ATI

Pharmacology

Proctored Exam

7 Latest Versions

2021

ATI PHARMACOLOGY

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

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

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