ATI PHARMACOLOGY PROCTORED EXAM EXAMS COMPLETE
QUESTIONS AND CORRECT ANSWERS|GRADE A+.
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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 Sputumcultu
re oINR
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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
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19. A client with diabetes mellitus is admitted to the medical unit. The client has
routinebefore- breakfast 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 Gastrointestin
al
oCardiovascula
r
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 Increasedappetit
eo
Reducedbleeding
o
Improvedbreathin
g 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?