ATI Pharmacology Proctor 2019

ATI Pharmacology Proctor 2019. A nurse is assessing a client who is receiving intravenous therapy. The nurse should idenfy which of the following ndings as a manifestaon of uid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse 2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic soluon. Which of the following ndings should indicate to the nurse that the treatment is e&ecve? a. Absent Chvostek’s sign b. Improved cognion c. Decreased voming d. Cardiac arrhythmias absent 3.) A nurse is teaching a client who has a new prescripon for a nitroglycerin transdermal patch. Which of the following instrucons should the nurse include? a. “Disconnue 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.” 4.) A nurse is reviewing he laboratory results of a client who has a prescripon for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creanine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L 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 5.) 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 medicaon regimen? a. The client has a negave sputum culture b. The client tests negave for HIV c. The client has a posive puried protein derivave test d. The client’s liver funcon test results are within the expected reference range 6.) A client is caring for a client who develops an anaphylacc reacon to IV administraon. A=er assessing the client’s respiratory status and stopping the medicaon infusion. Which of the following acons 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 7.) 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 8.) A nurse is caring for a client who has heart failure and a new prescripon for lisinopril. For which of the following adverse e&ects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension 9.) A nurse is assessing a client who is receiving heparin IV connuous 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 10.) A nurse is preparing to administer medicaon to a client and discovers a medicaon error. The nurse should recognize that which of the following sta& members is responsible for compleng an incident report? a. The quality improvement commiEee b. The nurse who iden2es the error c. The nurse who caused the error d. The charge nurse 11.) A nurse is planning care for a client who is receiving morphine via connuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus – Sign of allergic reac'on to morphine b. Cough c. Tachypnea d. Gastric bleeding 12.)A nurse is preparing to administer digoxin orally to a client. Idenfy 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.) a. Obtain the client’s apical heart rate b. Remove the medicaon from the dispensing system c. Open the medicaon package d. Compare the client’s wristband to the medicaon administraon record e. Document administraon of the medicaon 13.) A nurse is reviewing the medical record of an adult client who has a fever and a prescripon for acetaminophen. Which of the following ndings should the nurse idenfy as a contraindicaon for receiving this medicaon? a. Alcohol use disorder b. Chronic kidney disease c. Hepas B vaccine within the last week d. Diabetes mellitus