NUR 3525 ATI Pharmacology Proctor
Exam Questions With Correct
Answers
A |nurse |is |assessing |a |client |who |is |receiving |intravenous |therapy.
|The |nurse |should |identify |which |of |the |following |findings |as |a
|manifestation |of |fluid |volume |excess?
a. |Decreased |bowel |sounds
b. |Distended |neck |veins |
c. |Bilateral |muscle |weakness
d. |Thread |pulse |Correct |Answer: | |b. |Distended |neck |veins
A |nurse |is |caring |for |a |client |who |has |hyponatremia |and |is
|receiving |an |infusion |of |a |prescribed |hypertonic |solution. |Which |of
|the |following |findings |should |indicate |to |the |nurse |that |the
|treatment |is |effective?
a. |Absent |Chvostek's |sign
b. |Improved |cognition |
c. |Decreased |vomiting |
d. |Cardiac |arrhythmias |absent |Correct |Answer: | |b. |Improved
|cognition
A |nurse |is |teaching |a |client |who |has |a |new |prescription |for |a
|nitroglycerin |transdermal |patch. |Which |of |the |following |instructions
|should |the |nurse |include?
a. |"Discontinue |the |patch |if |you |experience |a |headache."
b. |"Apply |a |new |patch |if |you |have |chest |pain."
c. |"Cover |the |patch |with |dry |gauze |when |taking |a |shower."
d. |"Remove |the |patch |prior |to |going |to |bed." |Correct |Answer: | |d.
|"Remove |the |patch |prior |to |going |to |bed."
,A |nurse |is |reviewing |he |laboratory |results |of |a |client |who |has |a
|prescription |for |sodium |polystyrene |sulfonate |(Kayexalate) |every |6
|hr. |which |of |the |following |should |the |nurse |report |to |the |provider?
a. |Creatinine |0.72 |mg/dL
b. |Sodium |138 |mEq/L
c. |Magnesium |2 |mEq/L
d. |Potassium |5.2 |mEq/L |Correct |Answer: | |d. |Potassium |5.2 |mEq/L
|- |Hyperkalemia |(serum |potassium |level |greater |than |5.0 |mEq/L)
|increases |the |client |risk |for |fatal |cardiac |dysrhythmias. |Kayexalate
|is |used |to |decrease |the |serum |potassium |level |so |the |PN |should
|monitor |the |client's |serum |potassium |level
A |nurse |is |caring |for |a |client |who |has |tuberculosis |and |is |taking
|isoniazid |and |rifampin. |Which |of |the |following |outcomes |indicates
|that |the |client |is |adhering |to |the |medication |regimen?
a. |The |client |has |a |negative |sputum |culture
b. |The |client |tests |negative |for |HIV
c. |The |client |has |a |positive |purified |protein |derivative |test
d. |The |client's |liver |function |test |results |are |within |the |expected
|reference |range |Correct |Answer: | |a. |The |client |has |a |negative
|sputum |culture
A |client |is |caring |for |a |client |who |develops |an |anaphylactic
|reaction |to |IV |administration. |After |assessing |the |client's |respiratory
|status |and |stopping |the |medication |infusion. |Which |of |the |following
|actions |should |the |nurse |take |next?
a. |Replace |the |infusion |with |0.9% |sodium |chloride |
b. |Give |diphenhydramine |IM
c. |Elevate |the |client's |legs |and |feet |
d. |Administer |epinephrine |IM |Correct |Answer: | |d. |Administer
|epinephrine |IM
A |nurse |is |caring |for |a |client |who |is |taking |sertraline |and |reports |a
|desire |to |begin |taking |supplements. |Which |of |the |following
|supplements |should |the |nurse |advise |the |client |to |avoid?
,a. |St. |John's |Wort |
b. |Ginger |root |
c. |Black |cohosh
d. |Coenzyme |Q10 |Correct |Answer: | |a. |St. |John's |Wort
A |nurse |is |caring |for |a |client |who |has |heart |failure |and |a |new
|prescription |for |lisinopril. |For |which |of |the |following |adverse
|effects |should |the |nurse |monitor |when |administering |lisinopril?
a. |Bradycardia
b. |Hypokalemia
c. |Tinnitus
d. |Hypotension |Correct |Answer: | |d. |Hypotension
A |nurse |is |assessing |a |client |who |is |receiving |heparin |IV
|continuous |IV. |The |client |has |an |PPT |of |90 |seconds. |They |should
|monitor |the |client |for |which |of |the |following |changes |in |their |vital
|signs?
a. |Decreased |temperature |
b. |Increased |pulse |rate
c. |Decreased |respiratory |rate |
d. |Increased |blood |pressure |Correct |Answer: | |d. |Increased |blood
|pressure
A |nurse |is |preparing |to |administer |medication |to |a |client |and
|discovers |a |medication |error. |The |nurse |should |recognize |that
|which |of |the |following |staff |members |is |responsible |for |completing
|an |incident |report?
a. |The |quality |improvement |committee |
b. |The |nurse |who |identifies |the |error |
c. |The |nurse |who |caused |the |error |
d. |The |charge |nurse |Correct |Answer: | |b. |The |nurse |who |identifies
|the |error
, A |nurse |is |planning |care |for |a |client |who |is |receiving |morphine |via
|continuous |epidural |infusion. |The |nurse |should |monitor |the |client
|for |which |of |the |following?
a. |Pruritus
b. |Cough |
c. |Tachypnea
d. |Gastric |bleeding |Correct |Answer: | |a. |Pruritus |- |Sign |of |allergic
|reaction |to |morphine
A |nurse |is |preparing |to |administer |digoxin |orally |to |a |client.
|Identify |the |sequence |of |steps |the |nurse |should |take. |(Move |the
|steps |into |the |box |on |the |right |placing |them |in |the |order |of
|performance. |Use |all |the |steps.) |Correct |Answer: | |a. |Obtain |the
|client's |apical |heart |rate
b. |Remove |the |medication |from |the |dispensing |system |
c. |Open |the |medication |package
d. |Compare |the |client's |wristband |to |the |medication |administration
|record
e. |Document |administration |of |the |medication
A |nurse |is |reviewing |the |medical |record |of |an |adult |client |who |has
|a |fever |and |a |prescription |for |acetaminophen. |Which |of |the
|following |findings |should |the |nurse |identify |as |a |contraindication
|for |receiving |this |medication?
a. |Alcohol |use |disorder
b. |Chronic |kidney |disease |
c. |Hepatitis |B |vaccine |within |the |last |week |
d. |Diabetes |mellitus |Correct |Answer: | |a. |Alcohol |use |disorder
b. |Chronic |kidney |disease
A |home |health |nurse |is |visiting |a |client |who |has |heart |failure |and
|a |prescription |for |furosemide. |The |nurse |identifies |that |the |client
|has |gained |2.5 |kg |(5 |lb.) |since |the |last |visit |2 |days |ago. |Which |of
|the |following |actions |should |the |nurse |take |first?
Exam Questions With Correct
Answers
A |nurse |is |assessing |a |client |who |is |receiving |intravenous |therapy.
|The |nurse |should |identify |which |of |the |following |findings |as |a
|manifestation |of |fluid |volume |excess?
a. |Decreased |bowel |sounds
b. |Distended |neck |veins |
c. |Bilateral |muscle |weakness
d. |Thread |pulse |Correct |Answer: | |b. |Distended |neck |veins
A |nurse |is |caring |for |a |client |who |has |hyponatremia |and |is
|receiving |an |infusion |of |a |prescribed |hypertonic |solution. |Which |of
|the |following |findings |should |indicate |to |the |nurse |that |the
|treatment |is |effective?
a. |Absent |Chvostek's |sign
b. |Improved |cognition |
c. |Decreased |vomiting |
d. |Cardiac |arrhythmias |absent |Correct |Answer: | |b. |Improved
|cognition
A |nurse |is |teaching |a |client |who |has |a |new |prescription |for |a
|nitroglycerin |transdermal |patch. |Which |of |the |following |instructions
|should |the |nurse |include?
a. |"Discontinue |the |patch |if |you |experience |a |headache."
b. |"Apply |a |new |patch |if |you |have |chest |pain."
c. |"Cover |the |patch |with |dry |gauze |when |taking |a |shower."
d. |"Remove |the |patch |prior |to |going |to |bed." |Correct |Answer: | |d.
|"Remove |the |patch |prior |to |going |to |bed."
,A |nurse |is |reviewing |he |laboratory |results |of |a |client |who |has |a
|prescription |for |sodium |polystyrene |sulfonate |(Kayexalate) |every |6
|hr. |which |of |the |following |should |the |nurse |report |to |the |provider?
a. |Creatinine |0.72 |mg/dL
b. |Sodium |138 |mEq/L
c. |Magnesium |2 |mEq/L
d. |Potassium |5.2 |mEq/L |Correct |Answer: | |d. |Potassium |5.2 |mEq/L
|- |Hyperkalemia |(serum |potassium |level |greater |than |5.0 |mEq/L)
|increases |the |client |risk |for |fatal |cardiac |dysrhythmias. |Kayexalate
|is |used |to |decrease |the |serum |potassium |level |so |the |PN |should
|monitor |the |client's |serum |potassium |level
A |nurse |is |caring |for |a |client |who |has |tuberculosis |and |is |taking
|isoniazid |and |rifampin. |Which |of |the |following |outcomes |indicates
|that |the |client |is |adhering |to |the |medication |regimen?
a. |The |client |has |a |negative |sputum |culture
b. |The |client |tests |negative |for |HIV
c. |The |client |has |a |positive |purified |protein |derivative |test
d. |The |client's |liver |function |test |results |are |within |the |expected
|reference |range |Correct |Answer: | |a. |The |client |has |a |negative
|sputum |culture
A |client |is |caring |for |a |client |who |develops |an |anaphylactic
|reaction |to |IV |administration. |After |assessing |the |client's |respiratory
|status |and |stopping |the |medication |infusion. |Which |of |the |following
|actions |should |the |nurse |take |next?
a. |Replace |the |infusion |with |0.9% |sodium |chloride |
b. |Give |diphenhydramine |IM
c. |Elevate |the |client's |legs |and |feet |
d. |Administer |epinephrine |IM |Correct |Answer: | |d. |Administer
|epinephrine |IM
A |nurse |is |caring |for |a |client |who |is |taking |sertraline |and |reports |a
|desire |to |begin |taking |supplements. |Which |of |the |following
|supplements |should |the |nurse |advise |the |client |to |avoid?
,a. |St. |John's |Wort |
b. |Ginger |root |
c. |Black |cohosh
d. |Coenzyme |Q10 |Correct |Answer: | |a. |St. |John's |Wort
A |nurse |is |caring |for |a |client |who |has |heart |failure |and |a |new
|prescription |for |lisinopril. |For |which |of |the |following |adverse
|effects |should |the |nurse |monitor |when |administering |lisinopril?
a. |Bradycardia
b. |Hypokalemia
c. |Tinnitus
d. |Hypotension |Correct |Answer: | |d. |Hypotension
A |nurse |is |assessing |a |client |who |is |receiving |heparin |IV
|continuous |IV. |The |client |has |an |PPT |of |90 |seconds. |They |should
|monitor |the |client |for |which |of |the |following |changes |in |their |vital
|signs?
a. |Decreased |temperature |
b. |Increased |pulse |rate
c. |Decreased |respiratory |rate |
d. |Increased |blood |pressure |Correct |Answer: | |d. |Increased |blood
|pressure
A |nurse |is |preparing |to |administer |medication |to |a |client |and
|discovers |a |medication |error. |The |nurse |should |recognize |that
|which |of |the |following |staff |members |is |responsible |for |completing
|an |incident |report?
a. |The |quality |improvement |committee |
b. |The |nurse |who |identifies |the |error |
c. |The |nurse |who |caused |the |error |
d. |The |charge |nurse |Correct |Answer: | |b. |The |nurse |who |identifies
|the |error
, A |nurse |is |planning |care |for |a |client |who |is |receiving |morphine |via
|continuous |epidural |infusion. |The |nurse |should |monitor |the |client
|for |which |of |the |following?
a. |Pruritus
b. |Cough |
c. |Tachypnea
d. |Gastric |bleeding |Correct |Answer: | |a. |Pruritus |- |Sign |of |allergic
|reaction |to |morphine
A |nurse |is |preparing |to |administer |digoxin |orally |to |a |client.
|Identify |the |sequence |of |steps |the |nurse |should |take. |(Move |the
|steps |into |the |box |on |the |right |placing |them |in |the |order |of
|performance. |Use |all |the |steps.) |Correct |Answer: | |a. |Obtain |the
|client's |apical |heart |rate
b. |Remove |the |medication |from |the |dispensing |system |
c. |Open |the |medication |package
d. |Compare |the |client's |wristband |to |the |medication |administration
|record
e. |Document |administration |of |the |medication
A |nurse |is |reviewing |the |medical |record |of |an |adult |client |who |has
|a |fever |and |a |prescription |for |acetaminophen. |Which |of |the
|following |findings |should |the |nurse |identify |as |a |contraindication
|for |receiving |this |medication?
a. |Alcohol |use |disorder
b. |Chronic |kidney |disease |
c. |Hepatitis |B |vaccine |within |the |last |week |
d. |Diabetes |mellitus |Correct |Answer: | |a. |Alcohol |use |disorder
b. |Chronic |kidney |disease
A |home |health |nurse |is |visiting |a |client |who |has |heart |failure |and
|a |prescription |for |furosemide. |The |nurse |identifies |that |the |client
|has |gained |2.5 |kg |(5 |lb.) |since |the |last |visit |2 |days |ago. |Which |of
|the |following |actions |should |the |nurse |take |first?
