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ATI PN PHARMACOLOGY PROCTOR ASSESSMENT A AND
ASSESSMENT B NEWEST 2024 REAL COMPLETE 140
EXAM QUESTIONS AND VERIFIED DETAILED ANSWERS
a nurse is planning to reinforce teaching regarding newborn
immunizations with a client who is 24 hr postpartum. which of the
following information should the nurse plan to include?
a. "your baby will receive the first hepatitis B vaccine before discharge"
b. your baby will receive the rotavirus vaccine if your blood titer is low."
c. "your baby will receive the first influenza virus vaccine at the 4-week
check up."
d. "your baby will receive the varicella if you have a history of
chickenpox" - ANS a. "your baby will receive the first hepatitis B
vaccine before discharge"
a nurse is reinforcing teaching with a client about the adverse effects of
simvastatin. for which of the following adverse effects should the nurse
instruct the client to notify the provider?
a. muscle pain
b. fine hand tremors
c. urinary retention
d. double vision - ANS a. muscle pain
a nurse is caring for a client who has a prescription for a hydromorphone
2 mg immediate release tablet by mouth. the nurse administers a 4 mg
immediate release tablet by mistake. which of the following actions
should the nurse take first?
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a. document the facts about the error in the medication administration
record
b. obtain the client's vital signs & level of consciousness
c. prepare an incident report
d. report the error to the provider & charge nurse - ANS b. obtain the
client's vital signs & level of consciousness
a nurse is collecting data from a client who is postoperative & taking
morphine for pain. which of the following findings is the priority for the
nurse to report the provider?
a. constipation
b. oxygen saturation 87%
c. vomiting
d. urinary output 25 mL over 1 hr - ANS b. oxygen saturation 87%
a nurse is reinforcing teaching with a client who has seizures & a new
prescription for valproic acid. the nurse should instruct the client to report
which of the following adverse effects of valproic acid immediately to the
provider?
a. abdominal pain
b. hair loss
c. weight gain
d. ataxia - ANS a. abdominal pain
a nurse is caring for a client who has hyperthyroidism & has been taking
methimazole. which of the following laboratory findings should indicate
to the nurse that the medication has had a therapeutic effect?
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a. decreased blood glucose level
b. increased Hgb
c. increased platelets
d. decreased T4 - ANS d. decreased T4
a nurse is assisting with the care of a client who has MRSA infection & is
receiving vancomycin via IV infusion. which of the following changes in
the client's condition should the nurse identify as the priority finding to
report to the provider?
a. nausea
b. back pain
c. hypotension
d. chills - ANS c. hypotension
a nurse is reinforcing teaching with the parent of a preschooler who has
otitis media. the child has had a low-grade fever & irritability for 2 days.
which of the following instruction should the nurse include in the
teaching?
a. "administer amoxicillin twice a day for 3 days"
b. apply cold packs every 4 hours for relief of pain"
c. give acetaminophen as needed for discomfort & fever"
d. return to the office in 72 hrs for a follow-up appointment" - ANS c.
give acetaminophen as needed for discomfort & fever"
a nurse is reinforcing teaching with a client who has new prescription for
etanercept to treat rheumatoid arthritis. which of the following instruction
about self-administering this medication should the nurse include?
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a. discard any solutions that are cloudy
b. attach a 21-gauge needle to the syringe for injection
c. self-administer the medication on alternate days
d. shake the reconstituted solution well before self-administration -
ANS a. discard any solutions that are cloudy
a nurse is collecting data from a client who has Parkinson's disease & is
taking levodopa/carbidopa. the nurse should identify which of the
following findings as an adverse effect of this medication?
a. dark urine
b. hypertension
c. increased salivation
d. salivation - ANS a. dark urine
a nurse is instilling timolol eyedrops for a client who has glaucoma.
which of the following actions should the nurse take after instilling the
eyedrops?
a. press the nasolacrimal duct
b. apply pressure to the upper eyelids
c. ask the client to blink her eyes several times
d. tell the client to keep eyes open for at 15 seconds - ANS a. press
the nasolacrimal duct
a nurse is monitoring a client who is receiving repaglinide for DM II.
which of the following laboratory test should the nurse plan to review to
obtain information about the long-term therapeutic effect of this
medication?
ATI PN PHARMACOLOGY PROCTOR ASSESSMENT A AND
ASSESSMENT B NEWEST 2024 REAL COMPLETE 140
EXAM QUESTIONS AND VERIFIED DETAILED ANSWERS
a nurse is planning to reinforce teaching regarding newborn
immunizations with a client who is 24 hr postpartum. which of the
following information should the nurse plan to include?
a. "your baby will receive the first hepatitis B vaccine before discharge"
b. your baby will receive the rotavirus vaccine if your blood titer is low."
c. "your baby will receive the first influenza virus vaccine at the 4-week
check up."
d. "your baby will receive the varicella if you have a history of
chickenpox" - ANS a. "your baby will receive the first hepatitis B
vaccine before discharge"
a nurse is reinforcing teaching with a client about the adverse effects of
simvastatin. for which of the following adverse effects should the nurse
instruct the client to notify the provider?
a. muscle pain
b. fine hand tremors
c. urinary retention
d. double vision - ANS a. muscle pain
a nurse is caring for a client who has a prescription for a hydromorphone
2 mg immediate release tablet by mouth. the nurse administers a 4 mg
immediate release tablet by mistake. which of the following actions
should the nurse take first?
,2|Page
a. document the facts about the error in the medication administration
record
b. obtain the client's vital signs & level of consciousness
c. prepare an incident report
d. report the error to the provider & charge nurse - ANS b. obtain the
client's vital signs & level of consciousness
a nurse is collecting data from a client who is postoperative & taking
morphine for pain. which of the following findings is the priority for the
nurse to report the provider?
a. constipation
b. oxygen saturation 87%
c. vomiting
d. urinary output 25 mL over 1 hr - ANS b. oxygen saturation 87%
a nurse is reinforcing teaching with a client who has seizures & a new
prescription for valproic acid. the nurse should instruct the client to report
which of the following adverse effects of valproic acid immediately to the
provider?
a. abdominal pain
b. hair loss
c. weight gain
d. ataxia - ANS a. abdominal pain
a nurse is caring for a client who has hyperthyroidism & has been taking
methimazole. which of the following laboratory findings should indicate
to the nurse that the medication has had a therapeutic effect?
,3|Page
a. decreased blood glucose level
b. increased Hgb
c. increased platelets
d. decreased T4 - ANS d. decreased T4
a nurse is assisting with the care of a client who has MRSA infection & is
receiving vancomycin via IV infusion. which of the following changes in
the client's condition should the nurse identify as the priority finding to
report to the provider?
a. nausea
b. back pain
c. hypotension
d. chills - ANS c. hypotension
a nurse is reinforcing teaching with the parent of a preschooler who has
otitis media. the child has had a low-grade fever & irritability for 2 days.
which of the following instruction should the nurse include in the
teaching?
a. "administer amoxicillin twice a day for 3 days"
b. apply cold packs every 4 hours for relief of pain"
c. give acetaminophen as needed for discomfort & fever"
d. return to the office in 72 hrs for a follow-up appointment" - ANS c.
give acetaminophen as needed for discomfort & fever"
a nurse is reinforcing teaching with a client who has new prescription for
etanercept to treat rheumatoid arthritis. which of the following instruction
about self-administering this medication should the nurse include?
, 4|Page
a. discard any solutions that are cloudy
b. attach a 21-gauge needle to the syringe for injection
c. self-administer the medication on alternate days
d. shake the reconstituted solution well before self-administration -
ANS a. discard any solutions that are cloudy
a nurse is collecting data from a client who has Parkinson's disease & is
taking levodopa/carbidopa. the nurse should identify which of the
following findings as an adverse effect of this medication?
a. dark urine
b. hypertension
c. increased salivation
d. salivation - ANS a. dark urine
a nurse is instilling timolol eyedrops for a client who has glaucoma.
which of the following actions should the nurse take after instilling the
eyedrops?
a. press the nasolacrimal duct
b. apply pressure to the upper eyelids
c. ask the client to blink her eyes several times
d. tell the client to keep eyes open for at 15 seconds - ANS a. press
the nasolacrimal duct
a nurse is monitoring a client who is receiving repaglinide for DM II.
which of the following laboratory test should the nurse plan to review to
obtain information about the long-term therapeutic effect of this
medication?
