ATI PHARMACOLOGY PROCTORED EXAM TEST BANK|2021
1 Trimethoprim-sulfamethoxazole (TMP-SMZ) is 4.Sore throat Rationale:
prescribed for a client. A nurse should instruct the Clients taking trimethoprim-sulfamethoxazole (TMP-SMZ) should
client to report which symptom if it developed during be informed about early signs of blood disorders that can occur
the course of this medication therapy? from this medication. These include sore throat, fever, and
1.Nausea pallor, and the client should be instructed to notify the health
2.Diarrhea care provider if these symptoms occur. The other options do not
3.Headache require health care provider notification.
4. Sore throat
2 A client is diagnosed with an acute myocardial 3.Monitor for signs of bleeding. Rationale:
infarction and is receiving tissue plasminogen Tissue plasminogen activator is a thrombolytic. Hemorrhage is a
activator, alteplase (Activase, tPA). Which action is a complication of any type of thrombolytic medication. The client
priority nursing intervention? is monitored for bleeding.
1. Monitor for renal failure. Monitoring for renal failure and monitoring the client's
2.Monitor psychosocial status. psychosocial status are important but are not the most critical
3.Monitor for signs of bleeding. interventions. Heparin is given after thrombolytic therapy, but
4.Have heparin sodium available the question is not asking about follow-up medications.
3 A client is on nicotinic acid (niacin) for 4. "Ibuprofen (Motrin) taken 30 minutes before the nicotinic
hyperlipidemia and the nurse provides instructions to acid should decrease the flushing."
the client about the medication. Which statement by Rationale:
the client would indicate an understanding of the Flushing is a side effect of this medication. Aspirin or a
instructions? nonsteroidal anti- inflammatory drug can be taken 30 minutes
1."It is not necessary to avoid the use of alcohol." before taking the medication to decrease flushing. Alcohol
2."The medication should be taken with meals to consumption needs to be avoided because it will enhance this
decrease flushing." side effect. The medication should be taken with meals, this will
3."Clay-colored stools are a common side effect and decrease gastrointestinal upset. Taking the medication with
should not be of concern." meals has no effect on the flushing. Clay-colored stools are a sign
4."Ibuprofen (Motrin) taken 30 minutes before the of hepatic dysfunction and should be immediately reported to
nicotinic acid should decrease the flushing the health care provider (HCP).
4 A client who has been newly diagnosed with 2.Rotate the insulin injection sites systematically. Rationale:
diabetes mellitus has been stabilized with daily Insulin dosages should not be adjusted or increased before
insulin injections. Which information should the unusual exercise. If acetone is found in the urine, it may possibly
nurse teach when carrying out plans for discharge? indicate the need for additional insulin. To minimize the
1. Keep insulin vials refrigerated at all times. discomfort associated with insulin injections, the insulin should
2.Rotate the insulin injection sites systematically. be administered at room temperature. Injection sites should be
3.Increase the amount of insulin before unusual systematically rotated from one area to another. The client
exercise. should be instructed to give injections in one area, about 1 inch
4.Monitor the urine acetone level to determine the apart, until the whole area has been used and then to change to
insulin dosage another site. This prevents dramatic changes in daily insulin
absorption.
5 A client who is receiving digoxin (Lanoxin) daily has a 2.) 0.5 to 2 ng/mL Rationale:
serum potassium level of 3.0 mEq/L and is Therapeutic levels for digoxin range from 0.5 to 2 ng/mL.
complaining of anorexia. A health care provider Therefore, options 1, 3, and 4 are incorrect
prescribes a digoxin level to rule out digoxin toxicity.
A nurse checks the results, knowing that which of the
following is the therapeutic serum level (range) for
digoxin?
1.3 to 5 ng/mL
2.0.5 to 2 ng/mL 3. 1.2 to
2.8 ng/mL
4.3.5 to 5.5 ng/mL
Drone IT
1 Trimethoprim-sulfamethoxazole (TMP-SMZ) is 4.Sore throat Rationale:
prescribed for a client. A nurse should instruct the Clients taking trimethoprim-sulfamethoxazole (TMP-SMZ) should
client to report which symptom if it developed during be informed about early signs of blood disorders that can occur
the course of this medication therapy? from this medication. These include sore throat, fever, and
1.Nausea pallor, and the client should be instructed to notify the health
2.Diarrhea care provider if these symptoms occur. The other options do not
3.Headache require health care provider notification.
4. Sore throat
2 A client is diagnosed with an acute myocardial 3.Monitor for signs of bleeding. Rationale:
infarction and is receiving tissue plasminogen Tissue plasminogen activator is a thrombolytic. Hemorrhage is a
activator, alteplase (Activase, tPA). Which action is a complication of any type of thrombolytic medication. The client
priority nursing intervention? is monitored for bleeding.
1. Monitor for renal failure. Monitoring for renal failure and monitoring the client's
2.Monitor psychosocial status. psychosocial status are important but are not the most critical
3.Monitor for signs of bleeding. interventions. Heparin is given after thrombolytic therapy, but
4.Have heparin sodium available the question is not asking about follow-up medications.
3 A client is on nicotinic acid (niacin) for 4. "Ibuprofen (Motrin) taken 30 minutes before the nicotinic
hyperlipidemia and the nurse provides instructions to acid should decrease the flushing."
the client about the medication. Which statement by Rationale:
the client would indicate an understanding of the Flushing is a side effect of this medication. Aspirin or a
instructions? nonsteroidal anti- inflammatory drug can be taken 30 minutes
1."It is not necessary to avoid the use of alcohol." before taking the medication to decrease flushing. Alcohol
2."The medication should be taken with meals to consumption needs to be avoided because it will enhance this
decrease flushing." side effect. The medication should be taken with meals, this will
3."Clay-colored stools are a common side effect and decrease gastrointestinal upset. Taking the medication with
should not be of concern." meals has no effect on the flushing. Clay-colored stools are a sign
4."Ibuprofen (Motrin) taken 30 minutes before the of hepatic dysfunction and should be immediately reported to
nicotinic acid should decrease the flushing the health care provider (HCP).
4 A client who has been newly diagnosed with 2.Rotate the insulin injection sites systematically. Rationale:
diabetes mellitus has been stabilized with daily Insulin dosages should not be adjusted or increased before
insulin injections. Which information should the unusual exercise. If acetone is found in the urine, it may possibly
nurse teach when carrying out plans for discharge? indicate the need for additional insulin. To minimize the
1. Keep insulin vials refrigerated at all times. discomfort associated with insulin injections, the insulin should
2.Rotate the insulin injection sites systematically. be administered at room temperature. Injection sites should be
3.Increase the amount of insulin before unusual systematically rotated from one area to another. The client
exercise. should be instructed to give injections in one area, about 1 inch
4.Monitor the urine acetone level to determine the apart, until the whole area has been used and then to change to
insulin dosage another site. This prevents dramatic changes in daily insulin
absorption.
5 A client who is receiving digoxin (Lanoxin) daily has a 2.) 0.5 to 2 ng/mL Rationale:
serum potassium level of 3.0 mEq/L and is Therapeutic levels for digoxin range from 0.5 to 2 ng/mL.
complaining of anorexia. A health care provider Therefore, options 1, 3, and 4 are incorrect
prescribes a digoxin level to rule out digoxin toxicity.
A nurse checks the results, knowing that which of the
following is the therapeutic serum level (range) for
digoxin?
1.3 to 5 ng/mL
2.0.5 to 2 ng/mL 3. 1.2 to
2.8 ng/mL
4.3.5 to 5.5 ng/mL
Drone IT
