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1. A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an
INR of 6.2. The nurse should anticipate a prescription from the provider for
which of the following medications?
a. protamine sulfate
b. fondaparinux
c. vitamin K
d. bivalirudin: vitamin K
2. A charge nurse is teaching a newly licensed nurse about the purpose of a
client being prescribed a transdermal fentanyl patch. Which of the following
clients should the charge nurse include in the teaching as a client who re-
quires this medication?
a. A client who is opioid-tolerant
b. A client who has difficulty swallowing
c. A client who has severe intermittent pain
d. A client who is postoperative following abdominal surgery: A client who is opioid-
tolerant
3. A nurse is assessing a client who is receiving clozapine to treat schizophre-
nia. The nurse should identify an increase in which of the following parame-
ters as an early indication of an adverse effect of this medication?
a. urine specific gravity
b. urine output
c. blood pressure
d. temperature: temperature
4. A nurse is providing teaching to a client who has a new prescription for a
fentanyl transdermal patch. Which of the following statements by the client
indicates an understanding of the teaching?
a. " The patch will not cause constipation like other pain medications do"
b. "I will have to stop drinking grapefruit juice while using the patch"
c. "I will place a heating pad over the patch to boost its effectiveness"
d. "The patch will give me relief from my pain faster than the pills can": "I will
have to stop drinking grapefruit juice while using the patch"
, Pharm Midterm ATI questions
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5. A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis.
The nurse should anticipate a prescription from the provider for which of the
following medications for daily management of this condition?
a. Celecoxib
b. Prednisone
c. Adalimumab
d. Abatacept: Celecoxib
6. A nurse is caring for a client who has schizophrenia and a prescription for
chlorpromazine. For which of the following adverse effects should the nurse
monitor?
a. Orthostatic hypotension
b. Diarrhea
c. Urinary frequency
d. Bradycardia: orthostatic hypotension
7. A nurse is reviewing the lab results of a client who is taking a medication
and notes that the client's blood tests show an elevated level of the enzymes
aspirate aminotransferase (AST) and alanine aminotransferae (ALT). The nurse
should recognize these findings are potential indications of which of the
following conditions?
a. Renal dysfunction
b. Myelotoxicity
c. Hepatic toxicity
d. Cardiac dysrhythmia: Hepatic toxicity
8. 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: Reye's syndrome