ATI Pharmacology Proctored Test Bank | Questions with Verified Answers (Already Graded A+) 2023/2024

ATI Pharmacology Proctored Test Bank | Questions with Verified Answers (Already Graded A+) 2023/2024. A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? lOMoARcPSD| 4 A. Taking all medications out of the unit-dose wrappers before entering the client's room B. Checking the prescription when a single dose requires administration of multiple tablets C. Administering a medication, then looking up the usual dosage range D. Relying on another nurse to clarify a medication prescription 11. A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) A. A client at 8 weeks of gestation who asks for an influenza immunization B. A client who takes prednisone and has a possible fungal infection C. A client who has chronic liver disease and is taking hydrocodone / acetaminophen D. A client who has peptic ulcer disease, takes sucralfate, and has started taking OTC aluminum hydroxide lOMoARcPSD| 5 E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy 12. A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states when they took penicillin 3 years ago, they developed a rash. Which of the following actions should the nurse take? A. Administer the prescribed dose. B. Withhold the medication. C. Ask the provider to change the prescription to an oral form. D. Administer an oral antihistamine the same time. 13. A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give? A. "Be sure to limit your potassium intake while taking the medication." B. "You should check your blood pressure every 8 hours while taking this medication." C. "Your medication dosage will be increased if you develop tachycardia." D. "Change positions slowly when you move from sitting to standing." 14. A nurse is reviewing a client's health record and notes that the client experienced permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client? A. Cardiovascular B. Immune C. Central nervous D. Gastrointestinal 15. A nurse is caring for a client who is taking oral oxycodone. The client is also taking ibuprofen in three recommended doses daily. The nurse should identify that an interaction between these two medications will cause which of the following findings? A. A decrease in blood levels of ibuprofen, possibly leading to a need for increased doses of this medication B. A decrease in blood levels of oxycodone, possibly leading to a need for increased doses of this medication. C. An increase in the expected therapeutic effect of both medications Downloaded by Valenzuela Tablet () lOMoARcPSD| 6 D. An increase in expected adverse effects for both medications 16. A nurse is preparing to administer medications to a 4-month-old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (Select all that apply.) A. Infants have a more rapid gastric emptying time. B. Infants have immature liver function. C. Infants' blood-brain barrier is poorly developed. D. Infants have an increased ability to absorb topical medications. E. Infants have an increased number of protein-binding sites. Downloaded by Valenzuela Tablet () lOMoARcPSD| 7 17. A nurse in a provider's office is reviewing the medical record of a client who is pregnant and at the first prenatal visit. Which of the following immunizations can the nurse administer safely to this client? A. Varicella vaccine B. Rubella vaccine C. Inactivated influenza vaccine D. Measles vaccine 18. A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness? A. Reduced cardiac function B. First-pass effect C. Reduced hepatic function D. Increased gastric motility 19. A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. Which of the following herbal supplements should the nurse report to the provider as the potential cause? A. Glucosamine B. Saw palmetto C. Kava D. St. John's Wort 2. A nurse is caring for a client who requests information on the use of feverfew. Which of the tallowing responses should the nurse make? A. "It is used to treat skin infections." B. "It can decrease the frequency of migraine headaches." C. "It can lessen the nasal congestion in the common cold." D. "It can relieve nausea of morning sickness during pregnancy." 20. A nurse is reviewing a client's current medications. The client states, "I also take ginkgo Downloaded by Valenzuela Tablet () lOMoARcPSD| 8 biloba." Which of the following medications has the potential to interact with ginkgo biloba? A. Acetaminophen B. Warfarin C. Digoxin D. Lisinopril 21. A nurse is caring for a client who asks about the potential adverse effects of smoking cannabis. Which of the following manifestations should the nurse include in the response? (Select all that apply.) A. Decreased heart rate B. Dry mouth C. Hallucinations D. Hypertension Downloaded by Valenzuela Tablet () lOMoARcPSD| 9 E. Increased urination 22. A nurse is teaching about the use of medical marijuana with a group of newly licensed nurses. Which of the following statements indicates an understanding of the teaching? A. A health care provider must write a prescription for medical marijuana. B. Medical marijuana is a Schedule V controlled substance in the United States. C. Pharmacies must obtain certification prior to dispensing medical marijuana. D. The FDA does not recognize the marijuana plant as a form of medicine. 23. A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? A. Administer flumazenil. B. Identify the client's level of orientation. C. Infuse IV fluids. D. Prepare the client for gastric lavage. 24. A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A. "I should take the medication on an empty stomach." B. "I will follow a low-sodium diet while taking this medication." C. "I need to discontinue this medication slowly." D. "I should not crush this medication before swallowing." 25. A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? A. "Take this medication on an empty stomach." B. "Expect optimal therapeutic effects within 24 hr." C. "Take this medication when needed for anxiety." D. "This medication has a low risk for dependency." Downloaded by Valenzuela Tablet () lOMoARcPSD| 10 26. A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep." C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication." 27. A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism? (Select all that apply.) A. Concurrent administration of buspirone Downloaded by Valenzuela Tablet () lOMoARcPSD| 11 B. Administration of a different SSRI C. Use of a mouth guard D. Changing to a different class of antidepressant medication E. Increasing the dose of paroxetine 28. A nurse is teaching the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is the priority to report to the provider? A. Constipation B. Suicidal thoughts C. Photophobia D. Dry mouth 2. A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? A. Wear sunglasses when outdoors. B. Check your temperature daily. C. Take this medication in the morning. D. Add extra calories to your diet. 29. A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? A. Kidney toxicity B. Liver damage C. Seizure activity D. Adrenal insufficiency 30. A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? A. Apply one patch twice Downloaded by Valenzuela Tablet () lOMoARcPSD| 12 per day. B. Leave the patch on for 9 hr. C. Apply the patch to the child's waist. D. Use opened tray within 6 months. 31. A nurse is teaching the guardians and their school-age child about a new prescription for lisdexamfetamine. Which of the following information should the include in the teaching? (Select all that apply.) A. An adverse effect of this medication is CNS stimulation. B. Administer the medication before bedtime. C. Monitor blood pressure while taking this medication. D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop. E. This medication raises the levels of dopamine in the brain. Downloaded by Valenzuela Tablet () lOMoARcPSD| 13 32. 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? Reye's syndrome Visual disturbances Diabetes mellitus Wilms' tumor 33. A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? Reduces blood pressure Inhibits clotting of fistula Promotes RBC production