ATI PHARM CMS
A domestic health nurse is traveling an older person customer who has Alzheimer's sickness.
His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 x daily,
to the purchaser for restlessness and anxiety during the past few days. For which of the
subsequent effects need to the nurse investigate the consumer?
A. Low-grade fever
b. Sedation
c.Diuresis
d. Tonic-clonic seizures - ANS-b. Sedation
A hospice nurse is being concerned for a consumer who has most cancers and is taking
naproxen 250 mg three x each day po and gabapentin 1,800mg 3 x day by day po to
manipulate pain. The consumer tells the nurse, "I'm having ache that keeps me from doing what
I'd like maximum of the time." which of the following additions should the nurse anticipate to the
purchaser's medicine regimen?
A. Oral meperidine
b. Parenteral naloxone
c. Parenteral diazepam
d. Oral oxycodone - ANS-d. Oral oxycodone
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg every
day, however the customer reports that she has been taking more doses to promote weight loss.
Which of the subsequent findings must illustrate to the nurse that the customer is dehydrated?
A. Urine particular gravity 1.Half
b. Distended neck veins
c. BUN 18mg/dL
d. Bounding radial pulse - ANS-a. Urine precise gravity 1.Half
A nurse is administering adenosine via IV bolus for a client who has evolved paroxysmal atrial
tachycardia. For which of the subsequent findings must the nurse determine the purchaser for
the duration of administration of adenosine?
A. Seizures
b. Cinchonism
c. Dyspnea
d. Transient pallor of the face - ANS-c. Dyspnea
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a excessive UTI.
The purchaser asks why each medicinal drugs are wished. Which of the subsequent responses
have to the nurse make?
A.Phenazopyridine decreases detrimental consequences of ciprofloxacin hydrochloride.
,B.Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course
of therapy.
C.The use of phenazopyridine lets in for a decrease dosage of ciprofloxacin
hydrochloride.
D.Ciprofloxacin hydrochloride treats the contamination and the phenazopyridine treats pain. -
ANS-d.Ciprofloxacin hydrochloride treats the infection and the phenazopyridine treats pain.
A nurse is administering insulin glulisine 10 devices subQ at 0730 to a young person consumer
who has type I diabetes mellitus. The nurse need to expect onset of action of the insulin at
which of the subsequent instances?
A. 0800
b. 0745
c. 0900
d. 1030 - ANS-b. 0745
A nurse is administering oral hydroxyzine to a client. Which of the subsequent destructive
outcomes should the nurse educate the customer to anticipate?
A. Diarrhea
b. Anxiety
c. Nausea and vomiting
d. Dry mouth - ANS-d. Dry mouth
A nurse is administering subQ epinephrine for a consumer who's experiencing anaphylaxis. The
nurse need to monitor the patron for which of the following negative results?
A. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - ANS-d. Tachycardia
A nurse is administering subQ heparin to a customer who's at threat for DVT. Which of the
following should the nurse take?
A. Administer the medication into the purchaser's stomach
b. Inject the medication right into a muscle
c. Massage the website after administering the medication
d. Use a 22 gauge needle to manage the medicine - ANS-a. Administer the drugs into the
consumer's stomach
A nurse is assessing a purchaser who has a brand new prescription for chlorpromazine to treat
schizophrenia. The customer has a mask like facial expression and is experiencing involuntary
moves and tremors. Which of the following medications need to the nurse expect administering?
A. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - ANS-a. Amantadine
, A nurse is assessing a customer who has hypothyroidism and takes levothyroxine. Which of the
subsequent findings need to alert the nurse that the consumer is experiencing acute
levothyroxine overdose?
A. Bradycardia
b. Cold intolerance
c. Tremor
d. Hypothermia - ANS-c. Tremor
A nurse is assessing a client who's receiving IV gentamicin 3 x each day. Which of the
subsequent findings indicates that the patron is experiencing an unfavourable effect of this
medicinal drug?
A. Hypoglycemia
b. Proteinuria
c. Nasal congestion
d. Visual disturbances - ANS-b. Proteinuria
A nurse is assessing a consumer who reviews the use of numerous herbal and diet
supplements day by day, which includes noticed palmetto. The nurse need to understand that
saw palmetto is a complement used by customers to elicit which of the following healing
outcomes?
A. Urinary health merchandising
b. Immune system stimulation
c. Decreased leg ache from arterial disease
d. Prevention of nausea resulting from movement illness. - ANS-a. Urinary health merchandising
A nurse is assessing a purchaser who takes oral theophylline for alleviation of persistent
bronchitis. The nurse must recognize that which of the subsequent findings indicates toxicity to
theophylline?
A. Constipation
b. Tremors
c. Fatigue
d. Bradycardia - ANS-b. Tremors
A nurse is worrying for a client and realizes after administering the 0900 medications that she
administered digoxin 0.25mg po to the patron as opposed to the prescribed digoxin zero.A
hundred twenty five mg po. Which of the subsequent actions must the nurse take first?
A. Notify the issuer
b. Contact the nursing manager
c. Assess the patron's apical pulse d. Complete an incident file. - ANS-c. Assess the
consumer's apical pulse
A nurse is worrying for a purchaser who had a new prescription for enalapril. The nurse need to
monitor the patron for which of the subsequent damaging consequences of this medicinal drug?
A domestic health nurse is traveling an older person customer who has Alzheimer's sickness.
His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 x daily,
to the purchaser for restlessness and anxiety during the past few days. For which of the
subsequent effects need to the nurse investigate the consumer?
A. Low-grade fever
b. Sedation
c.Diuresis
d. Tonic-clonic seizures - ANS-b. Sedation
A hospice nurse is being concerned for a consumer who has most cancers and is taking
naproxen 250 mg three x each day po and gabapentin 1,800mg 3 x day by day po to
manipulate pain. The consumer tells the nurse, "I'm having ache that keeps me from doing what
I'd like maximum of the time." which of the following additions should the nurse anticipate to the
purchaser's medicine regimen?
A. Oral meperidine
b. Parenteral naloxone
c. Parenteral diazepam
d. Oral oxycodone - ANS-d. Oral oxycodone
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg every
day, however the customer reports that she has been taking more doses to promote weight loss.
Which of the subsequent findings must illustrate to the nurse that the customer is dehydrated?
A. Urine particular gravity 1.Half
b. Distended neck veins
c. BUN 18mg/dL
d. Bounding radial pulse - ANS-a. Urine precise gravity 1.Half
A nurse is administering adenosine via IV bolus for a client who has evolved paroxysmal atrial
tachycardia. For which of the subsequent findings must the nurse determine the purchaser for
the duration of administration of adenosine?
A. Seizures
b. Cinchonism
c. Dyspnea
d. Transient pallor of the face - ANS-c. Dyspnea
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a excessive UTI.
The purchaser asks why each medicinal drugs are wished. Which of the subsequent responses
have to the nurse make?
A.Phenazopyridine decreases detrimental consequences of ciprofloxacin hydrochloride.
,B.Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course
of therapy.
C.The use of phenazopyridine lets in for a decrease dosage of ciprofloxacin
hydrochloride.
D.Ciprofloxacin hydrochloride treats the contamination and the phenazopyridine treats pain. -
ANS-d.Ciprofloxacin hydrochloride treats the infection and the phenazopyridine treats pain.
A nurse is administering insulin glulisine 10 devices subQ at 0730 to a young person consumer
who has type I diabetes mellitus. The nurse need to expect onset of action of the insulin at
which of the subsequent instances?
A. 0800
b. 0745
c. 0900
d. 1030 - ANS-b. 0745
A nurse is administering oral hydroxyzine to a client. Which of the subsequent destructive
outcomes should the nurse educate the customer to anticipate?
A. Diarrhea
b. Anxiety
c. Nausea and vomiting
d. Dry mouth - ANS-d. Dry mouth
A nurse is administering subQ epinephrine for a consumer who's experiencing anaphylaxis. The
nurse need to monitor the patron for which of the following negative results?
A. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - ANS-d. Tachycardia
A nurse is administering subQ heparin to a customer who's at threat for DVT. Which of the
following should the nurse take?
A. Administer the medication into the purchaser's stomach
b. Inject the medication right into a muscle
c. Massage the website after administering the medication
d. Use a 22 gauge needle to manage the medicine - ANS-a. Administer the drugs into the
consumer's stomach
A nurse is assessing a purchaser who has a brand new prescription for chlorpromazine to treat
schizophrenia. The customer has a mask like facial expression and is experiencing involuntary
moves and tremors. Which of the following medications need to the nurse expect administering?
A. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - ANS-a. Amantadine
, A nurse is assessing a customer who has hypothyroidism and takes levothyroxine. Which of the
subsequent findings need to alert the nurse that the consumer is experiencing acute
levothyroxine overdose?
A. Bradycardia
b. Cold intolerance
c. Tremor
d. Hypothermia - ANS-c. Tremor
A nurse is assessing a client who's receiving IV gentamicin 3 x each day. Which of the
subsequent findings indicates that the patron is experiencing an unfavourable effect of this
medicinal drug?
A. Hypoglycemia
b. Proteinuria
c. Nasal congestion
d. Visual disturbances - ANS-b. Proteinuria
A nurse is assessing a consumer who reviews the use of numerous herbal and diet
supplements day by day, which includes noticed palmetto. The nurse need to understand that
saw palmetto is a complement used by customers to elicit which of the following healing
outcomes?
A. Urinary health merchandising
b. Immune system stimulation
c. Decreased leg ache from arterial disease
d. Prevention of nausea resulting from movement illness. - ANS-a. Urinary health merchandising
A nurse is assessing a purchaser who takes oral theophylline for alleviation of persistent
bronchitis. The nurse must recognize that which of the subsequent findings indicates toxicity to
theophylline?
A. Constipation
b. Tremors
c. Fatigue
d. Bradycardia - ANS-b. Tremors
A nurse is worrying for a client and realizes after administering the 0900 medications that she
administered digoxin 0.25mg po to the patron as opposed to the prescribed digoxin zero.A
hundred twenty five mg po. Which of the subsequent actions must the nurse take first?
A. Notify the issuer
b. Contact the nursing manager
c. Assess the patron's apical pulse d. Complete an incident file. - ANS-c. Assess the
consumer's apical pulse
A nurse is worrying for a purchaser who had a new prescription for enalapril. The nurse need to
monitor the patron for which of the subsequent damaging consequences of this medicinal drug?
