ATI Pre-test Pharmacology N140

A nurse is caring for a client who is to receive the unit of packed red blood cells. The nurse should Prime the blood Administration tubing using which of the following IV solutions?

0.9% Normal saline

A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. THe amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2mL

A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse required further action by the charge nurse? A. I discarded the remaining 2 mg of morphine from the PCA pump. Please document that you witnessed it. B. I noted that my client push the PCA button six times in the past hour, and the PCA lockout is set for 10 minutes C. I gave my client a bolus dose of morphine when I initiated the PCA pump D. I told the clients family that they must not push the PCA button for the client

A. I discarded the remaining 2 mg of morphine from the PCA pump. Please document that you witnessed it.

. A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states I don't need this medication. I am not constipated. The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream? A.Glucose B.Ammonia C.Potassium D.Bicarbonate

B.Ammonia

A nurse is admitting a client who states he takes ginkgo biloba everyday to improve his memory. The nurse should identify potential interaction with which of the following medications the client is taking? A.Ranitidine B.Levothyroxine C.Warfarin D.Loratadine

C) Warfarin

A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instruction should the nurse provide?

"Apply ointment in a thin line into the conjunctival sac"

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?

"Crushing the medication might cause you to have a stomach ache or indigestion"

. A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?

"Glipizide stimulates your pancreas to release insulin."

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

"Taking the medication between meals will help you absorb the medication more efficiently."

A nurse is caring for a 1-month-old infant who weighs 3500 g and is prescribed a dose of cephazolin 50mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

175mg

A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000mL IV to infuse over 24 hr. The drop factor on the manual IV tubing is 10gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

21 gtt/min

A nurse 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 has a history of which of the following conditions? A.Asthma B.Glaucoma C.Depression D. Migraines

A) Asthma

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium? A. Banana B. Cooked carrots C. Cheddar cheese D. 2% milk

A. Banana

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? A." I will store the medication at room temperature" B."I will take the medication every morning on an empty stomach" C."I will spit the medication out after swishing it around my mouth" D. " I will only need to take this medication for a few days"

A." I will store the medication at room temperature"

A nurse is caring for four clients for whom she has 2 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 planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (select all that apply.) A.Apply to intact skin B.Apply the medication an hour before the procedure begin C.Cleanse the skin prior to procedure D.Use visual pain rating scale to evaluate effectiveness

A.Apply to intact skin B.Apply the medication an hour before the procedure begin C.Cleanse the skin prior to procedure D.Use visual pain rating scale to evaluate effectiveness

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.Furosemide B.Telmisartan C.Duloxetine

A nurse is taking the 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 caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Administer a short acting B2 agonist (SABA)

A nurse is caring for a client who has Wernicke-Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?

Administration of thiamine

A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?

Aspartate aminotransferase. (AST)

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? A.Hemoglobin (Hgb) B.Prothrombin time (PT) C.Bleeding time D.Activated partial thromboplastin time (aPTT)

B. Prothrombin time (PT)

The nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

Take the medication with a full glass of water

A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.3 mEq/L. Which of the following actions should the nurse take?

Call the prescribing physician and inform her of the client's serum potassium level results.

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Check the client's vital signs

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

Chew on sugarless gum or suck on hard, sour candies

A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAIV)?

Client's age was 62

A nurse is completing a medical interview with a client who has elevated cholesterol levels and takes warfarin. The nurse should recognize that which of the following actions by the client can potentiate the effects of warfarin? A.) The client follows a low-fat diet to reduce cholesterol. B.) The client drinks a glass of grapefruit juice every day. C.) The client sprinkles flax seeds on food 1 hr before taking the anticoagulant. D.) The client uses garlic to lower cholesterol levels.

D The client uses garlic to lower cholesterol levels.

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

A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching? A. Do not include over-the-counter medications in the medication reconciliation report. B. Provide a list of the client's current medications during the change of shift report. C. Do not perform reconciliation for a client at discharge from a health care facility. D. Provide a list of the client's current medications during admission to a health care facility.

D. Provide a list of the client's current medications during admission to a health care facility.

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects? A.Drowsiness B.Constipation C.Oliguria D. Tachycardia

D. Tachycardia

A nurse is admitting a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

Decrease in BP

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Decreased sodium level

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

Discard regular insulin that appears cloudy

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?

Drink a glass of water after taking the medication

The nurse is preparing a presentation about echinacea to a group of clients. Which of the following information should the nurse include in the teaching?

Echinacea increases the ability to walk further distances for clients who have PAD

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is about 200 mg/dL. Which of the following information should the nurse include?

Expect the NPH insulin to peak in 6 to 14 hr

A nurse is caring for a client who is at 6 weeks of gestation and has pneumonia. While the nurse is obtaining the client's history, the client tells the nurse that she takes the herb feverfew for migraine headaches. Which of the following actions should the nurse take?

Explain to the PT that she should not be taking herbs while she is pregnant.

A nurse is caring for a client who has thrombophlebitis and is receiving Heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Heparin does not dissolve clots. It stops new clots from forming.

A nurse is providing discharge teaching to a client who has asthma and a new prescription for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

I will be sure to take the albuterol before taking the cromolyn.

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

I've been taking an antacid to help with indigestion

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

Keep the open vial of insulin at room temperature.

A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?

Monitor for tendon pain

A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse plan to take?

Remain with the client for the first 15 minutes of the transfusion.

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

Stimulates secretions

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?

Swelling of the tongue

A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?

Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body.

A nurse is providing teaching to a client who is taking warfarin about monitoring its therapeutic effects. Which of the following explanations should the nurse provide about the international normalized ratio (INR) tests?

The INR is a standardized test that eliminates the variations between laboratory reports in prothrombin times.

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client developed a tolerance to the medication.

A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

The medication should be applied on a regular schedule for the rest of the client's life.

A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed red blood cells. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?

The nurse starts the transfusion of another unit of blood product.

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?

Vancomycin

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?

You should report any tendon discomfort you experience while taking this medication

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? a. Document that the client experienced an anaphylactic reaction to the medication. b. Change the IV infusion site. c. Decrease the infusion rate on the IV. d. Apply cold compresses to the neck area.

c. Decrease the infusion rate on the IV.

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that Vancomycin is indicated for which of the following infections?

methicillin-resistant staphylococcus aureus or MRSA