ATI PHARM II PRETEST EXAM GRADED A

1. A nurse is preparing to administer dobutamine to a client who is also receiving a beta-adrenergic blocking agent. Which assessment finding will the nurse prioritize after administering both drugs? - Hypertension 2. An older client with acute sinusitis is administered epinephrine emergently. The nurse should prioritize reporting a change in which assessment finding to the health care provider? - Pulse rate 3. A client presents to the emergency department following a traffic accident. The nurse prepares to administer an adrenergic agent after assessing for signs of shock which includes which finding? - Changes in consciousness 4. A nurse is monitoring a client receiving IV dobutamine. Which assessment finding should the nurse prioritize? - Cardiac arrhythmias 5. A client presents to the emergency department with reports of itching and throat tightness. On assessment the nurse notes urticaria and flushing. Which nursing diagnosis will the nurse determine is most appropriate for this client? - Risk for Allergy Response 6. A nursing instructor has led a discussion on the effects of adrenergic drugs on the body. The instructor determines the session is successful when the students correctly choose which as the effect of beta-1 receptor stimulation? - Increased force of myocardial contractions 7. A nurse is caring for a client who has been receiving an adrenergic medication. Which statement by the client alerts the nurse about an adverse effect of the medication and a reason to call the prescriber? - "I feel a "fluttering" feeling of my heart." 8. A client with a cardiac problem is treated with beta-adrenergic blocking drugs. Which reaction should the nurse point out as a cardiac reaction that impacts the body when a beta-adrenergic blocking drug is given to the client? - Vertigo 9. A nurse is caring for a client who has been prescribed propranolol for angina. After administering the drug, which action would the nurse do? - Ask about relief of symptoms and record responses on the chart. 10. A client with Parkinson disease has been using levodopa. The client is now prescribed labetalol for hypertension. Which finding should the nurse prioritize if noted on assessment? - Decreased effect of levodopa 11. A nurse is caring for a client with an arrhythmia. Which assessment would the nurse prioritize for a client with a life-threatening arrhythmia who is receiving an adrenergic blocking drug intravenously? - Perform continuous cardiac monitoring. 12. A nurse is preparing to administer a transdermal adrenergic blocker. Which medication would the nurse be preparing to administer? - Clonidine 13. A client is asking how alpha adrenergic blocking medications work. Which is the nurse's best response? - "They relax the smooth muscle of blood vessels by vasodilatation." 14. After teaching a group of nursing students about cholinergic drugs, the instructor determines a need for additional teaching when the students choose which drug as being administered orally? - Edrophonium 15. A client with urinary retention is prescribed bethanechol. The nurse will administer this cautiously if which disorder is noted in the client's medical record? - Bradycardia 16. The nurse is caring for a client with myasthenia gravis and has been administering edrophonium. The nurse suspects the client needs an increased dose based on which assessment finding? - Difficulty breathing 17. A nurse is preparing to administer an ophthalmic cholinergic drug to a new client. The nurse should question this administration of the drug if which past history is noted in the client's medical record? - Corneal abrasion 18. A client with myasthenia gravis who is prescribed pyridostigmine comes to the emergency department reporting abdominal cramping, excessive diarrhea, and severe muscle weakness. The nurse would suspect which situation is occurring? - Cholinergic crisis 19. A nurse is preparing to administer a cholinergic medication. To prepare to administer the medication, the nurses is assessing the client for anticholinergic effects. Cholinergic medications act like which neurotransmitter? - Acetylcholine 20. A client diagnosed with myasthenia gravis is being discharged home after a crisis. Which should be included in the teaching plan? - Teach the client to adjust the dosage based on their needs. 21. A client with biliary colic has been prescribed atropine. The nurse should question this order after discovering which disorder in the client's past history? - Myocardial infarction 22. A nurse is caring for a client who is prescribed darifenacin. Which activity should the nurse prioritize in the ongoing assessment? - Evaluation of symptoms related to the client's diagnosis 23. A nurse is conducting a teaching session with a client who is prescribed scopolamine during the summer. The nurse determines the session is successful when the client correctly chooses which sign to report immediately to the health care provider which may indicate the client is experiencing heat prostration? - fever 24. A client in the PACU has been administered scopolamine in preparation for surgery. Which action is most appropriate for the nurse to complete after the administration? - Raise the side rails of the bed 25. A client receiving mepenzolate is reporting a cotton-mouth feeling. Which action by the nurse is most appropriate? - check the oral cavity daily for soreness or ulcerations. 26. A client with motion sickness is prescribed transdermal scopolamine. The nurse would instruct the client to apply the patch at which frequency? - Every 72 hours 27. A nursing instructor has finished teaching a group of nursing students the basic functions of the autonomic nervous system (ANS). The instructor determines the teaching is successful when the students correctly choose which functions as controlled by the ANS? Select all that apply. Heart rate Muscle movement Blood pressure Glandular secretions GI activity - Heart rate Blood pressure Glandular secretions GI activity 28. A client is admitted with reports of severe chest pain. The nurse is prepared to administer which potential sympathomimetic drug tot this client? Select all that apply. Clonidine Isoproterenol Dopamine Epinephrine Reserpine - Isoproterenol Dopamine Epinephrine 29. The nursing instructor has completed teaching a group of students about the adrenergic nervous system. The instructor determines the class is successful when the students correctly choose which types of receptors are utilized by this system? Select all that apply. Alpha Beta Delta Gamma Omega - alpha beta 30. A nurse working in the emergency department is prepared to provide care to clients with a variety of disorders. Which potential conditions should the nurse be prepared to administer a prescribed adrenergic drug? Select all that apply. Hypovolemic shock Respiratory distress Severe hypertension Allergic reactions Cardiac arrest - Hypovolemic shock Respiratory distress Allergic reactions Cardiac arrest 31. A client with congestive heart failure is prescribed dopamine. Which findings from the ongoing assessment should the nurse prioritize? Select all that apply. Headache Hypotension Cardiac arrhythmias Nausea Diarrhea - Headache Hypotension Cardiac arrhythmias Nausea 32. A client with a seizure disorder is prescribed phenytoin. The nurse prepares to carefully monitor the client for which potential adverse reaction if dopamine is also added to the regimen? Select all that apply. Hypotension Hypoglycemia Bradycardia Tachypnea Seizures - Hypotension Bradycardia Seizures 33. The nurse is preparing to administer dobutamine to a client with cardiac concerns. Which assessments should the nurse prioritize before administering this drug? Select all that apply. Blood pressure Blood glucose Respiratory rate Pulse Level of consciousness - Blood pressure Respiratory rate Pulse Level of consciousness