ATI PHARMACOLOGY PROCTORED
EXAM (10 LATEST VERSIONS 2024-2025)
QUESTIONS AND CORRECT ANSWERS
A nurse is assessing a client who is receiving intravenous therapy. The nurse
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should identify which of the following findings as a manifestation of fluid volume
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excess?
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a. Decreased bowel sounds
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b. Distended neck veins
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c. Bilateral muscle weakness
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d. Thread pulse - ANSWER: b. Distended neck veins
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A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
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prescribed hypertonic solution. Which of the following findings should indicate to the
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nurse that the treatment is effective?
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a. Absent Chvostek's sign
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b. Improved cognition
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c. Decreased vomiting
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d. Cardiac arrhythmias absent - ANSWER: b. Improved cognition
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A nurse is teaching a client who has a new prescription for a nitroglycerin
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transdermal patch. Which of the following instructions should the nurse include?
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a. "Discontinue the patch if you experience a headache."
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b. "Apply a new patch if you have chest pain."
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c. "Cover the patch with dry gauze when taking a shower."
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d. "Remove the patch prior to going to bed." - ANSWER: d. "Remove the patch prior
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to going to bed."
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A nurse is reviewing he laboratory results of a client who has a prescription for
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sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should
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the nurse report to the provider?
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a. Creatinine 0.72 mg/dL
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b. Sodium 138 mEq/L
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c. Magnesium 2 mEq/L
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d. Potassium 5.2 mEq/L - ANSWER: d. Potassium 5.2 mEq/L - Hyperkalemia (serum
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potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac
BB BB BB BB BB BB BB BB BB BB BB BB BB
dysrhythmias. Kayexalate is used to decrease the serum potassium level so the PN
BB BB BB BB BB BB BB BB BB BB BB BB BB
should monitor the client's serum potassium level
BB BB BB BB BB BB BB
,A nurse is caring for a client who has tuberculosis and is taking isoniazid and
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rifampin. Which of the following outcomes indicates that the client is adhering to the
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medication regimen?
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a. The client has a negative sputum culture
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b. The client tests negative for HIV
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c. The client has a positive purified protein derivative test
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d. The client's liver function test results are within the expected reference range -
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ANSWER: a. The client has a negative sputum culture
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A client is caring for a client who develops an anaphylactic reaction to IV
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administration. After assessing the client's respiratory status and stopping the
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medication infusion. Which of the following actions should the nurse take next?
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a. Replace the infusion with 0.9% sodium chloride
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b. Give diphenhydramine IM
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c. Elevate the client's legs and feet
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d. Administer epinephrine IM - ANSWER: d. Administer epinephrine IM
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A nurse is caring for a client who is taking sertraline and reports a desire to begin
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taking supplements. Which of the following supplements should the nurse advise
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the client to avoid?
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a. St. John's Wort
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b. Ginger root
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c. Black cohosh
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d. Coenzyme Q10 - ANSWER: a. St. John's Wort
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A nurse is caring for a client who has heart failure and a new prescription for
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lisinopril. For which of the following adverse effects should the nurse monitor when
BB BB BB BB BB BB BB BB BB BB BB BB BB
administering lisinopril?
BB BB
a. Bradycardia
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b. Hypokalemia
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c. Tinnitus
BB
d. Hypotension - ANSWER: d. Hypotension
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A nurse is assessing a client who is receiving heparin IV continuous IV. The client
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has an PPT of 90 seconds. They should monitor the client for which of the
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following changes in their vital signs?
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a. Decreased temperature
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b. Increased pulse rate
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c. Decreased respiratory rate
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d. Increased blood pressure - ANSWER: d. Increased blood pressure
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A nurse is preparing to administer medication to a client and discovers a medication
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error. The nurse should recognize that which of the following staff members is
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responsible for completing an incident report?
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a. The quality improvement committee
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, b. The nurse who identifies the error
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c. The nurse who caused the error
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d. The charge nurse - ANSWER: b. The nurse who identifies the error
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A nurse is planning care for a client who is receiving morphine via continuous
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epidural infusion. The nurse should monitor the client for which of the following?
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a. Pruritus
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b. Cough
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c. Tachypnea
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d. Gastric bleeding - ANSWER: a. Pruritus - Sign of allergic reaction to morphine
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A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
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steps the nurse should take. (Move the steps into the box on the right placing them
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in the order of performance. Use all the steps.) - ANSWER: a. Obtain the client's
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apical heart rate
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b. Remove the medication from the dispensing system
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c. Open the medication package
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d. Compare the client's wristband to the medication administration record
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e. Document administration of the medication
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A nurse is reviewing the medical record of an adult client who has a fever and a
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prescription for acetaminophen. Which of the following findings should the nurse
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identify as a contraindication for receiving this medication?
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a. Alcohol use disorder
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b. Chronic kidney disease
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c. Hepatitis B vaccine within the last week
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d. Diabetes mellitus - ANSWER: a. Alcohol use disorder
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b. Chronic kidney disease
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A home health nurse is visiting a client who has heart failure and a prescription for
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furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the
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last visit 2 days ago. Which of the following actions should the nurse take first?
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a. Encourage the client to dangle the legs while sitting in a chair
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b. Teach the client about foods low in sodium
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c. Determine medication adherence by the client
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d. Notify the provider of the client's weight gain - ANSWER: c. Determine medication
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adherence by the client
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A nurse is preparing to administer the initial dose of penicillin G IM to a client. The
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nurse should monitor for which of the following as an indication of an allergic
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reaction following the injection?
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a. Urticaria
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b. Bradycardia
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c. Pallor
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d. Dyspepsia - ANSWER: a. Urticaria
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EXAM (10 LATEST VERSIONS 2024-2025)
QUESTIONS AND CORRECT ANSWERS
A nurse is assessing a client who is receiving intravenous therapy. The nurse
BB BB BB BB BB BB BB BB BB BB BB BB
should identify which of the following findings as a manifestation of fluid volume
BB BB BB BB BB BB BB BB BB BB BB BB BB
excess?
BB
a. Decreased bowel sounds
BB BB BB
b. Distended neck veins
BB BB BB BB
c. Bilateral muscle weakness
BB BB BB
d. Thread pulse - ANSWER: b. Distended neck veins
BB BB BB BB BB BB BB BB
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
prescribed hypertonic solution. Which of the following findings should indicate to the
BB BB BB BB BB BB BB BB BB BB BB BB
nurse that the treatment is effective?
BB BB BB BB BB BB
a. Absent Chvostek's sign
BB BB BB
b. Improved cognition
BB BB BB
c. Decreased vomiting
BB BB BB
d. Cardiac arrhythmias absent - ANSWER: b. Improved cognition
BB BB BB BB BB BB BB BB
A nurse is teaching a client who has a new prescription for a nitroglycerin
BB BB BB BB BB BB BB BB BB BB BB BB BB
transdermal patch. Which of the following instructions should the nurse include?
BB BB BB BB BB BB BB BB BB BB BB
a. "Discontinue the patch if you experience a headache."
BB BB BB BB BB BB BB BB
b. "Apply a new patch if you have chest pain."
BB BB BB BB BB BB BB BB BB
c. "Cover the patch with dry gauze when taking a shower."
BB BB BB BB BB BB BB BB BB BB
d. "Remove the patch prior to going to bed." - ANSWER: d. "Remove the patch prior
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
to going to bed."
BB BB BB BB
A nurse is reviewing he laboratory results of a client who has a prescription for
BB BB BB BB BB BB BB BB BB BB BB BB BB BB
sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should
BB BB BB BB BB BB BB BB BB BB BB BB
the nurse report to the provider?
BB BB BB BB BB BB
a. Creatinine 0.72 mg/dL
BB BB BB
b. Sodium 138 mEq/L
BB BB BB
c. Magnesium 2 mEq/L
BB BB BB
d. Potassium 5.2 mEq/L - ANSWER: d. Potassium 5.2 mEq/L - Hyperkalemia (serum
BB BB BB BB BB BB BB BB BB BB BB BB
potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac
BB BB BB BB BB BB BB BB BB BB BB BB BB
dysrhythmias. Kayexalate is used to decrease the serum potassium level so the PN
BB BB BB BB BB BB BB BB BB BB BB BB BB
should monitor the client's serum potassium level
BB BB BB BB BB BB BB
,A nurse is caring for a client who has tuberculosis and is taking isoniazid and
BB BB BB BB BB BB BB BB BB BB BB BB BB BB
rifampin. Which of the following outcomes indicates that the client is adhering to the
BB BB BB BB BB BB BB BB BB BB BB BB BB BB
medication regimen?
BB BB
a. The client has a negative sputum culture
BB BB BB BB BB BB BB
b. The client tests negative for HIV
BB BB BB BB BB BB
c. The client has a positive purified protein derivative test
BB BB BB BB BB BB BB BB BB
d. The client's liver function test results are within the expected reference range -
BB BB BB BB BB BB BB BB BB BB BB BB BB
ANSWER: a. The client has a negative sputum culture
BB BB BB BB BB BB BB BB BB
A client is caring for a client who develops an anaphylactic reaction to IV
BB BB BB BB BB BB BB BB BB BB BB BB BB
administration. After assessing the client's respiratory status and stopping the
BB BB BB BB BB BB BB BB BB BB
medication infusion. Which of the following actions should the nurse take next?
BB BB BB BB BB BB BB BB BB BB BB BB
a. Replace the infusion with 0.9% sodium chloride
BB BB BB BB BB BB BB BB
b. Give diphenhydramine IM
BB BB BB
c. Elevate the client's legs and feet
BB BB BB BB BB BB BB
d. Administer epinephrine IM - ANSWER: d. Administer epinephrine IM
BB BB BB BB BB BB BB BB BB
A nurse is caring for a client who is taking sertraline and reports a desire to begin
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
taking supplements. Which of the following supplements should the nurse advise
BB BB BB BB BB BB BB BB BB BB BB
the client to avoid?
BB BB BB BB
a. St. John's Wort
BB BB BB BB
b. Ginger root
BB BB BB
c. Black cohosh
BB BB
d. Coenzyme Q10 - ANSWER: a. St. John's Wort
BB BB BB BB BB BB BB BB
A nurse is caring for a client who has heart failure and a new prescription for
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
lisinopril. For which of the following adverse effects should the nurse monitor when
BB BB BB BB BB BB BB BB BB BB BB BB BB
administering lisinopril?
BB BB
a. Bradycardia
BB
b. Hypokalemia
BB
c. Tinnitus
BB
d. Hypotension - ANSWER: d. Hypotension
BB BB BB BB BB
A nurse is assessing a client who is receiving heparin IV continuous IV. The client
BB BB BB BB BB BB BB BB BB BB BB BB BB BB
has an PPT of 90 seconds. They should monitor the client for which of the
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
following changes in their vital signs?
BB BB BB BB BB BB
a. Decreased temperature
BB BB BB
b. Increased pulse rate
BB BB BB
c. Decreased respiratory rate
BB BB BB BB
d. Increased blood pressure - ANSWER: d. Increased blood pressure
BB BB BB BB BB BB BB BB BB
A nurse is preparing to administer medication to a client and discovers a medication
BB BB BB BB BB BB BB BB BB BB BB BB BB
error. The nurse should recognize that which of the following staff members is
BB BB BB BB BB BB BB BB BB BB BB BB BB
responsible for completing an incident report?
BB BB BB BB BB BB
a. The quality improvement committee
BB BB BB BB BB
, b. The nurse who identifies the error
BB BB BB BB BB BB BB
c. The nurse who caused the error
BB BB BB BB BB BB BB
d. The charge nurse - ANSWER: b. The nurse who identifies the error
BB BB BB BB BB BB BB BB BB BB BB BB
A nurse is planning care for a client who is receiving morphine via continuous
BB BB BB BB BB BB BB BB BB BB BB BB BB
epidural infusion. The nurse should monitor the client for which of the following?
BB BB BB BB BB BB BB BB BB BB BB BB BB
a. Pruritus
BB
b. Cough
BB BB
c. Tachypnea
BB
d. Gastric bleeding - ANSWER: a. Pruritus - Sign of allergic reaction to morphine
BB BB BB BB BB BB BB BB BB BB BB BB BB
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
BB BB BB BB BB BB BB BB BB BB BB BB BB BB
steps the nurse should take. (Move the steps into the box on the right placing them
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
in the order of performance. Use all the steps.) - ANSWER: a. Obtain the client's
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
apical heart rate
BB BB BB
b. Remove the medication from the dispensing system
BB BB BB BB BB BB BB BB
c. Open the medication package
BB BB BB BB
d. Compare the client's wristband to the medication administration record
BB BB BB BB BB BB BB BB BB
e. Document administration of the medication
BB BB BB BB BB
A nurse is reviewing the medical record of an adult client who has a fever and a
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
prescription for acetaminophen. Which of the following findings should the nurse
BB BB BB BB BB BB BB BB BB BB BB
identify as a contraindication for receiving this medication?
BB BB BB BB BB BB BB BB
a. Alcohol use disorder
BB BB BB
b. Chronic kidney disease
BB BB BB BB
c. Hepatitis B vaccine within the last week
BB BB BB BB BB BB BB BB
d. Diabetes mellitus - ANSWER: a. Alcohol use disorder
BB BB BB BB BB BB BB BB
b. Chronic kidney disease
BB BB BB
A home health nurse is visiting a client who has heart failure and a prescription for
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
last visit 2 days ago. Which of the following actions should the nurse take first?
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
a. Encourage the client to dangle the legs while sitting in a chair
BB BB BB BB BB BB BB BB BB BB BB BB
b. Teach the client about foods low in sodium
BB BB BB BB BB BB BB BB BB
c. Determine medication adherence by the client
BB BB BB BB BB BB BB
d. Notify the provider of the client's weight gain - ANSWER: c. Determine medication
BB BB BB BB BB BB BB BB BB BB BB BB BB
adherence by the client
BB BB BB BB
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The
BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB BB
nurse should monitor for which of the following as an indication of an allergic
BB BB BB BB BB BB BB BB BB BB BB BB BB BB
reaction following the injection?
BB BB BB BB
a. Urticaria
BB BB
b. Bradycardia
BB BB
c. Pallor
BB BB
d. Dyspepsia - ANSWER: a. Urticaria
BB BB BB BB BB
