ATI Pharm Test Questions with Verified Answers Graded A+
A nurse is preparing to administer diclofenac to a Trousseau's sign. Which of the following should
pt with chronic bursitis. Which of the following the nurse plan to administer? - ANSWER -
actions should the nurse take? - The nurse should identify that a positive
ANSWER -Diclofenac is an NSAID and can Trousseau's sign is a manifestation of
cause gastric irritation. Clients should take hypocalcemia. Therefore, the nurse should plan
NSAIDs with food or milk to minimize gastric to administer calcium gluconate to treat
irritation. hypocalcemia.
A nurse is planning care for a pt with asthma and A nurse is administering haloperidol to a client
a script for methylprednisolone. Which of the with schizophrenia. For which of the following
following lab values should the nurse monitor? - ADE should the nurse monitor? -
ANSWER -Methylprednisolone tx increases ANSWER -A client who is taking
the synth of glucose and decreases the uptake of haloperidol, a first-generation antipsychotic
glucose by the muscles and adipose tissues, agent, can develop extrapyramidal effects, such
resulting in increased circulating glucose. as parkinsonism, which manifests as tremors,
Therefore, it is important for the nurse to monitor bradykinesia, loss of balance, mask-like facial
blood glucose levels regularly while clients are expression, shuffling gait, and muscle rigidity.
receiving corticosteroid therapy.
A nurse receives verbal orders from the provider
A nurse is caring for a client who is for Hydrochlorothiazide 25mg by mouth daily for
postmenopausal and has a script for raloxifene. a client with HTN. Which of the following
The nurse should instruct the client that indicates how the nurse should transcribe the
raloxifene is prescribed for which of the script in the MAR - ANSWER -
following? - ANSWER -Raloxifene can Hydochlorothiazide 25 mg po daily
lower the risk for breast cancer in The nurse should transcribe the provider's
postmenopausal clients who have a high risk for prescription by spelling out the name of the
developing estrogen-receptive types of breast medication, recording the dosage as a whole
cancer. The medication also reduces the risk for number, and spelling out the word "daily." The
and can treat postmenopausal osteoporosis. abbreviation PO is acceptable for use to indicate
the route by mouth.
A nurse is caring for a client receiving heparin by
continuous iv infusion to treat venous A nurse is planning care for a client who is taking
thrombosis. Which lab value should be Tamoxifen for tx of breast cancer. Which of the
monitored? - ANSWER -The nurse should following interventions should the nurse include
monitor the aPTT of a client who is receiving in the plan? - ANSWER -Monitor the client's
heparin by continuous IV infusion. When calcium level is correct. Tamoxifen increases the
beginning heparin therapy, the nurse should risk for hypercalcemia. The nurse should monitor
monitor the aPTT every 4 to 6 hr. Once the client the client's pulse and blood pressure, which are
has achieved the desired range, the nurse increased in mild hypercalcemia and decreased
should monitor the aPTT daily. in severe or prolonged hypercalcemia. Other
manifestations include cyanosis, pallor, muscle
weakness, and decreased deep tendon reflexes.
A nurse is assessing a client who has a positive Monitor the client for pulmonary embolus is
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, ATI Pharm Test Questions with Verified Answers Graded A+
correct. Tamoxifen increases the risk for responsibility of the nurse to respect the client's
pulmonary embolus. The nurse should instruct right to refuse to take a medication and to
the client to report any chest pain or difficulty document the reason a medication dose is not
breathing. Advise the client of the potential for administered. This should include the client's
menstrual irregularities is correct. Tamoxifen can refusal to take the medication.
cause menstrual irregularities, pain, and
bleeding. Therefore, the nurse should instruct the
client to notify the provider. A nurse is assessing a client who is receiving
Advise the client of the potential for hot flashes is androgen therapy for endometriosis. The nurse
correct. Hot flashes are a common occurrence in should monitor for which of the following ADE? -
clients taking tamoxifen. The nurse should inform ANSWER -Androgens treat endometriosis
the client that hot flashes are reversible with and fibrocystic breast disease, and can cause
discontinuation of the medication. fluid retention; therefore, androgen therapy
should be used cautiously with clients who have
existing cardiac or renal impairment. The nurse
A nurse is caring for a client who is receiving should monitor the client for edema and instruct
meperidine. Which of the following is the priority the client to measure weight daily.
assessment before administering the
medication? - ANSWER -When using the
airway, breathing, and circulation (ABC) A nurse is preparing to admin topotecan IV for a
approach to client care, the nurse should client with metastatic ovarian cancer. Which of
determine that the priority assessment is to the following meds should be expected to control
check the client's respiratory rate. Opioid therapy ADE of topotecan - ANSWER -Granisetron
can result in respiratory depression, which can is an antiemetic medication that helps prevent
lead to respiratory arrest. The nurse should nausea and vomiting for clients who are receiving
withhold the opioid medication and notify the chemotherapy medications such as topotecan.
provider if the client's respiratory rate is below The client should apply the transdermal patch to
12/min. the upper outer arm up to 48 hr prior to receiving
topotecan and continue to wear the patch until 24
hr after the completion of chemotherapy to
A nurse is reviewing lab results for a client who is prevent chemotherapy-induced nausea and
taking warfarin following orthopedic surgery. vomiting.
Which lab result should the nurse report? -
ANSWER -A client who is taking warfarin
following an orthopedic surgery should have a A nurse is assessing a pt with ovarian cancer and
therapeutic INR between 2 to 3. The nurse is receiving paclitaxel. Which of the following is
should identify an INR greater than 5 as a critical priority to report to the provider? -
value. Therefore, the nurse should report this ANSWER -When using the airway,
laboratory value to the provider to have the breathing, and circulation (ABC) approach to
client's warfarin dosage adjusted. client care the priority finding for the nurse to
report to the provider is bradycardia. Clients who
have cardiovascular problems, such as
A nurse is preparing to administer medications to bradycardia, require continuous ECG monitoring
a pt. The pt states "I'll take the pills but not the during the infusion of paclitaxel because of the
liquid medication." Which of the following actions cardiovascular effects of the medication, such as
should the nurse take? - ANSWER -It is the bradycardia and hypotension.
2/6
A nurse is preparing to administer diclofenac to a Trousseau's sign. Which of the following should
pt with chronic bursitis. Which of the following the nurse plan to administer? - ANSWER -
actions should the nurse take? - The nurse should identify that a positive
ANSWER -Diclofenac is an NSAID and can Trousseau's sign is a manifestation of
cause gastric irritation. Clients should take hypocalcemia. Therefore, the nurse should plan
NSAIDs with food or milk to minimize gastric to administer calcium gluconate to treat
irritation. hypocalcemia.
A nurse is planning care for a pt with asthma and A nurse is administering haloperidol to a client
a script for methylprednisolone. Which of the with schizophrenia. For which of the following
following lab values should the nurse monitor? - ADE should the nurse monitor? -
ANSWER -Methylprednisolone tx increases ANSWER -A client who is taking
the synth of glucose and decreases the uptake of haloperidol, a first-generation antipsychotic
glucose by the muscles and adipose tissues, agent, can develop extrapyramidal effects, such
resulting in increased circulating glucose. as parkinsonism, which manifests as tremors,
Therefore, it is important for the nurse to monitor bradykinesia, loss of balance, mask-like facial
blood glucose levels regularly while clients are expression, shuffling gait, and muscle rigidity.
receiving corticosteroid therapy.
A nurse receives verbal orders from the provider
A nurse is caring for a client who is for Hydrochlorothiazide 25mg by mouth daily for
postmenopausal and has a script for raloxifene. a client with HTN. Which of the following
The nurse should instruct the client that indicates how the nurse should transcribe the
raloxifene is prescribed for which of the script in the MAR - ANSWER -
following? - ANSWER -Raloxifene can Hydochlorothiazide 25 mg po daily
lower the risk for breast cancer in The nurse should transcribe the provider's
postmenopausal clients who have a high risk for prescription by spelling out the name of the
developing estrogen-receptive types of breast medication, recording the dosage as a whole
cancer. The medication also reduces the risk for number, and spelling out the word "daily." The
and can treat postmenopausal osteoporosis. abbreviation PO is acceptable for use to indicate
the route by mouth.
A nurse is caring for a client receiving heparin by
continuous iv infusion to treat venous A nurse is planning care for a client who is taking
thrombosis. Which lab value should be Tamoxifen for tx of breast cancer. Which of the
monitored? - ANSWER -The nurse should following interventions should the nurse include
monitor the aPTT of a client who is receiving in the plan? - ANSWER -Monitor the client's
heparin by continuous IV infusion. When calcium level is correct. Tamoxifen increases the
beginning heparin therapy, the nurse should risk for hypercalcemia. The nurse should monitor
monitor the aPTT every 4 to 6 hr. Once the client the client's pulse and blood pressure, which are
has achieved the desired range, the nurse increased in mild hypercalcemia and decreased
should monitor the aPTT daily. in severe or prolonged hypercalcemia. Other
manifestations include cyanosis, pallor, muscle
weakness, and decreased deep tendon reflexes.
A nurse is assessing a client who has a positive Monitor the client for pulmonary embolus is
1/6
, ATI Pharm Test Questions with Verified Answers Graded A+
correct. Tamoxifen increases the risk for responsibility of the nurse to respect the client's
pulmonary embolus. The nurse should instruct right to refuse to take a medication and to
the client to report any chest pain or difficulty document the reason a medication dose is not
breathing. Advise the client of the potential for administered. This should include the client's
menstrual irregularities is correct. Tamoxifen can refusal to take the medication.
cause menstrual irregularities, pain, and
bleeding. Therefore, the nurse should instruct the
client to notify the provider. A nurse is assessing a client who is receiving
Advise the client of the potential for hot flashes is androgen therapy for endometriosis. The nurse
correct. Hot flashes are a common occurrence in should monitor for which of the following ADE? -
clients taking tamoxifen. The nurse should inform ANSWER -Androgens treat endometriosis
the client that hot flashes are reversible with and fibrocystic breast disease, and can cause
discontinuation of the medication. fluid retention; therefore, androgen therapy
should be used cautiously with clients who have
existing cardiac or renal impairment. The nurse
A nurse is caring for a client who is receiving should monitor the client for edema and instruct
meperidine. Which of the following is the priority the client to measure weight daily.
assessment before administering the
medication? - ANSWER -When using the
airway, breathing, and circulation (ABC) A nurse is preparing to admin topotecan IV for a
approach to client care, the nurse should client with metastatic ovarian cancer. Which of
determine that the priority assessment is to the following meds should be expected to control
check the client's respiratory rate. Opioid therapy ADE of topotecan - ANSWER -Granisetron
can result in respiratory depression, which can is an antiemetic medication that helps prevent
lead to respiratory arrest. The nurse should nausea and vomiting for clients who are receiving
withhold the opioid medication and notify the chemotherapy medications such as topotecan.
provider if the client's respiratory rate is below The client should apply the transdermal patch to
12/min. the upper outer arm up to 48 hr prior to receiving
topotecan and continue to wear the patch until 24
hr after the completion of chemotherapy to
A nurse is reviewing lab results for a client who is prevent chemotherapy-induced nausea and
taking warfarin following orthopedic surgery. vomiting.
Which lab result should the nurse report? -
ANSWER -A client who is taking warfarin
following an orthopedic surgery should have a A nurse is assessing a pt with ovarian cancer and
therapeutic INR between 2 to 3. The nurse is receiving paclitaxel. Which of the following is
should identify an INR greater than 5 as a critical priority to report to the provider? -
value. Therefore, the nurse should report this ANSWER -When using the airway,
laboratory value to the provider to have the breathing, and circulation (ABC) approach to
client's warfarin dosage adjusted. client care the priority finding for the nurse to
report to the provider is bradycardia. Clients who
have cardiovascular problems, such as
A nurse is preparing to administer medications to bradycardia, require continuous ECG monitoring
a pt. The pt states "I'll take the pills but not the during the infusion of paclitaxel because of the
liquid medication." Which of the following actions cardiovascular effects of the medication, such as
should the nurse take? - ANSWER -It is the bradycardia and hypotension.
2/6
