ATI Pharmacology for NCLEX_RN_Cloned_Assessment 2022

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25mg elixir every 4hr as needed. The amount available is diphenhydramine elixir 12.5mg/5mL. How many mL should the nurse administer per dose? (Round to nearest tenth)

10mL

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload? (SATA)

Dyspnea Jugular vein distention Confusion

A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? (SATA)

Jaw pain Blurred vision Dysphagia

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client developed a tolerance to the medication.

A nurse is preparing to administer amoxicillin 100mg PO every 8hr to a toddler who weighs 20kg. The recommended dosage range is 20 to 25mg/kg/day. Which of the following actions by the nurse is appropriate?

The nurse determines the prescription is insufficient to achieve the desired effect.

A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose subcutaneous every 12hr. The client weighs 185lb. How many mg should the nurse administer per dose? (Round to nearest tenth).

84.1

A client is to receive enoxaparin 30mg subcutaneously. Available is enoxaparin 40mg/mL. How many mL should the nurse administer? (Round to nearest tenth.)

0.8mL

A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5mg/kg/dose subcutaneous every 12hr. The client weights 245lbs. How many mg should the nurse administer per dose? (Round to nearest whole number).

167mg

A nurse is caring for a 1-month-old infant who weighs 3500g and is prescribed a dose of cephazolin 50mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round to nearest tenth.)

175mg

A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5mg/kg PO every 12hr for 5 days. The client weights 88lb. How many mg should the nurse administer per dose? (Round to nearest whole number.)

200mg

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution(PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?

Abdominal bloating might occur

A nurse is providing teaching a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include?

Apply the patch to a hairless area and rotate sites. Apply a new patch each morning. Remove the patch for 10 to 12 hr daily.

A nurse is planning to apply a 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)

Apply to intact skin Apply the medication an hour before the procedure begins Cleanse the skin prior to procedure Use a visual pain rating scale to evaluate effectiveness of the treatment

A nurse is assessing a client after administering a dose of losartan. The client has a hoarse voice, and swollen lips and tongue. In which order should the nurse take the following actions?

Assess the client's airway Call the emergency response team Apply high-flow oxygen Initiate IV access. Administer IV epinephrine Administer IV antihistamines

A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (SATA)

Do not drink alcoholic beverages while taking this medication Report unexplained bruising to the provider Avoid people who have infections

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow?

Inspect vials for contaminants Roll NPH vial between palms of hands Inject air into NPH insulin vial Inject air into regular insulin vial Withdraw short-acting insulin into syringe Add intermediate insulin to syringe

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

Insulin glargine has a duration of 18 to 24hr.

A nurse is preparing to administer bisacodyl suppository to a client. Which of the following actions should the nurse take? (SATA)

Lubricate index finger Insert suppository just beyond internal sphincter

A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence? (SATA)

Provide for once-daily dosing Use sustained-release forms Engage the client in conversation following medication administration

A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? (SATA)

Published Journals Pharmacists Physicians' Desk Reference

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (SATA)

The medication will prevent wheezing The medication will open the airways The medication will decrease coughing episodes

A nurse is preparing to administer digoxin 8mcg/kg/day PO to divide equally every 12hr for a preschooler who weighs 33lb. Available is digoxin elixir 0.05mg/mL. How many mL should the nurse administer per dose? (Round to nearest tenth.)

1.2mL

A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease. Which of the following statements by the client indicate an understanding of the teaching? (SATA)

"I can take this medication with or without food." "I will eat five small meals each day."

A nurse is caring for a client who has a deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?

"Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects?

Body secretions turning a red-orange color

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (SATA)

Bounding pulse Pitting edema Crackles upon auscultation

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)

Controlling emesis Diminishing anxiety Reducing the amount of narcotics needed for pain relief Drying secretions

A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis? (SATA)

Erythema Throbbing Warmth at insertion site Streak formation

A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (SATA)

Fever Tremor Agitation

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (SATA)

Furosemide Telmisartan Duloxetine

A nurse is providing teaching to a female client who has type 2 diabetes and a new prescription for pioglitazone. Which of the following instructions should the nurse include in the teaching? (SATA)

Monitor weight daily Increase calcium intake

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?

Rinse the mouth after administration.

A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

Take the extended release tablets whole

A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg.day by intermittent IV bolus every 8hr. Which of the following manifestations indicate the client is experiencing gentamicin toxicity? (SATA)

Tinnitus Dizziness

A nurse is preparing to administer amoxicillin 2gm/day PO divided into two doses. The amount available is amoxicillin 500mg tablets. The amount available is amoxicillin 1000mg extended release tablets. How many tablets should the nurse administer with each dose?

2 tablets