LATEST 2025 UPDATE WITH COMPLETE QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
100%GUARANTEED PASS!!!NEWEST Test Bank (ATI
PN Pharmacology Proctored Practice Exam 2025)
Rated A+
1.) A client is being treated for acute congestive heart failure with
intravenously administered bumetanide. The vital signs are as follows:
blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations,
24 breaths/min. After the initial dose, which of the following is the
priority assessment?
1. Monitoring weight loss
2. Monitoring temperature
3. Monitoring blood pressure
4. Monitoring potassium level --<<answer>>--3. Monitoring blood
pressure
Rationale:
,Bumetanide is a loop diuretic. Hypotension is a common side effect
associated with the use of this medication. The other options also
require assessment but are not the priority.
**priority ABCs—airway, breathing, and circulation**
2.) Intravenous heparin therapy is prescribed for a client. While
implementing this prescription, a nurse ensures that which of the
following medications is available on the nursing unit?
1. Protamine sulfate
2. Potassium chloride
3. Phytonadione (vitamin K )
4. Aminocaproic acid (Amicar) --<<answer>>--1. Protamine sulfate
Rationale:
The antidote to heparin is protamine sulfate; it should be readily
available for use if excessive bleeding or hemorrhage occurs. Potassium
chloride is administered for a potassium deficit. Vitamin K is an antidote
for warfarin sodium. Aminocaproic acid is the antidote for thrombolytic
therapy.
3.) A client is diagnosed with pulmonary embolism and is to be treated
with streptokinase (Streptase). A nurse would report which priority data
collection finding to the registered nurse before initiating this therapy?
1. Adventitious breath sounds
2. Temperature of 99.4° F orally
,3. Blood pressure of 198/110 mm Hg
4. Respiratory rate of 28 breaths/min --<<answer>>--3. Blood pressure of
198/110 mm Hg
Rationale:
Thrombolytic therapy is contraindicated in a number of preexisting
conditions in which there is a risk of uncontrolled bleeding, similar to
the case in anticoagulant therapy. Thrombolytic therapy also is
contraindicated in severe uncontrolled hypertension because of the risk
of cerebral hemorrhage. Therefore the nurse would report the results
of the blood pressure to the registered nurse before initiating therapy.
The findings in options 1, 2, and 4 may be present in the client with
pulmonary embolism.
4.) A nurse is reinforcing dietary instructions to a client who has been
prescribed cyclosporine (Sandimmune). Which food item would the
nurse instruct the client to avoid?
1. Red meats
2. Orange juice
3. Grapefruit juice
4. Green, leafy vegetables --<<answer>>--3. Grapefruit juice
Rationale:
A compound present in grapefruit juice inhibits metabolism of
cyclosporine. As a result, the consumption of grapefruit juice can raise
cyclosporine levels by 50% to 100%, thereby greatly increasing the risk
, of toxicity. Grapefruit juice needs to be avoided. Red meats, orange
juice, and green leafy vegetables are acceptable to consume.
5.) Mycophenolate mofetil (CellCept) is prescribed for a client as
prophylaxis for organ rejection following an allogeneic renal transplant.
Which of the following instructions does the nurse reinforce regarding
administration of this medication?
1. Administer following meals.
2. Take the medication with a magnesium-type antacid.
3. Open the capsule and mix with food for administration.
4. Contact the health care provider (HCP) if a sore throat occurs. --
<<answer>>--4. Contact the health care provider (HCP) if a sore throat
occurs.
Rationale:
Mycophenolate mofetil should be administered on an empty stomach.
The capsules should not be opened or crushed. The client should
contact the HCP if unusual bleeding or bruising, sore throat, mouth
sores, abdominal pain, or fever occurs because these are adverse
effects of the medication. Antacids containing magnesium and
aluminum may decrease the absorption of the medication and
therefore should not be taken with the medication. The medication may
be given in combination with corticosteroids and cyclosporine.
**neutropenia can occur with this medication**