ATI PHARMACOLOGY Final exam2020

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• A nurse is providing teaching to a group of new parents about medications. The

nurse should include that aspirin is contraindicated for children who have a viral

infection due to the risk of developing which of the following adverse effects?

• Reye's syndrome

• Visual disturbances

• Diabetes mellitus

• Wilm's

tumorANS: A

• A nurse is providing teaching to a client who has chronic kidney failure with an AV

fistula for hemodialysis and new prescription for epoetin alfa. Which of the

following therapeutic effects of epoetin alfa should the nurse include in the

teaching?

• Reduces blood pressure

• Inhibits clotting of fistula

• Promotes RBC production

• Stimulates growth of

neutrophilsANS: C

• A nurse is caring for a client who has peptic ulcer disease and reports a headache.

Which of the following medications should the nurse plan to administer?

• Ibuprofen (NSAIDS)

• Naproxen (NSAIDS)

• Aspirin (NSAIDS)

• Acetaminophen

(anlagesics)ANS: D

• A nurse is caring for a client who has prescription for clopidogrel. The nurse

shouldmonitor the client for which of the following adverse effects?

• Insomnia

• Hypotension

• Bleeding

• Consti

pationANS: C

• A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone.

The nurse should include a severe allergy to which of the following medications as

contraindication to ceftriaxone?

• Gentamicin

• Clindamycin

• Piperacillin

1

• SulfamethoxazoletrimethroprimANS: C

• A nurse is providing teaching to a newly licensed nurse about metoclopramide.

The nurse should include in the teaching that which of the following conditions is a

contraindication to this medication?

• Hyperthyroidism

• Intestinal obstruction

• Glaucoma

• Low blood

pressureANS: B

• A nurse is assessing a client who has a new prescription for chlorpromazineto treat

schizophrenia. The client has a mask like facial expression and is experiencing

involuntary movements and tremors. Which of the following medications should

the nurse anticipate administering?

• Amantadine

• Bupropion (aytpical antidepressant)

• Phenelzine (MAOI)

• Hydroxyzine

(Antihistamine)ANS: A

• A nurse is administering subQ epinephrine for a client who is experiencing

anaphylaxis.The nurse should monitor the client for which of the following adverse

effects?

• Hypotension

• Hyperthermia

• Hypoglycemia

• Tachy

cardiaANS:

D

• A nurse is providing teaching to a client who has UTI and new prescription for

phenazopyridine and ciprofloxacin. Which of the following statements by the

client indicates the need for further teaching?

• If the phenazopyridine upsets my stomach, I can take it with meals.

• The phenazopyridine will relieve my discomfort, but the cipro will get rid

of theinfections.

• I need to drink2 liters of fluid per day while I am taking cipro.

• I should notify my provider immediately if my urine turns an orange

color.ANS: D

• A nurse is caring for an older adult client who has a prescription for zolpidem at

bedtime to promote sleep. The nurse should plan to monitor the client for which of

the following adverse effects?

• Ecchymosis

2

• Decreased urine output

• Increased blood pressure

• Diz

ziness

ANS: D

• A nurse is reviewing laboratory values for a client who reports fatigue and cold

intolerance. The client has an increased thyroid stimulating hormone (TSH) level

and a decreased total T3 and T4 level. The nurse should anticipate a prescription for

which of the following medications?

• Methimazole

• Somatropin

• Levothyroxine

• Propylthio

uracilANS: C

• A nurse is providing teaching to a client who has a new prescription for

hydrochlorothiazide 50mg po daily to treat hypertension. Which of the following

instructions should the nurse include in the teaching?

• Take the hydrochlorothiazide as needed for edema

• Check your weight once each week

• Take the hydrochlorothiazide on an empty stomach

• Take the hydrochlorothiazide in the

morning.ANS: D

• A nurse is caring for a client who is at 28 weeks of gestation and is experiencing

pretermlabor. Which of the following medications should the nurse plan to

administer?

• Oxytocin