ATI PHARMACOLOGY PROCTORED EXAM

1. A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of mannitol 25% for one hour which of the following adverse affects should the nurse report to the provider immediately a. Peripheral edema i. The greatest risk to the client receiving mannitol IV is development of heart failure therefore the nurse should report peripheral edema to the provider immediately 2. A nurse is providing teaching to a client with peptic ulcer disease and is to start a new prescription for sucralfate. The nurse explain to the client with medication a. Forms a protective barrier over ulcers i. Sucralfate a mucosal protectant forms a gel like substance coating the ulcer creating a barrier to hydrochloric acid 3. Nurse is caring for a client who is 24 hour post operative following abdominal surgery and has been taking morphine sulfate PRN for incisional pain the nurse should assess the client for which of the following adverse affects a. Urinary retention i. morphine increases bladder sphincter and detrussor muscle tone as well as dulling the clients ability to perceive bladder fullness resulting in urinary retention 4. A nurse is providing teaching about insulin glargine to a client who has type I diabetes mellitus. Which of the following should the nurse include in the instructions a. Do not mix this medication in a syringe with other insulins i. insulin glargine does not cause peaks instead it maintains a study blood level over a 24 hour period which reduces the risk of hypoglycemia 5. A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma for which of the following adverse affects should the nurse instruct the client to monitor and report a. Tingling of fingers i. Hyperglycemia rather than hypoglycemia is an adverse effect of Acetazolaminde 6. A client is just diagnosed with tuberculosis and is prescribed a for medication regimen of isoniazid , pyrainamide, rifampin, and ethambutol. The client asks why he has to take so many pills. Which of the following is an appropriate response by the nurse a. This regimen will eliminate various combinations of resistant strains of TB i. The risk of undesired effects increases with multi medication therapy 7. The nurse is caring for a client who is receiving long term treatment for systemic lupus erythematosus with prednisone the nurse should inform the client to expect to undergo which of the following diagnostic test to monitor for long-term complications a. Bone density scans i. Adverse effects of glucocorticoids include osteoporosis which is monitored with regular schedule bone density scans 8. At 0900 a nurse is preparing the clients medications based on the chart findings which of the following medications should the nurse administer first a. Sodium polystyrene sulfate i. You do not need to give pain medication first if the patient's pain is only moderate 9. A nurse is caring for a client who has pneumonia the client tells nurse she is pregnant but has not told her provider which of the following medication orders should the nurse question a. Doxycycline i. pregnancy is a contraindication for doxycycline, a tetracycline antibiotic, due to the medications adverse affects on developing bones and teeth 10. A nurse is caring for a client to his heart failure and is prescribe enalapril the nurse should monitor the client for which of the following a. Hyperkalemia i. a client taking enalapril can develop hyperkalemia due to potassium retention by the kidneys 11. A nurses in a providers office is assessing a client who has been taking aspirin daily. For the past year which of the following findings should the nurse notify the provider immediately a. Hyperventilation i. aspirin may cause gastrointestinal distress including heartburn but that is not the most urgent finding 12. A nurse is caring for an older adult client. The client received 0.9% sodium chloride 1L over 4 hr instead of over 8hr as prescribed which of the following entries is appropriate documentation of this occurrence in the clients medical record. a. 0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable i. The nurse should only chart factual information without using judgmental language in the medical record 13. Nurse is caring for a client who is starting a new prescription for warfarin which of the following medication should the nurse plan to administer if the clients experiences bleeding a. Vitamin K i. Vitamin K as an antodone acetylcysteine is the antidote for warfarin toxicity 14. A nurse is monitoring clients receiving an IV infusion of magnesium sulfate for preterm labor which of the following findings indicate to the nurse that the client is experiencing magnesium toxicity a. Decreased level of consciousness i. magnesium toxicity results in central nervous system depression 15. A nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer the nurse informed the client that which of the following side effects can develop select all that apply a. Menstrual irregularities b. hot flashes c. bruising i. Tamoxifen is an anti-estrogen medication ......................................................................................................CONTINUE