ATI PN PHARMACOLOGY WITH NGN- LATEST EXAM REVIEW
A nurse is collecting data from a client who is asking about taking celecoxib for treatment
of joint pain. The nurse should recognize which of the following is a contraindication to
receiving celecoxib?
a. Hyperglycemia
b. Allergy to penicillin
c. History of myocardial infarction
d. Peptic ulcer disease
A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for lithium. Which of the following instructions should the nurse include in the
teaching?
a. Take the medication on empty stomach
b. Monitor for signs of hyperthyroidism
c. Watch for signs of urinary retention
d. maintain a consistent sodium intake
A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine.
Which of the following actions should the nurse take to counter act the adverse effects of
this medication?
a. Suggest that the client supply anti-perspirant more frequently.
b. help the client apply sunblock before going outside.
c. give the client a list of over-the-counter antidiarrheal medication.
d. Recommend that the client take the medication on an empty stomach.
A nurse is collecting data from a client who has been taking levodopa/ carbidopa. Which of
the following findings should indicate to the nurse that the medication is effective?
a. The client is able to wash his face.
b. the client experiences fewer seizures.
c. the client reports decreased heartburn.
d. the client is able to sleep through the night.
A nurse is caring for a client who is receiving methylprednisolone sodium succinate. Which
of the following laboratory values should the nurse plan to monitor? (select all that apply)
a. White blood cell count
b. Serum potassium
c. Creatine phosphokinase
d. Blood glucose
A nurse is reinforcing teaching with a client who has a new prescription for ciprofloxacin.
Which of the following instructions should the nurse including the teaching?
a. The client should drink 8 full glasses of water per day.
b. The client should increase her exposure to sunlight.
c. The client should take the medication with an antacid.
d. The client should take this medication with 1 cup milk
A nurse is collecting data from A client who has a prescription for tobramycin. Which of
the following findings should the nurse immediately report to the provider?
a. Report of nausea
b. Fever
c. Oliguria
d. Report of headache.
,A nurses caring for a client who is having an acute asthma attack. Which of the following
medications should the nurse administer first?
a. Beclomethasone
b. Albuterol
c. Cromolyn
d. Prednisone
A nurse is reinforcing teaching with A client who has a new prescription for theophylline.
The nurse should instruct the client that which of the following is an expected outcome of
this medication?
a. dilate bronchioles
b. reduces inflammation
c. loosens secretions
d blocks leukotrienes.
A nurse is reinforcing teaching with a client who is to start therapy with nitroglycerin
transdermal patch. Which of the following statements by the client indicates
understanding of the teaching?
a. "while using the patch, I will be careful when rising from a chair."
b. "I should leave the patch in place for 24 hours."
c. "I should apply the patch to the same location with each application."
d. "I will apply a new patch if I have chest pain."
A nurses caring for a client who has chronic renal failure and has been receiving epoetin
alfa for two weeks. Which of the following indicates to the nurse that the medication is
having the desired therapeutic effect?
a. albumin is within expected reference range.
b. urine output increases to 60 mL/hr.
c. hemoglobin rises 0.5 g/dL.
d. blood urea nitrogen level is within expected reference range.
The nurse is reviewing the medical administration record of a client who has a history of
Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the
following medications should the nurse withhold to prevent an allergic reaction?
a. Prednisone
b. Furosemide
c. Lansoprazole
d. Digoxin
A client is visiting her provider to follow up on routine laboratory work related to warfarin
therapy for mitral valve replacement. The clients current INR is 5.0. Which of the following
questions should the nurse asked based on the clients INR result?
a. "have you been taking a vitamin K supplement?"
b. "have you skipped the dose of your medication?"
c. "did you have your partial thromboplastin Time levels drawn last week?"
d. "have you noticed any bruising?"
A nurse is monitoring A client who is to start therapy with spironolactone. Which of the
following serum lab results should the nurse report to the provider?
a. sodium 140 mEq/L
b. potassium 5.3 mEq/L
c. chloride 99 mEq/L
d. magnesium 1.9 mEq/L
, A nurse is preparing to instill antibiotic eardrops for a client who has otitis extrerna.
Which of the following actions should the nurse take?
a. chilled medication before instilling it.
b. use a cotton swab to remove any debris before instilling the eardrops.
c. Pack the auditory canal with a cotton ball after instilling the drops.
d. wiggle the earlobe after instilling the eardrops
A nurse is reinforcing teaching with the client was to start therapy with metronidazole for
a urinary track infection. which of the following should the nurse include in the teaching?
a. "your urine may become reddish-brown."
b. "Store the medication in the refrigerator."
c. "your position will monitor her hemoglobin levels."
d. "discontinue the medication when symptoms are gone"
A nurse is reinforcing teaching about comfort measures with the a 10-year-old child who
has a viral infection. The nurse should plan to tell the parents that aspirin is
contraindicated because of the risk for which of the following?
a. juvenile idiopathic arthritis
b. Reye's syndrome
c. Glomerulonephritis
d. Iron-defiency anemia
A nurses caring for a client who is prescribed disulfiram and consumed alcohol 12 hours
ago. Which of the following adverse reactions is the priority finding to report to the
provider?
a. hyperemesis
b. severe headache
c. palpitations
d. respiratory depression
A nurse is reinforcing teaching with a client who has a new prescription for regular insulin.
Which of the following statements by the client indicated understanding of the teaching?
a. "I should eat right after I give myself an insulin injection."
b. "I should roll the vile gently prior to drawing up insulin"
c. "I should identify if insulin is clear prior to drawing it up"
d. "I should inject insulin insulin deep into the muscle."
A nurses reinforcing teaching about immunizations with a client who is pregnant. Which of
the following vaccines should the nurse include in the teaching as safe to administer
during pregnancy?
a. herpes zoster
b. tetanus and diptheria (TD)
c. varicella
d. Measles, mumps, and rubella (MMR)
A nurse it's collecting data from a client who Is taking exenatide to treat diabetes mellitus.
For which of the following findings should the nurse withhold the exenatide dose and
notify the provider immediately?
a. loss of appetite
b. Abdominal pain
c. Muscle weakness
d. Heartburn
A nurse is preparing to administer cephalexin to a child who weighs 40 pounds. The
provider prescribes 50 mg/kg/day in four equal doses. How many MG should the nurse
administer in each dose?
250
A nurse is collecting data from a client who is asking about taking celecoxib for treatment
of joint pain. The nurse should recognize which of the following is a contraindication to
receiving celecoxib?
a. Hyperglycemia
b. Allergy to penicillin
c. History of myocardial infarction
d. Peptic ulcer disease
A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for lithium. Which of the following instructions should the nurse include in the
teaching?
a. Take the medication on empty stomach
b. Monitor for signs of hyperthyroidism
c. Watch for signs of urinary retention
d. maintain a consistent sodium intake
A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine.
Which of the following actions should the nurse take to counter act the adverse effects of
this medication?
a. Suggest that the client supply anti-perspirant more frequently.
b. help the client apply sunblock before going outside.
c. give the client a list of over-the-counter antidiarrheal medication.
d. Recommend that the client take the medication on an empty stomach.
A nurse is collecting data from a client who has been taking levodopa/ carbidopa. Which of
the following findings should indicate to the nurse that the medication is effective?
a. The client is able to wash his face.
b. the client experiences fewer seizures.
c. the client reports decreased heartburn.
d. the client is able to sleep through the night.
A nurse is caring for a client who is receiving methylprednisolone sodium succinate. Which
of the following laboratory values should the nurse plan to monitor? (select all that apply)
a. White blood cell count
b. Serum potassium
c. Creatine phosphokinase
d. Blood glucose
A nurse is reinforcing teaching with a client who has a new prescription for ciprofloxacin.
Which of the following instructions should the nurse including the teaching?
a. The client should drink 8 full glasses of water per day.
b. The client should increase her exposure to sunlight.
c. The client should take the medication with an antacid.
d. The client should take this medication with 1 cup milk
A nurse is collecting data from A client who has a prescription for tobramycin. Which of
the following findings should the nurse immediately report to the provider?
a. Report of nausea
b. Fever
c. Oliguria
d. Report of headache.
,A nurses caring for a client who is having an acute asthma attack. Which of the following
medications should the nurse administer first?
a. Beclomethasone
b. Albuterol
c. Cromolyn
d. Prednisone
A nurse is reinforcing teaching with A client who has a new prescription for theophylline.
The nurse should instruct the client that which of the following is an expected outcome of
this medication?
a. dilate bronchioles
b. reduces inflammation
c. loosens secretions
d blocks leukotrienes.
A nurse is reinforcing teaching with a client who is to start therapy with nitroglycerin
transdermal patch. Which of the following statements by the client indicates
understanding of the teaching?
a. "while using the patch, I will be careful when rising from a chair."
b. "I should leave the patch in place for 24 hours."
c. "I should apply the patch to the same location with each application."
d. "I will apply a new patch if I have chest pain."
A nurses caring for a client who has chronic renal failure and has been receiving epoetin
alfa for two weeks. Which of the following indicates to the nurse that the medication is
having the desired therapeutic effect?
a. albumin is within expected reference range.
b. urine output increases to 60 mL/hr.
c. hemoglobin rises 0.5 g/dL.
d. blood urea nitrogen level is within expected reference range.
The nurse is reviewing the medical administration record of a client who has a history of
Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the
following medications should the nurse withhold to prevent an allergic reaction?
a. Prednisone
b. Furosemide
c. Lansoprazole
d. Digoxin
A client is visiting her provider to follow up on routine laboratory work related to warfarin
therapy for mitral valve replacement. The clients current INR is 5.0. Which of the following
questions should the nurse asked based on the clients INR result?
a. "have you been taking a vitamin K supplement?"
b. "have you skipped the dose of your medication?"
c. "did you have your partial thromboplastin Time levels drawn last week?"
d. "have you noticed any bruising?"
A nurse is monitoring A client who is to start therapy with spironolactone. Which of the
following serum lab results should the nurse report to the provider?
a. sodium 140 mEq/L
b. potassium 5.3 mEq/L
c. chloride 99 mEq/L
d. magnesium 1.9 mEq/L
, A nurse is preparing to instill antibiotic eardrops for a client who has otitis extrerna.
Which of the following actions should the nurse take?
a. chilled medication before instilling it.
b. use a cotton swab to remove any debris before instilling the eardrops.
c. Pack the auditory canal with a cotton ball after instilling the drops.
d. wiggle the earlobe after instilling the eardrops
A nurse is reinforcing teaching with the client was to start therapy with metronidazole for
a urinary track infection. which of the following should the nurse include in the teaching?
a. "your urine may become reddish-brown."
b. "Store the medication in the refrigerator."
c. "your position will monitor her hemoglobin levels."
d. "discontinue the medication when symptoms are gone"
A nurse is reinforcing teaching about comfort measures with the a 10-year-old child who
has a viral infection. The nurse should plan to tell the parents that aspirin is
contraindicated because of the risk for which of the following?
a. juvenile idiopathic arthritis
b. Reye's syndrome
c. Glomerulonephritis
d. Iron-defiency anemia
A nurses caring for a client who is prescribed disulfiram and consumed alcohol 12 hours
ago. Which of the following adverse reactions is the priority finding to report to the
provider?
a. hyperemesis
b. severe headache
c. palpitations
d. respiratory depression
A nurse is reinforcing teaching with a client who has a new prescription for regular insulin.
Which of the following statements by the client indicated understanding of the teaching?
a. "I should eat right after I give myself an insulin injection."
b. "I should roll the vile gently prior to drawing up insulin"
c. "I should identify if insulin is clear prior to drawing it up"
d. "I should inject insulin insulin deep into the muscle."
A nurses reinforcing teaching about immunizations with a client who is pregnant. Which of
the following vaccines should the nurse include in the teaching as safe to administer
during pregnancy?
a. herpes zoster
b. tetanus and diptheria (TD)
c. varicella
d. Measles, mumps, and rubella (MMR)
A nurse it's collecting data from a client who Is taking exenatide to treat diabetes mellitus.
For which of the following findings should the nurse withhold the exenatide dose and
notify the provider immediately?
a. loss of appetite
b. Abdominal pain
c. Muscle weakness
d. Heartburn
A nurse is preparing to administer cephalexin to a child who weighs 40 pounds. The
provider prescribes 50 mg/kg/day in four equal doses. How many MG should the nurse
administer in each dose?
250
