ATI NR293 Pharm Final Exam Questions and Answers rated A+
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A patient is starting warfarin (Coumadin) therapy as part of treatment for
atrial fibrillation. The nurse will follow which principles of warfarin therapy?
(Select all that apply.)
a) Teach proper subcutaneous administration
b) Administer the oral dose at the same time every day
c) Assess carefully for excessive bruising or unusual bleeding
d) Monitor laboratory results for a target INR of 2 to 3
e) Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the
control value
Atorvastatin can elevate LFT
a) Baseline total cholesterol, LDL and HDL level, triglycerides, and liver and renal function test
obtained and then monitored periodically throughout treatment
The nurse teaches a client who is recovering from acute kidney disease to avoid which type of
medication?
a) NSAIDS
i) NSAIDs may be nephrotoxic to a client with acute kidney disease, and should
be avoided. ACE inhibitors are used for treatment of hypertension and to
protect the kidneys, especially in the diabetic client, from progression of
kidney disease. Opiates may be used by clients with kidney disease if severe
ATI NR293 Pharm Final Exam Questions and Answers rated A+
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,ATI NR293 Pharm Final Exam Questions and Answers rated A+
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pain is present; however, excretion may be delayed. Calcium channel blockers
can improve the glomerular filtration rate and blood flow within the kidney.
b) ACE inhibitors
c) Opiates
d) Calcium channel blockers
Which of the following are adverse reactions related to the use of CELECOXIB? Select all that apply
a) Rhinitis
b) Neutropen
ia c)
Oliguria d)
Stomatitis
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on
intravenous rifampin therapy. The nurse should instruct the client that this medication can cause
which of the following adverse effects?
a) Constipation
b) Black colored stools
ATI NR293 Pharm Final Exam Questions and Answers rated A+
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,ATI NR293 Pharm Final Exam Questions and Answers rated A+
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c) Staining of teeth
d) Body secretions turning a red-orange color
i) Rationale: Rifampin is used in combination with other medicines to treat TB.
Rifampin will cause the urine, stool, saliva
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client
refused breakfast and is complaining of nausea and weakness. Which of the following actions
should the nurse take first?
a) A. Check the client's vital signs.
i) Rationale: It is possible that the client's nausea is secondary to digoxin toxicity. Assess for
bradycardia, a symptom of digoxin toxicity. The nurse should withhold the medication
and call the provider if the client's heart rate is less than 60 bpm.
b) Request a dietitian consult.
c) Suggest that the client rests before eating the meal.
d) Request an order for an antiemetic.
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-
coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier
to swallow. Which of the following responses should the nurse provide?
a) "Crushing the medication might cause you to have a stomachache or indigestion.
i) Rationale: The pill is enteric-coated to prevent breakdown in the stomach and decrease
the possibility of GI distress. Crushing destroys protection.
b) "Crushing the medication is a good idea, and I can mix it in some ice cream for you.”
ATI NR293 Pharm Final Exam Questions and Answers rated A+
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, ATI NR293 Pharm Final Exam Questions and Answers rated A+
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c) "Crushing the medication would release all the medication at once, rather than over time."
d) "Crushing is unsafe, as it destroys the ingredients in the medication."
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV
infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which
of the following responses should the nurse give?
a) "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
b) "A pharmacist is the person to answer that question."
c) "Heparin does not dissolve clots. It stops new clots from forming."
i) Rationale: This statement accurately answers the client's question.
d) "The oral medication you will take after this IV will dissolve the clot.
A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year.
Before administering the medication, the nurse should check to see that which of the following
tests have been completed?
a) Thyroid hormone assay
i) Rationale: Thyroid testing is important because long-term use of lithium may lead to
thyroid dysfunction.
b) Liver function tests:
i) Rationale: LFTs must be monitored before and during valproic acid therapy
c) Erythrocyte sedimentation rate
i) Rationale: This is not a necessary test related to lithium therapy.
d) Brain natriuretic peptide
A nurse caring for a client who has hypertension and asks the nurse about a prescription for
ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
guaranteed success latest update 2022
A patient is starting warfarin (Coumadin) therapy as part of treatment for
atrial fibrillation. The nurse will follow which principles of warfarin therapy?
(Select all that apply.)
a) Teach proper subcutaneous administration
b) Administer the oral dose at the same time every day
c) Assess carefully for excessive bruising or unusual bleeding
d) Monitor laboratory results for a target INR of 2 to 3
e) Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the
control value
Atorvastatin can elevate LFT
a) Baseline total cholesterol, LDL and HDL level, triglycerides, and liver and renal function test
obtained and then monitored periodically throughout treatment
The nurse teaches a client who is recovering from acute kidney disease to avoid which type of
medication?
a) NSAIDS
i) NSAIDs may be nephrotoxic to a client with acute kidney disease, and should
be avoided. ACE inhibitors are used for treatment of hypertension and to
protect the kidneys, especially in the diabetic client, from progression of
kidney disease. Opiates may be used by clients with kidney disease if severe
ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
,ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
pain is present; however, excretion may be delayed. Calcium channel blockers
can improve the glomerular filtration rate and blood flow within the kidney.
b) ACE inhibitors
c) Opiates
d) Calcium channel blockers
Which of the following are adverse reactions related to the use of CELECOXIB? Select all that apply
a) Rhinitis
b) Neutropen
ia c)
Oliguria d)
Stomatitis
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on
intravenous rifampin therapy. The nurse should instruct the client that this medication can cause
which of the following adverse effects?
a) Constipation
b) Black colored stools
ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
,ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
c) Staining of teeth
d) Body secretions turning a red-orange color
i) Rationale: Rifampin is used in combination with other medicines to treat TB.
Rifampin will cause the urine, stool, saliva
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client
refused breakfast and is complaining of nausea and weakness. Which of the following actions
should the nurse take first?
a) A. Check the client's vital signs.
i) Rationale: It is possible that the client's nausea is secondary to digoxin toxicity. Assess for
bradycardia, a symptom of digoxin toxicity. The nurse should withhold the medication
and call the provider if the client's heart rate is less than 60 bpm.
b) Request a dietitian consult.
c) Suggest that the client rests before eating the meal.
d) Request an order for an antiemetic.
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-
coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier
to swallow. Which of the following responses should the nurse provide?
a) "Crushing the medication might cause you to have a stomachache or indigestion.
i) Rationale: The pill is enteric-coated to prevent breakdown in the stomach and decrease
the possibility of GI distress. Crushing destroys protection.
b) "Crushing the medication is a good idea, and I can mix it in some ice cream for you.”
ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
, ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
c) "Crushing the medication would release all the medication at once, rather than over time."
d) "Crushing is unsafe, as it destroys the ingredients in the medication."
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV
infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which
of the following responses should the nurse give?
a) "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
b) "A pharmacist is the person to answer that question."
c) "Heparin does not dissolve clots. It stops new clots from forming."
i) Rationale: This statement accurately answers the client's question.
d) "The oral medication you will take after this IV will dissolve the clot.
A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year.
Before administering the medication, the nurse should check to see that which of the following
tests have been completed?
a) Thyroid hormone assay
i) Rationale: Thyroid testing is important because long-term use of lithium may lead to
thyroid dysfunction.
b) Liver function tests:
i) Rationale: LFTs must be monitored before and during valproic acid therapy
c) Erythrocyte sedimentation rate
i) Rationale: This is not a necessary test related to lithium therapy.
d) Brain natriuretic peptide
A nurse caring for a client who has hypertension and asks the nurse about a prescription for
ATI NR293 Pharm Final Exam Questions and Answers rated A+
guaranteed success latest update 2022
