ATI PN PHARMACOLOGY PROCTORED 2020/2021 RETAKE GUIDE

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 2.) 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 – 0.6 to 1.2 mg/dL Normal Range b. Sodium 138 mEq/L – 135 to 145 mEq/L Normal Range c. Magnesium 2 mEq/L – 1.3 to 2.1 mg/dL Normal Range 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 3.) 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 nurses 4.) A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. “Diarrhea is a common adverse effect of this medication.” b. “Ringing in the ears is an expected adverse effect of this medication.” c. “Notify your provider if you develop a fever while taking this medication.” d. “You might experience weight loss while taking this medication.” 5.) A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse. “I do not take this medication. I would prefer a natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider? a. Black cohosh b. Garlic c. Feverfew d. Saw palmetto 6.) A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? a. Decreased nausea b. Increased pain relief c. Decreased blood pressure d. Increased respiratory rate 7.) A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate d. Flumazenil 8.) A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) a. Polypharmacy b. Increased rate of absorption c. Decreased percentage of body fat d. Multiple health problems e. Decreased renal function 9.) A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Sodium 137 mEq/L b. Hct 4.3% c. Hgb 15 g/dL d. Creatinine 2.5 mg/dL 10.)A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosal 11.)A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report? a. ePTT 90 seconds b. Hgb 16 g/dL c. INR 1.6 d. WBC 6,000/mm3 12.)A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? A.Sodium 138 mEq/dl B.Magnesium 1.5 mEq/L C.BUN LEVEL 10mg/dl d. Potassium 2.9 mEq/L- 3.5 to5.0 13.)A nurse accidently administers the medication metformin (Diabetes Mellitus) instead of metoprolol to a client. Which of the following actions should the nurse take? A.Monitor the client’s thyroid function tests B.Collect the client’s uric acid level c.Obtain the client’s HDL level d.Check the client’s glucose level 14.)A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use? A. SUBCUTANEOUS B. INTRAVENOUS c. Central venous access device (peripherally inserted central catheter) line, but can also be administered through a central line or port-a-cath. D.MIDLINE CATHETER ..................................................................................................CONTINUE