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ATI RN Pharmacology Proctored Exam 2021/2022 , RN ATI Pharmacology Proctored Exam 2021 /2024

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1. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodiumchloride IV over8 hours. The nurse plans to use IV tubing with a drop factor of 10gtt/mL. How many gtt/min of IV fluid should the client receive? (Round your answertothe nearest wholenumber). 31gtt/min 2. A nurse is admitting a client to a long-term care facility. While reconcilingthe medication prescribed at home with those prescribed in the facility, the nursediscovers a discrepancy in thedosages. Which action should the nursetake? o Clarify the medication dosages with theprovider. o Change the prescribed medication dosages to reconcile thediscrepancy oContact the pharmacist regarding the dosagediscrepancies o Ask a family member to verify the medicationdosages 3. A nurse is caring for a client who is receiving a fentanyl transdermalsystem(Duragesic). What is important to document in the client’srecord? o Fluidintake o Skinintegrity o Respiratoryrate oPulserate ATI RN Pharmacology Proctored Exam 2021/2022 , RN ATI Pharmacology Proctored Exam 2021 /2022 4. A nurse is caring for a client who has acute angina and has a prescription fornitroglycerin. Whichof the following is an appropriate intervention for the nurse totake whenadministering thismedication? o Massage the nitroglycerin ointment completely into theskin. oReplace the nitroglycerin transdermal patch every 4hours. o Administer a sustained nitroglycerin tabletorally. o Administer a nitroglycerin tablet sublingually every 5minutes. 5. A nurse is assessing a school age client who is experiencing seizure activity and isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receivinga continuousinfusion of which of the followingIV: o Lactated Ringerssolution o 0.9% Sodium chloride with 100 units of regularinsulin o0.9% sodiumchloride o 0.9% Sodium chloride with 20 mEq of potassiumchloride o A nurse is providing discharge dietary teaching to a client who has a something and is taking medicationtheophylline and to provide general instructions the nurse should include? Avoid caffeinated beverages 2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Whichof the following actions should the nurse take first? Inject air into the NPH vial 3. a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. Whatinstructions should the nurse include? Sit upright for at least 30 mins after taking the medication 4. a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphinefor pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? Bladder distention 5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of thefollowing information should the nurse include in the teaching? Administer the medication into one nostril once per week 6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instructthe newly license nurse for medication reconciliation for which of the following clients? A client who has been transferred to a step-down unit 7. a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Whichof the following is the nurses priority? Uterine tachysystole 8. a nurse is performing a return demonstration of an enoxaparin administration. Which of the followingclient actions indicates an understanding of the teaching?Administers the medication into the abdomen 9. a nurse is assessing a client how has been taking digoxin and …… which of the following findings to thenurse indicates this client has developed digoxin toxicity?Blurred vision ATI PHARMACOLOGY PROCTORED EXAM 10. a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinicresponse. Which if the following manifestations should the nurse expect?Excessive salivation 6. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heartfailure. Whichof the following indicates an expectedfinding? o Activitytolerance o Orthostatichypoten sion oLoss of strength o Increase in bloodpressure 7. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of thefollowingtherapeutic effects should the nursemonitor? o Increased urineoutput o Increasedenergy o Decreased anxiety o Decreased spacity 8. A nurse is assessing a school age client who is experiencing seizure activity and isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receivinga continuousinfusion of which of the followingIV: o Lactated Ringerssolution o 0.9% Sodium chloride with 100 units of regularinsulin o0.9% sodiumchloride o 0.9% Sodium chloride with 20 mEq of potassiumchloride A nurse is providing teaching to a client who has gout and a new prescriptionfor allopurinol. The nurse should instruct the client to discontinue taking the medication for ATI PHARMACOLOGY PROCTORED EXAM which of the following adverse effects? 1. Nausea 2. Metallic taste 3. Fever 4. Drowsiness A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitorfor which of the following adverse effects of this medication? 1. Jaundice 2. Constipation 3. Oral candidiasis 4. Sedation a nurse is providing teaching to a client who has rhematoid arthritis and a prescription for long term prednisone therapy. the nurse should instruct theclient to monitor for which of the following adverse effects? 1. Stress fractures

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