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Exam (elaborations)

ATI Pharmacology Practice Assessment A EXAM 2022

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ATI Pharmacology Practice Assessment A EXAM 2022 1.A nurse is instructing a client on the application of nitroglycerin transdermal patches. which of the following statements by the client indiciates an understanding of the teaching - Answer- I will take the patch off right after my evening meal 2.A nurse receives a verbal order from the provider to administer morphine 5 mg every 4 hours subQ for sever pain as needed. the nurse should identify which of the following entries as the correct format doe the medications administration record (MAR) - Answer- morphine 5 mg subcut every 4 hr PRN severe pain 3.A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? - Answer- tingling fingers 4.A nurse administers a dose of metformin to client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? - Answer- check the client's blood glucose 5.A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine. - Answer- constipation 6.A nurse is assessing a client's vital signs prior to the adminstration of PO digoxin. The client's BP is 144/86 mmHG, heart rate 55/min and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? - Answer- heart rate 7.A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? - Answer- 0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable, provider notified 8.A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching. - Answer- Forms a protective barrier over ulcers 9.A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? - Answer- Presence of U waves 10.A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. the nurse should report which of the following findings to the provider as an adverse effect of the medication? - Answer- tinnitus 11.A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? - Answer- administer the medication outside the 5 cm radius of the umbilicus 12.A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which if the following client statements indicates a contraindication for administering this medication? - Answer- I have tendonitis, so I haven't been able to exercise 13.A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? - Answer- Platelets 96,000/mm3 14.A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first? - Answer- Turn the client to a side-lying position 15.A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today" Which of the following actions should the nurse take? - Answer- Document the refusal and inform the client's provider 16.A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? - Answer- sexual dysfuction 17.A nurse is preparing to administer PO sodium polystrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take? - Answer- monitor the client for constipation 18.A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. the nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? - Answer- 0830 19.A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor - Answer- sedation 20.A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? - Answer- decreased respirations might occur.....

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