ATI Pharmacology Proctored exam review

A nurse is preparing to administer dextrose 5 in water 400ml iv to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtts/ml. The nurse should set the manual IV infusion to deliver how many gtt/min?

100

A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? A. "A full therapeutic response may take several months to happen." B. "The medication should be taken with high-protein foods." C. "A full therapeutic response might cause vivid dreams." D. "The medication is given at the onset of mild symptoms."

A. "A full therapeutic response may take several months to happen."

A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak? A. 1 hour after administering the IM injection B. Just before administering the IM injection C. 12 hours after the last IM injection D. 30 minutes after administering the IM injection

A. 1 hour after administering the IM injection

A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following laboratory values should the nurse monitor while the client is taking this medication? A. Alanine aminotransferase (ALT) B. WBC count C. Potassium D. Chloride

A. Alanine aminotransferase (ALT)

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

A. Amantadine

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. Carbamazepine

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? A. Document the refusal and inform he client's provider B. File an incident report with the risk manager C. Contact the pharmacist to pick up the medication D. Give the client the medication to take home and document it was administered

A. Document the refusal and inform he client's provider

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use

A. Hypotension

A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified. C. 1 L of 0.9% sodium chloride completed at 09:00. Client denies shortness of breath. D. IV fluid initiated at 05:00. Lungs clear to auscultation.

A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified

A nurse is providing a teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? A. this medication is more effective when taken on an empty stomach B. you should take this medication with an antacid for pain control C. this medication is less effective for people who smoke. D. you should expect to experience dizziness when taking this medication.

A. this medication is more effective when taken on an empty stomach

A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication? A. 1/2 in B. 1 1/2 in C. 2 1/2 in D. 3 in

B. 1 1/2 in

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

B. 2 months

A nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. The client has a prescription for depot medroxyprogesterone acetate (DMPA). At which of the following times should the nurse schedule the client to receive the first dose of the medication? A. After 3 months postpartum B. At 6 weeks postpartum C Within the first 5 days postpartum D. During the first week of the first postpartum menstrual cycle

B. At 6 weeks post partum

A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? A Fluid Overload B. Bronchospasm C. Electrolyte imbalance D. Tachycardia

B. Bronchospasm

A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure? A. Amlodipine B. Diltiazem C. Nifedipine D. Lidocaine

B. Diltiazem

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Tingling toes B. Sexual dysfunction C. Absence of dreams D. Pica

B. Sexual dysfunction

A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching? A. Take both the medications together for 72hr and then stop taking the cyclosporine B. Stop taking the cyclosporine for 24hr and then begin taking the tacrolimus C. Alternate taking the medications for 48hr and then take only the tacrolimus D. If adverse reactions to the tacrolimus occur stop taking it and restart the cyclosporine

B. Stop taking the cyclosporine for 24hr and then begin taking the tacrolimus

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 an inability to void. B. The client's respiratory rate is 10/min. C. The client has hypoactive bowel sounds. D. The client has vomited once in the last 4 hours

B. The client's respiratory rate is 10/min.

A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective? A. "I feel a little drowsy with this medication." B. "I am now drinking much more water. C. "I have not had a bowel movement today." D. "I no longer feel chest tightness."

C. "I have not had a bowel movement today."

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 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? A. Diastolic BP B. Systolic BP C. Heart Rate D. Respiratory Rate

C. Heart Rate

A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action of the medication? A. My mouth seems very dry lately B. Ive noticed my heart beating faster C. I am able to urinate more freely D. Ive noticed I can take a deep breath more easily

C. I am able to urinate more freely

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? A. Methimazole B. Somatropin C. Levothyroxine D. Propylthiouracil

C. Levothyroxine

A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy? A. Mineralocorticoids help the body metabolize carbohydrates, fats, and proteins. B. Mineralocorticoids support secondary sexual development. C. Mineralocorticoids maintain electrolyte and fluid balance. D. Mineralocorticoids reduce the risk of cardiac dysrhythmias.

C. Mineralocorticoids maintain electrolyte and fluid balance.

A nurse is caring for a client who had a myocardial infarction 2 hours ago and is receiving alteplase. Which of the following findings should the nurse identify as an adverse effect of receiving this medication? A. Bleeding B. Increased clot formation C. Shortness of breath D. Blockage of the central venous catheter

C. Shortness of breath

A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect? A. Hypotension B. Tinnitus C. Urinary retention D. Chest pressure

D. Chest pressure

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? A. Dyspepsia B. Diarrhea C. Dizziness D. Dyspnea

D. Dyspnea

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? A. Aspirin B. Warfarin C. Ticagrelor D. Enoxaparin

D. Enoxaparin

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

D. Fentanyl

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Cough B. Joint pain C. Alopecia D. Insomnia

D. Insomnia

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? A. Tachycardia B. Oliguria C. Xerostomia D. Miosis

D. Miosis

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect. ( all that apply) Dry mouth Tinnitus Blurred vision Bradycardia Dry eyes

Dry Mouth Blurred Vision Dry Eyes

A nurse is preparing to administer IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take? A. Regulate the infusion pump rate using the client's weight in the calculation B. Change the IV solution bag every 48 hr after the time of preparation C. Ensure the freshly prepared IV solution has a slight greenish tint D. Cover the medication with an amber plastic bag to protect it from light

A. Regulate the infusion pump rate using the client's weight in the calculation

A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical history? A. Takes St. John's wort B. Breastfeeds a 6-month-old infant C. Has a parent with hypertension D. Has a positive human papillomavirus (HPV) test result

A. Takes St. John's wort

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. The client's capnography has returned to baseline

A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? A. "It is safe to take an enteric coated aspirin." B. "Aspirin will increase the risk of bleeding." C. "Acetaminophen may be substituted for aspirin." D "The INR lab work must be monitored more frequently if aspirin is taken."

B. "Aspirin will increase the risk of bleeding."

A nurse is assessing a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine? A. "I have developed sores in my mouth." B. "I often feel like the room is spinning." C. "I noticed that the whites of my eyes look yellow." D. "I have had a change in my vision recently.

B. "I often feel like the room is spinning."

A nurse is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching? A. I'll apply the patch over areas of my body with little fatty tissue B. I can place the patch on any area of my body without hair. C. I'll put the patch on the same site as the previous patch D. I have to apply the patch directly over my heart.

B. I can place the patch on any area of my body without hair.

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. Naloxone

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

C. "I will taper off the medication before discontinuing it."

A nurse is teaching a client who has diabetes mellitus about a new prescription for pioglitazone. Which of the following statements should the nurse include in the teaching? A. "Monitor for hypoglycemia 6 hours after taking the medication." B. "This medication cannot be taken if you have a sulfa allergy." C. "This medication can be taken when using insulin." D. "This medication is effective for people with type 1 diabetes mellitus.

C. "This medication can be taken when using insulin."