RN ATI PHARMACOLOGY PROCTORED EXAM FORM C 2019 (100% VERIFIED Q&A) (GRADED A+++).

RN ATI PHARMACOLOGY PROCTORED EXAM FORM C 2019 RN ATI PHARMACOLOGY PROCTORED EXAM FORM C 2019 1. A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication? a. Furosemide b. Nitroglycerin c. Indomethacin d. Albuterol 2. A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first? a. Potassium chloride 10 mEq/hr b. Bicarbonate by IV infusion c. 0.9% sodium chloride 15 mL/kg/hr d. Subcutaneous insulin injections 3. A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction? a. Polyuria b. Hypotension c. Nausea d. Bradycardia 4. A nurse is caring for an older adult client who is taking prednisone for a long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this drug? a. Hemolytic anemia b. Hypoglycemia c. Bone loss d. Liver toxicity 5. A nurse is assessing a client who has asthma and prescription for albuterol. The nurse should monitor the client for which of the following adverse effects? a. Drowsiness b. Fever c. Constipation d. Tachycardia 6. 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 an allergic reaction following the injection? a. Urticaria b. Bradycardia c. Pallor d. Dyspepsia 7. A nurse is mixing a regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus following actions should the nurse take first? a. Withdraw the regular insulin from the viral b. Withdraw a NPH insulin from the vial c. Inject air into the NPH vial d. Inject air into the regular insulin vial 8. 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 9. A nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? a. Messages the site to enhance absorption b. Injections the medication into a muscle c. Administers the medication into the abdomen d. Aspirates the medication after injection 10. A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care? a. Reconstitute the medication with a 5% dextrose solution b. Administer the medication over 10 mins c. Monitor the client for hearing loss d. Implement a high fiber diet to prevent constipation 11. A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following should the nurse take? a. Give the medication with a caffeinated beverage b. Administer the medication through a straw c. Dilute the medication with milk d. Provide an antacid with the medication 12. A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr. The client’s weight is 12l lb. Available is enoxaparin 60 mg/0.6 mL. How many mL should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 0.55 ml 13. A nurse is caring for a client who is to start therapy with lovastatin. the nurse should prepare the client for which of the following diagnostic assessments? a. Western blot analysis b. Liver function tests c. Pancreatic enzymes d. Exercise electrocardiography 14. The 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? a. Fasting blood glucose 160 mg/dL b. An increase in appetite c. Stable weight d. HgbA1c 6.5% 15. A nurse is a assessing a client who has Graves’ disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication? a. Weight loss – ATI says weight gain is a SE b. Diaphoresis c. Exophthalmos d. Bradycardia 16. A nurse is teaching a client who has multiple allergies about using an epinephrine autoinjector. Which of the following instructions should the nurse include? a. Inject the medication into the abdomen b. Aspirate prior to administration of the medication c. Administer the medication through clothing if necessary d. Avoid massaging the site after injection 17. Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to penicillin. Why is this important to assess? A client who is allergic to penicillin can have a cross sensitivity to cephalosporins. 18. A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client’s lithium level is 2.6 mEq/L. Which of the following actions should the nurse take? a. Assist the client to a left lateral position. b. Request a dosage increase from the provider. c. Implement fluid restrictions d. Prepare the client for hemodialysis 19. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the following laboratory lab values should the nurse identify as the outside the expected range for this client? a. aPTT 36 seconds 35 - 45 seconds b. Hgb 15.2 g/dl c. Hct 43 % d. INR 4.5 20. A nurse is reviewing the lab results of a client who has atrial fibrillation and is taking warfarin. Which of the following results should the nurse report to the provider a. INR 4.6 b. Platelet count 170,000/mm3 c. aPTT 40 seconds d. Hgb 14.5 mg/dL Grasp the skin between the thumb and forefinger, while injecting the medicati on Alternate the injection sites between the side of the abdomen 21. A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply) a. b. c. Expel the air bubble from the prefilled syringe. d. Massage the insertion site after injecting the medication e. Insert the entire length of the needle into the skin during injection 22. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 23. A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. Weight gain b. Nervousness c. Bradycardia d. Constipation 24. A nurse is providing teaching to a client who had rheumatoid arthritis and a prescription for long term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? a. Stress fractures b. Orthostatic hypotension c. Gingival ulcerations d. Weight loss 25. A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use? a. Subcutaneous b. Intravenous c. Central venous access device d. Midline catheter 26. A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) a. Polypharmacy b. Increased rate of absorption c. Decreased percentage of body fat ???? d. Multiple health problems e. Decreased renal function 27. A nurse is assessing a client who is taking an osmotic laxative which of the following findings should the nurse identify as an indication of fluid volume deficit? a. Nausea b. Weight gain c. Headache d. Oliguria