NURSING 2239 ati-pharmacology-proctored-2019-retake-1-exam ATI Pharmacology Proctored 2019 Retake 1 Exam

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NURSING 2239 ati-pharmacology-proctored-2019-retake-1-exam ATI Pharmacology Proctored 2019 Retake 1 Exam 1. A nurse is caring for a client who has breast cancer and reports pain 1 hr after administr... ation of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyltransmucosal 2. 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. Notify your provider if you develop a fever while taking this medication b. Diarrhea is a common adverse effect of this medication c. Ringing in the earsis an expected adverse effect of this medication d. Youmight experience weight loss while taking this medication 3. A nurse is assessing a client after administering phenytoin IV bolusfor a seizure. Which of the following findings should the nurse identify as an adverse effect of the medication? a. Bradycardia b. Red man syndrome c. Hypoglycemia d. Hypotension 4. A client who has active TB and istaking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actionsshould the nurse take? a. Document this as an expected finding b. Prepare the client for dialysis c. Check the client’sliver functions d. Instruct the client to increase hisfluid intake 5. A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg since the last visit 2 days ago. Which of the following actionsshould the nurse take first? ati-pharmacology-proctored-2019-retake-1-exam a. Notify the provider of the client’s weight gain b. Determine medication adherence by the client c. Encourage the client to dangle the legs while sitting in a chair ati-pharmacology-proctored-2019-retake-1-exam d. Teach the client about food low in sodium 6. A nurse is caring for a client who istaking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication? a. Constipation b. Hot flashes c. Urinary frequency d. Tinnitus 7. A nurse is assessing a client who reportstaking over-the-counter antacids. Which of the following findingsshould the nurse identify as a manifestation of hypercalcemia? a. Headache b. Decreased urine output c. Positive Trousseau’s sign d. Constipation 8. A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members isresponsible for completing an incident report? a. The quality improvement committee b. The nurse who caused the error c. The charge nurse d. The nurse who identifiesthe error 9. A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse should identify that this medication is used for which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Deep-vein thrombosis d. Urinary tract infection 10. A nurse is caring for a client who has a respiratory infection and isreceiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Ciprofloxacin b. Gentamicin c. Rifampin d. Penicillin G ati-pharmacology-proctored-2019-retake-1-exam 11. A nurse is assessing a client who isreceiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Bilateral muscle weakness b. Decreased bowelsounds c. Thread pulse d. Distended neck veins 12. A nurse is caring for a client who has heart failure ad a new prescription for lisinopril. For which of the following adverse effectsshould the nurse monitor when administering lisinopril? a. Hypotension b. Tinnitus c. Bradycardia d. Hypokalemia 13. A nurse isreviewing the lab results of a client prior to administering IV tobramycin. Which of the following laboratory valuesshould the nurse report to the provider? a. Creatinine 2.5 mg/dl b. Sodium 137 mEq/L c. Hct 43% d. Hgb 15 g/dL 14. A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take? a. Store the remaining half of the pill in the automated medication dispensing system b. Return the remaining medication to the facility’s pharmacy c. Dispose of the remaining medication while another nurse observes d. Place the remaining half of the pill in the unit-dose package 15. A nurse is assessing a client who isreceiving heparin via continuous IV. The client has an aPPT of 90 seconds. The nurse should monitor for which of the following changesin their vitalsigns? a. Decreased respiratory rate b. Increased pulse rate c. Decreased temperature d. Increased blood pressure ati-pharmacology-proctored-2019-retake-1-exam 16. A nurse is planning to administer medicationsto an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? a. Tilt the client’s head back when administering the medications b. Administer more than one pill to the client at a time c. Mix the medications with a semisolid food for the client d. Place the medications on the back of the client’s tongue 17. A nurse is caring for a client who is to receive potassium replacement. The provider’s prescription reads, “Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.” For which of the following reasonsshould the nurse clarify this prescription with the provider? a. Potassium chloride should be diluted in dextrose 5% in water b. Another formulation of potassium should be given IV c. The clientshould be treated by giving potassium by IV bolus d. The potassium infusion rate is too rapid 18. A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findingsshould the nurse notify the provider? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. BUN 15 mg/dL d. The client reports dizziness 19. A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply) a. Rinse your child’s mouth following administration b. Soak the inhaler in water after use c. Have your child take one inhalation as needed for SOB d. A spacer will make it easier to use the device e. Shake the device prior to administration 20. A nurse is caring for a client who is taking lithium and reportsstarting a new exercise program. The nurse should assessthe client for which of the following electrolyte imbalances? a. Hypomagnesemia b. Hypokalemia c. Hypocalcemia ati-pharmacology-proctored-2019-retake-1-exam d. Hyponatremia 21. A nurse isreviewing the lab values of a client who istaking atorvastatin. Which of the following lab values indicates the treatment has been effective? a. BUN 15mg/dL b. Urine specific gravity 1.020 c. Blood glucose 90 mg/dL d. LDL 120 m/dL 22. A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients? a. A client who istransported to radiology b. A client who istransferred to a step-down unit c. A client who has a referral for socialservices d. A client who has a consultation for physical therapy 23. A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer? a. Colchicine b. Chlorpromazine c. Cimetidine d. Colesevelam 24. A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter? a. Dominant distal dorsal vein b. Nondominant dorsal venous arch c. Dominant antecubital basilic vein d. Nondominant forearm basilic vein 25. A nurse is providing teaching to a client about the administration of omeprazole. Which of the following information should the nurse include in the teaching? a. You should reduce your intake of calcium while taking this medication b. You can take a second dose ifsymptoms persist up to 2 hours after the first dose c. You cannot take thismedication with an antacid d. You should take this medication before meals ati-pharmacology-proctored-2019-retake-1-exam 26. A nurse is caring for a client who is in shock and isreceiving an infusion of albumin. Which of the following findings should the nurse expect? a. Increase in BP b. Oxygen saturation 96% c. Decrease in protein d. PaCO2 30 mm Hg 27. A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth). a. 7.5mL 28. A nurse is caring for a client who is taking triamterene. For which of the following lab values should the nurse withhold the medication? a. Potassium 5.3 b. Sodium 142 c. BUN 16 d. Albumin 4 [Show More]

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