ATI Pharmacology Proctored 2019 Retake 1 Exam

1. A client's unexpected response has been attributed to characteristics of the client's genetic makeup. What area of study best explains this client's medication response? Pharmacogenomics 2. The nurse is writing a plan of care for a client receiving drug therapy. What nursing diagnosis would be appropriate if the client developed common adverse effects? disturbed sensory perception (visual) related to central nervous system effects 3. A client is prescribed chloroquine, an antimalarial, and asks the nurse how it works. What process should the nurse describe? changes the metabolic pathways necessary for the reproduction of the plasmodium 4. A nurse practitioner provides primary care in a rural setting. The nurse should perform what actions in order to minimize the emergence of drugresistant microbials? avoid the use of broad-spectrum antibacterial drugs when treating trivial or viral infections use narrow-spectrum agents if they are thought to be effective do not use vancomycin 5. A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a follow-up appointment. What adverse effects should the nurse assess the client for? peripheral edema and bradycardia 6. What is the nurse's priority assessment before giving a female client her prescription for an angiotensin II-receptor blocker (ARB)? "When was your last menstrual period (LMP)? 7. A client taking a calcium channel blocker is seen in the clinic and receives a diagnosis of drug toxicity. When collecting the nursing history, consumption of what product would indicate the likely cause of this drug toxicity? grapefruit juice 8. An older adult client is taking a sustained-release antihypertensive drug. What is the nurse's priority teaching point about this medication? "Swallow the drug whole and do not cut, crush, or chew it." 9. The nurse assesses a client before administering digoxin, a cardiac glycoside. What finding would cause the nurse to withhold the drug and notify the health care provider? pulse 44 beats/min 10. The nurse provides teaching about digoxin, a cardiac glycoside, to a client who will be self-administering the drug at home. Which statement by the client indicates to the nurse that further teaching is needed? "I'll take the medications with food so I don't get nauseous." 11. A 91-year-old client is being discharged on the diuretic spironolactone, a potassium-sparing diuretic. What assessment finding would the nurse attribute to adverse effects of this medication? confusion and irregular heart rate 12. The nurse is writing a plan of care for a client who is taking a diuretic. What nursing diagnoses is most likely applicable? impaired urinary elimination 13. What goal should a nurse set when beginning a course on pharmacology for nurses? at the completion of the course, the student will know general drug information because the student can consult a drug guide for specific drug information. 14. The nurse should consider teratogenic effects when caring for what clients? a 29-year-old client receiving prenatal care in her first trimester of pregnancy a 37-year-old female client who is taking fertility drugs 15. A nurse is caring for a client who is exhibiting adverse medication effects. The nurse should recognize that adverse effects can be extensions of: the primary action of a drug 16. Why does the nurse need to be alert for any indication of an allergic reaction in clients? to maintain the client's safety during drug therapy 17. The nurse is preparing to administer a medication to an older adult. The nurse should consider what factor that could affect therapeutic dosing in an older adult? changes in the gastrointestinal (GI) system can reduce drug absorption 18. The nurse is performing the intervention stage of the nursing process related to drug therapy. What actions should the nurse perform? administer the medication document the medication 19. The client calls the clinic nurse and states, "I looked up my new prescription online and there is nothing mentioned about it being used to treat my disorder. Should I still take it?" What is the nurse's best response? "I'll confirm with your healthcare provider, but it is quite common for drugs to help with a condition for which it wasn't originally intended." 20. The client calls the clinic and talks to the nurse saying, "I found the same drug the provider prescribed on the internet and it is much cheaper. Is it safe for me to order my drug from this site?" What is the nurse's best response? "The Food and Drug Administration (FDA) has issued warnings to consumers about buying these drugs." 21. The nurse practitioner is explaining how prescription drugs can sometimes become recategorized as over-the-counter (OTC) drugs. What factor would prevent a prescription drug from being made available over the counter? most clients cannot reliably self-diagnose the condition the drug is intended to treat. 22. The nurse administers a drug to treat Chlamydia trachomatis. The nurse is aware that this drug has no effect on any other bacteria. How should the nurse describe this characteristic of the drug? narrow spectrum 23. A client with an infection has been prescribed metronidazole, a bactericidal antibiotic. What should the nurse determine is the therapeutic effect of the medication? death of the microbial cells