ATI Practice Exam 2019 A & B
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hrs to a child who weighs 44 lb. How many mg should the nurse administer per dose?
300
A nurse is assessing a client who is receving epoetinalfa to treat anemia. Which of the following findings should the nurse monitor?
Increased bp
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer.
Leg tenderness
A nurse is collecting a medication history from a clietn who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medication?
Ibuprofen
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications?
Acetylcystein
A nurse is precepting a new licensed nurse who is caring for 4 clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse?
Administer isosorbide monitrate to a client who has a BP 82/60 mmHg
A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazidime via intermittent IV bolus. Which of the following laboratory findings is the priority for hte nurse to report to the provider before adminstering the medication?
Creatinine 2.6 mg/dL
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client lab values should the nurse monitor?
Creatinine kinase
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 clietn who has myasthenia gravis and is in cholinergic crisis. Which of the following medications should the nurse plan to adminster?
Atropine
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects.
Bibasilar crackles- lung crackles
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?
Blood glucose levels will be monitored during therapy Avoid contact with people who have know infections Grapefruit juice can increase the effects of the medication
A nurse is caring for a client who has a magnesium level of 3.1. The nurse should expect to administer which of the following medications?
Calcium gluconate
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?
Carbamazepine
A nurse is p reparing to teach a client who is to start a new prescription for extended release verpamil. Which of the following instructions should the nurse plan to include?
Change positions slowly
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instrct the client to monitor for and report to the provider?
Chest pressure
A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?
Client report of decreased paresthesia
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 the docusate sodium daily can minimize which of the following adverse effects of morphine?
Constipation
A nurse is administering baclofen for a client who has spinal cord injury. Which of the following findings should the nurse document as a therapeutic outcome?
Decrease in flexor and extensor spasticity
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 reviewing the medication adminstration record of a client who has hypocalcemia and a new prescription for IV calcium gloconate. The nurse should identify that which of the following medications can interact with calcium gluconate?
Digoxin
A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with lansoprazole. The nurse should monitor the client for which of the following manifestations?
Disorientation
A nurse is preparing to adminster 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 teaching a client who has a new prescription for ducusate sodium about the medication's MOA. Which of the following information should the nurse include in the teaching?
Docusate sodium reduces the surface tension of the stools to change their consistency
A nurse is teaching a clinet who is takng allopurinol for the treatment of gout. Which of the following info should the nurse include in the teaching?
Drink 2 L of water daily
A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?
Drink 8 to 10 glasses of water daily
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?
Dry mouth
A nurse iproviding teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching?
Dry mouth, blurred vision, dry eyes
A nurse is administering diazepam to a client who is having a colonoscopy. Which of the following actions should the nurse take?
Ensure flumazenil is available to administer for toxicity management
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 (Reverse benzodiazepines)
A nurse is providing teaching to a client who has a peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?
Forms a protective barrier over ulcers
A nurse contacts a clinet's provider on the telephone to obtain a prescription for pain medication
Have the provider spell out unfamiliar medication names
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86, heart rate is 55 min, rr is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings?
Heart Rate
A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider?
Hemoglobin, platelet, potassium
A nurse is caring for a client who has heart failure and a prescription for enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?
Hyperkalemia
A nurse is teaching about a new prescription for ciprofoxacin who has a UTI. The nurse should identify which of the following statements as an indication that the client understands the teaching?
I will report any signs of tendon pain or swelling
A nurse is teaching about zolpidem to a client who has insomnia. Then urse should identify that which of teh following client statements indicate an understanding of the teaching?
I will use this medication for a short period of time.
A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective?
Increase in ability to focus
A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching?
Increase intake of potassium-rich foods Monitor for muscle weakness Dangle your feet from the side of the bed before standing
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective?
Increased cardiac output
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- filgrastim stimulates the bone marrow to produce neutrophils.
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse report to the provider?
Leg tenderness
A nurse is caring for a client who is receiving treatment for opioid use disorder. Which of the following medications should the nurse expect to administer?
Methadone
A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take?
Monitor the client for constipation
A nurse administered digoxin immune FAB to a client who received the incorrect dose of digoxin over a period of 3 days. The nurse should identify that which of the following findings indicates the antidote was effective?
Normal sinus rhythm
A nurse is caring for a client who reports lethrargy and myalgia after taking clozapine for 6 months. Which of the following actions should then nurse plan to take?
Obtain WBC with absolute neutrophil count
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 circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?
Place monitoring cords and tubes in a stockinet
A nurse is reviewing the lab results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings?
Platelets 96000/ mm3
A nurse is caring for a 20 y.o female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?
Pregnancy test
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 findings as an indication of hypokalemia?
Presence of U-waves
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide?
Prevent delirium tremens
A nurse is preparing to mix and administer dantrolene via IV bolus to a clietn who has deeloped malignant hyperthermia during surgery. Which of the following actions should the nurse take?
Reconstitue the inital dose with 60 mL of sterile water w/o bacteriostatic agent
A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan?
Report muscle pain to the provider Avoid taking the medication with grapefruit juice Expect therapy with this medication to be lifelong
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include?
Report yellowing of the skin
A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor?
Sedation
A nurse is providing discharge teaching about handling medication to a client who is 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 receivng end-of-life care and has a prescription for fentanyl patches. Which of the folowing info regarding the adverse effects of fentanyl should the nurse plan to give to client and family?
Take a stool softener on a daily basis
A nurse in a clinic is caring for a clietn who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism?
Tinnitus
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?
Tinnitus
A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before adminstering the medication?
Total cholesterol
A nurse is teaching a client who is starting to take amitriptyline. Which of the following finds should the nurse include in the teachings as an adverse effect of the medication?
Urinary retention
A nurse is reviewing the lab results of a client who is taking carbamezpine for a seizure disorder. Which of the following findings should the nurse report to the provider?
WBC 35000
A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Yellow tinged vision
A nurse is caring for a client who is receiving haloperidol. The nurse should identify which of the following findings as an adverse effect of the medication?
akathisia
A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity?
cromolyn
