Pharm ATI proctored Exam Questions
With Correct Answers
A nurse is caring for a client who is to receive treatment for opioid use disorder.
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Which of the following medications should the nurse expect to administer?
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Bupropion |
Disulfiram
| Modafinil |
Methadone - CORRECT ANSWER✔✔-Methadone | | |
explanation |
The nurse should expect to administer methadone for treatment of opioid use
| | | | | | | | | | |
disorder. Methadone can be administered for withdrawal and to assist with
| | | | | | | | | | |
maintenance and suppressive therapy.
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A nurse is caring for a client on a medical-surgical unit.
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Exhibit 1 Exhibit 2 Exhibit 3 Complete the following sentence by using the lists of
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options.
| |
The nurse should first address the client's Select....(vitals, pain, glucose). followed
| | | | | | | | | |
by the client's Select.. (CVAD, albumin level, bowel sound)..
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Nurses' Notes Yesterday: Client was admitted 1 week ago with a Crohn's disease
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exacerbation. A central venous access device (CVAD) was placed in the client's
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right subclavian vein. Total parental nutrition (TPN) and lipids initiated 3 days
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,ago. The client is NPO. The client reports abdominal pain as 5 on a scale of 0 to
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10. Bowel sounds are hyperactive and lower right quadrant is tender to
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palpation.
| |
Today: The 24-hr bag of TPN infusion was complete 1 hr ago, pharmacy notified
| | | | | | | | | | | | |
and waiting for a new bag. CVAD dressing is clean, dry. and intact. CVAD is
| | | | | | | | | | | | | | |
difficult to flush. The client reports abdominal pain as 4 on a s - CORRECT
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ANSWER✔✔-The nurse should first address the client's Select....(vitals, pain,
| | | | | | | | |
glucose). followed by the client's Select.. (CVAD, albumin level, bowel sound)..
| | | | | | | | | | | |
Glucose, CVAD |
explanation:
When analyzing cues, the nurse should identify that the client is developing
| | | | | | | | | | |
hypoglycemia and experiencing a complication with the central venous line (CVL).
| | | | | | | | | | |
Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become
| | | | | | | | | | | | |
occluded or infected. Findings of a CVL complication can include difficulty
| | | | | | | | | | |
flushing, pain while flushing, fever, or chills.
| | | | | | |
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which
| | | | | | | | | | |
of the following actions should the nurse take prior to administering the
| | | | | | | | | | | |
medication?
|
| Ask the client to drink 8 oz of water.
| | | | | | | | |
Review the client's most recent Hgb level.
| | | | | | |
Obtain the client's blood pressure.
| | | | |
Determine if the client is allergic to NSAIDs - CORRECT ANSWER✔✔-Obtain blood
| | | | | | | | | | |
pressure
| |
,explnation HCTZ is a thiazide diuretic administered to promote urine output and
| | | | | | | | | | |
reduce blood pressure and edema. The nurse should obtain the client's blood
| | | | | | | | | | | |
pressure prior to administration of the medication.
| | | | | | |
A nurse is planning care for a client who is receiving mannitol via continuous IV
| | | | | | | | | | | | | |
infusion. Which of the following adverse effects should the nurse monitor the
| | | | | | | | | | | |
client for?
| | |
Weight loss Increased
| |
| intraocular pressure | |
Auditory hallucinations | |
Bibasilar crackles - CORRECT ANSWER✔✔-Bibasilar crackles
| | | | |
explanation-Mannitol, an osmotic diuretic, can precipitate heart failure and | | | | | | | |
pulmonary edema. Therefore, the nurse should recognize lung crackles as an
| | | | | | | | | | |
indicator of a potential complication and stop the infusion.
| | | | | | | | |
A nurse is caring for a client who is taking nitroglycerin for angina and reports
| | | | | | | | | | | | | |
feeling faint when standing up. Which of the following actions should the nurse
| | | | | | | | | | | | |
take?
| |
inform the client that feeling faint is caused by rapid constriction of the blood
| | | | | | | | | | | | |
|vessels in the legs.
| | | |
Assist the client into bed, elevate the lower extremities, and check their blood
| | | | | | | | | | | |
pressure.
| |
Request a prescription for dobutamine from the client's provider.
| | | | | | | | |
, Check the client's blood pressure while they're still standing - CORRECT
| | | | | | | | | |
ANSWER✔✔-Assist the client into bed, elevate the lower extremities, check their
| | | | | | | | | | |
blood pressure
| |
explanation- The nurse should first assist the client into bed to prevent injuries
| | | | | | | | | | | |
from a fall. The nurse should elevate the client's legs on pillows to enhance
| | | | | | | | | | | | | |
venous return from the lower extremities. The nurse should then check the
| | | | | | | | | | | |
client's blood pressure.
| | |
A nurse is preparing medication instructions for a client who is receiving end-of-
| | | | | | | | | | | |
life care and their family. The client has a prescription for fentanyl patches. Which
| | | | | | | | | | | | |
|of the following information regarding the manifestations and use of fentanyl
| | | | | | | | | |
|should the nurse include in the instructions?
| | | | | | |
Respiratory depression as a result of fentamyl use will cause a need for an at
| | | | | | | | | | | | | |
home nefazodone prescription.
| | | |
Removing the patch will immediataly reverse any adverse effects of fentanyl
| | | | | | | | | |
An increase in urinary output should be expected
| | | | | | | |
Taking a stool softener daily will be needed - CORRECT ANSWER✔✔-Taking a stool
| | | | | | | | | | | |
softener
|
explanation- Constipation is an adverse effect of opioid use. Stool softeners can
| | | | | | | | | | |
decrease the severity of this adverse effect.
| | | | | | |
With Correct Answers
A nurse is caring for a client who is to receive treatment for opioid use disorder.
| | | | | | | | | | | | | | |
Which of the following medications should the nurse expect to administer?
| | | | | | | | | | | |
Bupropion |
Disulfiram
| Modafinil |
Methadone - CORRECT ANSWER✔✔-Methadone | | |
explanation |
The nurse should expect to administer methadone for treatment of opioid use
| | | | | | | | | | |
disorder. Methadone can be administered for withdrawal and to assist with
| | | | | | | | | | |
maintenance and suppressive therapy.
| | | |
A nurse is caring for a client on a medical-surgical unit.
| | | | | | | | | | |
Exhibit 1 Exhibit 2 Exhibit 3 Complete the following sentence by using the lists of
| | | | | | | | | | | | | |
options.
| |
The nurse should first address the client's Select....(vitals, pain, glucose). followed
| | | | | | | | | |
by the client's Select.. (CVAD, albumin level, bowel sound)..
| | | | | | | | | |
Nurses' Notes Yesterday: Client was admitted 1 week ago with a Crohn's disease
| | | | | | | | | | | |
exacerbation. A central venous access device (CVAD) was placed in the client's
| | | | | | | | | | | |
right subclavian vein. Total parental nutrition (TPN) and lipids initiated 3 days
| | | | | | | | | | | |
,ago. The client is NPO. The client reports abdominal pain as 5 on a scale of 0 to
| | | | | | | | | | | | | | | | | |
10. Bowel sounds are hyperactive and lower right quadrant is tender to
| | | | | | | | | | | |
palpation.
| |
Today: The 24-hr bag of TPN infusion was complete 1 hr ago, pharmacy notified
| | | | | | | | | | | | |
and waiting for a new bag. CVAD dressing is clean, dry. and intact. CVAD is
| | | | | | | | | | | | | | |
difficult to flush. The client reports abdominal pain as 4 on a s - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-The nurse should first address the client's Select....(vitals, pain,
| | | | | | | | |
glucose). followed by the client's Select.. (CVAD, albumin level, bowel sound)..
| | | | | | | | | | | |
Glucose, CVAD |
explanation:
When analyzing cues, the nurse should identify that the client is developing
| | | | | | | | | | |
hypoglycemia and experiencing a complication with the central venous line (CVL).
| | | | | | | | | | |
Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become
| | | | | | | | | | | | |
occluded or infected. Findings of a CVL complication can include difficulty
| | | | | | | | | | |
flushing, pain while flushing, fever, or chills.
| | | | | | |
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which
| | | | | | | | | | |
of the following actions should the nurse take prior to administering the
| | | | | | | | | | | |
medication?
|
| Ask the client to drink 8 oz of water.
| | | | | | | | |
Review the client's most recent Hgb level.
| | | | | | |
Obtain the client's blood pressure.
| | | | |
Determine if the client is allergic to NSAIDs - CORRECT ANSWER✔✔-Obtain blood
| | | | | | | | | | |
pressure
| |
,explnation HCTZ is a thiazide diuretic administered to promote urine output and
| | | | | | | | | | |
reduce blood pressure and edema. The nurse should obtain the client's blood
| | | | | | | | | | | |
pressure prior to administration of the medication.
| | | | | | |
A nurse is planning care for a client who is receiving mannitol via continuous IV
| | | | | | | | | | | | | |
infusion. Which of the following adverse effects should the nurse monitor the
| | | | | | | | | | | |
client for?
| | |
Weight loss Increased
| |
| intraocular pressure | |
Auditory hallucinations | |
Bibasilar crackles - CORRECT ANSWER✔✔-Bibasilar crackles
| | | | |
explanation-Mannitol, an osmotic diuretic, can precipitate heart failure and | | | | | | | |
pulmonary edema. Therefore, the nurse should recognize lung crackles as an
| | | | | | | | | | |
indicator of a potential complication and stop the infusion.
| | | | | | | | |
A nurse is caring for a client who is taking nitroglycerin for angina and reports
| | | | | | | | | | | | | |
feeling faint when standing up. Which of the following actions should the nurse
| | | | | | | | | | | | |
take?
| |
inform the client that feeling faint is caused by rapid constriction of the blood
| | | | | | | | | | | | |
|vessels in the legs.
| | | |
Assist the client into bed, elevate the lower extremities, and check their blood
| | | | | | | | | | | |
pressure.
| |
Request a prescription for dobutamine from the client's provider.
| | | | | | | | |
, Check the client's blood pressure while they're still standing - CORRECT
| | | | | | | | | |
ANSWER✔✔-Assist the client into bed, elevate the lower extremities, check their
| | | | | | | | | | |
blood pressure
| |
explanation- The nurse should first assist the client into bed to prevent injuries
| | | | | | | | | | | |
from a fall. The nurse should elevate the client's legs on pillows to enhance
| | | | | | | | | | | | | |
venous return from the lower extremities. The nurse should then check the
| | | | | | | | | | | |
client's blood pressure.
| | |
A nurse is preparing medication instructions for a client who is receiving end-of-
| | | | | | | | | | | |
life care and their family. The client has a prescription for fentanyl patches. Which
| | | | | | | | | | | | |
|of the following information regarding the manifestations and use of fentanyl
| | | | | | | | | |
|should the nurse include in the instructions?
| | | | | | |
Respiratory depression as a result of fentamyl use will cause a need for an at
| | | | | | | | | | | | | |
home nefazodone prescription.
| | | |
Removing the patch will immediataly reverse any adverse effects of fentanyl
| | | | | | | | | |
An increase in urinary output should be expected
| | | | | | | |
Taking a stool softener daily will be needed - CORRECT ANSWER✔✔-Taking a stool
| | | | | | | | | | | |
softener
|
explanation- Constipation is an adverse effect of opioid use. Stool softeners can
| | | | | | | | | | |
decrease the severity of this adverse effect.
| | | | | | |
