Pharm 2 ATI Questions
A nurse is caring for a child who had asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the clients parent on administering the medication? a. Give the medication in the morning daily b. Administer the medication 2 hr before exercise c. Give the medication at the onset of wheezing d. Administer the granules mixed with 20oz of water
Answer: b. Administer the medication 2 hr before exercise (a and b are correct but they are looking for b)
A nurse is caring for a client who has poison ivy and is Rx diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of fry mouth associated with diphenhydramine? a. Administer the medication with food b. Chew sugarless gum or suck hard, sour candies c. Place a humidifier at your bedside every single evening d. Discontinue the medication and notify your provider
Answer: b. chew sugarless gum or suck hard, sour candies
A nurse is preparing to administer amoxicillin 30mg/kg/day divided equally every 12 hours to a toddler who weighs 33lbs. Available is amoxicillin 200mg/5mL suspension. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.)
5.6mL
A nurse is preparing a client for surgery. Prior to administering the prescribed hydroxyzine, the nurse should explain to the client that the medication is for which of the following indications? SATA a. controlling emesis b. diminishing anxiety c. reducing the amount of narcotics needed for pain relief d. preventing thrombus formation e. drying secretions
Answer: A, B, C, and E
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? a. "Crushing the medication might cause you to have a stomachache or indigestion." b. "Crushing the medication is a good idea, and I can mix it in come ice cream for you." c. "Crushing the medication would release all the medication at once, rather than over time." d. "Crushing is unsafe, as it destroys the ingredients in the medication."
Answer: A. "Crushing the medication might cause you to have a stomachache or indigestion."
A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast? a. Alendronate b. Digoxin c. Myostatin mouthwash d. Divalproex
Answer: A. Alendronate
A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? a. Asthma b. Glaucoma c. Depression d. migraines
Answer: A. Asthma
A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client? a. Constipation b. Metallic taste c. Headache d. Muscle spasms
Answer: A. Constipation
A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor? a. Headache b. Dependent edema c. Polyuria d. Photosensitivity
Answer: A. Headache
A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? a. Shake the container vigorously b. Be sure the child has not eaten within the hour c. Perform mouth care d. Check the child's blood pressure
Answer: A. Shake the container vigorously
A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of the following substances? a. iron b. protein c. potassium d. sodium
Answer: A. iron
A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? a. stop the infusion b. call the client's provider c. elevate the head of the bed d. auscultate the client's breath sounds
Answer: A. stop the infusion
A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? a. thyroid hormone assay b. liver function tests c. erythrocyte sedimentation rate d. brain natriuretic peptide
Answer: A. thyroid hormone assay
A nurse is providing discharge teaching to ta client who has asthma and new Rx for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching? a. "If my breathing begins to feel tight, I will use the cromolyn immediately." b. "I will be sure to take the albuterol before taking the cromolyn." c. I will use both medications immediately after exercising." d. "I will and=minister the medication 10 minutes apart"
Answer: B. "I will be sure to take the albuterol before taking the cromolyn."
A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? a. "take this medication with food if nausea develops" b. "monitor for muscle pain" c. "expect to have increased bruising" d. "increase your intake of grapefruit juice"
Answer: B. "monitor for muscle pain"
A nurse is planning to apply transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? SATA a. Spread the cream over the lateral surface of both forearms. b. Apply to intact skin c. Apply the medication an hour before the procedure begins d. Cleanse the skin prior to procedure e. Use a visual pain rating scale to evaluate effectiveness of the treatment.
Answer: B. Apply to intact skin, C. Apply the medication an hour before the procedure begins, D. cleanse the skin prior to procedure, E. Use a visual pain rating scale to evaluate effectiveness of the treatment.
A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums? a. explain to the client that this is an expected adverse effect b. check the value of the client's current platelet count c. instruct the client to use an electric toothbrush d. have the client make an appt to see the dentist
Answer: B. check the value of the client's current platelet count
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. institutional policies regarding routine medication administration times b. specific characteristics of the medications c. schedule of administration that the client follows at home d. time at which the medication can be available from the pharmacy
Answer: B. specific characteristics of the medications
A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes? a. decrease chest wall compliance b. suppress respiratory effort c. induce sedation d. decrease respiratory secretions
Answer: B. suppress respiratory effort
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiencyanemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals.Which of the following responses should the nurse make? a. "taking this medication between meals will help you avoid becoming constipated" b. "taking the medication with food increases the risk of esophagitis" c. "taking this medication between meals will help you absorb the medication more efficiently" d. "the medication can cause nausea if taken with food"
Answer: C. "Taking the medication between meals will help you absorb the medication more efficiently"
A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestationsof toxicity. Which of the following statements by the client indicates an understanding of the teaching? a. "I will report any loss of appetite" b. "increased flatulence is an indication of toxicity" c. "vomiting is an indication of toxicity" d. "I will call my provider if I experience any headaches"
Answer: C. "vomiting is an indication of toxicity"
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? a. Document that the client experienced an anaphylactic reaction to the medication b. Change the IV infusion site c. Decrease the infusion rate on the IV d. Apply cold compresses to the neck area
Answer: C. Decrease the infusion rate on the IV
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide? a. Check the pulse after medication administration b. Take the medication with meals c. Rinse the mouth after administration d. Limit caffeine intake
Answer: C. Rinse the mouth after administration
A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary? a. an excess amount of doxorubicin can lead to myelosuppression b. exceeding the lifetime cumulative dose limit of doxorubicin might cause extravasation c. an excess amount of doxorubicin can lead to cardiomyopathy d. exceeding the lifetime cumulative dose of doxorubicin might produce red tinged urine and sweat
Answer: C. an excess amount of doxorubicin can lead to cardiomyopathy
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication? a. the leukocyte count b. the platelet count c. the hematocrit (Hct) d. the erythrocyte sedimentation rate (ESR)
Answer: C. the hematocrit (Hct)
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? a. "I will notify my doctor before taking any other medications" b. "I have made an appt to see my dentist next week" c. "I know that I cannot switch brands of this medication" d. "I'll be glad when I can stop taking this medicine"
Answer: D. "I'll be glad when I can stop taking this medicine"
A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? a. "If the medicine causes an upset stomach, take an antacid at the same time." b. "Limit your daily fluid intake while taking this medication." c. "This medication can cause photophobia, so be sure to wear sunglasses outdoors." d. "You should report any tendon discomfort you experience while taking this medication."
Answer: D. "You should report any tendon discomfort you experience while taking this medication."
A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommended actions should the nurse make about taking this medication? a. Decrease bulk in the diet to counteract the adverse effect of diarrhea b. Take the medication with dairy products to increase absorption c. Reduce sodium intake d. Drink a glass of water after taking the medications
Answer: D. Drink a glass of water after taking the medications
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct he client that they should expect to experience which od the following manifestations while taking this medication? a. Constipation b. Black-colored stools c. Staining of teeth d. Red-colored urine
Answer: D. Red-colored urine
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he has to increase the dose of the morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation? a. The client not been taking the medication properly b. The client has become addicted to the medications c. The client has become addicted to the medication d. The client developed a tolerance to the medications
Answer: D. The client developed a tolerance to the medications
A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviraltherapy. The nurse should monitor the client for which of the following adverse effects of this medication? a. cardiac dysrhythmia b. metabolic alkalosis c. renal failure d. aplastic anemia
Answer: D. aplastic anemia
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates understanding of the teaching? a. "I will store the medication at room temperature." b. "I will take the medicine every morning on an empty stomach." c. "I will spit the medication out after swishing it around my mouth." d. "I will only need to take this medication for a few days."
Answer: a. "I will store the medication at room temperature."
A nurse is caring for a client who has streptococcal pneumonia and a Rx for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and Short of breath. Which of the following actions should the nurse take first? a. Stop the infusion b. Call the clients provider c. Elevate the head of the bed d. Auscultate the client's breath sounds
Answer: a. Stop the infusion
A nurse is teaching a client who has asthma how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? a. The client holds his breath for 10 seconds after inhaling the medication b. The client takes a quick inhalation while releasing the medication from the inhaler. c. The client exhales as the medication is released from the inhaler d. The client waits 10 minutes between inhalations.
Answer: a. The client holds his breath for 10 seconds after inhaling the
A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation? a. Offer the child a choice of taking the medication with juice or water b. Tell the child it is candy c. Hide the medication in a large dish of ice cream d. Tell the child he will have to have a shot instead
Answer: a. offer the child a choice of taking the medication with juice or water
A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic? a. Relief of heart burn b. Cessation of diarrhea c. Passage of flatus d. Absence of constipation
Answer: a. relief of heart burn
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? a. "I signed up for a swimming class." b. "I've been taking an antacid to help with indigestion." c. "I've lost 2 pounds since my appointment 2 weeks ago." d. "The naproxen is easier to take when I crush it and put it in applesauce."
Answer: b. "I've been taking an antacid to help with indigestion."
A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole? a. Olfactory changes b. Metallic taste c. Alterations in touch d. Hearing loss
Answer: b. metallic taste
A nurse is teaching a client who has bipolar disorder and prescription for lithium to recognize the manifestation of toxicity which of the following statements by the client indicates an understanding of the teaching? a. "I will report any loss of appetite." b. "Increased flatulence is an indication of toxicity." c. "Vomiting is an indication of toxicity." d. "I will call my provider if I experience any headaches."
Answer: c. "Vomiting is an indication of toxicity
A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause the clients distress? a. The client demonstrated an allergic response to the medication b. The client experienced a common side effect to the medication c. The client consumed alcohol while taking medication d. The client took an overdose of the medication
Answer: c. The client consumed alcohol while taking medication
A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and new prescription for timolol eye drops. Which of the following instructions should the nurse provide? a. The medication is to be applied when the client is experiencing eye pain. b. The medication will be used until the client's intraocular pressure returns to normal. c. The medication should be applied on a regular basis for the rest of the client's life d. The medication is to be used for approximately 10 days, followed by a gradual tapering off.
Answer: c. The medication should be applied on a regular basis for the rest of the client's life
A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide? a. Consume a high-protein diet b. Administer the medication with food c. Avoid caffeine while taking this medication d. Increase fluids to 1/per day
Answer: c. avoid caffeine while taking this medication
A nurse is caring for a client who has bacterial infection and is receiving and is receiving gentamicin. Which of the following actions should the nurse take to minimize risk of an adverse effect of the medication? a. Limit the client's fluid intake b. Instruct the client to report agitation c. Monitor the serum medication levels d. Administer the medicine with food
Answer: c. monitor the serum medication levels
A nurse in a public clinic is planning a healthy fair for the older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions? a. Carbonated beverage b. Milk c. Orange juice d. Grapefruit juice
Answer: d. Grapefruit juice
A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide? a. take the medication on an empty stomach to decrease GI irritation b. take the medication with orange juice to enhance absorption c. take the medication with milk d. rinse the mouth before taking the iron
Answer: take the medication with orange juice to enhance absorption