PHARMACOLOGY ATI 2023 proctored Exam updated

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? A. Reye's Syndrome B. Visual Disturbances C. Diabetes mellitus D. Wilm's Tumor - ANSWERSA A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? A. Reduces Blood pressure B. Inhibits clotting of fistula C. Promotes RBC production D. Stimulates growth of neutrophils - ANSWERSC A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? A. Ibuprofen (NSAID) B. Naproxen (NSAID) C. Aspirin (NSAID) D. Acetominophen (ANALGESIC) - ANSWERSD A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? A. Insomnia B. Hypotension C. Bleeding D. Constipation - ANSWERSC A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as contraindication to ceftriaxone? A. Gentamicin B. Clindamycin C. Piperacillin D. Sulfamethoxazole- Trimethroprim - ANSWERSC A 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? A. Hyperthyroidism B. Intestinal obstruction C. Glaucoma D. Low blood pressure - ANSWERSB A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has. mask like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion (Atypical antidepressant) C. Phenelzine (MAOI) D. Hydroxyzine (Antihistamine) - ANSWERSA A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Hyperthermia C. Hypoglycemia D. Tachycardia - ANSWERSD A nurse is providing teaching to a client who has UTI and new prescription for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? A. If the phenazopyridine upsets my stomach, I can take it with meals. B. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the infections. C. I need to drink 2 liters of fluid per day while I am taking cipro. D. I should notify my provider immediately if my urine turns an orange color. - ANSWERSD A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? A. Echoymosis B. Decreased urine output C. Increased blood pressure D. Dizziness - ANSWERSD A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? A. Methimazole B. Somatropin C. Levothyroxine D. Propythiouracil - ANSWERSC A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? A. Take the hydrochlorothiazide as needed for edema B. Check your weight once each week C. Take the hydrochlorothiazide on an empty stomach D. Take the hydrochlorothiazide in the morning. - ANSWERSD A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Oxytocin B. Nifedipine C. Dinoprostone D. Misoprostol - ANSWERSB A nurse is providing teaching to a client who has cirrhosis and new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? A. Increases blood pressure B. Prevents esophageal bleeding C. Decreases heart rate D. Reduces Ammonia - ANSWERSD A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to preform prior to starting the client on this medication? A. Hearing examination B. Glucose tolerance test C. Electrocardiogram D. Pulmonary Function tests - ANSWERSC A nurse is providing teaching to a client who has gout and new prescription for allopurinol. The nurse should instruct client to discontinue taking the medications for which of the following adverse effects? A. Nausea B. Metallic taste C. Fever D. Drowsiness - ANSWERSC A nurse is assessing a client who is recieving IV Gentamicin 3x daily. Which of the following findings indicates that the client is experiencing an adverse effevt of this medication? A. Hypogycemia B. Proteinuria C. Nasal congestion D. Visual disturbances - ANSWERSB A nurse is providing teaching to a newly nurse about caring for a client who has prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following lab tests. A. Platelet count B. Electrolyte levels C. Thyroid Functions D. Liver - ANSWERSD A nurse is caring for a client who has a new precscription for ergotamine. The nurse should recognize that ergotamine is administerd to treat which of the following conditions? A. Raynaud's Phenomenon B. Migraine Headaches C. Ulcerative colitis D. Anemia - ANSWERSB A nurse is reviewing the lab values for a client who is recieving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? A. Administer Vit K B. Reduce the Infusion rate C. Give the client a low dose aspirin D. Request an INR - ANSWERSB 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 - ANSWERSA 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? A. Antiestrogenic B. Antimicrobial C. Androgenic D. Anti-inflammatory - ANSWERSA A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? A. Hyperkalemia B. Hypertension C. Constipation D. Nephrotoxicity - ANSWERSD A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following should the nurse take? A. Administer the medication into the client's abdomen B. Inject the medication into a muscle C. Massage the site after administering the medication D. Use a 22 gauge needle to administer the medication - ANSWERSA A nurse is reviewing the lab results for a client who has a prescription for filgastrim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? A. Erythrocyte count B. Neutrophil count C. Lymphocyte count D. Thrombocyte count - ANSWERSB A nurse is providing teaching to a client who has a ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Jaundice B. Constipation C. Oral Candidiasis D. Sedation - ANSWERSA A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following lab values should the nurse plan to monitor? Select all that apply. A. BUN B. PTT C. Aspartate amintransferase (AST) D. Urinalysis E. Alanine aminotransferase - ANSWERSB, C, E A nurse is caring for a client who has a new diagnosis of oral candidiasis after takinng tetracyline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? A. Allergic response B. Superinfection C. Renal toxicity D. Hepatotoxicity - ANSWERSB A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? A. Thrombophlebitis B. Hyperactive reflexes C. Muscle weakness D. Hypoglycemia - ANSWERSC A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority. A. Administer the medication to the client's before breakfast in the morning B. Ambulate the client to a chair prior to administering the medication. C. Give the medication to the client with water rather than milk D. Teach the client how to take the medication at home. - ANSWERSB A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary TB. The client reports his urine is an orange color. Which of the following statements should the nurse make? A. Stop taking isoniazid for 3 days and discoloration should go away. B. Rifampin can turn body fluids orange C. I'll make an appointment for you to see the provider this afternoon D. Isoniazid can cause bladder distention - ANSWERSB A nurse is caring for a client who had a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? A. Ecchymosis B. Jaundice C. Hypotension D. Hypokalemia - ANSWERSC A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching? A. Respiratory depression can occur 7 min after the morphine is administered. B. The morphine will peak in 10 min C. Withold the morphine if the client has a respiratory rate of less than 16/min. D - ANSWERSA A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching? A. I will give my child a dose as soon as wheezing starts. B. My child should rinse out his mouth after using the inhaler. C. My child should exhale completely before placing the inhaler in his mouth. D. If my child has difficulty breathing in the dose, a spacer can be used - ANSWERSA A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. Identify the sequence of instructions that the nurse should tell the client to use if he experiences chest pain. Place them in order of performance. Stop activity Place a tablet under the tongue Wait 5 min Call 911 if the pain is not relieved. - ANSWERS1. Stop activity 2. Place a tablet under the tongue 3. Wait 5 min 4. Call 911 if the pain is not relieved. A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine (Calcium blocker). The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain to the client that nifedipine works for clients who are pregnant by which of the following mechanism? A. It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. B. It inhibits uterine contractions by blocking entry of calcium into uterine cells.