ATI Pharmacology Proctored Exam
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Version 1
7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive.The
client is beginning medication therapy with zidovudine (Retrovir). Which of thefollowing
statements should the nurse include in the teaching. (Select all thatapply.)
o Must be taken with other
retroviralmedicines.o Has few adverseeffects
o Cures an HIVinfection
o Prevents you from transmitting the HIVinfection
o Increases CD4+ cellcount
8. A nurse is assessing a school age client who is experiencing seizure activity and isprescribed
diazepam (Valium) IV. The nurse should should clarify the order if the client is receivinga
continuous infusion of which of the followingIV:
o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units of regularinsulin
o 0.9% sodiumchloride
o 0.9% Sodium chloride with 20 mEq of potassiumchloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heartfailure.
Which of the following indicates an expectedfinding?
o Activitytolerance
o Orthostatichypotension
o Loss of strength
o Increase in bloodpressure
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10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of thefollowing
therapeutic effects should the nursemonitor?
o Increased urineoutput
o Increasedenergy
o Decreased anxiety
o Decreased spacity
11. Clinical findings of a client who has a prescription for lithium carbonate (Lithobid).For
which reasons should the nurse withhold the medication and notify theprovider?
o Lithium level 1.0mEq/L
o Potassium at 3.7mEq/L
o Sodium at 143mEq/L
o Lithium level 2.5mEq/L
12.The nurse is caring for a client who has tuberculosis and is being treated withcombination
medication therapy. To test the effectiveness of the treatment, the nurse shouldperiodically
monitor which of the following laboratoryresults.
o TT
o ESDrate
o Sputumculture
oINR
13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and isexperiencing
adverse effects. Which of the following instructions should the nurse give to thisclient?
o “Stand up slowly after taking thismedication.”
o“Monitorforincreasedurineoutput.” o
“Take this medication with asnack.”
o “Administer the medication atbedtime.”
14. A nurse is reviewing the medication administration record for a client whohas
metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports apain
level of 10 on a scale of 0 to 10. Which of the following medications should the nurseanticipate
administering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol)
o Alprazolam(Xanax)
o Carbenezepine(Tegretol)
15. A nurse is caring for a client with PCA Morphine Sulfate. Which of thefollowing
statements is nottrue?
o "I will not receive any pain medications during the lockoutperiod"
o "I should push the button when the pain becomessevere"
o "I will be asked to rate my painoccasionally"
o "I don't have to worry about getting an overdose of themedication"
16.A nurse is caring for a client who is to receive a series of allergy tests. The nurseshould
instruct the client to avoid which medications for up to 4 weeks before theprocedure?
o Acetemetaphen(Tylenol)
o Diphenhyramine(Benadryl)
o Albuterol(Accuneb)
o Psuedoephedrine hydrochloride(Sudafed)
17. A nurse administered meperidine (Demerol) intramuscularly to a client with anankle
fracture. Which of the following actions should the nurse takenext?
o Assesstheclient‟srespiratorystatus
o Document on the clients medicationrecord
o Reassess the client's painlevel
o Check the client's bloodpressure
18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily.The
nurse should recognize that which of the following findings is a side effect of thismedication?
o WBC 8,000mm3
o Serum sodium 136mg/dL
o Fasting blood glucose of 220mg/dL
o Weight loss of 2.26 kg (5 lb) in 2weeks
19. A client with diabetes mellitus is admitted to the medical unit. The client has routinebeforebreakfast prescription for 8 units of regular insulin and 18 units ofNPH. The primarycare
provider adds an additional dose of Regular insulin based on thefollowing:
Blood Glucose Regular InsulinDose
121 to 150 2 units
151 to 180 4 units
201. 200 6 units
201 to 250 8 units
> 250 Callprovider
The client‟s pre-breakfast glucose is 192 mg/dl. Which dosage of insulinshould
the nurseadminister?
o 8 units of Regular, 18 units ofNPH o
8 units of Regular, 24 units ofNPH o
14 units of Regular, 18 units ofNPH o
14 units of Regular, 24 units ofNPH
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20. A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mgby
mouth. Which comments by the client indicates understanding regarding thismedication?
o“Iwilltakemymedicationatbedtime.” o “I
will take this medication withfood.”
o “I will stop taking this medication in 1 week, so I don‟t getaddicted.”
o “I will take vitamin C to increase the effectiveness of thismedication.”
21. A nurse is monitoring a client who is taking fosinopril (Monopril). The nurseshould
understand that this has a beneficial effect on which of the bodysystems?
o Gastrointestinal
oCardiovascular
o Pulmonary
o Reproductive
22. A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the followingis
an expected outcome for this client?
o Increasedappetite o
Reducedbleeding o
Improvedbreathing o
Reducedpain
23. A nurse is providing teaching to a client who just started taking lithium (Eskalith). Whichof
the following statements indicates that the client understands theteaching?
o „Ishould inject this medicationsubcutaneously.‟
o “I should expect to feel better in just a fewdays.”
o“IshouldcallmydoctorifIdevelophandtremors.” o “I
should take this medication on an emptystomach.”
24.A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse shouldmonitor
for whichoutcome?
o A rapid increase inaPTT.
o A sudden increase in heartrate.
o A sudden decrease in heartrate.
o A rapid decrease ofaPTT.
25.A nurse is caring for a client who has rheumatoid arthritits. The client isprescribed
methotrexate (Rheumatrex). Which of the following should the nurse instruct the clientto
monitor and report to theprovider?
o Sorethroat
o Urinaryretention
o Constipation
o Insomnia
26.A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). Thenurse
notes that the client‟s chart lists a penicillin allergy. Which of the following actions shouldthe
nurse takefirst?
o Notify the provider that the client is allergic to themedication.
o Teach the client about signs of allergic response.
o Question the client about previous allergicreactions.
o Administer the medication and monitor the client for allergicresponse.
27.A nurse is teaching a client who has decided to quit smoking about using anicotine
transdermal system (Nicotrol). Which of the following instructions should the nurseinclude?
o Cleanse the skin with alcohol before applying thepatch.
o Moisten the patch and hold it against the skin until itadheres.
o Apply the patch first thing in the morning and remove it atbedtime.
o Place the patch in the same skin area for the duration of thetreatment.
28. A nurse is caring for a client who has been taking furosemide (Lasix) for 3 days to treatheart
failure. Which of the following findings indicate that the medication iseffective?
o Reduced levels ofHDL
o Potassium within the expected referencerange
o Clear lungsounds
o Increased level ofconsciousness
29. A client is questioning the nurse about why she is receiving frequent doses of IVantibiotics.
Which of the following responses by the nurse isappropriate?
o It helps to maintain a steady druglevel
o It helps to prevent the emergence of drug-resistantbacteria
o It decreases the risk of an allergicreaction
o It decreases the length of necessarytreatment
30. A female adult client is scheduled to start a prescription for azathioprine (Imuran) foractive
Rheumatoid Arthritis. The nurse should inform the client about the need for which ofthe
following diagnostic tests priormedication?
o Erythrosedimentationrate
o Bone densityscan
o Electrocardiogram
o PregnancyTest
31.A nurse is caring for a client who has been taking ferrous sulfate for the past 2 months.Which
of the following findings isexpected?
o Increasedenergy
o Reduced frequency ofcoughing
o Increasedvision
o Decreasedinflammation
32. A nurse is caring for a client who has a prescription for Metformin (Glucophage) twicedaily.
Which of the following lab results projects the expectedoutcome?
o Hemoglobin A1C6.4%
o Pre-meal plasma glucose135mg/dl
o Bedtime blood glucose 150mg/dl
o Systolic blood pressure 146 mmHg
33. A nurse is teaching about IV betamethasone (CelestoneSoluspan) with a client who is at31
weeks of gestation and is in premature labor. Which of the following information shouldthe
nurse include in theteaching?
o Prevents contractions of the uterus to avoid prematurebirth
o Promotes the production of surfactant in the fetallung
o Decreases inflammation associated with an allergic reaction
o Suppresses the immune system to prevent fetal respiratorydistress.
34.A nurse is providing teaching to a client who had a total gastrectomy. The client has anew
prescription for Cyanocobalamin (Vitamin B12). Which of the following clientstatements
indicates understanding of theteaching?
o“Iwillhavetotakethis medicationfortherestofmylife.”
o “After I receive injections for a week, I will be able to switch to apill.”
o “I need to have my vitamin B12 levels measured once amonth.”
o “Increasing my intake of green, leafy vegetables will increase my vitamin B12levels.”
35. A nurse is planning teaching for a client who has leukemia and is receivingchemotherapy.
The client is taking Allopurinal (Zyloprim). The nurse should instruct the client thatthis
medicationwill?
o Decrease blood glucoselevels
o Prevent cardiactoxicity.
o Prevent urinary tractinfections.
o Decrease uric acidlevels.
36.A nurse receives a phone call from a client who has heart failure and reports a dry coughfor
the last week. After reviewing the client‟s medical record, the nurse asks the client to come tothe
provider‟s office. The nurse should then instruct the client to stop taking which of thefollowing
daily medications until he sees hisprovider?
o Isosorbide(Imdur)
o Hydroclorothiazide(Hydrodiuril)
o Nifedipine(Procardia)
o Lisinopril(Zestril)
37.A nurse is planning discharge teaching for a client who is to start therapy withrepaglinide
(Prandin). Which of the following should the nurse include in theteaching?
o “Take the medication 1 hour beforemealtime.”
o “Hold themedicationifyourblood glucoseislessthan120mg/dL.”
o “Monitor for irritability anddiaphoresis.”
o “Increase your proteinintake.”
38.A nurse is caring for a client who is receiving anticoagulant therapy withWarfarin
(Coumadin). The client is prescribed Cefotetan (Cefotan) by intermittent IV bolusfor
pneumonia. The nurse should monitor the client for which of thefollowing?
o Hemorrhage
o Hypoglycemia
oHyperkalemia
oParesthesias
39. A nurse is assessing a client who has been taking anti-tuberculosis medications for the past3
months. The nurse should instruct the client to notify the provider if which of thefollowing
occurs?
o Weightgain
o Jaundice
o Alopecia
oPolyuria
40. A client who has supraventricular tachycardia (SVT) is receiving procainamide. Thenurse
recognizes that the primary pharmacological action of this medication isto:
o Decrease cardiacpreload
o Promote systemicvasoconstriction
o Decrease sinoatrial nodeconduction. o
Control the rate of cardiaccontraction.
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41. A client is receiving extended-release morphine sulfate (Avinza) 30mg PO every 12hr.
Three hours after the last dose, the client requests pain medication. Which of thefollowing
assessment finding is the best indicator of the patient‟s need for more painmedication?
o Facialgrimacing
o Elevated bloodpressure
o Flushedskin
o Selfreport
42. A nurse is caring for a client who has a systemic infection. During the infusionof
vancomycin (Vancocin) the client develops a rash and becomes flushed. Which of thefollowing
is an appropriate action for the nurse totake?
o Document aPenicillinallergyintheclient‟schart.
o Decrease the rate ofadministration.
o Obtain a prescription for oralvancomycin.
o Administer naloxone (Narcan) 1mgIV.
43. A nurse is caring for a client who has open angle glaucoma and was prescribedpilocarpine
(Pilocar) 1 gtt of 3% solution. The nurse should recognize that which of the followingfindings
indicates the client is developing systemic cholinergictoxicity?
o Stinging and burning sensation in hereye
oHypertension
o Tachycardia
o Salivation andsweating
44. A client who has been taking atenolol (Tenormin) receives a new prescription fornifedipine
(Procardia). For which of the following interactions should the nursemonitor?
o Tachycardia
oHypotension
oBleeding
o Angina
45. A client has an IV infusion of nitroprusside (Nitropress) at 2 mcg/kg/min. The order readsto
titrate the nitroprusside by 0.5 mcg/kg/min to maintain mean arterial pressure (MAP) to 70to
110 mm HG. The client has a MAP of 120 mm Hg. The nurse should next titratethe
nitroprusside to which of the following dosages? (Round to the nearesttenth.)
2.5 mcg
46. A nurse is reviewing the laboratory tests for a client who had an acute myocardialinfarction.
The client is prescribed warfarin (Coumadin) 10mg PO. The nurse notes an INR of 2.6. Whichof
the following actions should the nursetake?
o Give the dose asprescribed.
o Hold the next dose.
o Increase the dose by2.5mg
o Decrease the dose by5mg.
47. A nurse is caring for a client who has a new prescription for estrogen-progestincombination
(Ortho-Novum). Which of the following medications may interact with this medicationand
require the use of additional non-hormonal birthcontrol?
o Thiamine ( Vitamin B1)
o Dilantin(Phenytoin)
o Amalodipine(Norvasc)
o Docusate sodium(colace)
48. A nurse is providing teaching to a school-age child and his parents. The child has anew
prescription for methylphenidate (Concerta). For which of the following adverse effectsshould
the nurse monitor? (Select all thatapply.)
o Nosebleed
oOliguria
o Weightloss
oPalpitations
o Insomnia
49. A nurse is caring for a postoperative client with PCA containing IV morphine. Anurse
should recognize which is the following priorityassessment?
o Hypotension
oBradypnea
o Drowsiness
oUrticaria
50. A nurse is caring for a client who is receiving therapy with the clonidine(Catapres)
transdermal patch. The client reports light-headedness and drowsiness. Which of thefollowing
actions should the nursetake?
o Administer a prescribedantiemetic
o Remove thePatch
o Elevate the head of thebed
o Measure Bloodpressure
51. A nurse is assessing a client who takes diphenoxylate with atropine (Lomotil)for
inflammatory bowel disease. For which of the following should the nursemonitor?
o Hearingloss
o Increased oralsecretions
oBradycardia
o Urinaryretention
52. A nurse is caring for a client with Parkinson‟s disease. The client is takingcarbidopa
levadopa (Sinemet) and reports nausea. Which of the following instructions should thenurse
include to reducenausea?
o Give medication 1 hr beforemeals.
o Give medication withmeals
o Give medication 1 hr aftermeals
o Give medication with high-proteinsnacks.
53. A nurse is caring for an older adult client who is receiving gentamicin (Garamycin)following
abdominal surgery Which of the following physiological changes is most important for thenurse
to consider when administering thismedication?
o Decreased serumalbumin o
Decreased renal bloodflow
o Increased gastricpH
o Increased bodyfat
54. A client has a new prescription for oral nitroglycerin sustained-release capsules once aday.
During the nursing history the client reveals his usual medications. Which of thefollowing
medications should the nurse question at thistime?
o Diazepam(Valium)
o Lansoprazole(Prevacid)
o Gemfibrozil(Lopid)
o Sildenafil(Viagra)
55. The nurse is caring for a client who is receiving muromonab-CD3 (orthoclode OKT3) andis
experiencing fever and 3+ pitting edema in the lower extremities. Which of the followingactions
should the nurse take for theclient?
o Administer corticosteroids asprescribed.
o Obtain a prescription for a WBCcount
oAuscultate theclient‟slungsforadventitioussounds. o
Maintain strict fluid intake and outputmeasurements.
56. A nurse is admitting a client who has chest pain to the emergency department.What
medication should the nurse anticipate administering to reduce cardiacdemand?
o Heparin
o Pentazocine(Talwin)
o Morphine
o Butorphanol(Stadol)
57. A nurse is caring for four older adult clients who are taking digoxin (Lanoxin). Which ofthe
following clients is at greatest risk for developing digoxintoxicity?
o A client taking furosemide (Lasix) foredema o
A client taking allopurinol (Zyloprim) forgout
o A client taking fluoxetine (Prozac) fordepression
o A client taking pramipexole (Mirapex) for Parkinson‟sdisease
58. A nurse is caring for a 4 year old client, who is taking amoxicillin (Amoxil) 50 mg/kg/day
PO in three divided doses. Which of the following resources should the nurse consult toverify
that the dose is safe for theclient?
o Medication administrationrecord
o The client‟s healthhistory
o Physician‟s deskreference
o The client‟s BMIrecord
59. A nurse is caring for a client who has a new prescription for sucraflate (Carafate). Theclient
also takes several other medications and herbal supplements. Which of the followingrequires
that the nurse provide additional teaching for thisclient?
o Phentoin(Dilantin)
o Burpropion(Wellbutrin)
o Ginko biloba
o Valerianroot
60. A nurse is caring for a client who has a prescription for levadopa carbidopa(Sinemet-CR).
Which of the following should the nurse recognize as an adverse effect of thismedication?
o Constipation
o Weightgain
oHirsultism
o Dyskinesia
61.A nurse is caring for a client who has received acetaminophen (Tylenol) 650 mgand
Hydrocodone (Vicodin) 5 mg every 4 hr for the past 24 hr. Which of the following isan
appropriate action for the nurse totake?
o Complete an incidentreport
o Stagger the medications every 2hr
o Suggest a time with thepharmacy.
o Decrease acetaminophen to 325 mg every 4hr.
62. A nurse is caring for a client who has a new prescription for buproion(Welbutrin).
What should the nurse recognize as a contraindication for the use of thismedication? o
Xerostomia
o GERD
o Seizure
o Bradycardia
63. A nurse is caring for a client with a urinary tract infection. Her past history reveals anallergy
to thiazide diuretics. Which of the following medications iscontraindicated?
o Nitrofurantoin(Macrodantin)
o Ciprofloxacin(Cipro)
o Amoxicillin/ clavulanate(Augmentin)
o Trimethoprim/ sulfamethoxazole(Bactrim)
64.A nurse is providing instruction to four clients regarding medicationself-administration.
Which of the following actions by a client indicates a need for furtherteaching?
o Client rolls insulin suspension between hispalms
o Client takes iron supplements atbedtime.
o Client uses cotton swab to apply antibioticointment.
o Client allows 1 min between puffs when he uses a metered-doseinhaler.
65. A nurse is caring for a client who is receiving penicillin by intermittent IV bolus. Theclient
develops cyanosis and tachycardia. A nurse should administer which of thefollowing
medicationsfirst?
o Epinephrine(Adrenalin)
o Prednisone(Deltasone)
o Hydrocortisone sodium succinate(Solu-Cortef)
o Isoproterenol(Isuprel)
ATI Pharmacology
Question: 2 of 60
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A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and
that she has not told her provider yet. The nurse should identify that pregnancy is a
contraindication to receiving which of the following medications?
Acetaminophen
Acetaminophen treats mild pain and is a category B medication of the FDA pregnancy risk
categories, indicating the client should use acetaminophen with caution during pregnancy. The
nurse should inform the provider of the client's pregnancy. However, this medication is not
contraindicated for the client at this time.
Ipratropium
Ipratropium is a long-acting bronchodilator and is a category B medication of the FDA pregnancy
risk categories, indicating the client should use ipratropium with caution during pregnancy. The
nurse should inform the provider of the client's pregnancy. However, this medication is not
contraindicated for the client at this time.
Benzonatate
Benzonatate is a cough suppressant and is not contraindicated for the client who is pregnant.
Doxycycline
MY ANSWER
Doxycycline is a tetracycline antibiotic and is contraindicated for a client who is pregnant because
the medication is a category D medication of the FDA pregnancy risk categories, which indicates
the medication has fetal risks that can cause fetal damage. The client should only take
doxycycline for a life-threatening condition.
Question: 3 of 60
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A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount
available is amoxicillin oral suspension 200 mg/5 mL. How many mL 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.)
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A nurse is providing teaching to a client who is to start taking lisinopril. Which of the following
findings is an adverse effect that the nurse should instruct the client to monitor and report to the
provider?
Hair loss
Alopecia, or hair loss, is not an adverse effect of lisinopril.
Ringing in the ears
Tinnitus, or ringing in the ears, is not an adverse effect of lisinopril.
Facial flushing
Facial flushing is not an adverse effect of lisinopril. However, facial edema is a serious effect that
the client should report to the provider.
Dry cough
MY ANSWER
A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead to
life-threatening consequences. The client should report the finding
Question: 5 of 60
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A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The
nurse should instruct the client to take the medication with which of the following to promote
absorption?
Vitamin E
Vitamin E has no effect on iron absorption.
Orange juice
MY ANSWER
The absorption of ferrous sulfate is enhanced by a vitamin C source, such as orange juice.
However, increasing the dosage of ferrous sulfate can provide the same benefit to increase the
amount of iron uptake.
Milk
Milk inhibits iron absorption.
Antacids
Antacids inhibit iron absorption
Question: 6 of 60
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A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For
which of the following adverse effects should the nurse instruct the client to monitor and report?
Tingling of fingers
MY ANSWER
The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation
in the extremities, when taking acetazolamide.
Constipation
Diarrhea is an adverse effect of acetazolamide due to gastrointestinal disturbances.
Weight gain
Weight loss is an adverse effect of acetazolamide due to gastrointestinal disturbances causing
reduced appetite.
Oliguria
Polyuria, rather than oliguria, is an adverse effect of acetazolamide
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A circulating nurse is planning care for a client who is scheduled for surgery and has a latex
allergy. Which of the following actions should the nurse include in the plan of care?
Schedule the client for the last surgery of the day.
The circulating nurse should schedule the client for the first surgery of the day to minimize the
client's exposure to latex, including latex dust.
Place monitoring cords and tubes in a stockinet.
MY ANSWER
The circulating nurse should place monitoring devices in a stockinet to prevent direct contact with
the client's skin.
Choose rubber injection ports for fluid administration.
The circulating nurse should ensure that latex-free products are used in the care of this client.
Rubber injection ports contain latex, which would place the client at risk for a severe allergic
reaction.
Ensure phenytoin IV is readily available.
The nurse should ensure that epinephrine is readily available in the operating room in case of an
anaphylactic reaction of accidental exposure to latex
FLAG
A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the
following findings should the nurse instruct the client to report to the provider?
Orange urine
The client who takes clindamycin can develop jaundice, which can cause the urine to turn dark
brown in color.
Watery diarrhea
MY ANSWER
The client who takes clindamycin can have an adverse effect of watery diarrhea that can lead to
Clostridium difficile-associated diarrhea or pseudomembranous colitis. The client should report
these findings immediately to the provider.
Weight gain
The client who takes clindamycin can have the adverse effect of weight loss.
Headache
The client who takes clindamycin will not have adverse effects that involve the central nervous
system or cause a headache.
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A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn
should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should
instruct the mother that her newborn should receive the immunization at which of the following
ages?
Birth
According to the current recommended immunization schedule, only the hepatitis B vaccine is
given at birth.
2 months
MY ANSWER
The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP
immunization at 2 months of age.
6 months
The CDC recommends that newborns receive the third dose of the five-dose series of the DTaP
immunization at 6 months of age.
15 months
The CDC recommends that newborns receive the fourth dose of the five-dose series of the DTaP
immunization between 15 to 18 months of age
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A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the
following adverse effects should the nurse instruct the client to monitor for and report to the
provider?
Chest pressure
MY ANSWER
Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina.
The client should report chest pressure or heavy arms to the provider.
White patches on the tongue
White patches on the tongue can indicate a fungal infection, which is not an adverse effect of
sumatriptan.
Bruising
Ecchymosis can indicate thrombocytopenia, which is not an adverse effect of sumatriptan.
Insomnia
Sumatriptan can cause drowsiness and sedation as an adverse effect of the medication
Question: 11 of 60
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A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past
year. For which of the following findings should the nurse notify the provider immediately?
Hyperventilation
MY ANSWER
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is hyperventilation. This indicates the client might have acute salicylate
poisoning, which causes respiratory alkalosis in the early stages.
Heartburn
Heartburn is nonurgent because the client who is taking aspirin can experience gastrointestinal
distress. Therefore, there is another finding that is the nurse's priority.
Anorexia
Anorexia is nonurgent because the client who is taking aspirin can experience a decrease in
appetite. Therefore, there is another finding that is the nurse's priority.
Swollen ankles
Swollen ankles are nonurgent because the client who is taking aspirin can experience sodium and
fluid retention. Therefore, there is another finding that is the
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A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine.
Which of the following findings indicates that the medication is effective?
Decreased blood pressure
Dopamine is an adrenergic that causes a receptor specificity effect, which increases blood
pressure.
Increased heart rate
Tachycardia is an adverse effect of dopamine, and it does not indicate the medication's
effectiveness.
Increased cardiac output
MY ANSWER
Dopamine is an adrenergic that causes a receptor specificity effect, which increases cardiac output
and improves perfusion.
Decreased serum potassium
Dopamine does not affect serum potassium levels.
Question: 14 of 60
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Rifampin
A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify
that which of the following medications are used to treat tuberculosis? (Select all that apply.)
Mirtazapine
Temazepam
Infliximab
Isoniazid
MY ANSWER
Rifampin is correct. This medication is given to treat tuberculosis by inhibiting the production of
mycobacteria.
Mirtazapine is incorrect. This medication is given to treat depression.
Temazepam is incorrect. This medication is given to treat insomnia.
Infliximab is incorrect. This medication is given to treat moderate to severe Crohn's disease or
arthritis.
Isoniazid is correct. This medication is given to treat tuberculosis by inhibiting the production of
mycobacteria
uestion: 15 of 60
CORRECT
Time Elapsed: 01:08:47
Pause Remaining: 08:20:00
PAUSE
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