ATI PHARMACOLOGY PROCRTORED LATEST UPDATED EXAM (QUESTIONS AND ANWERS) 2019.

ATI PHARMACOLOGY PROCRTORED LATEST UPDATED EXAM (QUESTIONS AND ANWERS) 2019. 1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should iden9fy which of the following ;ndings as a manifesta9on 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 solu9on. Which of the following ;ndings should indicate to the nurse that the treatment is eFec9ve? a. Absent Chvostek’s sign b. Improved cogni?on c. Decreased vomi9ng d. Cardiac arrhythmias absent 3.) A nurse is teaching a client who has a new prescrip9on for a nitroglycerin transdermal patch. Which of the following instruc9ons should the nurse include? a. “Discon9nue 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 prescrip9on for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Crea9nine 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 medica9on regimen? a. The client has a nega?ve sputum culture b. The client tests nega9ve for HIV c. The client has a posi9ve puri;ed protein deriva9ve test d. The client’s liver func9on test results are within the expected reference range 6.) A client is caring for a client who develops an anaphylac?c reac9on to IV administra9on. A]er assessing the client’s respiratory status and stopping the medica9on infusion. Which of the following ac9ons 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 Pharmacology 2019 --÷_→ 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 prescrip9on for lisinopril. For which of the following adverse eFects 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 con9nuous 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 medica9on to a client and discovers a medica9on error. The nurse should recognize that which of the following staF members is responsible for comple9ng an incident report? a. The quality improvement commieee b. The nurse who iden?Res 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 con9nuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus – Sign of allergic reacGon to morphine b. Cough c. Tachypnea d. Gastric bleeding 12.)A nurse is preparing to administer digoxin orally to a client. Iden9fy 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 medica?on from the dispensing system c. Open the medica?on package d. Compare the client’s wristband to the medica?on administra?on record e. Document administra?on of the medica?on 13.) A nurse is reviewing the medical record of an adult client who has a fever and a prescrip9on for acetaminophen. Which of the following ;ndings should the nurse iden9fy as a contraindica9on for receiving this medica9on? a. Alcohol use disorder b. Chronic kidney disease c. Hepa99s B vaccine within the last week d. Diabetes mellitus 14.) A home health nurse is visi9ng a client who has heart failure and a prescrip9on for furosemide. The nurse iden9;es that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following ac9ons should the nurse take ;rst? a. Encourage the client to dangle the legs while siing in a chair b. Teach the client about foods low in sodium c. Determine medica?on adherence by the client d. No9fy the provider of the client’s weight gain 15.) A nurse is preparing to administer the ini9al dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indica9on of an allergic reac9on following the injec9on? a. Ur?caria b. Bradycardia c. Pallor d. Dyspepsia 16.)A nurse is teaching a client who has angina a new prescrip9on for sublingual nitroglycerin tablets. Which of the following instruc9ons should the nurse include in the teaching? a. “Discard any tablets you do not use every 6 months.” b. “Take one tablet each morning 30 minutes prior to ea9ng.” c. “Keep the tablets at room temperature in their original glass boXle.” d. “Place the tablet between your cheek and gum to dissolve.” 17.) A nurse is providing teaching to a client who has a new prescrip9on for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? a. “I can take my medica?on in the morning with my coYee.” b. “I may sprinkle the medica9on in applesauce.” c. “I should limit my =uid intake while on this medica9on.” d. “I will need to have blood levels drawn.” 18.)A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following ac9ons should the nurse take ;rst? a. Withdraw the regular insulin from the viral b. Withdraw the NPH insulin form the vial c. Inject air into the NPH vial d. Inject air into the regular insulin vial 19.)A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? ← = - a. Massage the site a]er administering the medica9on b. Use a 21-gauge needle for the injec9on c. Aspirate before injec9ng the medica9on d. Insert the needle at least 5 cm (2 in) from the umbilicus 20.)A nurse is caring for a client who has a prescrip9on for amoxicillin. Which of the following ;ndings indicates the client is experiencing an allergic reac9on? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema d. Insomnia 21.)A nurse is teaching a newly licensed nurse about medica9on reconcilia9on. The nurse should instruct the newly licensed nurse to perform medica9on reconcilia9on for which of the following? a. A client who has a referral for social services b. A client who is transdermal to radiology c. A client who is transferal to a step-down unit d. A client who has a consulta9on for physical therapy 22.)A nurse is reviewing the laboratory values of a client who is taking atorvasta9n. Which of the following laboratory values indicates the treatment has been eFec9ve? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine speci;c gravity 1.020 d. LDL 120 mg/dL 23.)A nurse is receiving a medica9on prescrip9on by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescrip9on in the client’s medical record? a. Morphine 6 mg IV push every 3 hr PRN acute pain b. MSO 6 mg IV push every 3 hr PRN acute pain c. MS 6 mg IV push every 3 hr PRN acute pain d. Morphine 6.0 mg IV push every 3 hr PRN acute pain 24.)A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following ac9ons should the nurse take? a. Show the IV solu9on rate b. Ini9ate a new IV distal to the ini9al site c. Maintain the extremity below the level of the heart d. Apply a warm, moist compress 25.)A nurse is providing teaching to a client who has a new prescrip9on for clozapine. Which of the following statements should the nurse include in the teaching? a. “Diarrhea is a common adverse eFect of this medica9on.” b. “Ringing in the ears is an expected adverse eFect of this medica9on.” c. “No?fy your provider if you develop a fever while taking this medica?on.” d. “You might experience weight loss while taking this medica9on.”