PHARM ATI QUESTIONS

A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give?

"Change positions slowly when you move from sitting t standing"

A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effective?

"I can experience an imbalance in my electrolytes from this medication."

A nurse is teaching a client who has a new ezetimibe prescription for hyperlipidemia. Which of the following client statements should indicate to the nurse that the teaching was effective?

"I should let my doctor know if I have yellowing of my eyes."

A nurse is teaching a client about transdermal patches. Which of the following statements should nurse identify as an indication that the client understands?

"I will apply the patch to an area of skin with no hair"

A nurse is preparing to administer digoxin to a client who states, "i don't want to take that medication. i do not want one more pill. "Which of the following responses should the nurse make?

"Tell me your concerns about taking this medication"

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching?

"This will increase the effects of normal cellular functions"

A nurse is teaching a client about the adverse effects of digoxin. which of the following statements should the nurse include in the teaching?

"contact your provider if adverse effects occur."

A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching?

"do not crush or chew the tablet."

A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make?

"itching can indicate hypersensitivity to amoxicillin.

A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply)

-A client who takes prednisone and has a possible fungal infection -A client who has chronic liver disease and is taking hydrocodone/acetaminophen -A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy

A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply)

-Ask the client to look up at the ceiling -Drop the medication into the client's conjunctival sac -Instruct the client to close the eye gently after instillation

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause an additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? (select all that apply)

-Clients can achieve desired effects with the use of lower dosages -Both drugs have similar actions

A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn? (select all that apply)

-Impaired cognitive level -Language barrier -Discomfort -Unreadiness to learn

A nurse is preparing to administer medication to a 4-month-old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (select all that apply)

-Infants have immature liver function -Infants' blood- brain barrier is poorly developed -Infants have an increased ability to absorb topical medications

A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply)

-Liver failure -Concurrent use of medication the same pathway metabolizes

A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following findings indicates an anaphylactic reaction? (select all that apply)

-Low blood pressure -Wheezing -Difficulty swallowing

A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply)

-PTT -Aspartate aminotransferase (AST) -Alanine aminotransferase (ALT)

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (select all that apply)

-Periodic laboratory tests are essential to measure serum drug levels -Monitoring for indications of toxicity is important -Taking the smallest effective dose is crucial

A nurse assessing the IV catheter insertion site for a client receiving a non vesicant solution and notes swelling at the site with decreased skin temperature. Which of the following actions should the nurse take? (Select all that apply)

-Stop the infusion -Apply warm compresses to the insertion site -Elevate the client's arm

A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all the apply)

-Teach the client about the medication -Monitor for adverse effects -Lock compartments for controlled substances

A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects that taking over-the-counter drugs will have on her newborn. Which of the following should the nurse consider when recommending a drug for the client? (select all that apply)

-The newborn's weight -How much breast milk the newborn consumes each day -Whether or not the benefits to the client outweigh the risks to the newborn -The properties of the drug

A nurse is obtaining a client's health history and discovers that the client takes loratadine, an over-the-counter drug. The nurse should identify that which of the following is correct regarding the over-the-counter drugs? (select all that apply)

-They do not require the supervision of a nurse -They can interact with other drugs -They should be included in the client's drug history assessment

A nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (Select all that apply)

-Use of herbal products -Ability to swallow -Allergies

A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration?

A medication is approved for ages 12 and older, and the client is 8 years old

A nurse is administering a medication parenterally to a client. Which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels?

Administering a continuous infusion of the dose

A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug?

Adverse effect is correct

A nurse is caring for a client who is taking oral oxycodone. The client is also taking ibuprofen in three recommended doses daily. The nurse should identify that an interaction between these two medications will cause which of the following findings?

An increase in the expected therapeutic effect of both medications

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects?

Anti-estrogenic

A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning?

As soon as possible

A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing process should the nurse identify the client's allergies?

Assessment

A nurse is reviewing a client's health record and notes that the client experienced permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client?

Central nervous

A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention?

Checking the prescription when a single dose requires administration of multiple tablets

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug?

Contraindications

A nurse is caring for a client who has Alzheimer's disease and a prescription for memantine. Which of the following laboratory findings should the nurse identify as a contraindication to receiving this medication?

Creatinine clearance 35 mL/min

A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take?

Distend the veins by using a blood pressure cuff

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following?

Drug toxicity

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. The nurse should recognize the client's risk for which of the following?

Drug toxicity

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage?

Extended-release tablet

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?

Heart rate 51/min

A nurse is planning to administer diltiazem via 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?

Hypotension

A nurse is a provider's office is reviewing the medical record of a client who is pregnant and at the first prenatal visit. Which of the following immunizations can the nurse administer safely to this client?

Inactivated influenza vaccine

A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take?

Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?

Indications

A nurse is planning care for a client with thrombophlebitis who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care?

Infuse the heparin using an electronic IV pump

When reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways?

It begins with a lower-case letter

A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first?

Laryngeal Edema

A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?

Migraine headaches

A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share?

Notify the provider if the SABA is needed more than twice per week

A nurse reviewing a client's medical record notes a new prescription for verifying the through level of a client's medication. Which of the following actions should the nurse take?

Obtain a blood specimen immediately prior to administering the next dose of medication

A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication?

One

The nurse is assessing a client who has been taking linezolid to treat a Staphylococcus aureus infection. Which of the following findings should the nurse report to the provider?

Paresthesias

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client?

Pharmacologic action

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks?

Precautions

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching?

Promotes RBC production

A nurse on medical-surgical unit administers a hypotonic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness?

Reduced hepatic function

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication?

Sudden onset of dyspnea

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons?

The oral form has decreased bioavailability because of the first-pass effect

A nurse is reviewing a new prescription for fexofenadine for a 7-year-old client who has seasonal allergies. Which of the following findings should the nurse clarify with the provider?

The prescription says to take standard tablets

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible?

Theophylline and zileuton

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following?

Therapeutic effect

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons?

To determine if dosage modification is indicated

A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects?

Urinary health promotion

A nurse is caring for a client experiencing IV extravasation. The facility requires the administration of an antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions should the nurse take first?

Withdraw the solution from the IV access

A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states when they took penicillin 3 years ago, they developed a rash. Which of the following actions should the nurse take?

Withhold the medication

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following?

fetal malformation

A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities?

they have similar mechanisms of actions