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ATI
Pharmacology p
Proctored Exam 7 p p p
Latest Versions p
2022
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ATIp PHARMACOLOGY
Versionp 1
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7. ApnursepispprovidingpteachingptopapclientpwhopwasprecentlypdiagnosedpaspHIVppositive
.Thepclientpispbeginningpmedicationptherapypwithpzidovudinep(Retrovir).pWhichpofpthefoll
owingpstatementspshouldpthepnursepincludepinpthepteaching.p(Selectpallpthatapply.)
o Mustpbeptakenpwithpoth
erpretroviralmedicines.o
o Curespan pHIVinfection
o IncreasespCD4+pcellcount
8. Apnursepispassessingpapschoolpagep clientpwhopispexperiencingpseizurepactivitypandpispresc
ribedpdiazepamp(Valium)pIV.pThepnursepshouldpshouldpclarifyptheporderpifpthepclientpisprecei
vingapcontinuouspinfusionpofpwhichpofpthepfollowingIV:
o LactatedpRingerssolution
o 0.9%pSodiumpchloridepwithp100punitspofpregularinsulin
o 0.9%psodiumchloride
o 0.9%pSodiumpchloridepwithp20pmEqpofppotassiumchloride
9. Apnursepispassessingpapclientpwhopisptakingpenalaprilp(Vasotec)pforpcongestivepheartfai
lure.pWhichpofpthepfollowingpindicatespanpexpectedfinding?
o Activitytolerance
o Orthostatichypotension
o Losspofpstrength
o Increasepinpbloodpressure
10. ApchildpwithpcerebralppalsypispprescribedpBaclofenp(Lioresol).pWhichpofp thefollo
wingptherapeuticpeffectspshouldpthepnursemonitor?
o Increasedpurineoutput
o Increasedenergy
o Decreased panxiety
o Decreased pspacity
11. Clinicalpfindingspofpapclientpwhophaspapprescriptionpforplithiumpcarbonatep(Lithobid)
.Forpwhichpreasonspshouldpthepnursepwithholdpthepmedicationpandpnotifyptheprovider?
o Lithiumplevelp1.0mEq/L
o Potassiumpatp3.7mEq/L
o Sodiumpatp143mEq/L
o Lithiumplevelp2.5mEq/L
12.Thepnursepispcaringpforpap clientpwhophasptuberculosispandpispbeingptreatedpwithcombin
ationpmedicationptherapy.pToptestpthepeffectivenesspofptheptreatment,pthepnursepshouldperio
dicallypmonitorpwhichpofpthepfollowingplaboratoryresults.
o TT
o ESDrate
o Sputumculture
poINR
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13. Apnursepispcaringpforpapclientpwhopisptakingpamoxicillinp(Amoxil)pandpisexperienc
ingpadversep effects.p Whichp ofp thepfollowingpinstructionsp shouldp thep nursep givep top th
isclient?pop“Standpuppslowlypafterptakingpthismedication.”
o“Monitorforincreasedurineoutput.”p o
“Takepthispmedicationpwithpasnack.”
o “Administerpthepmedicationpatbedtime.”
14. Apnursepispreviewingpthepmedicationpadministrationprecordpforpapclientpwhohas
metastaticpcancerpandpapfentanylp(Duragesic)ptransdermalppatchpforppain.pThepclientpreportspa
painplevelpofp10ponpapscalepofp0pto p10.pWhichpofpthepfollowingpmedicationspshouldpthepnurse
anticipatepadministering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol)
o Alprazolam(Xanax)
o Carbenezepine(Tegretol)
15. ApnursepispcaringpforpapclientpwithpPCApMorphinepSulfate.pWhichpofpthefollo
wingpstatementspispnottrue?
o "Ipwillpnotpreceivepanyppainpmedicationspduringptheplockoutperiod"
o "Ipshouldppushpthepbuttonpwhenptheppainpbecomessevere"
o "Ipwillpbepaskedptopratepmyppainoccasionally"
o "Ipdon'tphaveptopworrypaboutpgettingpanpoverdosepofpthemedication"
16.Apnursepispcaringpforpapclientpwhopisptopreceivepapseriespofpallergyptests.pThepnurses
houldpinstructpthepclientptopavoidpwhichpmedicationspforpupptop4 pweekspbeforeptheproce
dure?
o Acetemetaphen(Tylenol)
o Diphenhyramine(Benadryl)
o Albuterol(Accuneb)
o Psuedoephedrinephydrochloride(Sudafed)
17. Apnursepadministeredpmeperidinep(Demerol)pintramuscularlyptopapclientpwithpana
nklepfracture.pWhichpofpthepfollowingpactionspshouldpthepnurseptakenext?
o Assesstheclient‟srespiratorystatus
o Documentponpthepclientspmedicationrecord
o Reassesspthepclient'sppainlevel
o Checkpthepclient'spbloodpressure
18. Apnursepispcaringpforpapclientpwhophaspanp orderpforpclozapinep(Clozaril)p350pmgpPOpdail
y.Thepnursepshouldprecognizepthatpwhichpofpthepfollowingpfindingspispap sidepeffectpofpthisme
dication?
o WBCp8,000mm3
o Serumpsodiump136mg/dL
o Fastingpbloodpglucosepofp220mg/dL
o Weightplosspofp2.26pkgp(5plb)pin p2weeks
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