my medication in the morning with my coffee." b. "I may sprinkle the medication in applesauce." c. "I should limit my fluid intake while on this medication." d. "I will need to have blood levels drawn."
A
A client with diabetes mellitus visits a health care clinic. The clients diabetes mellitus previously had been well controlled with glyburide (DiaBeta) daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia? a. Prednisone b. Phenelzine (Nardil) c. Atenolol (Tenormin) d. Allopurinol (Zyloprim)
A
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? A. The client's capnography has returned to baseline B. The client can respond to their name when called. C. The client is passing flatus. D. The client is requesting oral intake
A
A nurse is caring for 4-year-old child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use? a. FACES b. Numeric c. CRIES d. Word graphic
A
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? a. The client has a negative sputum culture b. The client tests negative for HIV c. The client has a positive purified protein derivative test d. The client's liver function test results are within the expected reference range
A
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St. John's Wort b. Ginger root c. Black cohosh d. Coenzyme Q10
A
A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Urinary tract infection d. Deep vein thrombosis
A
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? a. "You will need liver function tests before beginning therapy." b. "Avoid consuming dairy products while taking this medication." c. "You may crush the medication and mix it with applesauce." d. "You should take the medication in the morning."
A
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus b. Cough c. Tachypnea d. Gastric bleeding
A
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a. Apply firm pressure to the injection site following administration b. Administer the medication into the client's muscle c. Expel the air bubble from the syringe prior to injection d. Insert the syringe needle halfway into the client's skin
A
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? a. Urticaria b. Bradycardia c. Pallor d. Dyspepsia
A
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include? a. "You cannot take this medication with an antacid." b. "You should reduce your intake of calcium while taking this medication." c. "You should take this medication before meals." d. "You can take a second dose if symptoms persist up to 2 hours after the first dose."
A
A nurse is reviewing the laboratory results of a client who is taking amitriptyline which of the following laboratory values should the nurse report to the provider? a. Total bilirubin 1.5 mg/dL b. Potassium 4.2 mEq/L c. Hct 0.44% d. WBC count 5,000/mm3
A
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? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizide
A
A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include? a. IM administration is recommended if PO opioids are ineffective b. Respiratory depression decreases as opioid tolerance develops c. Meperidine is the opioid of choice for treating chronic pain d. Withhold PRN pain medication for the client who is receiving opioids every 6 hr
A
A nurse 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? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen. C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication,and obtain a blood specimen 30 min late
A
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? a. One b. Two c. Three d. Four
A
What is the therapeutic use of Albuterol? A) Bronchodilation B) Anti-coagulant C) Anti-arrhythmic D) Proton-pump inhibitor
A
Which of the following is an action of the drug Metformin? A. Decreases hepatic glucose production B. Limits seizure propagation by altering ion transport C. Inhibits transport of calcium into myocardial and vascular smooth muscle cells D. Prevent chronic asthma
A
Which of the following pharmacologic classifications does the drug propranolol fall under? a. Beta Blocker b. Cholinergics c. Immune globulins d. Barbiturates
A
While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks what the action of the drug is. As a health care provider, you explain that the action of an ACE inhibitor is a. To lower blood pressure by blocking the conversion of angiotensin I to vasoconstrictor angiotensin II. b. To inhibit reabsorption of sodium back into the body, ultimately increasing urine output and lowering blood pressure. c. To decrease heart rate and blood pressure by competing with Beta1 and Beta2 receptors in the heart and lungs. d. To lower blood glucose by stimulating the release of insulin.
A
A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report? a. aPTT 90 seconds b. Hgb 16 g/dL c. INR 1.6 d. WBC 6,000/mm3
A (therapeutic range is 1.5-2x baseline, which is 30-40 seconds. Max aPTT should be around 80 seconds)
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (SATA) A. Blood glucose levels will be monitored during therapy. B. Avoid contact with people who have known infections. C. Take the medication 1 hr before breakfast D. Decrease dietary intake of foods containing potassium. E. Grapefruit juice can increase the effects of this medication
A, B, E
The nurse is monitoring a client receiving levothyroxine sodium (Synthroid) for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply. a. insomnia b. weight loss c. bradycardia d. constipation e. mild heat intolerance
A, B, E
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) a. Polypharmacy b. Increased rate of absorption c. Decreased percentage of body fat d. Multiple health problems e. Decreased renal function
A, C, D, E
Orthostatic hypotension is a common side effect in which of these drugs (select all that apply)? a. ACE Inhibitors b. Anticoagulants c. Beta Blockers d. Calcium Channel Blockers e. Antidiadiarrheal f. Diuretics
A, C, D, F
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications?
Acetylcysteine
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?
Administer the medication outside the 5-cm (2in) radius of the umbilicus
A patient comes to the hospital with a suspected opioid overdose, what would be the appropriate medication to be administered? a. Exenatide b. Naloxone c. Heparin d. Tolvaptan
B
A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication for receiving propranolol?
Asthma
A nurse in an emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse administer?
Atropine
????A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema d. Insomnia
B
A client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? a. diarrhea b. heartburn c. flatulence d. constipation
B
A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). What intervention by the nurse will determine the effectiveness of treatment? a. monitoring the leukocyte count for 2 days after the infusion. b. checking the frequency and consistency of bowel movements. c. checking serum liver enzyme levels before and after the infusion d. carrying out a Hematest on gastric fluids after the infusion is completed
B
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? A. Methadone B. Naloxone C. Diazepam D. Bupropion
B
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication? a. Hypoglycemia b. Bradycardia c. Red man syndrome d. Hypotension
B
A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective? a. Client reports a decrease in pain b. Client reports a decrease in nausea c. Client reports a decrease in coughing d. Client reports a decrease in diarrhea
B
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse
B
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek's sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent
B
A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." which of the following reasons should the nurse clarify this prescription with the provider. a. Potassium chloride should be diluted in dextrose 5% in water. b. The potassium infusion rate is too rapid c. Another formulation of potassium should be given IV d. The client should be treated by giving potassium by IV bolus
B
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include? a. Change the nicotine patch every other day b. Do not drink beverages while sucking on a nicotine lozenge c. Chew nicotine gum for 10 min before spitting it out d. Administer 2 sprays of nicotine nasal spray in each nostril with each dose
B
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? a. Tilt the client's head back when administering the medications b. Mix the medications with a semisolid food for the client c. Administer more than one pill to the client at a time d. Place the medications on the back of the client's tongu
B
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following actions should the nurse take? A. Administer the prescribed dose. B. Withhold the medication. C. Ask the provider to change the prescription to an oral form. D.Administer an oral antihistamine at the same time
B
A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error d. The charge nurse
B
A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication? a. Alcohol use disorder b. Chronic kidney disease c. Hepatitis B vaccine within the last week d. Diabetes mellitus
B
A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? a. Abdominal pain is an expected adverse effect of oral contraceptives b. It can take up to 1 year to become pregnant after stopping an oral contraceptive c. Some herbal supplements can decrease the effectiveness of an oral contraceptive d. A pelvic examination is needed prior to starting an oral contraceptive
B
A patient is being educated on taking levothyroxine, a drug used to balance thyroid activity. What should you include in their education? A. Don't bother your health care professionals if you experience side effects B. Take this at the same time every day C. Thyroid tests are unnecessary while taking this drug D. It is okay to take this drug if you have recently had a myocardial infarction
B
The nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of which condition? a. myxedema b. graves' disease c. addison's disease d. cushing's syndrome
B
What does it mean when a medication has a half-life? a. It only lasts for 30 mins after the medication is given b. How long it takes for half of the dose to be eliminated from the blood stream c. It is the peak of how effective the medicine is d. Drug is greatly reduced before it reaches the systemic circulation
B
What is the antidote for Heparin? A) Warfarin B) Protamine sulfate C) Insulin D) Naloxone
B
A nurse is planning care for a client who has a new prescription for torsemide. The nurse should plan to monitor for which of the following conditions as potential adverse reactions of this medication? (Select all that apply.) a. Respiratory acidosis b. Hypokalemia c. Hypotension d. Ototoxicity e. Ventricular dysrhythmias
B, C, D, E
When administering the drug senna to a patient, a health care provider must inform the patient of which of the following? a. This drug is intended to lower blood pressure and is best used in combination with other antihypertensives b. This drug is not intended for long term use c. The patient must limit his/her fiber intake d. Advise patient to change positions slowly to limit the risk of orthostatic hypotension
B. Used short term for constipation.
a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? Bladder distention Productive cough Gastrointestinal bleeding Decrease deep tending reflexes
Bladder distension
Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin NPH insulin daily. Which prescription change does the nurse anticipate during therapy with the prednisone? a. an additional dose of prednisone daily b. a decreased amount of daily Humulin NPH insulin c. an increased amount of daily Humulin NPH insulin d. the addition of an oral hypoglycemic medication daily
C
A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? Select all that apply
Blood glucose levels will be monitored during therapy Avoid contact with people who have known infections Grapefruit juice can increase the effects of this medication
**When should the drug Montelukast be taken A. Use at least two hours before exercise B. Daily in evening C. Use two hours before exercise or daily in evening D. None of the above
C
A client has a PRN prescription for loperamide hydrochloride (Imodium). For which condition should the nurse administer this medication? a. constipation b. abdominal pain c. an episode of diarrhea d. hematest-positive nasogastric tube drainage
C
A client has begun medication therapy with pancrelipase (Pancrease MT,). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? a. weight loss b. relief of heartburn c. reduction of steatorrhea d. absence of abdominal pain
C
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take? a. Check the client's liver function test results b. Instruct the client to increase his fluid intake c. Document this as an expected finding d. Prepare the client for dialysis
C
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?
Check the client's blood glucose
A client with a peptic ulcer is diagnosed with a Helicobactor pylori infection. The nurse is teaching the client about the medicaitons prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen? a. "My ulcer will heal because these medications will kill the bacteria." b. "These medicaitons are only taken when I have pain from my ulcer." c. "The medicaitons will kill the bacteria and stop the acid production." d. "These medications will coat the ulcer and decrease the acid production in my stomach.
C
A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? a. Encourage the client to dangle the legs while sitting in a chair b. Teach the client about foods low in sodium c. Determine medication adherence by the client d. Notify the provider of the client's weight gain
C
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate d. Flumazenil
C
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? a. Flush the IV catheter b. Apply pressure to the IV site c. Elevate the extremity d. Slow the infusion rate
C
A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Constipation b. Decreased urine output c. Positive Trousseau's sign d. Headache
C
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. The client reports difficulty hearing d. BUN 15 mg/dL
C
A nurse is caring for a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider? a. Blood glucose 150 mg/dL b. Urine output 40 mL/hr c. Dyspnea d. Bilateral equal pupil size
C
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypocalcemia b. Hypokalemia c. Hyponatremia d. Hypomagnesemia
C
A nurse is completing 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? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair."
C
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? a. Blood sodium 144 mEq/L b. Urine output 120 mL in 4 hr c. Blood potassium 5.2 mEq/L d. Blood pressure 140/90 mmHg
C
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer? a. Colchicine b. Cimetidine c. Colerain - Colesevelam (Welchol) d. Chlorpromazine
C
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. "Diarrhea is a common adverse effect of this medication." b. "Ringing in the ears is an expected adverse effect of this medication." c. "Notify your provider if you develop a fever while taking this medication." d. "You might experience weight loss while taking this medication."
C
A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts withcarbamazepine? a. Nicotine transdermal system b. Diphenhydramine c. Estrogen-progestin combination (Non-hormonal forms of contraception) d. Beclomethasone
C
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? a. The client has a BUN of 18 mg/dL b. The client takes an aspirin daily c. The client has a history of a severe penicillin allergy d. The client reports a history of nausea with cefuroxime
C
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? a. "Discard any tablets you do not use every 6 months." b. "Take one tablet each morning 30 minutes prior to eating." c. "Keep the tablets at room temperature in their original glass bottle." d. "Place the tablet between your cheek and gum to dissolve."
C
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? a. A client who has a referral for social services b. A client who is transdermal to radiology c. A client who is transferal to a step-down unit d. A client who has a consultation for physical therapy
C
A patient states he experiences anxiety and has panic attacks at least once a week. What might be helpful for this patient? A. Phenytoin (Dilantin) B. Lithium C. Alprazolam (Xanax) D. Spironolactone
C
An older client recently has been taking cimetidine (Tagamet). The nurse monitors the client for which most frequent central nervous system side effect of this medication? a. tremors b. dizziness c. confusion d. hallucination
C
Hydrochlorothiazide is classified as a a. Ant-inflammatory b. Antiarrhythmics c. Diuretics d. Antifungals
C
Name a desired outcome of the drug Phenytoin: a. Decrease symptoms of PTSD b. Resolution of signs of infection c. Decrease or cessation of seizures without excessive sedation d. Prevention or relief of bronchospasm
C
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. The nurse reviews the client's medical record and should question the prescription if which data is noted in the client's history? a. insomnia b. neuralgia c. use of nitroglycerin d. use of multivitamins
C
The nurse is instructing a client regarding intranasal desmopressin (DDAVP). The nurse should tell the client that which occurrence is a side effect of the medication? a. headache b. vulval pain c. runny nose d. flushed skin
C
The nurse provides instructions to a client who is taking levothyroxine (Synthroid). The nurse should tell the client to take the medication at which time? a. with food b. at lunchtime c. on an empty stomach in the morning d. at bedtime with a snack
C
What is the antidote for Warfarin? a. Vitamin D b. Vitamin c. Vitamin K d. Vitamin B6
C
What is the category class of Valproate? A. anticoagulant B. antianxiety, benzodiazepines C. anticonvulsant, vascular headache suppressant D. mood stabilizer
C
What is the classification of Ondansetron? a. Antihypertensive b. Antiarrthymia c. Antiemetic d. Antiulcer agent
C
What is the common side effect that is normal with the initial therapy of Nitroglycerine due to increased vasodilation? a. Abdominal cramps b. Calf pain c. Headache d. Blurred vision
C
What is the effect of Beta Blockers? a. Relief of diarrhea b. Relief of symptoms associated with allergies c. Decreases blood pressure and heart rate d. Prevents constipation
C
What is the therapeutic use of metformin? A. Lower blood pressure. B. To diminish seizure activity. C. The maintenance of a person's blood glucose. D. Increase heart rate and decrease gastrointestinal secretions.
C
When giving digoxin (Lanoxin) to a patient, the health care provider notices various signs and symptoms of an overdose. The health care provider knows to give which of the following to reverse digoxin toxicity? a. Naloxone b. Vitamin c. Digibind d. Flumanzil
C
Why is it important to monitor ins and outs with patients using ACE inhibitors? A. To assess for renal impairment B. You must make sure the patient is receiving adequate fluid intake C. To assess the patient for potential heart failure D. You must assess for NSAID use. E. To assess for decreased blood pressure.
C
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) a. "Soak the inhaler in water after use." b. "Have your child take one inhalation as needed for shortness of breath." c. "Shake the device prior to administration." d. "A spacer will make it easier to use the device." e. "Rinse your child's mouth following administration."
C,D, E
A nurse is caring for a client who has a magnesium level of 3.1mEq/L. The nurse should expect to administer which of the following medications?
Calcium gluconate
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 docusate sodium daily can minimize which of the following adverse effects of morphine?
Constipation
The classification of digoxin is: a. antithrombic b. nitrates c. antiplatelet agent d. cardiac glycosides
D
What is an expected outcome for Lithium A) Reduced risk of myocardial infarction B) Reduced risk of GI ulcers C) Decrease in respiratory distress D) Decreased incidence of acute manic episodes
D
What is the pharmacologic classification of Amlodipine? a. Beta blocker b. 5-HT3 antagonist c. Nonopioid analgesic d. Calcium channel blocker
D
What medication is a contraindication to Nitroglycerin? A) Hydrochloroquinone B) Methylprednisolone C) Phenazopyridine D) Erectile dysfunction drugs
D
**What should a Client taking Omeprazole report to the Heath Care Provider A. Black, tarry stools B. Diarrhea C. Abdominal pain D. All of the above
D
A client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition? a. intestinal obstruction b. peptic ulcer with melena c. diverticulitis with perforation d. vomiting following cancer chemotherapy
D
A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client's legs and feet d. Administer epinephrine IM
D
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the medication is provided as hydromorphone 8 mg per tablets. Which of the following actions is appropriate for the nurse to take? a. Return the remaining medication to the facility's pharmacy b. Store the remaining half of the pill in the automated medication dispensing system c. Place the remaining half of the pill in the unit dose package d. Dispose of the remaining medication while another nurse observes
D
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? a. Decreased nausea b. Increased pain relief c. Decreased blood pressure d. Increased respiratory rate
D
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressure
D
A nurse is assessing a client who is taking an osmotic laxative which of the following findingsshould the nurse identify as an indication of fluid volume deficit? a. Nausea b. Weight gain c. Headache d. Oliguria
D
A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? a. Show the IV solution rate b. Initiate a new IV distal to the initial site c. Maintain the extremity below the level of the heart d. Apply a warm, moist compress
D
A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Rifampin b. Ciprofloxacin c. Penicillin G d. Gentamicin
D
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension
D
A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? a. Sodium 1.38 mEq/dL b. Magnesium 1.5 mEq/L c. BUN level 10 mg/dL d. Potassium 2.9 mEq/L
D
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? a. Massage the site after administering the medication b. Use a 21-gauge needle for the injection c. Aspirate before injecting the medication d. Insert the needle at least 5 cm (2 in) from the umbilicus
D
A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L
D
A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Sodium 137 mEq/L b. Hct 4.3% c. Hgb 15 g/dL d. Creatinine 2.5 mg/dL
D
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine specific gravity 1.020 d. LDL 120 mg/dL
D
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. "Discontinue the patch if you experience a headache." b. "Apply a new patch if you have chest pain." c. "Cover the patch with dry gauze when taking a shower." d. "Remove the patch prior to going to bed."
D
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? A. The medication should be taken 1 hr prior to eating B. It takes 48 hr for therapeutic effects to occur. C. Tablets should not be crushed or chewed. D. Decreased respirations might occur
D
A nurse is planning care for a client who has hypertension 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 administering
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?
Discontinue the medication IV infusion
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings?
Heart rate
A nurse is preparing to administer medications 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 actions should the nurse take?
Document the refusal and inform the client's provider
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first?
Epinephrine
A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering?
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 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 caring for a client who is to receive treatment for opioid use disorder. Which of the following medications should the nurse expect to administer?
Methadone
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?
Naloxone
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the following actions should the nurse take prior to administering the medication?
Obtain the client's blood pressure
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 decreases the risk for which of the following adverse effects of the medication?
Oral candidiasis
A nurse is providing teaching to a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?
Orange juice
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following finding as an indication of hypokalemia?
Presence of U- waves
a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? Take the medication immediately after breakfast Take the medication with an antacid Sit upright for at least 30 mins after taking the medication Drink orange juice with the medication
Sit upright for 30 minutes
A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?
Store unused medication sticks in a storage container
A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first?
Turn the client to a side-lying position
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that they are allergic to penicillin. Which of the following actions should the nurse take first?
Withhold the medication
A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? Avoid caffeinated beverages Take the medication with meals Restrict milk products Limit sodium intake
avoid caffeine
a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? NPH insulin Clopidogrel Furosemide Pantoprazole
clopidogrel
a nurse is assessing a who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication? Agitation Report of blurred vision Hypertension Watery diarrhea
diarrhea
a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? Massages the site to enhance absorption Injections the medication into a muscle Administers the medication into the abdomen Aspirates the medication after injection
into abdomen
???nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? Use nasal decongestion 15 mins before the medication if you have a stuffy nose. Lie down for 1 hour after administering the medication. Administer the medication into one nostril once per week. Plan to self-administer this medication for the next 6 months.
one nostil
a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? Headache Excessive salivation Fever Myoclonic seizure
salivation
a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse's priority? Back pain Flushing nausea Uterine tachysystole
uterine tachysystole
