ATI PHARM CMS Exam Questions & Answers 2024

A nurse is collecting data from a client who received ampicillin IM. The client reports a rash and tells the nurse. "I feel bumps in my mouth." Which of the following findings indicates the client is experiencing an allergic reaction? - Ringing of the ears A nurse is collecting data from a parent of a toddler prior to administering several immunizations. The parent tells the nurse that the toddler had swelling, redness, and pain at the injection site the last time she received an immunization and thinks she might be allergic to the vaccine. Which of the following is the appropriate response: - A reaction at the injection site is common and does not mean that she cannot receive her immunization. A nurse is caring for a client who is receiving an oral solution of codeine to suppress a non-productive cough. Which of the following is the nurse's data collection priority following the administration of this medication. - Respiratory rate A nurse in a clinic receives a telephone call from a client who has tuberculosis and was prescribed rifampin 3 days ago. The client reports, "My saliva and tears are red. What should I do?" Which of the following responses by the nurse is appropriate? - This is an expected adverse effect of the medication A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for dantrolene. Which of the following statements indicates that the client understands the instructions? - I know that I'll have to get the blood tests to make sure my liver is okay. A nurse is caring for a client who has bipolar disorder and is receiving lithium carbonate. The nurse should plan to monitor which of the following laboratory values? - BUN A nurse is caring for a client who is immunosuppressed. The nurse should identify which of the following immunizations is contraindicated for this client? - Varicella A nurse is assisting with the care of a group of clients. For which of the following client situations should the nurse complete an incident report? - A client receiving packed RBCs through an 18-gauge IV catheter A nurse in a long-term care facility is collecting data from a client who has new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect? - Decreased blood glucose level A nurse is collecting data from a client who has schizophrenia and takes chlorpromazine. The nurse should monitor the client for which of the following findings as an adverse effect of this medication. - Tardive dyskinesia (adverse reaction) A nurse is caring for a client who has a history of an anaphylactic reaction to oxacillin. The provider prescribes amoxicillin (clavulanic acid) for the client. Which of the following actions should the nurse take? - Request a prescription for a different antibiotic A nurse is caring for a client who is requesting assistance with smoking cessation. Which of the following medications should the nurse plan to administer. - Bupropion (Bupropion hydrochloride) A nurse is preparing to administer medications to an infant. Which of the following identifiers should the nurse use in identifying the infant? (select all that apply ) - Medical identification number-Admitting the diagnosis of the infant-Guardian or parent-Date of birth A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take? - Cover the administration area with plastic wrap A nurse is collecting follow-up data from a client who has taken simvastatin for 3 months. Which of the following findings is the priority for the nurse to report - Muscle pain A nurse is caring for a client who is postoperative. For which of the following findings should the nurse administer ondansetron? - Clients report nausea A nurse is caring for a client who has a prescription for lisinopril 20 mg daily. Which of the following findings should indicate to the nurse that the medication is effective? - Blood pressure 118/60 mmHg A nurse is reinforcing teaching about the Ipledge program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program? - Seuxally active female client must use two forms of birth control during treatment A nurse is collecting data from a client who has a history of alcohol use disorder. Which of the following findings indicate the client is experiencing alcohol withdrawal? - Tremor A nurse is checking the forearm of a client who received a tuberculin skin test 48 hr ago. Which of the following findings at the injection site should indicate to the nurse a positive result. Ulceration excoriation, bleeding, firmness - Excoriation A nurse is caring for a client who has a new prescription for penicillin G. For which of the following adverse effects should the nurse plan to monitor - Urticaria A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect? - Tachycardia (as a result of the QT prolongation) A nurse in a provider's office is collecting data from a client who continues to have migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report? - Tingling sensation A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? - Obtain 0.9 % sodium chloride solution for IV infusion A nurse is administering the first dose of ramipril to a client who has hypotension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer? - Naloxone A nurse is contributing to the plan of care for a client who reports taking kava for the last 6 months. Which of the following laboratory values should the nurse expect to monitor? - Serum potassium A nurse in a mental health facility is collecting data from a client who is taking lithium. Which of the following findings should the nurse report to the provider as an indication of lithium toxicity? - Slurred speech