Pharmacology 315 - Exam 2 ATI Questions
B
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client? A. Low-grade fever B. Sedation C. Diuresis D. Tonic-clonic seizures
C
A nurse is administering alprazolam for the first time to a client who has anxiety. The nurse should monitor the client for which of the following adverse effects of this medication? A. Tinnitus B. Elevated blood pressure C. Drowsiness D. Bleeding gums
A
A nurse is assessing a client prior to administering lithium. The client began taking lithium 1 week ago for the treatment of mania. For which of the following findings should the nurse withhold the dose? A. Report of nausea and frequent episodes of emesis B. Weight gain of 1.8 kg (4 lb) since the start of treatment C. Fine hand tremors in both hands D. Serum lithium level of 1.1 mEq/L
A
A nurse is assessing a client who began taking clozapine 3 weeks ago. Which of the following findings should the nurse report to the provider immediately? A. Tachypnea and tachycardia B. Abdominal pain and constipation C. Enuresis and polyuria D. Dry mouth and blurred vision
C
A nurse is assessing a client who has ADHD and reports discontinuing his amphetamine treatment. Which of the following assessments indicates that the client is physically dependent on the amphetamines? A. The client exhibits paranoia B. The client reports having insomnia C. The client reports eating excessively D. The client has an increased heart rate
A
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
C
A nurse is assessing a client who has been taking an antipyschotic medication for 6 years. The provider has started tapering off the client's dosage. The nurse should monitor the client for which of the following manifestations of tardive dyskinesia? A. Muscular weakness B. Muscle spasms C. Involuntary tongue protrusion D. Uncontrolled rolling of the eyes
D
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
C (means dry mouth)
A nurse is assessing a client who is taking buspirone to treat generalized anxiety disorder. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Arthralgia B. Photophobia C. Xerostomia D. Bradycardia
D
A nurse is assessing a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.2 mEq/L. Which of the following findings should the nurse expect? A. Muscle weakness B. Oliguria C. Vomiting D. Blurry vision
D
A nurse is assessing a client with psychotic disorder who has a new prescription for haloperidol. The client is pacing in the hallway and states, "I can't seem to sit still." Which of the following extrapyramidal side effects is this client experiencing? A. Dystonia B. Parkinsonsim C. Tardive dykinesia D. Akathisia
A
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
A
A nurse is caring for a client who has bipolar disorder. The client states, "My family wants me to come home for a visit. What do you think I should do?" Which of the following responses should the nurse offer? A. "Tell me how you are feeling about their request" B. "I think it is important for you to spend some time with your family" C. "Maybe you should not go if you are not sure about the visit" D. "What does your social worker think you should do?"
D
A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client taking this medication? A. Reduced cancer-related bone pain B. Decreased anxiety and insomnia C. Decreased inflammatory response to cancer tumors D. Reduced cramping, aching, and burning neuropathic pain
A
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
A
A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating rhyming syllables such as, "Me, see, bee, tree." The nurse recognizes that the client is demonstrating which of the following positive manifestations of schizophrenia? A. Clang association B. Echolalia C. Magical thinking D. Word salad
C
A nurse is caring for a client who is experiencing a seizure while in bed. Which of the following actions should the nurse take? A. Raise the head of the client's bed B. Restrain the client's arms and legs C. Turn the client's head to the side D. Insert a tongue blade in the client's mouth
B
A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provider immediately? A. "My last bowel movement was 2 days ago" B. "My tongue keeps moving like a worm" C. "I feel dizzy when I stand up too quickly" D. "I can't stop blinking when I'm in the sun"
D
A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following adverse effects should the nurse report to the client's provider immediately? A. Dry mouth B. Constipation C. Drowsiness D. Urinary retention
B
A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs? A. Bruising B. Drowsiness C. Coughing D. Constipation
A
A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for fluoxetine. The client asks the nurse, "When should I notice benefits from this medication?" Which of the following responses should the nurse make? A. "You should expect decreased manifestations within a few days" B. "Manifestations decrease after about 2 months" C. "You should expect decreased manifestations immediately" D. "Manifestations will decrease after several weeks"
D
A nurse is caring for a client with schizophrenia who is having command hallucinations. Which of the following actions is priority for the nurse to take? A. Identify triggers that initiate the client's hallucinations B. Administer an antipsychotic medication C. Focus on reality-based orientation D. Determine what the voices are saying
C
A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? A. Hearing examination B. Glucose tolerance test C. Electrocardiogram D. Pulmonary function tests
D
A nurse is evaluating teaching for a client who has bipolar disorder and a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take lithium on an empty stomach" B. "I can take ibuprofen for headaches while taking lithium" C. "I need to limit my salt intake while taking lithium" D. "I am likely to gain weight while taking lithium"
B
A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypertension B. Cardiac dysrhythmias C. Gastric discomfort D. Tachycardia
C
A nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the client's appearance is unkempt, and he appears to be actively hallucinating. Which of the following should be the nurse's priority assessment? A. Perception of reality B. Ability to follow directions C. Physical needs D. Mental status
A
A nurse is planning care for a client who has a physical dependence on alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan? A. Taper the medication gradually over several weeks B. Encourage participation in stimulating physical activity C. Monitor the client for a return of anxiety for up to 72 hours following discontinuation of the medication D. Implement restraints and seclusion as needed
B, C, E
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? SATA: A. BUN B. PTT C. Aspartate aminotransferase (AST) D. Urinalysis E. Alanine aminotransferase (ALT)
A
A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine? A. Broiled beef steak B. Macaroni and cheese C. Pepperoni pizza D. Smoked salmon
2
A nurse is preparing to administer benztropine 8mg PO daily in 2 divided doses to a client who has Parkinson's disease. The amount available is benztropine 2 mg tablets. How many tablets should the nurse administer with each dose?
D
A nurse is providing dietary teaching to a client who has a new prescription for a MAOI. Which of the following food selections by the client indicates an understanding on the teaching? A. Cheddar cheese B. Avocados C. Pepperoni D. Yogurt
C
A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take naproxen if I have a headache because aspirin can cause lithium toxicity" B. "I can develop lithium toxicity if I eat foods with lots of sodium" C. "I can develop lithium toxicity if I experience vomiting or diarrhea" D. "I might need to take a daily diuretic along with my lithium to prevent lithium toxicity"
B
A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take amitriptyline in the morning because I'll likely have trouble falling asleep if I take it in the evening" B. "I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease" C. "I can drink a glass of beer or wine with my evening meal because amitriptyline doesn't interact with alcohol" D. "I will avoid foods that are high in fiber because amitriptyline can cause diarrhea"
B
A nurse is providing teaching about benzodiazepines to a client who is discontinuing long-term alprazolam use. Which of the following pieces of information should the nurse include in the teaching? A. "You might experience somnolence" B. "Plan to taper the dose slowly over several months" C. "Call the provider if you have muscle weakness" D. "Confusion is common during this process"
C
A nurse is providing teaching for a client who has generalized anxiety disorder and a new prescription for lorazepam. Which of the following statements should the nurse include? A. "Taking an antacid with the medication will decrease stomach upset" B. "Expect the medication to cause insomnia the first 1-2 weeks" C. "Drinking caffeinated beverages will decrease the effectiveness of the medication" D. "Increase the dosage if the effectiveness of the medication decreases"
D
A nurse is providing teaching to a client who has a new prescription for amitriptyline. The nurse should teach the client that which of the over-the-counter medications can cause cardiac dysrhythmias when taken concurrently with amitriptyline? A. Acetaminophen B. Famotidine C. Naproxen D. Pseudoephedrine
D
A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following statements should the nurse include in the teaching? A. "Use buspirone with caution because it raises the risk of experiencing suicidal thoughts" B. "You can minimize adverse effects by taking buspirone with grapefruit juice" C. "Buspirone enhances the depressant effects of alcohol" D. "Buspirone causes nausea in some people"
A
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A. "You should have your white blood cell count checked once per week for 6 months" B. "You should check yourself every 3 days for weight loss" C. "You might experience frequent loose stools" D. "You might experience ringing in your ears"
B
A nurse is providing teaching to a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client? A. Take the medication and herbal supplement together B. Stop taking the herbal supplement while taking the medication C. Take the herbal supplement and the medication at least 2 hours apart D. Take an antacid with both the herbal supplement and the medication
B
A nurse is providing teaching to a client who has social anxiety disorder and a new prescription for paroxetine. Which of the following statements should the nurse include in the teaching? A. "You can take this medication when needed" B. "The medication takes a few weeks to build up in your system" C. "You should plan to take this medication for 6 months" D. "Relapsing after withdrawing from this medication is rare"
D
A nurse is providing teaching to a client who is scheduled to start taking valproic acid. Which of the following instructions should the nurse include? A. "You should expect the provider to decrease your dosage of valproic acid gradually" B. "You should take aspirin for pain while taking valproic acid" C. "You should undergo thyroid function tests every 6 months while taking valproic acid" D. "You should have your liver function levels monitored regularly while taking valproic acid"
A
A nurse is providing teaching to a client with a seizure disorder who has a new prescription for carbamazepine. Which of the following statements should the nurse include in the teaching? A. "This medication will decrease the effectiveness of oral contraceptives" B. "Once you are seizure-free for a month, you will be able to stop taking the medication" C. "You can cut the dose in half if gastrointestinal upset occurs" D. "This medication might initially increase the frequency of your seizures"
C
A nurse is providing teaching to the parent of a school-aged child who has ADHD and a new prescription for methylphenidate IR. Which of the following pieces of information should the nurse provide? A. "Have your child take the medication once daily" B. "This medication might make your child gain weight" C. "Your child's growth might slow while using this medication" D. "Avoid giving your child food when taking this medication"
C
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
D
A nurse is reviewing laboratory 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 this 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
A
A nurse is reviewing laboratory reports for a client who is taking risperidone. The nurse should identify that which of the following results indicates a potential adverse reaction to the medication? A. Elevated blood glucose B. Elevated WBC count C. Decreased platelet count D. Decreased aspartate transaminase (AST)
A
A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months. Which of the following should the nurse recognize as a therapeutic lithium level? A. 1.2 mEq/L B. 1.6 mEq/L C. 2.0 mEq/L D. 2.5 mEq/L
C
A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider's prescription? A. Skeletal muscle injury B. History of status epilepticus C. Hypotension D. Insomnia
C
A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider? A. Restlessness B. Insomnia C. Palpitations D. Weight gain
B
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 medication"
D
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. "If 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 seizures" 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"
A
A nurse is teaching a client who has a new prescription for phenytoin. The nurse should inform the client that which of the following adverse effects can occur with the abrupt withdrawal of phenytoin? A. Status epilepticus B. Bleeding gums C. Disorientation D. Severe nausea
C
A nurse is teaching a client who has a prescription for a tricyclic antidepressant. Which of the following instructions should the nurse include in the teaching? A. "Take this medication within 1 hour of waking each morning" B. "Limit alcohol to 2 drinks per week while taking this medication" C. "It can take 6 weeks to achieve the full therapeutic effect of this medication" D. "Stop taking the medication if you experience dizziness"
B
A nurse is teaching a client who has anxiety and a new prescription for buspirone. Which of the following pieces of information should the nurse include in the teaching? A. "Buspirone carries a high potential for abuse" B. "Avoid consuming grapefruit juice when taking this medication" C. "Take the medication 4 times daily" D. "The peak effects of buspirone occur within 1 week"
A
A nurse is teaching about adverse effects of ergotamine with a client who has migraine headaches. Which of the following client statements should indicate an understanding of the teaching? A. "If I overuse this medication, I might become addicted to it" B. "This medication is okay to use during my pregnancy" C. "Tingling in my fingers and toes is an adverse effect that goes away with continued use" D. "I will experience restlessness as an adverse effect when I begin taking this medication"
