ATI Pharm Proctor Exam Questions with Answers

A nurse is providing teaching to a school-age child and his parents. The child has a new prescription for methylphenidate (Concert a). For which of the following adverse effects should the nurse monitor? (Select all that apply.) Nose bleed Palpitations Insomnia A client has an IV infusion of nitroprusside (Nitro press) at 2 mcg/kg/min. The order reads to titrate the nitroprusside by 0.5 mcg/kg/min to maintain mean arterial pressure (MAP) to 70 to 110 mm HG. The client has a MAP of 120 mm Hg. The nurse should next titrate the nitroprusside to which of the following dosages? (Round to the nearest tenth.) 2.5 mcg A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects? (Select all that apply.) o Bradycardia o Jaundice o Polyuria o Urtipenia o Fever o Jaundice, Urtipenia, Fever A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? Administer the medication into the client's abdomen.A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? "I should notify my provider immediately if my urine turns an orange color." A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? Reye's syndrome A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how may gtt/min? (Round the answer to the nearest whole number). 1 hr/60 min = 8 hr/X min X = 480 min 1,000 mL/480 min x 10 gtt/mL = X gtt/min X = 20.833 21 gtt/ min A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? ? Antiestrogenic A nurse is assessing a client who is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? Proteinuria A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? Reduces ammonia levelsA nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? Piperacillin A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? Superinfection A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? Reduce the infusion rate a nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? Hypotension a nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication ? blood pressure