ati pharm proctored exam TEST
QUESTIONS AND ANSWERS (2023/2024)
(VERIFIED ANSWERS)WITH NGN
A client receives a prescription for calcium channel blockers. The
nurse should expect which of the following diagnostic tests to be
prescribed to obtain baseline data prior to starting the
medication? - CORRECT ANSWER Electrocardiogram (ECG)
A client is being discharged with a prescription for warfarin
(Coumadin) following treatment for deep vein thrombosis (DVT).
The nurse recognizes that teaching has been effective when the
client states, - CORRECT ANSWER "I will not take any aspirin
for pain while I am on warfarin. I will take acetaminophen
instead."
A nurse should recognize that which of the following findings
indicates the most serious side effect of vancomycin (Vancocin)?
- CORRECT ANSWER Impairment of hearing
A client who was prescribed oral contraceptives comes to the
clinic for her 4 week follow-up visit. After discussing the use of
oral contraceptives with the client, the nurse recognizes a need
for further client education when the client states, - CORRECT
ANSWER "If I miss a dose, I should take two pills the next time
the dose is due."
A primary care provider has prescribed dextromethorphan
(Balminil DM) to a client with a persistent cough. - CORRECT
,ANSWER The nurse recognizes that the antitussive is used to
stop or reduce the cough.
A client with a diagnosis of gastroesophageal reflux disease
(GERD) is prescribed famotidine (Pepcid) 20 mg twice a day.
When teaching this client about the proper self- administration
schedule for this medication, the nurse should inform the client
that famotidine should be taken - CORRECT ANSWER 1 hr
before meals.
Which of the following assessment findings in a client receiving
transdermal nitrate therapy for angina indicates an adverse
effect? - CORRECT ANSWER Dizziness when the client stands
up
At 1130, a nurse administers aspart insulin (NovoLog) to a client
with diabetes mellitus. When is the client at greatest risk for
hypoglycemia? - CORRECT ANSWER 1345
A client with a diagnosis of cystic fibrosis is prescribed
acetylcysteine (Mucomyst). - CORRECT ANSWER A nurse
understands that the primary reason for giving this medication to
the client is to thin respiratory secretions.
A nurse is reinforcing teaching for a client who has colorectal
cancer and is receiving the platinum compound oxaliplatin
(Eloxatin). The client should be taught about which of the
following nutritional interventions? - CORRECT ANSWER
Increase the amount of fiber in the diet, such as whole grains.
A client is receiving diuretics as part of the pharmacologic therapy
for heart failure. Which of the following client statements indicates
the need for further instruction? - CORRECT ANSWER "I will
,take the diuretic if I experience difficulty breathing or chest
pressure."
An immunizing agent that confers active immunity protects by: -
CORRECT ANSWER providing antibodies obtained from
immune humans or animals.
Antacids should be given one hour apart from most other drugs.
Which is the rationale? - CORRECT ANSWER Antacids may
interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because
it: - CORRECT ANSWER can cause "red man syndrome", a
hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: -
CORRECT ANSWER narcan.
The most serious adverse reaction to oral contraceptives is: -
CORRECT ANSWER thromboembolism.
When a client develops tolerance to a drug, the nurse would
expect: - CORRECT ANSWER higher dose needed to achieve
same effect.
Antihyperglycemic agents are prescribed for clients with: -
CORRECT ANSWER Type 2 diabetes mellitus.
The nurse assesses a client shortly after an intravenous infusion
of the osmotic diuretic mannitol is started. Which finding
represents an early adverse effect of mannitol? - CORRECT
ANSWER Bounding pulse
, Compared to other beta adrenergic blockers, cardioselective beta
adrenergic blockers: - CORRECT ANSWER are less likely to
cause bronchoconstriction.
A client who experiences motion sickness during airplane flights
obtains a prescription for meclizine (Antivert). When is the best
time to take the drug? - CORRECT ANSWER One hour before
the flight
Before prescribing a cephalosporin, the nurse practitioner asks if
the client is allergic to penicillin. Why is this important to assess? -
CORRECT ANSWER A client who is allergic to penicillin can
have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in
children? - CORRECT ANSWER Tetracyclines
In a walk-in clinic, clients are often given intramuscular injections.
Which drug should be readily available in case a client has an
anaphylactic reaction? - CORRECT ANSWER Epinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: -
CORRECT ANSWER decrease tubular reabsorption of sodium
and water.
Which of the statements by the nurse most accurately describes
the effects of declined plasma albumin levels in older adults? -
CORRECT ANSWER "There is an increased risk for adverse
effects."
To prevent oral fungal infections, the nurse should instruct the
client who uses a beclomethasone inhaler to take which action? -
CORRECT ANSWER Rinse the mouth after each use.
QUESTIONS AND ANSWERS (2023/2024)
(VERIFIED ANSWERS)WITH NGN
A client receives a prescription for calcium channel blockers. The
nurse should expect which of the following diagnostic tests to be
prescribed to obtain baseline data prior to starting the
medication? - CORRECT ANSWER Electrocardiogram (ECG)
A client is being discharged with a prescription for warfarin
(Coumadin) following treatment for deep vein thrombosis (DVT).
The nurse recognizes that teaching has been effective when the
client states, - CORRECT ANSWER "I will not take any aspirin
for pain while I am on warfarin. I will take acetaminophen
instead."
A nurse should recognize that which of the following findings
indicates the most serious side effect of vancomycin (Vancocin)?
- CORRECT ANSWER Impairment of hearing
A client who was prescribed oral contraceptives comes to the
clinic for her 4 week follow-up visit. After discussing the use of
oral contraceptives with the client, the nurse recognizes a need
for further client education when the client states, - CORRECT
ANSWER "If I miss a dose, I should take two pills the next time
the dose is due."
A primary care provider has prescribed dextromethorphan
(Balminil DM) to a client with a persistent cough. - CORRECT
,ANSWER The nurse recognizes that the antitussive is used to
stop or reduce the cough.
A client with a diagnosis of gastroesophageal reflux disease
(GERD) is prescribed famotidine (Pepcid) 20 mg twice a day.
When teaching this client about the proper self- administration
schedule for this medication, the nurse should inform the client
that famotidine should be taken - CORRECT ANSWER 1 hr
before meals.
Which of the following assessment findings in a client receiving
transdermal nitrate therapy for angina indicates an adverse
effect? - CORRECT ANSWER Dizziness when the client stands
up
At 1130, a nurse administers aspart insulin (NovoLog) to a client
with diabetes mellitus. When is the client at greatest risk for
hypoglycemia? - CORRECT ANSWER 1345
A client with a diagnosis of cystic fibrosis is prescribed
acetylcysteine (Mucomyst). - CORRECT ANSWER A nurse
understands that the primary reason for giving this medication to
the client is to thin respiratory secretions.
A nurse is reinforcing teaching for a client who has colorectal
cancer and is receiving the platinum compound oxaliplatin
(Eloxatin). The client should be taught about which of the
following nutritional interventions? - CORRECT ANSWER
Increase the amount of fiber in the diet, such as whole grains.
A client is receiving diuretics as part of the pharmacologic therapy
for heart failure. Which of the following client statements indicates
the need for further instruction? - CORRECT ANSWER "I will
,take the diuretic if I experience difficulty breathing or chest
pressure."
An immunizing agent that confers active immunity protects by: -
CORRECT ANSWER providing antibodies obtained from
immune humans or animals.
Antacids should be given one hour apart from most other drugs.
Which is the rationale? - CORRECT ANSWER Antacids may
interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because
it: - CORRECT ANSWER can cause "red man syndrome", a
hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: -
CORRECT ANSWER narcan.
The most serious adverse reaction to oral contraceptives is: -
CORRECT ANSWER thromboembolism.
When a client develops tolerance to a drug, the nurse would
expect: - CORRECT ANSWER higher dose needed to achieve
same effect.
Antihyperglycemic agents are prescribed for clients with: -
CORRECT ANSWER Type 2 diabetes mellitus.
The nurse assesses a client shortly after an intravenous infusion
of the osmotic diuretic mannitol is started. Which finding
represents an early adverse effect of mannitol? - CORRECT
ANSWER Bounding pulse
, Compared to other beta adrenergic blockers, cardioselective beta
adrenergic blockers: - CORRECT ANSWER are less likely to
cause bronchoconstriction.
A client who experiences motion sickness during airplane flights
obtains a prescription for meclizine (Antivert). When is the best
time to take the drug? - CORRECT ANSWER One hour before
the flight
Before prescribing a cephalosporin, the nurse practitioner asks if
the client is allergic to penicillin. Why is this important to assess? -
CORRECT ANSWER A client who is allergic to penicillin can
have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in
children? - CORRECT ANSWER Tetracyclines
In a walk-in clinic, clients are often given intramuscular injections.
Which drug should be readily available in case a client has an
anaphylactic reaction? - CORRECT ANSWER Epinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: -
CORRECT ANSWER decrease tubular reabsorption of sodium
and water.
Which of the statements by the nurse most accurately describes
the effects of declined plasma albumin levels in older adults? -
CORRECT ANSWER "There is an increased risk for adverse
effects."
To prevent oral fungal infections, the nurse should instruct the
client who uses a beclomethasone inhaler to take which action? -
CORRECT ANSWER Rinse the mouth after each use.
