ATI Pharmacology Proctored ExamRetake2019

Pharmacology

ATI Pharmacology Proctored Exam Retake 2019 - 70 Correct Questions & Answers
ATI Pharmacology Proctored Exam Retake 2019 - 70 Correct Questions & Answers ATI Pharmacology Proctored Exam Retake 2019 - 70 Correct Questions & Answers

1. A nurse is teaching a client who has multiple allergies about using an epinephrine autoinjector. Which of the following instructions should the nurse include?

Aspirate prior to administration of the medication

Avoid massaging the site after injection

Administer the medication through clothing if necessary

Inject the medication into the abdomen

2. A nurse is preparing to administer medications to a client and discovers a medication. The nurse should recognize that which of the following staff members is responsible forcompleting an incident report?

The quality improvement committee

The nurse who identifies the error

The nurse who caused the error

The charge nurse

3. A nurse is preparing to administer propranolol to a client. which of the following shouldthe nurse assess prior to administering this medication?

Temperature

Heart rate

Respiratory rate

Pain level

4. A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as anadverseeffect of the medication?

Hypernatremia

Hypocalcemia

Hypokalemia

Hypermagnesemia

5. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis andaprescription for cyclosporine. Which of the following laboratory values to the provider?Potassium 4.2 mEq/L

Creatinine 2.5mg /dl

BUN 18mg /dl

Sodium 139 mEq/L

6. A nurse is preparing to administer medications to a group of clients. Which of the

following prescriptions should the nurse clarify with the provider before administering?Tetracycline 1g orally every 6hr

Warfarin 100 units subcutaneously daily

Penicillin G 5,000.000 units intramuscularly every 4hr

Zoledronate 5 mg intravenously x 1 dose

7. A nurse is reviewing the laboratory report of a client who has bipolar prior to the

administration of lithium carbonate. The client's lithium level is 2.6 mEq/L. Whichof thefollowing actions should the nurse take?

Implement fluid restrictions

Request a dosage increase from the provider

Assist the client to a left lateral position

Prepare the client for hemodialysis

8. A nurse is caring for a client who is receiving total parenteral nutrition (TPN), Whichof

the following actions should the nurse take?

Monitor the client's weight daily

Titrate TPN solution to blood pressure

Obtain the client's blood glucose level weekly

Hang the TPN solution to gravity to infuse. 9. Is initiating IV therapy for a client who had a right-sided mastectomy. In whichof thefollowing locations should the nurse place a catheter?

Wrist

Cordlike vein

Most proximal site

Left-arm

10. A nurse is discussing adverse reactions to pain medications in order to adult clients witha newly licensed nurse. Which of the following findings should the nurse include as riskfactors for an adverse drug reaction? (select all that apply)

Decreased percentage of body fat

Multiple health problems

Decreased renal function

Increased rate of absorption

Polypharmacy

11. A nurse is assessing a client who has septic shock and is receiving dopamine by

continuous IV infusion. Which of the following findings indicates that the nurse shouldincrease the rate of infusion?

Chest pain

Headache

Extravasation

Hypotension

12. A nurse is assessing a client who has a graves disease and is taking methimazole. Whichof the following findings indicates the client needs a lower dose of the medication?

Bradycardia

Exophthalmos

Weight loss

Diaphoresis

13A nurse is preparing to administer sulfadiazine 150mg/kg PO to divide equally every6hrto an adolescent who weighs 88lb. Available sulfadiazine 500mg.tab . Howmany tablets

should the nurse administer per dose? (round to the nearest whole number. Use a leadingzeroif it applies. Do not use a trailing zero)

14. A nurse is reviewing the laboratory results of a client who received a dose of sodiumpolystyrene sulfonate. Which of the following findings should the nurse identify as anindication that the medication has been effective?

Sodium 150mEq/L

Potassium 4.6mEq/L

Magnesium 1.1mEq/L

Calcium 8mg/dL

15 A nurse is preparing to administer enoxaparin 1mg/kg subcutaneously every 12hr. Theclient's weight is 121lb. Available is enoxaparin 60mg /0.6 ml. How many ml shouldthenurse administer per dose? (round the answer to the nearest tenth. Use a leading zero if it

applies. Do not use a trailing zero.)

16. A nurse in the emergency department is admitting client who has a diabetics

ketoacidosis and a blood sugar level of 800 mg/dl which of the following interventionshouldthe nurse initiate

Subcutaneous insulin injection

Bicarbonate by iv injection

Potassium chloride 10mEq/hr

0.9% sodium chloride 15 mL/kg/hr

17. A nurse is reviewing agency protocol before administering epoetin alfa to a client whohas chronic kidney disease. Which of the following actions should the nurse plan to take?Dilute the vital of medication with sterile water

Discard the vial of medication if the solution is cloudy

Shake the vial of medication to dissolve particulates

Thaw the medication in the vial 30 min before administration

18. A nurse is providing discharge teaching about warfarin to a client who has deep- veinthrombosis. The nurse should instruct the client to obtain which of the following laboratorytests monthly?

Fibrinogen

aPTT

INR

Platelet count

19. A nurse in a provider's office is assessing a client who has hypothyroidismandhas beentaking levothyroxine for 2 months. Which of the following statements indicates a

therapeutic response to the medication?

I am taking a laxative for constipation

I seem to be sleeping more than usual

I am losing weight without dieting

I have noticed I'm not as cold as I use to be

20. A nurse is teaching a client who is to start taking clopidogrel. The nurse shouldinstruct

the client to monitor and report which of the following adverse effects of the medication?Bruising

Weight loss

Constipation

Blurred vision

21. A nurse is reviewing the laboratory results of a client who has diabetes mellitus andistaking glipizide. Which of the following values indicates that the client is adhering tothetreatment plan?

Positive urinary ketones

Total cholesterol 225mg /dL

HbA1c 6.8%

Creatinine 1.0mg /dL

22. A nurse is preparing to administer phenytoin suspension 2.5mg/kg PO twice daily to a toddlerThe toddler weighs 22lb. how much mg should the nurse administer per dose. (round to the

nearest whole number)

13

23. A nurse caring for a client who reports taking propranolol for several years but has

recently stopped for financial reasons. The nurse should assess the client for whichof thefollowing findings?

Hyperkalemia

Bradypnea

Tachycardia

Rhinitis

24. A nurse in an outpatient clinic is teaching a client who has a new prescription for

oxycodone. Which of the following instructions should the nurse include in the teaching?You can take st Johns wort to reduce the adverse effects of this medication

You should increase your intake of fluids while taking this medication

You should take this medication on an empty stomach

25. a nurse is planning to administer epoetin via IV bolus to a client who has anemia. Whichof

the following actions should the nurse take?

Monitor the client for hypotension

Dilute the medication with 0.9% sodium chloride

Administer the medication over 30 seconds

Shake the medication via prior to administration

26. A nurse is administrating ferrous sulfate elixir a client who has iron-deficiency anemia. Which of the following actions should the nurse take?

Dilute the medication with milk

Administer the medication through a straw

Give the medication with a caffeinated beverage

Provide an antacid with the medication

27. A nurse is teaching a client to Limit your sodium intake

ent about self-administration of enoxaparin. Which of the following instructions should the nurseinclude(select all that apply)

Insert the entire length of the needle into the skin during injection. Grasp the skin between the thumb and forefinger while injecting the medication

Alternate injection sites between the sides of the abdomen

Expel the air bubble from the prefilled syringe

Massage the insertion site after injecting the medication

28. A nurse is preparing to administer insulin to a client who has diabetes mellitus. The client hasa prescription for regular insulin 4 units and NPH insulin 12 units subcutaneous. Identifythesteps the nurse should take when mixing the two types of insulin. (move the steps into the boxonthe right. Placing them in the order of performance. Use all the steps)

Draw up 12 units of the NPH insulin into the syringe

Inject 4 units of air into the regular insulin into the syringe

Inject 12 units of air into the NPH insulin vial

29. A nurse is administering naloxone to a client who has develop an adverse reaction to

morphine. The nurse should identify which of the following findings as a therapeutic effect of

naloxone

Decreased nausea

Decreased blood pressure

Increased respiratory rate

Increased pain relief

30. A nurse is completing medication reconciliation for a client prior to their transfer to a

rehabilitation facility. Which of the following actions the nurse?

Compare the current and newly prescribed medications and note any discrepancies

Review the adverse effects of the medication with the client

Send a list of the prescribed medications to the client's pharmacy

Include the medications the clients received during surgery on the client's medication list. 31. A nurse is caring for a client who has cancer and reports moderate pain. Which of the

following medications should the nurse expect to administer?

Aspirin

Ibuprofen

Acetaminophen

Morphine

32. A nurse is assessing a client prior to administering of digoxin. For which of the followingfinding should the nurse withhold the digoxin and contact the provider

Oxygen saturation 94%

Respiratory rate 14/min

Heart rate of 52/min

Temperature 36.4 (97.6 F)

33. a nurse on a medical surgical unit is preparing to administer influenza vaccine to a client. Theclient tells the nurse " I no longer ment to receive this vaccine" which of the following responsesshould the nurse make?

The influenza vaccine is mandatory for all client before discharge so you need to sign against

medical advice form

The influenza vaccine is highly encourage, but I understand you would like to decline right nowInfluenza can be very serious to anyone who does not receive the vaccine

If I were you, I would get the vaccine to keep my family safe

34. a nurse is teaching a newly licensed nurse about expired medication. Which of the followinginstruction should the nurse include in his teaching

Return the medication to the pharmacy

Place the medication back into the cart

Notify the provider about the expired medication

Flush the medication down the toilet

35. A nurse is administering heparin Subcut to a client which of the following action shouldthenurse plan to take to minimize bleeding following the injection

Gently massage site following the injection

Use the z-track method to administer the medication

Grasp skin between thumb and forefinger through the injection

Aspirate the syringe prior to injecting the heparin

36. A nurse is caring for a client who has prescription for TPN which of the following routeof

administration should the nurse use

Midline Catheter

Intraosseous

Central venous access device

Subcutaneous

37. A nurse is reviewing the laboratory of a client who is receiving heparin by continuous IVinfusion. Which of the following the nurse should decrease the infusion rate?

Platelets 350.000/mm3

INR 1.2

aPTT 90 seconds

Erythrocyte sedimentation rate 18mm/

<. A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the

following manifestations should the nurse identify as an allergic reaction?

Hypotension

Nausea

Bradycardia

Polyuria

38. a nurse is caring for a client who receive ceftriaxone intravenously, which of the

following ,manifestation should the nurse identify as an allergic reaction

Hypotension

Nausea

Bradycardia

polyuria

39. A nurse is assessing a client who is receiving heparin therapy for deep vein thrombosis. Which of the following findings should indicate to the nurse that the therapy is effective?

Decreased INR

Platelets within the expected reference range

Presence of pedal pulses bilaterally

Reduced calf circumference

40. A nurse is providing discharge teaching to a client who has a new prescription of

spironolactone. Which of the following statements by the client indicates an understandingof theteaching.?

I will use salt substitutes in place of table salt

I will double up on my medication if I miss a dose

I will limit potassium-rich foods in my diet

I will take the medication on an empty stomach

41. 42. A nurse is assessing a client who is receiving a continuous IV infusion of dopamine. Whichof the following findings should the nurse identify as an adverse effect of this medication?

Tachycardia

Blurred vision

Loose stools

Hyperglycemia

43. A nurse is assessing a client who has hypermagnesemia. Which of the following medicationsshould the nurse prepare to administer?

Flumazenil

Calcium gluconate

Acetylcysteine

Protamine sulfate

44. A nurse is planning to administer a controlled substance to a client who is experiencingpain. Which of the following actions should the nurse plan to take first?

Remove the medication from the medication dispensing cabinet

Identify the client using identifiers

Compare the amount of medication available to the inventory record

Document the administration of the medication

45. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a

prescribed hypertonic solution which of the following findings should indicate to the nurse that

the treatment is effective?

Improved cognition

Absent Chvostek's sign

Cardiac arrhythmias absent

Decreased vomiting

46. A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophyandaprescription for doxazosin. Does the client tell the nurse? I do not want to take this medication. I

would prefer a natural therapy. " Which of the following supplements should the nurse suggest

the clients discuss with the provider?

Saw palmetto

Garlic

Black cohosh

Feverfew

47. A nurse is assessing a client who is receiving penicillin IV. For which of the followingfindings should the nurse report to the provider as a manifestation of anaphylaxis?

Urinary retention

Hypertonia

Increased blood pressure

Wheezing

48. A nurse is providing teaching to a client who has gonorrhea and a prescription for

tetracycline. Which of the following statements by the client indicates an understanding of theteaching?

I will notify my doctor if I get diarrhea

I can take this medication with milk

I should use less salt on my food

I will no longer be contagious after three doses

49 a nurse is reviewing the medication administration record of a client who is experiencingorthostatic hypotension. The nurse should recognize that which of the client's current

medications has the potential to cause this adverse effect?

Montelukast

Imipramine

Omeprazole

Levothyroxine

50 A nurse is reviewing a client's medical record before administering acetaminophen 650mgPOevery 6hr. Which of the following findings indicates a need for the nurse to notify the provider?History of alcohol use disorder

BP 92/60 mm Hg

Hypothyroidism

Recurrent headache

51. A nurse realizes that they failed to administer a medication that was due 4hr ago to a client. Which of the following actions should the nurse take first?

File an incident report

Report the missed dosage to the client's provider

Assess the client for adverse reactions

Determine factors that lead to the omission

52 A nurse is providing teaching about the adverse effects of ergotamine to a client who has

migraine headaches. Which of the following adverse effects should the nurse include in theteaching?

Hematuria

Paresthesia

Blurred vision

Tinnitus

53. A nurse is reviewing the laboratory results of a client who is receiving gentamicin for

staphylococcus. Which of the following findings should the nurse report to the provider

immediately?

WBC 11,000/mm3

Potassium 4.5 mEq/L

Fasting blood glucose 130 mg /dL

Creatinine 1.8 mg /dl

54. A nurse accidentally administers the medication metformin instead of metoprolol to a client. which of the following action s should the nurse take?

Monitor the client's thyroid function levels

Check the client's glucose level

Obtain the clients HDL level

Collect the clients uric acid level

55 A nurse is reviewing the medical history of a client prior to medication administrationandnotes a history of anaphylactic reaction to penicillin. The nurse should identify which of thefollowing medications is contraindicated for this client?

Clarithromycin

Metronidazole

Vancomycin

Ceftriaxone

56. A nurse in the emergency department is assessing a young adult client who was administereda hypotonic IV fluid bolus for rehydration after collapsing at an athletic event. Which of thefollowing findings indicates a client is experiencing water intoxication?

Exaggerated reflexes

Muscle weakness

Weak pulses

Hypernatremia

57 A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing

a muscarinic response. Which of the following manifestations should the nurse expect?

Myoclonic seizure

Fever

Occipital headache' Excessive salvation

58 A nurse is providing breakfast for a client who has celiac disease. Which of the followingmeal items should the nurse select?

Rye toast with herbal tea

Graham crackers with peanut butter

Poached eggs with a wheat bagel

Rice cereal with sliced bananas

59 a nurse is caring for a client who is receiving prednisone a long term basis to treat

inflammatory bowel disease. Which of the following actions should the nurse take?

Monitor the client for hypotension

Instruct the client to consume a diet in calcium

Instruct the client to obtain annual immunizations

Monitor the client frequently for episodes of hypoglycemia

60. A nurse is evaluating a client s laboratory results. The nurse should recognize that whichof

the following results places the client at risk for coronary heart disease?

Total cholesterol 173 mg/dl

LDL 64 mg /dl

Fasting glucose 140mg/dl

HbA1c 5%

61. A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel

disease. The nurse should recognize that which of the following formulas is appropriate for thisclient?

Hydrolyzed

High fiber

Low protein

Low calorie

62. A nurse is planning care for a group of clients. Which of the following client's medicationsshould be monitored by the nurse for hearing loss related to medication interaction?

Digoxin and levothyroxine

Propranolol and raloxifene

Furosemide and amikacin

Losartan and atorvastatin

63. A nurse is reviewing the medication list of a client who has erectile dysfunction and is

requesting a prescription for sildenafil. The nurse should identify which of the following

medications is a contraindication for receiving this medication?

Furosemide

Albuterol

Indomethacin

Nitroglycerin

64. A nurse receives a verbal prescription from a provider for potassium 20 mEq.L IVover 8hr tobe administered to a client who has hypokalemia, which of the following should a nurse take?Request the pharmacist to cosign the prescription on the EMR

Clarify the dose with the second nurse

Prepare to administer the medication via intermittent IV bolus

Have the provider cosign the prescription within 48hr

65. a nurse is caring for a client who has a prescription for erythromycin lactobionate IVbolus. Which of the following action should the nurse include in the plan of care

Implement high fiber diet for to prevent constipation

Monitor the client for hearing loss

Administer the medication over 10 minute

Reconstitute the medication with 5% dextrose solution

66 A charge nurse is observing a newly licensed nurse care for a group of clients. Whichof thefollowing actions by the newly licensed nurse requires the charge nurse to complete an incident

report?

A client who has a lithium level of 1.8 mEq/L receives their morning dose of lithiumThe nurse requests a higher dose of morphine for a client who reports severe pain 30 minafter

receiving morphine 2 mg IV

The nurse administers ondansetron to a client who has two episodes of vomiting after receivingmeperidine 75mg IM

A client who has a fasting blood glucose level of 130mg/ dl receives their morning dose of

insulin

67. a nurse is caring for a client who receive hospice care and has a prescription of fentanyl

buccal film. Which of the following method should the nurse use to administer the medication. Insert the medication against the mucous membrane of the client

Place the medication of the client tongue for dissolution

Instruct the client to swallow the medication with a sip of water

Dissolve the medication in water before administering it.

68. a nurse is caring for a client who is to start therapy with lovastatin the nurse should preparethe client for which of the following diagnostic assessment

Liver function test

Exercise electrocardiography

Western blot analysis

Pancreatic enzymes

69 A nurse is providing teaching to a client who has a gastric ulcer and a new prescriptionfor

ranitidine. Which of the following statement by the client indicates an understanding of the

teaching?

I should avoid daily products when taking this medication

I should not take an antacid within I hr of taking this medication

I can expect fine hand tremors when taking the medication

I can take two aspirin to treat headaches

70. A nurse is teaching a newly licensed nurse about administering sodium polystyrene sulfonateto a client which of the following statement by the newly licensed nurse indicates an

understanding of the teaching

Antacid can be taken with this medication

This medication is safe to take with sorbitol

I should administer this medication intravenously

I should monitor the client electrolyte

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