ati pharm exam 2 with correct answers
A nurse is providing teaching for a client who is withdrawing from alcohol and has a
prescription for propranolol . Which of the following information should the nurse to include
in the teaching?
increases the risk for seizure activity
provides a form of aversion therapy
decreases cravings
results in minor hypertension - correct answersdecreases cravings
A charge nurse is planning a staff education session to discuss medications used during the
care of a client experiencing alcohol withdrawal. Which of the following medications should
the charge nurse include in the discussion? (select all that apply)
Lorazepam
Diazepam
Disulfiram
Naltrexone
Acamprosate - correct answersLorazepam
Diazepam
A nurse is teaching a client who has Graves' disease about her prescribed medications. Which
of the following statements by the client indicted an understanding of the use of propranolol
in the treatment of Graves' disease.
"propranolol helps increase blood flow to my thyroid gland"
,"propranolol is used to prevent excess glucose in my blood"
"propranolol will decrease my tremors and fast heart rate"
"propranolol promotes a decrease of thyroid hormone in my body" - correct
answers"propranolol will decrease my tremors and fast heart rate"
A nurse working in an emergency dept. is caring for a client who has benzodiazepine toxicity
due to an overdose. Which of the following actions is the nurse's priority?
Administer flumazenil
Identify the client's level of orientation
Infuse IV fluids
Prepare the client for gastric lavage - correct answersIdentify the client's level of orientation
A nurse is caring for a client who takes paroxetine to treat PTSD and reports that he grinds his
teeth during the night. The nurse should identify which of the following interventions to
manage bruxism? (select all that apply)
Concurrent administration of buspirone
Administration of a different SSRI
Use of a mouth guard
Changing to a different class of antidepressant medication
Increasing the dose of paroxetine - correct answersConcurrent administration of buspirone
Use of a mouth guard
Changing to a different class of antidepressant medication
A nurse is providing teaching to a client who has a new prescription for amitriptyline for
treatment of depression. Which of the following should the nurse include her teaching?
(select all that apply)
,Expect therapeutic effects in 24-48 hours
Discontinue the medication after a week of improved mood
Change positions slowly to minimize dizziness
Decrease dietary fiber intake to control diarrhea
Chew sugarless gum to prevent dry mouth - correct answersChange positions slowly to
minimize dizziness
Chew sugarless gum to prevent dry mouth
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine
for PTSD. Which of the following statements should the nurse include in her teaching?
"You may have a decreased desire for intimacy while taking this medication"
"You should take this medication at bedtime to help promote sleep"
"You will have fewer urinary adverse effects if you urinate just before taking the medication"
"You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this
medication" - correct answers"You may have a decreased desire for intimacy while taking this
medication"
A nurse is caring for a client who has depression and a new prescription for venlafaxine. For
which of the following adverse effects should the nurse monitor this client? (select all that
apply)
Cough
Dizziness
Decreased libido
Alopecia
Hypotension - correct answersDizziness
, Decreased libido
A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the
following assessment findings should alert the nurse to the possibility that the client is
developing serotonin syndrome?
Bruising
Fever
Abdominal pain
Rash - correct answersFever
For best results when treating severe pain associated with pathologic spinal fractures related
to metastatic bone cancer, the nurse should remember that the best type of dosage schedule
is to administer the pain medication is which of these?
a. As needed
b. Around the clock
c. On schedule during waking hours only
d. Around the clock, with additional doses as needed for breakthrough pain - correct
answersd. Around the clock, with additional doses as needed for breakthrough pain
A patient is receiving an opioid via a PCA pump as part of his postoperative pain management
program. During rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min
and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the
nurse do next?
a. Notify the charge nurse.
b. Draw arterial blood gases.
c. Administer an opiate antagonist per standing orders.
d. Perform a thorough assessment, including mental status examination. - correct answersc.
Administer an opiate antagonist per standing orders.
A nurse is providing teaching for a client who is withdrawing from alcohol and has a
prescription for propranolol . Which of the following information should the nurse to include
in the teaching?
increases the risk for seizure activity
provides a form of aversion therapy
decreases cravings
results in minor hypertension - correct answersdecreases cravings
A charge nurse is planning a staff education session to discuss medications used during the
care of a client experiencing alcohol withdrawal. Which of the following medications should
the charge nurse include in the discussion? (select all that apply)
Lorazepam
Diazepam
Disulfiram
Naltrexone
Acamprosate - correct answersLorazepam
Diazepam
A nurse is teaching a client who has Graves' disease about her prescribed medications. Which
of the following statements by the client indicted an understanding of the use of propranolol
in the treatment of Graves' disease.
"propranolol helps increase blood flow to my thyroid gland"
,"propranolol is used to prevent excess glucose in my blood"
"propranolol will decrease my tremors and fast heart rate"
"propranolol promotes a decrease of thyroid hormone in my body" - correct
answers"propranolol will decrease my tremors and fast heart rate"
A nurse working in an emergency dept. is caring for a client who has benzodiazepine toxicity
due to an overdose. Which of the following actions is the nurse's priority?
Administer flumazenil
Identify the client's level of orientation
Infuse IV fluids
Prepare the client for gastric lavage - correct answersIdentify the client's level of orientation
A nurse is caring for a client who takes paroxetine to treat PTSD and reports that he grinds his
teeth during the night. The nurse should identify which of the following interventions to
manage bruxism? (select all that apply)
Concurrent administration of buspirone
Administration of a different SSRI
Use of a mouth guard
Changing to a different class of antidepressant medication
Increasing the dose of paroxetine - correct answersConcurrent administration of buspirone
Use of a mouth guard
Changing to a different class of antidepressant medication
A nurse is providing teaching to a client who has a new prescription for amitriptyline for
treatment of depression. Which of the following should the nurse include her teaching?
(select all that apply)
,Expect therapeutic effects in 24-48 hours
Discontinue the medication after a week of improved mood
Change positions slowly to minimize dizziness
Decrease dietary fiber intake to control diarrhea
Chew sugarless gum to prevent dry mouth - correct answersChange positions slowly to
minimize dizziness
Chew sugarless gum to prevent dry mouth
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine
for PTSD. Which of the following statements should the nurse include in her teaching?
"You may have a decreased desire for intimacy while taking this medication"
"You should take this medication at bedtime to help promote sleep"
"You will have fewer urinary adverse effects if you urinate just before taking the medication"
"You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this
medication" - correct answers"You may have a decreased desire for intimacy while taking this
medication"
A nurse is caring for a client who has depression and a new prescription for venlafaxine. For
which of the following adverse effects should the nurse monitor this client? (select all that
apply)
Cough
Dizziness
Decreased libido
Alopecia
Hypotension - correct answersDizziness
, Decreased libido
A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the
following assessment findings should alert the nurse to the possibility that the client is
developing serotonin syndrome?
Bruising
Fever
Abdominal pain
Rash - correct answersFever
For best results when treating severe pain associated with pathologic spinal fractures related
to metastatic bone cancer, the nurse should remember that the best type of dosage schedule
is to administer the pain medication is which of these?
a. As needed
b. Around the clock
c. On schedule during waking hours only
d. Around the clock, with additional doses as needed for breakthrough pain - correct
answersd. Around the clock, with additional doses as needed for breakthrough pain
A patient is receiving an opioid via a PCA pump as part of his postoperative pain management
program. During rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min
and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the
nurse do next?
a. Notify the charge nurse.
b. Draw arterial blood gases.
c. Administer an opiate antagonist per standing orders.
d. Perform a thorough assessment, including mental status examination. - correct answersc.
Administer an opiate antagonist per standing orders.
