ATI PHARMACOLOGY PROCTORED EXAM

A nurse in a provider’s office is preparing to teach a middle adult client of metabolic syndrome and an HbA1c of 6.5%. Which of the following medications should the nurse plan to teach the client about first? A. Metformin B. Exenatide C. Insulin glargine D. Regular insulin 2. A nurse is reviewing a client’s laboratory results before administering furosemide 40mb IV bolus. For which of the following values should the nurse withhold the medication and contact the provider pg 143 a. WBC count 8,000/mm3 b. Potassium 2.5 mEq/L c. INR 1.0 d. Sodium 141 mEq/L 3. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of allergic reaction following the injection? Pg 358 a. Bradycardia b. Pallor c. Urticaria d. Dyspepsia 4. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects. Pg 309 a. Tinnitus b. orthostatic hypotension c. insomnia d. fluid retention 5. A nurse is assessing a client who takes glipizide for the treatment of type 2 diabetes mellitus. Which of the following findings indicates effectiveness of the medication (chpt39?) a. Fasting blood glucose 160mg/dL b. An increase in appetite c. Stable weight d. HgbA1c 6.5% 6. A nurse is reviewing a clients medical record before administering acetaminophen 650mg PO every 6hr. which of the following findingsindicates a need for the nurse to notify the provider? Pg281 a. Hypothyroidism b. History of alcohol use disorder c. Recurrent headaches d. BP 92/60mm Hg 7. A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is the nurse’s priority ? pg 64 a. transient fatigue b. Weight gain of 2.7 kg (6lbs) c. Mild thirst d. Blurred vision 8. A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2months? Pg 316 c or D? a. Weight loss b. Increase in pulse rate c. Increased sleeping d. Warmer skin 9. A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep vein thrombosis. Available is heparin 10,000 units/mL. 4000/10,000= 0.4 ml 10. A nurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching? Pg340 a. Hyperglycemia b. Leukopenia c. bradycardia d. Hypotension 11. A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching? Pg385 a. notify the provider for the appearance of a skin rash (stevenjohnson syndrome) b. expect severe nausea and vomiting for the first week of therapy c. take a double dose of this medication if a dose is missed d. Swallow the medication with milk upon awakening in the morning 12. A nurse is assessing a client who has been taking digoxin for about a month. Which of the following findings should the nurse identify as an indication that this client has developed digoxin toxicity? Pg 163 a. Hyperkalemia b. blurred vision c. ringing in the ears d. Hypertension 13. A nurse receives a prescription to give tobramycin to a client daily. Which of the following laboratory values should the nurse report to the provider? Pg 365 a. Serum sodium 137 mEq/L b. Hgb 15 g/dL c. Hct 43% d. Serum creatinine 2.5 mg/dL Ratio nale: - Tobramycin = aminoglycoside [ Gentamicin is prototype drug ] - AE: ototoxicity - Nephrotoxicity (dilute urine, elevated BUN and creatinine) - Normal creatinine (0.6-1.2) 14. A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the priority at this time? Pg 85 a. Implement seizure precautions b. administer naltrexone c. encourage participation in a 12-step program. d. assist the client to identify triggers for alcohol use 15. A nurse is reviewing a client’s medical history before administering a new prescription for atropine. Which of the following client conditionsis contraindicated? a. Diarrhea b. Diverticulitis c. Glaucoma d. Bronchospasms 16. A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? a. “ I should take an antacid with this medication to prevent stomach upset.