AT I Pharmacology Proctor 2019 1.) A nurse is assess ing a cl ient who is rece iv ing intravenous therapy. The nurse should ident ify wh ich of the follow ing f ind ings as a man ifestat ion of flu id volume excess?
a.Decreased bowel sounds
b.D istended neck ve ins
c.B ilateral muscle weakness
d.Thread pulse
2.) A nurse is car ing for a cl ient who has hyponatrem ia and is rece iv ing an infus ion of a prescr ibed hyperton ic solut ion. Wh ich of the follow ing f ind ings should ind icate to the nurse that the treatment is effect ive?
a.Absent Chvostek’s s ign
b. Improved cogn it ion
c.Decreased vom it ing
d.Card iac arrhythm ias absent
3.) A nurse is teach ing a cl ient who has a new prescr ipt ion for a n itroglycer in transdermal patch.
Wh ich of the follow ing instruct ions should the nurse include?
a.“D iscont inue the patch if you exper ience a headache.”
b.“Apply a new patch if you have chest pa in.”
c.“Cover the patch w ith dry gauze when tak ing a shower.”
d.“Remove the patch pr ior to go ing to bed.”
4.) A nurse is rev iew ing he laboratory results of a cl ient who has a prescr ipt ion for sod ium polystyrene sulfonate (Kayexalate) every 6 hr. wh ich of the follow ing should the nurse report to the prov ider?
a.Creat in ine 0.72 mg/dL
b.Sod ium 138 mEq/L
c.Magnes ium 2 mEq/L
d.Potass ium 5.2 mEq/L - Hyperkalem ia (serum potass ium level greater than 5.0 mEq/L) increases the cl ient r isk for fatal card iac dysrhythm ias. Kayexalate is used to decrease the serum potass ium level, so the PN should mon itor the cl ient's serum potass ium level
5.) A nurse is car ing for a cl ient who has tuberculos is and is tak ing ison iaz id and r ifamp in. Wh ich of the follow ing outcomes ind icates that the cl ient is adher ing to the med icat ion reg imen?
a.The cl ient has a negat ive sputum culture
b.The cl ient tests negat ive for H IV
c.The cl ient has a pos it ive pur if ied prote in der ivat ive test
d.The cl ient’s l iver funct ion test results are w ith in the expected reference range
6.) A cl ient is car ing for a cl ient who develops an anaphylact i c react ion to IV adm in istrat ion. After assess ing the cl ient’s resp iratory status and stopp ing the med icat ion infus ion. Wh ich of the follow ing act ions should the nurse take next?
a.Replace the infus ion w ith 0.9% sod ium chlor ide
b.G ive d iphenhydram ine IM
c.Elevate the cl ient’s legs and feet
d.Adm in ister ep inephr ine IM 7.) A nurse is car ing for a cl ient who is tak ing sertral ine and reports a des ire to beg in tak ing supplements. Wh ich of the follow ing supplements should the nurse adv ise the cl ient to avo id?
a.St. John’s Wort
b.G inger root
c.Black cohosh
d.Coenzyme Q10
8.) A nurse is car ing for a cl ient who has heart fa ilure and a new prescr ipt ion for l is inopr il. For wh ich of the follow ing adverse effects should the nurse mon itor when adm in ister ing l is inopr il?
a.Bradycard ia
b.Hypokalem ia
c.T inn itus
d.Hypotens ion
9.) A nurse is assess ing a cl ient who is rece iv ing hepar in IV cont inuous IV. The cl ient has an PPT of 90 seconds. They should mon itor the cl ient for wh ich of the follow ing changes in the ir v ital s igns?
a.Decreased temperature
b. Increased pulse rate
c.Decreased resp iratory rate
d. Increased blood pressure
10.) A nurse is prepar ing to adm in ister med icat ion to a cl ient and d iscovers a med icat ion error.
The nurse should recogn ize that wh ich of the follow ing staff members is respons ible for
complet ing an inc ident report?
a.The qual ity improvement comm ittee
b.The nurse who ident if ies the error
c.The nurse who caused the error
d.The charge nurse
11.) A nurse is plann ing care for a cl ient who is rece iv ing morph i ne v ia cont inuous ep idural infus ion.
The nurse should mon itor the cl ient for wh ich of the follow ing?
a.Prur itus – S ign of allerg ic react ion to morph ine
b.Cough
c.Tachypnea
d.Gastr ic bleed ing
12.)A nurse is prepar ing to adm in ister d igox in orally to a cl ient. Ident ify the sequence of steps the nurse should take. (Move the steps into the box on the r ight, plac ing them in the order of performance. Use all the steps.)
a.Obta in the cl ient’s ap ical heart rate
b.Remove the med icat ion from the d ispens ing system
c.Open the med icat ion package
d. Compare the cl ient’s wr istband to the med icat ion adm in istrat ion record e. Document adm in istrat ion of the med icat ion 13.) A nurse is rev iew ing the med ical record of an adult cl ient who has a fever and a prescr ipt ion for acetam inophen. Wh ich of the follow ing f ind ings should the nurse ident ify as a contra ind icat ion for rece iv ing th is med icat ion?
a.Alcohol use d isorder
b.Chron ic k idney d isease
c.Hepat it is B vacc ine w ith in the last week
d.D iabetes mell itus
14.) A home health nurse is v is it ing a cl ient who has heart fa ilure and a prescr ipt ion for furosem ide.
The nurse ident if ies that the cl ient has ga ined 2.5 kg (5 lb.) s ince the last v is it 2 days ago. Wh ich
of the follow ing act ions should the nurse take f irst?
a.Encourage the cl ient to dangle the legs wh ile s itt ing in a cha ir
b.Teach the cl ient about foods low in sod ium
c.Determ ine med icat ion adherence by the cl ient
d.Not ify the prov ider of the cl ient’s we ight ga in
15.) A nurse is prepar ing to adm in ister the in it ial dose of pen ic ill in G IM to a cl ient. The nurse should mon itor for wh ich of the follow ing as an ind icat ion of an allerg ic react ion follow ing the inject ion?
a.Urt icar ia
b.Bradycard ia
c.Pallor
d.Dyspeps ia
16.)A nurse is teach ing a cl ient who has ang ina a new prescr ipt ion for subl ingual n itroglycer in tablets. Wh ich of the follow ing instruct ions should the nurse include in the teach ing?
a.“D iscard any tablets you do not use every 6 months.”
b.“Take one tablet each morn ing 30 m inutes pr ior to eat ing.”
c.“Keep the tablets at room temperature in the ir or ig inal glass bottle.”
d.“Place the tablet between your cheek and gum to d issolve.”
17.) A nurse is prov id ing teach ing to a cl ient who has a new prescr ipt ion for theophyll ine, a susta ined-released capsule. Wh ich of the follow ing statements by the cl ient ind icates an understand ing of the teach ing?
a.“ I can take my med icat ion in the morn ing w ith my coffee.”
b.“ I may spr inkle the med icat ion in applesauce.”
c.“ I should l im it my flu id intake wh ile on th is med icat ion.”
d.“ I w ill need to have blood levels drawn.”
18.)A nurse is m ix ing regular insul in and NPH insul in in the same syr inge pr ior to adm in ister ing it to cl ient who has d iabetes mell itus follow ing act ions should the nurse take f irst?
a.W ithdraw the regular insul in from the v iral
b.W ithdraw the NPH insul in form the v ial
c. Inject a ir into the NPH v ial
d. Inject a ir into the regular insul in v ial
19.)A nurse is prepar ing to adm in ister subcutaneous hepar in to a cl ient. Wh ich of the follow ing should the nurse take?
a.Decreased bowel sounds
b.D istended neck ve ins
c.B ilateral muscle weakness
d.Thread pulse
2.) A nurse is car ing for a cl ient who has hyponatrem ia and is rece iv ing an infus ion of a prescr ibed hyperton ic solut ion. Wh ich of the follow ing f ind ings should ind icate to the nurse that the treatment is effect ive?
a.Absent Chvostek’s s ign
b. Improved cogn it ion
c.Decreased vom it ing
d.Card iac arrhythm ias absent
3.) A nurse is teach ing a cl ient who has a new prescr ipt ion for a n itroglycer in transdermal patch.
Wh ich of the follow ing instruct ions should the nurse include?
a.“D iscont inue the patch if you exper ience a headache.”
b.“Apply a new patch if you have chest pa in.”
c.“Cover the patch w ith dry gauze when tak ing a shower.”
d.“Remove the patch pr ior to go ing to bed.”
4.) A nurse is rev iew ing he laboratory results of a cl ient who has a prescr ipt ion for sod ium polystyrene sulfonate (Kayexalate) every 6 hr. wh ich of the follow ing should the nurse report to the prov ider?
a.Creat in ine 0.72 mg/dL
b.Sod ium 138 mEq/L
c.Magnes ium 2 mEq/L
d.Potass ium 5.2 mEq/L - Hyperkalem ia (serum potass ium level greater than 5.0 mEq/L) increases the cl ient r isk for fatal card iac dysrhythm ias. Kayexalate is used to decrease the serum potass ium level, so the PN should mon itor the cl ient's serum potass ium level
5.) A nurse is car ing for a cl ient who has tuberculos is and is tak ing ison iaz id and r ifamp in. Wh ich of the follow ing outcomes ind icates that the cl ient is adher ing to the med icat ion reg imen?
a.The cl ient has a negat ive sputum culture
b.The cl ient tests negat ive for H IV
c.The cl ient has a pos it ive pur if ied prote in der ivat ive test
d.The cl ient’s l iver funct ion test results are w ith in the expected reference range
6.) A cl ient is car ing for a cl ient who develops an anaphylact i c react ion to IV adm in istrat ion. After assess ing the cl ient’s resp iratory status and stopp ing the med icat ion infus ion. Wh ich of the follow ing act ions should the nurse take next?
a.Replace the infus ion w ith 0.9% sod ium chlor ide
b.G ive d iphenhydram ine IM
c.Elevate the cl ient’s legs and feet
d.Adm in ister ep inephr ine IM 7.) A nurse is car ing for a cl ient who is tak ing sertral ine and reports a des ire to beg in tak ing supplements. Wh ich of the follow ing supplements should the nurse adv ise the cl ient to avo id?
a.St. John’s Wort
b.G inger root
c.Black cohosh
d.Coenzyme Q10
8.) A nurse is car ing for a cl ient who has heart fa ilure and a new prescr ipt ion for l is inopr il. For wh ich of the follow ing adverse effects should the nurse mon itor when adm in ister ing l is inopr il?
a.Bradycard ia
b.Hypokalem ia
c.T inn itus
d.Hypotens ion
9.) A nurse is assess ing a cl ient who is rece iv ing hepar in IV cont inuous IV. The cl ient has an PPT of 90 seconds. They should mon itor the cl ient for wh ich of the follow ing changes in the ir v ital s igns?
a.Decreased temperature
b. Increased pulse rate
c.Decreased resp iratory rate
d. Increased blood pressure
10.) A nurse is prepar ing to adm in ister med icat ion to a cl ient and d iscovers a med icat ion error.
The nurse should recogn ize that wh ich of the follow ing staff members is respons ible for
complet ing an inc ident report?
a.The qual ity improvement comm ittee
b.The nurse who ident if ies the error
c.The nurse who caused the error
d.The charge nurse
11.) A nurse is plann ing care for a cl ient who is rece iv ing morph i ne v ia cont inuous ep idural infus ion.
The nurse should mon itor the cl ient for wh ich of the follow ing?
a.Prur itus – S ign of allerg ic react ion to morph ine
b.Cough
c.Tachypnea
d.Gastr ic bleed ing
12.)A nurse is prepar ing to adm in ister d igox in orally to a cl ient. Ident ify the sequence of steps the nurse should take. (Move the steps into the box on the r ight, plac ing them in the order of performance. Use all the steps.)
a.Obta in the cl ient’s ap ical heart rate
b.Remove the med icat ion from the d ispens ing system
c.Open the med icat ion package
d. Compare the cl ient’s wr istband to the med icat ion adm in istrat ion record e. Document adm in istrat ion of the med icat ion 13.) A nurse is rev iew ing the med ical record of an adult cl ient who has a fever and a prescr ipt ion for acetam inophen. Wh ich of the follow ing f ind ings should the nurse ident ify as a contra ind icat ion for rece iv ing th is med icat ion?
a.Alcohol use d isorder
b.Chron ic k idney d isease
c.Hepat it is B vacc ine w ith in the last week
d.D iabetes mell itus
14.) A home health nurse is v is it ing a cl ient who has heart fa ilure and a prescr ipt ion for furosem ide.
The nurse ident if ies that the cl ient has ga ined 2.5 kg (5 lb.) s ince the last v is it 2 days ago. Wh ich
of the follow ing act ions should the nurse take f irst?
a.Encourage the cl ient to dangle the legs wh ile s itt ing in a cha ir
b.Teach the cl ient about foods low in sod ium
c.Determ ine med icat ion adherence by the cl ient
d.Not ify the prov ider of the cl ient’s we ight ga in
15.) A nurse is prepar ing to adm in ister the in it ial dose of pen ic ill in G IM to a cl ient. The nurse should mon itor for wh ich of the follow ing as an ind icat ion of an allerg ic react ion follow ing the inject ion?
a.Urt icar ia
b.Bradycard ia
c.Pallor
d.Dyspeps ia
16.)A nurse is teach ing a cl ient who has ang ina a new prescr ipt ion for subl ingual n itroglycer in tablets. Wh ich of the follow ing instruct ions should the nurse include in the teach ing?
a.“D iscard any tablets you do not use every 6 months.”
b.“Take one tablet each morn ing 30 m inutes pr ior to eat ing.”
c.“Keep the tablets at room temperature in the ir or ig inal glass bottle.”
d.“Place the tablet between your cheek and gum to d issolve.”
17.) A nurse is prov id ing teach ing to a cl ient who has a new prescr ipt ion for theophyll ine, a susta ined-released capsule. Wh ich of the follow ing statements by the cl ient ind icates an understand ing of the teach ing?
a.“ I can take my med icat ion in the morn ing w ith my coffee.”
b.“ I may spr inkle the med icat ion in applesauce.”
c.“ I should l im it my flu id intake wh ile on th is med icat ion.”
d.“ I w ill need to have blood levels drawn.”
18.)A nurse is m ix ing regular insul in and NPH insul in in the same syr inge pr ior to adm in ister ing it to cl ient who has d iabetes mell itus follow ing act ions should the nurse take f irst?
a.W ithdraw the regular insul in from the v iral
b.W ithdraw the NPH insul in form the v ial
c. Inject a ir into the NPH v ial
d. Inject a ir into the regular insul in v ial
19.)A nurse is prepar ing to adm in ister subcutaneous hepar in to a cl ient. Wh ich of the follow ing should the nurse take?
