ATI

Select the 3 findings that require immediate follow up:

1. Urticaria 2. Hypotension 3. Difficulty swallowing

Asthma patient

Actions to take: Administer albuterol and measure the client's airflow Potential condition: Asthma exacerbation Parameters to monitor: Monitor client's peak flow and observe the client for development of sudden absence of wheezing

A nurse is caring for an adolescent in an emergency department. The nurse reports 2400 assessment findings to the provider. Which of the following should the nurse anticipate the provider will prescribe?

Obtain an echocardiogram, obtain blood cultures x3, and administer antibiotic therapy

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? Select all that apply. a. Furosemide b. Telmisartan c. Duloxetine d. Clopidogrel e. Atorvastatin

a, b, c

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide? a. "Crushing the medication might cause you to have a stomachache or indigestion" b. "Crushing the medication is a good idea, and I can mix it in some ice cream for you" c. "Crushing the medication would release all the medication at once, rather than over time" d. "Crushing is unsafe, as it destroys the ingredients in the medication"

a.

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? a. "Information about a client can be disclosed to family members at any time" b. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form" c. "A client's address would be an example of personally identifiable information" d. "HIPAA is a federal law, not a state law"

a.

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? a. Acetaminophen d. Celecoxib c. Cyclobenzaprine d. Ibuprofen

a. Acetaminophen

A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast? a. Alendronate b. Digoxin c. Mycostatin mouthwash d. Divalproex

a. Alendronate

A nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? a. Asthma b. Glaucoma c. Depression d. Migraines

a. Asthma

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviewed the provider's orders and recognizes that clarification is needed for which of the following medications? a. Carvedilol b. Fluticasone c. Captopril d. Isosorbide denigrate

a. Carvedilol

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse plan to administer? a. Fab antibody fragments b. Flumazenil c. Acetylcysteine d. Naloxone

a. Fab antibody fragments

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines? a. Flumazenil b. Diphenhydramine c. Protamine d. Naloxone

a. Flumazenil

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level? a. Furosemide b. Nitroglycerin c. Metoprolol

a. Furosemide

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription of sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil? a. Isosorbide b. Phenytoin c. Metronidazole

a. Isosorbide

A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer? a. Methadone b. Disulfiram c. Risperidone d. Lithium carbonate

a. Methadone

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications? a. Propranolol b. Theophylline c. Montelukast d. Prednisone

a. Propranolol

A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic? a. Relief of heartburn b. Cessation of diarrhea c. Passage of flatus d. Absence of constipation

a. Relief of heartburn

A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications? a. Senna b. Ibuprofen c. Omeprazole d. Zolpidem

a. Senna

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer? a. Vitamin K b. Heparin c. Warfarin d. Ferrous sulfate

a. Vitamin K

A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier? Select all that apply. a. Client's full name b. Facility room number c. Partner's full name d. Provider's name e. Facility-assigned identification information

a. and e.

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? Select all that apply. a. This medication will stimulate flow of mucus b. The medication will prevent wheezing c. The medication will open the airways d. The medication will reduce inflammation e. The medication will decrease coughing episodes

b, c, e

A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching? a. "You really shouldn't change the schedule we established here in the facility" b. "Let's work together to devise a time schedule that is convenient for you on a daily basis" c. "We'll have to talk to your provider about switching to an alternative schedule" d. "It doesn't really matter what time you take your medications as long as you don't skip any doses"

b.

A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications? a. Flumazenil b. Acetylcysteine c. Atropine d. Vitamin K

b. Acetylcysteine

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? a. Notify the client's provider b. Check the client's vital signs c. Fill out an occurrence form d. Administer the medication to the correct client

b. Check the client's vital signs

A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following medications should the nurse plan to administer for DVT prophylaxis? a. Aspirin PO b. Enoxaparin subcutaneous c. Heparin infusion d. Warfarin PO

b. Enoxaparin subcutaneous

A charge nurse is teaching a group of nurses about agonists and antagonists. The nurse should include in the teaching that which of the following agonist medications binds to receptors and causes activation that affects the cardiovascular system? a. Insulin b. Epinephrine c. Morphine d. Norethindrone

b. Epinephrine

A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort. Aside from managing pain, which of the following desired effects of medications should the nurse identify as most important for the client's recovery? a. It decreases the client's level of anxiety b. It facilitates the client's deep breathing c. It enhances the client's ability to sleep d. It reduces the client's blood pressure

b. It facilitates the client's deep breathing

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury? a. Atorvastatin b. Metformin c. Nitroglycerin d. Carvedilol

b. Metformin

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available? a. Flumazenil b. Naloxone c. Protamine d. Neostigmine

b. Naloxone

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects? a. Vitamin K b. Protamine sulfate c. Acetylcysteine d. Deferasirox

b. Protamine sulfate

A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration? a. Institutional policies regarding routine medication administration times b. Specific characteristics of the medications c. Schedule of administration that the client follows at home d. Time at which the medication can be available from the pharmacy

b. Specific characteristics of the medications

A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity? a. Omeprazole b. Vancomycin c. Ondansetron d. Diphenhydramine

b. Vancomycin

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication? a. Analgesic b. Anti-inflammatory c. Antiplatelet aggregate d. Antipyretic

c. Antiplatelet aggregate

A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia? a. Epinephrine b. Magnesium c. Atropine d. Sodium bicarbonate

c. Atropine

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer? a. Lisinopril b. Digoxin c. Furosemide d. Potassium iodine

c. Furosemide

A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering? a. Furosemide b. Dexamethasone c. Heparin d. Atropine

c. Heparin

A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict? a. Implement a resolution b. Brainstorm solutions c. Identify the problem d. Evaluate the results

c. Identify the problem

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client? a. Piperacillin/tazobactam b. Levothyroxine c. Levodopa/carbidopa d. Carbamazepine

c. Levodopa/carbidopa

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance? a. Cimetidine b. Dextromethorphan c. Prednisone d. Atorvastatin

c. Prednisone

A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose? a. Iron b. Glucagon c. Protamine d. Vitamin K

c. Protamine

A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer? a. Lactulose b. Sevelamer c. Sodium polystyrene d. Darbepoetin alfa

c. Sodium polystyrene

A nurse is reviewing the medication list for a client who has a new prescription for warfarin. The nurse should recognize that which of the following medications is incompatible with warfarin? a. Furosemide b. Alprazolam c. Vitamin K d. Vitamin A

c. Vitamin K

A nurse is admitting a client who states he takes ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking? a. Famotidine b. Levothyroxine c. Warfarin d. Loratadine

c. Warfarin

A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching? a. "I will take ibuprofen for arthritis" b. "I will take morphine during sickle cell crisis" c. "I will take propranolol to manage high blood pressure d. "I will take aspirin to reduce pain from my peptic ulcer"

d.

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack? a. Beclomethasone b. Salmeterol c. Formoterol d. Albuterol

d. Albuterol

A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms? a. Cromolyn via metered-dose inhaler b. Montelukast-orally c. Budesonide via dry-powder inhaler d. Albuterol via jet nebulizer

d. Albuterol via jet nebulizer

A nurse is preparing to administer medications to a client who states "I don't want to take those drugs". Which of the following actions should the nurse take? a. Tell the client the physician wants him to take the medications b. Ask the client why he is refusing to take the medications c. Explain the purpose for the medications d. Document that the client refuses the medications

d. Document that the client refuses the medications

A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene? a. Verifies the medication against the prescription and medication label b. Scans the bar code on the medication administration record and the client's arm band c. Check the provider's orders and confirmed dosage in a medication reference guide d. Documents medication administration prior to administering it

d. Documents medication administration prior to administering it

A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication? a. Decrease bulk in the diet to counteract the adverse effects of diarrhea b. Take the medication with dairy products to increase absorption c. Reduce sodium intake d. Drink a glass of water after taking the medication

d. Drink a glass of water after taking this medication

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first? a. Dobutamine b. Methylprednisolone c. Furosemide d. Epinephrine

d. Epinephrine

A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer? a. Albumin 25% b. Dextran 70 c. Hydroxyethyl glucose d. Mannitol 25%

d. Mannitol 25%

A nurse is an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety? a. Nitroglycerin b. Aspirin c. Oxygen d. Morphine

d. Morphine

A nurse is caring for a client who has opioid toxicity and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? a. Epinephrine b. Protamine c. Flumazenil d. Naloxone

d. Naloxone

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hypokalemia and hyponatremia? a. Furosemide b. Hydrocholorthiazide c. Metolazone d. Spironolactone

d. Spironolactone

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse plan to administer? a. Epinephrine b. Atropine c. Protamine d. Vitamin K

d. Vitamin K