ATI Pharmacology Proctor 2019

1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should idenfy which of the following ndings as a manifestaon of uid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse 2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic soluon. Which of the following ndings should indicate to the nurse that the treatment is e&ecve? a. Absent Chvostek’s sign b. Improved cognion c. Decreased voming d. Cardiac arrhythmias absent 3.) A nurse is teaching a client who has a new prescripon for a nitroglycerin transdermal patch. Which of the following instrucons should the nurse include? a. “Disconnue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Cover the patch with dry gauze when taking a shower.” d. “Remove the patch prior to going to bed.” 4.) A nurse is reviewing he laboratory results of a client who has a prescripon for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creanine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level, so the PN should monitor the client's serum potassium level 5.) A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medicaon regimen? a. The client has a negave sputum culture b. The client tests negave for HIV c. The client has a posive puried protein derivave test d. The client’s liver funcon test results are within the expected reference range 6.) A client is caring for a client who develops an anaphylacc reacon to IV administraon. A=er assessing the client’s respiratory status and stopping the medicaon infusion. Which of the following acons should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client’s legs and feet d. Administer epinephrine IM Your text here 1 7.) A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St. John’s Wort b. Ginger root c. Black cohosh d. Coenzyme Q10 8.) A nurse is caring for a client who has heart failure and a new prescripon for lisinopril. For which of the following adverse e&ects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension 9.) A nurse is assessing a client who is receiving heparin IV connuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressure 10.) A nurse is preparing to administer medicaon to a client and discovers a medicaon error. The nurse should recognize that which of the following sta& members is responsible for compleng an incident report? a. The quality improvement commiEee b. The nurse who iden2es the error c. The nurse who caused the error d. The charge nurse 11.) A nurse is planning care for a client who is receiving morphine via connuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus – Sign of allergic reac'on to morphine b. Cough c. Tachypnea d. Gastric bleeding 12.)A nurse is preparing to administer digoxin orally to a client. Idenfy the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) a. Obtain the client’s apical heart rate b. Remove the medicaon from the dispensing system c. Open the medicaon package d. Compare the client’s wristband to the medicaon administraon record e. Document administraon of the medicaon 13.) A nurse is reviewing the medical record of an adult client who has a fever and a prescripon for acetaminophen. Which of the following ndings should the nurse idenfy as a contraindicaon for receiving this medicaon? a. Alcohol use disorder b. Chronic kidney disease c. Hepas B vaccine within the last week d. Diabetes mellitus 14.) A home health nurse is vising a client who has heart failure and a prescripon for furosemide. The nurse idenes that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following acons should the nurse take rst? a. Encourage the client to dangle the legs while siIng in a chair b. Teach the client about foods low in sodium c. Determine medicaon adherence by the client d. Nofy the provider of the client’s weight gain 15.) A nurse is preparing to administer the inial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indicaon of an allergic reacon following the injecon? a. Urcaria b. Bradycardia c. Pallor d. Dyspepsia 16.)A nurse is teaching a client who has angina a new prescripon for sublingual nitroglycerin tablets. Which of the following instrucons should the nurse include in the teaching? a. “Discard any tablets you do not use every 6 months.” b. “Take one tablet each morning 30 minutes prior to eang.” c. “Keep the tablets at room temperature in their original glass bo8le.” d. “Place the tablet between your cheek and gum to dissolve.” 17.) A nurse is providing teaching to a client who has a new prescripon for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? a. “I can take my medicaon in the morning with my co9ee.” b. “I may sprinkle the medicaon in applesauce.” c. “I should limit my uid intake while on this medicaon.” d. “I will need to have blood levels drawn.” 18.)A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following acons should the nurse take rst? a. Withdraw the regular insulin from the viral b. Withdraw the NPH insulin form the vial c. Inject air into the NPH vial d. Inject air into the regular insulin vial 19.)A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? a. Massage the site a=er administering the medicaon b. Use a 21-gauge needle for the injecon c. Aspirate before injecng the medicaon d. Insert the needle at least 5 cm (2 in) from the umbilicus 20.)A nurse is caring for a client who has a prescripon for amoxicillin. Which of the following ndings indicates the client is experiencing an allergic reacon? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema d. Insomnia 21.)A nurse is teaching a newly licensed nurse about medicaon reconciliaon. The nurse should instruct the newly licensed nurse to perform medicaon reconciliaon for which of the following? a. A client who has a referral for social services b. A client who is transdermal to radiology c. A client who is transferal to a step-down unit d. A client who has a consultaon for physical therapy 22.)A nurse is reviewing the laboratory values of a client who is taking atorvastan. Which of the following laboratory values indicates the treatment has been e&ecve? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine specic gravity 1.020 d. LDL 120 mg/dL 23.)A nurse is receiving a medicaon prescripon by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescripon in the client’s medical record? a. Morphine 6 mg IV push every 3 hr PRN acute pain b. MSO 6 mg IV push every 3 hr PRN acute pain c. MS 6 mg IV push every 3 hr PRN acute pain d. Morphine 6.0 mg IV push every 3 hr PRN acute pain 24.)A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following acons should the nurse take? a. Show the IV soluon rate b. Iniate a new IV distal to the inial site c. Maintain the extremity below the level of the heart d. Apply a warm, moist compress 25.)A nurse is providing teaching to a client who has a new prescripon for clozapine. Which of the following statements should the nurse include in the teaching? a. “Diarrhea is a common adverse e&ect of this medicaon.” b. “Ringing in the ears is an expected adverse e&ect of this medicaon.” c. “Nofy your provider if you develop a fever while taking this medicaon.” d. “You might experience weight loss while taking this medicaon.” 26.)A nurse is teaching a client about oral contracepve. Which of the following informaon should the nurse include in the teaching? a. Abdominal pain is an expected adverse e&ect of oral contracepves b. It can take up to 1 year to become pregnant aBer stopping an oral contracepve c. Some herbal supplements can decrease the e&ecveness of an oral contracepve d. A pelvic examinaon is needed prior to starng an oral contracepve 27.)A nurse is planning to administer medicaon to an older adult client who has dysphagia. Which of the following acons should the nurse plan to take? a. Tilt the client’s head back when administering the medicaons b. Mix the medicaons with a semisolid food for the client c. Administer more than one pill to the client at a me d. Place the medicaons on the back of the client’s tongue 28.)A nurse is providing teaching to a client about the administraon of omeprazole. Which of the following should the nurse include? a. “You cannot take this medicaon with an antacid.” b. “You should reduce your intake of calcium while taking this medicaon.” c. “You should take this medicaon before meals.” d. “You can take a second dose if symptoms persist up to 2 hours a=er the rst dose.” 29.)A nurse is assessing for allergies with a client who is scheduled to receive the inuenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindicaon to receiving the vaccine? a. Eggs b. Shellsh c. Peanuts d. Milk 30.)A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescripon for doxazosin. The client tells the nurse. “I do not take this medicaon. I would prefer a natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider? a. Black cohosh b. Garlic c. Feverfew d. Saw palme8o 31.)A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity? a. Taking a high ceiling diurec b. Having a 10-year history of COPD c. Having a prolapsed mitral valve d. Taking an HMG CoA reductase inhibitor 32.)A nurse is administering naloxone to a client who has developed an adverse reacon to morphine. The nurse should idenfy which of the following ndings as a therapeuc e&ect of naloxone? a. Decreased nausea b. Increased pain relief c. Decreased blood pressure d. Increased respiratory rate 33.)A nurse is reviewing the medical record of a client who has sinusis and a new prescripon for cefuroxime. Which of the following client informaon is the priority for the nurse to report to the provider? a. The client has a BUN of 18 mg/dL b. The client takes an aspirin daily c. The client has a history of a severe penicillin allergy d. The client reports a history of nausea with cefuroxime 34.)A nurse is assessing a client who has hypermagnesemia. Which of the following medicaons should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate d. Flumazenil 35.)A nurse is assessing a client following the administraon of ondansetron (Zofran). Which of the following ndings should indicate to the nurse that the ondansetron has been e&ecve? a. Client reports a decrease in pain b. Client reports a decrease in nausea c. Client reports a decrease in coughing d. Client reports a decrease in diarrhea 36.)A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following informaon should the nurse manager include? a. IM administraon is recommended if PO opioids are ine9ecve b. Respiratory depression decreases as opioid tolerance develops c. Meperidine is the opioid of choice for treang chronic pain d. Withhold PRN pain medicaon for the client who is receiving opioids every 6 hr 37.)A nurse is reviewing the list of current medicaon for a client who is to start prescripon for carbamazepine. The nurse should idenfy that which of the following medicaons interacts with carbamazepine? a. Nicone transdermal system b. Diphenhydramine c. Estrogen-progesn combinaon (Non-hormonal forms of contracep'on) d. Beclomethasone 38.)A nurse is caring for a client who has a respiratory infecon and is receiving an anbioc. Which of the following medicaons puts the client at risk for developing hearing loss? a. Rifampin b. Ciprooxacin c. Penicillin G d. Gentamicin 39.)A nurse is teaching a guardian of a school-age child who has a new prescripon for a ucasone metered-dose inhaler. Which of the following informaon should the nurse include in the teaching? (SATA) a. “Soak the inhaler in water a=er use.” b. “Have your child take one inhalaon as needed for shortness of breath.” c. “Shake the device prior to administraon.” d. “A spacer will make it easier to use the device.” e. “Rinse your child’s mouth following administraon.” 40.)A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.) a. 7.5 mL 41.)A nurse is instrucng a client who has a new prescripon for a daily dose of lovastan extended release. Which of the following informaon should the nurse include in the teaching? a. “You will need liver funcon tests before beginning therapy.” b. “Avoid consuming dairy products while taking this medicaon.” c. “You may crush the medicaon and mix it with applesauce.” d. “You should take the medicaon in the morning.” 42.)A nurse is assessing a client who is receiving a peripheral IV infusion and notes inltraon of uid into the ssue surrounding the inseron site. Which of the following acons should the nurse take? a. Flush the IV catheter b. Apply pressure to the IV site c. Elevate the extremity d. Slow the infusion rate 43.)A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) a. 0.4 mL 44.)A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following ndings should the nurse expect? a. Oxygen saturaon 96% b. PaCO2 30 mm Hg c. Increase in BP d. Decrease in protein 45.)A nurse is discussing adverse reacons to pain medicaons in older adult clients with a newly licensed nurse. Which of the following ndings should the nurse include as risk factors for an adverse drug reacon? (SATA) a. Polypharmacy b. Increased rate of absorpon c. Decreased percentage of body fat d. Mulple health problems e. Decreased renal funcon 46.)A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Sodium 137 mEq/L b. Hct 4.3% c. Hgb 15 g/dL d. Creanine 2.5 mg/dL 47.)A nurse is preparing to administer enoxaparin to a client. Which of the following acons should the nurse take? a. Apply 2rm pressure to the injecon site following administraon b. Administer the medicaon into the client’s muscle c. Expel the air bubble from the syringe prior to injecon d. Insert the syringe needle halfway into the client’s skin 48.)A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report? a. ePTT 90 seconds b. Hgb 16 g/dL c. INR 1.6 d. WBC 6,000/mm3 49.)A nurse is caring for a client who has breast cancer and reports pain. 1 hr a=er administraon of prescribed morphine 10 mg IV. Which of the following medicaons should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosal 50.)A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following ndings should the nurse idenfy as a manifestaon of hypercalcemia? a. Conspaon b. Decreased urine output c. Posive Trousseau’s sign d. Headache 51.) 52.)A nurse is caring for a client who is to receive potassium replacement. The provider’s prescripon reads. “Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.” which of the following reasons should the nurse clarify this prescripon with the provider. a. Potassium chloride should be diluted in dextrose 5% in water. b. The potassium infusion rate is too rapid c. Another formulaon of potassium should be given IV d. The client should be treated by giving potassium by IV bolus 53.)A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? a. Sodium 1.38 mEq/dL b. Magnesium 1.5 mEq/L c. BUN level 10 mg/dL d. Potassium 2.9 mEq/L 54.) 55.)A client who has acve tuberculosis and is taking rifampin reports that his urine and sweat have developed a red nge. Which of the following acons should the nurse take? a. Check the client’s liver funcon test results b. Instruct the client to increase his uid intake c. Document this as an expected 2nding d. Prepare the client for dialysis 56.)A nurse accidently administers the medicaon mePormin instead of metoprolol to a client. Which of the following acons should the nurse take? a. Monitor the client’s thyroid funcon levels b. Collect the client’s uric acid level c. Obtain the client’s HDL level d. Check the client’s glucose level 57.)A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the medicaon is provided as hydromorphone 8 mg per tablets. Which of the following acons is appropriate for the nurse to take? a. Return the remaining medicaon to the facility’s pharmacy b. Store the remaining half of the pill in the automated medicaon dispensing system c. Place the remaining half of the pill in the unit dose package d. Dispose of the remaining medicaon while another nurse observes 58.)A nurse is caring for 4-year-old child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use? a. FACES b. Numeric c. CRIES d. Word graphic 59.)A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescripons should the nurse expect to administer? a. Colchicine b. Cimedine c. Colerain – Colesevelam (Welchol) d. Chlorpromazine 60.)A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following ndings should the nurse nofy the provider? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. The client reports diIculty hearing d. BUN 15 mg/dL 61.)A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instrucons about nicone replacement opons should the nurse include? a. Change the nicone patch every other day b. Do not drink beverages while sucking on a nicone lozenge c. Chew nicone gum for 10 min before spiIng it out d. Administer 2 sprays of nicone nasal spray in each nostril with each dose 62.)A nurse is caring for a client who has a prescripon for total parental nutrion (TPN). Which of the following routes of administraon should the nurse use? a. Subcutaneous b. Intravenous c. Central venous access device d. Midline catheter 63.)A nurse is preparing to administer lgrasm 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) a. 325 mcg 64.)A nurse is preparing to iniate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter? a. Nondominant dorsal venous arch b. Dominant distal dorsal vein c. Nondominant forearm basilic vein d. Dominant antecubital vein 65.)A nurse is assessing a client who is taking an osmoc laxave which of the following ndings should the nurse idenfy as an indicaon of uid volume decit? a. Nausea b. Weight gain c. Headache d. Oliguria 66.)A nurse is reviewing the laboratory results of a client who is taking amitriptyline which of the following laboratory values should the nurse report to the provider? a. Total bilirubin 1.5 mg/dL b. Potassium 4.2 mEq/L c. Hct 0.44% d. WBC count 5,000/mm3 67.)? 68.)A nurse is caring for a client who is taking lithium and reports starng a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypocalcemia b. Hypokalemia c. Hyponatremia d. Hypomagnesemia 69.)A nurse is assessing a client a=er administering phenytoin IV bolus for a seizure. Which of the following should the nurse idenfy as an adverse e&ect of this medicaon? a. Hypoglycemia b. Bradycardia c. Red man syndrome d. Hypotension 70.)A nurse is consulng a formulary about a client’s new prescripon for raloxifene. The nurse should idenfy that this medicaon is used to treat which of the following condions? a. Osteoporosis b. Hypothyroidism c. Urinary tract infecon d. Deep vein thrombosis 1. A nurse is providing discharge dietary teaching to a client who has a something and is taking medicaon theophylline and to provide general instrucons the nurse should include? Avoid ca9einated beverages Take the medicaon with meals Restrict milk products Limit sodium intake 2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following acons should the nurse take rst? Withdrawal NPH from the vial Inject air into the NPH vial Inject air into the regular vial Withdrawal regular insulin from the vial 3. a nurse is teaching a client who has a new prescripon of Alendronate for osteoporosis. What instrucons should the nurse include? Take the medicaon immediately a=er breakfast Take the medicaon with an antacid Sit upright for at least 30 mins aBer taking the medicaon Drink orange juice with the medicaon 4. a nurse is caring for a client who is postoperave following a thyroidectomy and is receiving morphine for pain. Which of the following ndings should the nurse recognize as an adverse e&ect of morphine? Bladder distenon Producve cough Gastrointesnal bleeding Decrease deep tending reexes 5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following informaon should the nurse include in the teaching? Use nasal decongeson 15 mins before the medicaon if you have a stu&y nose Lie down for 1 hour a=er administering the medicaon Administer the medicaon into one nostril once per week Plan to self-administer this medicaon for the next 6 months 6. a nurse is teaching a newly license nurse about medicaon reconciliaon. The nurse should instruct the newly license nurse for medicaon reconciliaon for which of the following clients? Client who is transported to radiology A client who has a consultaon for …. A client who has a referral for social services A client who has been transferred to a step-down unit 7. a nurse is assessing a client how received a dinoprostone gel to smulate the cervical ripening. Which of the following is the nurse’s priority? Back pain Flushing nausea Uterine tachysystole 8. a nurse is performing a return demonstraon of an enoxaparin administraon. Which of the following client acons indicates an understanding of the teaching? Messages the site to enhance absorpon Injecons the medicaon into a muscle Administers the medicaon into the abdomen Aspirates the medicaon a=er injecon 9. a nurse is assessing a client how has been taking digoxin and …… which of the following ndings to the nurse indicates this client has developed digoxin toxicity? Ringing in the ears Hyperkalemia Blurred vision hypertension 10. a nurse is caring for a client who received neosgmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestaons should the nurse expect? Headache Excessive salivaon Fever Myoclonic seizure 11. a nurse in the emergency department is reviewing a medicaon record for client who reports voming blood. The nurse should ancipate the provider will disconnue which of the following medicaons? NPH insulin Clopidogrel Furosemide Pantoprazole 12. a nurse is assessing a who is receiving clindamycin. Which of the following ndings should the nurse idenfy as an adverse e&ect of this medicaon? Agitaon Report of blurred vision Hypertension Watery diarrhea 13. a nurse is teaching a client who is to start taking Cromolyn. Which of the following informaon should the nurse include in the teaching? Cromolyn should take e&ect within 5 mins Cromolyn should dilate the bronchioles Cromolyn can be used a=er exercise Cromolyn is a long-term management medicaon 14. a nurse is reviewing the medicaons of a client is experiencing orthostac hypotension. The nurse should idenfy this nding as an adverse e&ect of which of the following medicaons? Imipramine Levothyroxine Montelukast Omeprazole 15. a nurse is reviewing a client’s medical history before administering a new prescripon of atropine. Which of the following client condions is contraindicated? Glaucoma 16. a nurse is providing teaching to a client who has a new prescripon for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse e&ects? insomnia Blurred vision Tachypnea Metallic taste 17. math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = 0.4 18. a nursing is caring for a client who reports that his current pain medicaon is no longer relieving her pain. Which of the following medicaons requires the nurse to obtain a wriEen rather than a verbal prescripon from the provider? Fentanyl 19. charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following acon by the newly licensed nurse requires the charge nurse to complete an incident report? A client who has a lithium level of 1.8 receives her morning dose 20. a nurse is caring for a client who has a alcohol use disorder and is experiencing withdrawals. Wh