Pharm Midterm ATI questions

A nurse is teaching a client who has a new prescription for amitriptyline to treat depression. Which of the following client statements indicates an understanding of the teaching? a. "I should take this medication when I experience active symptoms" b. "I should take this medication before bedtime" c. "this medication may cause excess salivation" d. "I might experience weight loss while taking this mediation"

"I should take this medication before bedtime"

A nurse is caring for a client who is due to receive general anesthesia. The client asks the nurse, "what is the difference between an analgesic and anesthesia?" Which of the following statements should the nurse make? a. "analgesics can cause a lack of sensation" b. "anesthesia is specifically for eliminating pain perception" c. "analgesics treat pain without causing sedation" d. "anesthesia can cause loss of conscienceless"

"anesthesia can cause loss of conscienceless"

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. "I'll use a safety razor to shave each day" b. "I'll be sure to eat lots of spinach" c. "I'll avoid contact sports like football" d. "I'll take ibuprofen if I get a headache"

I'll avoid contact sports like football

A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication? a. urine specific gravity b. urine output c. blood pressure d. temperature

temperature

A nurse suspects that a client is having an allergic reaction to a medication. Which of the following factors should the nurse identify as increasing the likelihood of an allergic reaction to the medication? a. this is the client's initial dose of the current prescription b. the client received a large dosage c. the route of administration was oral d. the client has had previous exposure to the medication

the client has had previous exposure to the medication

A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation? a. 3 to 4 hours before ambulation b. 10 to 15 minutes prior to ambulation c. 60 to 90 minutes prior to ambulation d. immediately before ambulation

60 to 90 minutes prior to ambulation

A nurse is reviewing the lab data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following findings as a potential adverse effect of the medication? a. fasting blood glucose 95 mg/dL b. triglycerides 135 mg/dL c. total cholesterol 175 mg/dL d. absolute neutrophil count 1,200 mm^3

Absolute neutrophil count 1,200 mm^3

A nurse is providing teaching about food drug interactions to a client who is prescribed Sirolimus following a kidney transplant. Which of the following pieces of information should the nurse include in the teaching? a. "increase your intake of high-fat foods" b. "avoid eating grapefruit while taking Sirolimus" c. "drink apple juice just before dosing" d. "reduce your intake of gluten"

Avoid eating grapefruit while taking Sirolimus

A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. The nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition? a. Celecoxib b. Prednisone c. Adalimumab d. Abatacept

Celecoxib

A nurse is reviewing the lab results of a client who is taking a medication and notes that the client's blood tests show an elevated level of the enzymes aspirate aminotransferase (AST) and alanine aminotransferae (ALT). The nurse should recognize these findings are potential indications of which of the following conditions? a. Renal dysfunction b. Myelotoxicity c. Hepatic toxicity d. Cardiac dysrhythmia

Hepatic toxicity

A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse notes the child's serum phenytoin level is 14 mcg/mL. Which of the following actions should the nurse take? a. administer the dose b. administer half the dose c. do not administer the dose d. clarify the dose with the provider

administer the dose

A nurse in a provider's office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestation occur secondary to which of the following adverse effects? a. development of gastric ulcers b. development of milk intolerance c. allergic reactions to the medication d. alterations in gastrointestinal flora

alterations in gastrointestinal flora

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? a. amantadine b. bupropion c. phenelzine d. hydroxyzine

amantadine

A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? a. nitroglycerin b. aspirin c. morphine d. metoprolol

aspirin

A nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's selection of which of the following foods for the client's lunch indicates an understanding of the teaching? a. bologna on wheat bread b. chicken salad c. cheddar cheese and crackers d. pizza with pepperoni

chicken salad

A nurse is teaching a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching? a. "I have a strong urge to drink alcohol, I should skip my dose for that day" b. "even when I'm not drinking alcohol, adverse effects can include seizure" c. "medication therapy can begin as soon as I enter the detoxification program" d. "I should check the labels of my skin-care products, medications, and food for alcohol"

"I should check the labels of my skin-care products, medications, and food for alcohol"

A nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching? a. " The patch will not cause constipation like other pain medications do" b. "I will have to stop drinking grapefruit juice while using the patch" c. "I will place a heating pad over the patch to boost its effectiveness" d. "The patch will give me relief from my pain faster than the pills can"

"I will have to stop drinking grapefruit juice while using the patch"

A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective? a. "I should start taking this medication at 800 mg daily" b. "I will need to have tests done on my liver due to the greater chance of liver failure" c. "I will increase my fluids to at least 2 liters per day" d. "I should take this medication twice daily"

"I will increase my fluids to at least 2 liters per day"

A nurse is teaching a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase? a. "you will take this medication along with allopurinol" b. "you will take this medication by mouth" c. "there are very few adverse effects of this medication" d. "if you experience a flare up, you can take an NSAID while receiving this medication"

"if you experience a flare up, you can take an NSAID while receiving this medication"

A nurse is administering a client's first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate? a. "sucralfate decreased gastric acid secretions" b. "sucralfate forms a gel-like substance that protects ulcers" c. "sucralfate inactivates Helicobacter pylori" d. "sucralfate inhibits the production of gastric acid"

"sucralfate forms a gel-like substance that protects ulcers"

A nurse is teaching a client about a new prescription for extended-release oxycodone for pain management. Which the following statements should the nurse include in the teaching? a. "swallow this medication whole" b. "take this medication before meals and at bedtime" c. "constipation decrease with continues use" d. "avoid taking over supplemental analgesics with this medication"

"swallow this medication whole"

A nurse is teaching about taking donepezil with a client who has recently diagnosed with early Alzheimer's disease. Which of the following instructions should the nurse include in the teaching? a. "you should chew the medication throughly prior to swallowing" b. "you should take this medication late in the evening" c. "you should take this medication with food" d. "if you miss taking a dose for a day, take 2 doses the following day"

"you should take this medication late in the evening"

A nurse is teaching a client who has been taking NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regime. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? a. "your current medication was not strong enough to manage this condition" b. "once your bloods levels of methotrexate are within the therapeutic range, the NSAID will be discontinued" c. "this medication was added to delay the disease progression" d. "treating this disease with 2 medications will help protect you from becoming treatment-resistant"

A "this medication was added to delay the disease progression"

A charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication? a. A client who is opioid-tolerant b. A client who has difficulty swallowing c. A client who has severe intermittent pain d. A client who is postoperative following abdominal surgery

A client who is opioid- tolerant

A nurse is planning care for a client who has a seizure disorder dan new prescription for Valproic acid. Which of the following lab values should the nurse plan to monitor? (select all that apply) a. BUN b. PTT c. Aspartate aminotransferase (AST) d. Urinalysis e. Alanine aminotransferase (ALT)

PTT Aspartate aminotransferase (AST) Alanine aminotransferase (ALT)

A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? a. Reye's syndrome b. Visual disturbances c. Diabetes mellitus d. Wilm's tumor

Reye's syndrome

A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times? a. within 3 months of the initial diagnosis b. when NSAIDs have not provided pain relief c. during an exacerbation of symptoms d. once bone degeneration progresses

Within 3 months of the initial diagnosis

A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should except to administer which the following medications? a. disulfiram b. chlordiazepoxide c. methadone d. varenicline

chlordiazepoxide

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? a. colchicine b. allopurinol c. probenecid d. pegloticase

colchicine

A nurse is reviewing lab data for a client who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the clients risk for reduced clearance of the medication? a. Alanine aminotransferase (ALT) 60 international units/L b. creatinine clearance 35 mL/min c. HbA1c5% d. BMI 31

creatinine clearance 35 mL/min

A nurse is caring for an older client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plant to perform prior to starting the client on this medication? a. hearing examination b. glucose tolerance test c. electrocardiogram d. pulmonary function test

electrocardiogram

A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain? a. meperidine b. buprenorphine c. methadone d. fentanyl

fentanyl

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication? a. blood pressure 180/70 mmHg b. oxygen saturation rate 94% c. heart rate 51/min d. respiratory rate 21/min

heart rate 51/min

A nurse working in amentia health facility is admitting a client with opioid use disorder who is experiencing withdrawal. The nurse should anticipate a prescription for which of the following medications from the provider? a. methylanltrezone b. methadone c. naloxone d. hydromorphone

methadone

A nurse is reviewing the medication administration record of a client who is receiving opioid medication for pain. Which of the following prescriptions should the nurse clarify with the provider? a. metoprolol b. ondansetron c. lorazepam d. naloxone

naloxone

A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following adverse effects should the nurse monitor? a. Orthostatic hypotension b. Diarrhea c. Urinary frequency d. Bradycardia

orthostatic hypotension

A nurse is providing teaching to the parents of a child who has a new prescription for lamotrigine for a seizure disorder. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? a. diplopia b. dizziness c. rash d. headache

rash

A nurse is caring for a client who received naloxone for a suspected opioid overdose. Which of the following findings should the nurse identify as an adverse effect of this medication? a. report of pain b. respiratory rate of 8/min c. report of numbness d. report of abdominal cramping and diarrhea

report of pain

A nurse is assessing a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has decreased from 20/min to 12/min. Which of the following actions should the nurse take? a. flush the IV line with saline b. administer flumazenil c. lower the head of the bed d. slow the rate of infusion

slow the rate of infusion

A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine? a. the client reports inability to void b. the clients respiratory rate is 10/min c. the client has hypoactive bowel sounds d. the client has omitted once in the last 4 hours

the clients respiratory rate is 10/min

A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? a. suppression of dysrhythmias b. increase atrioventricular (AV) conduction c. visual disturbances d. weight gain

visual disturbances

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications? a. protamine sulfate b. fondaparinux c. vitamin K d. bivalirudin

vitamin K