ATI PHAMACOLOGY EXAM QUESTIONS & ANSWERS 2023 UPDATE

ATI PHAMACOLOGY EXAM QUESTIONS & ANSWERS 2023 UPDATE   ATI Pharmacology Question: 2 of 60 CORRECT FLAG A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? Acetaminophen Acetaminophen treats mild pain and is a category B medication of the FDA pregnancy risk categories, indicating the client should use acetaminophen with caution during pregnancy. The nurse should inform the provider of the client's pregnancy. However, this medication is not contraindicated for the client at this time. Ipratropium Ipratropium is a long-acting bronchodilator and is a category B medication of the FDA pregnancy risk categories, indicating the client should use ipratropium with caution during pregnancy. The nurse should inform the provider of the client's pregnancy. However, this medication is not contraindicated for the client at this time. Benzonatate Benzonatate is a cough suppressant and is not contraindicated for the client who is pregnant. Doxycycline MY ANSWER Doxycycline is a tetracycline antibiotic and is contraindicated for a client who is pregnant because the medication is a category D medication of the FDA pregnancy risk categories, which indicates the medication has fetal risks that can cause fetal damage. The client should only take doxycycline for a life-threatening condition. Question: 3 of 60 CORRECT FLAG • Time Elapsed: 00:09:25 • Pause Remaining: 08:20:00 PAUSE A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Question: 4 of 60 CORRECT • Time Elapsed: 00:22:08 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching to a client who is to start taking lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider? Hair loss Alopecia, or hair loss, is not an adverse effect of lisinopril. Ringing in the ears Tinnitus, or ringing in the ears, is not an adverse effect of lisinopril. Facial flushing Facial flushing is not an adverse effect of lisinopril. However, facial edema is a serious effect that the client should report to the provider. Dry cough MY ANSWER A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead to life-threatening consequences. The client should report the finding Question: 5 of 60 CORRECT FLAG • Time Elapsed: 00:38:11 • Pause Remaining: 08:20:00 PAUSE A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption? Vitamin E Vitamin E has no effect on iron absorption. Orange juice MY ANSWER The absorption of ferrous sulfate is enhanced by a vitamin C source, such as orange juice. However, increasing the dosage of ferrous sulfate can provide the same benefit to increase the amount of iron uptake. Milk Milk inhibits iron absorption. Antacids Antacids inhibit iron absorption Question: 6 of 60 CORRECT FLAG • Time Elapsed: 00:42:14 • Pause Remaining: 08:20:00 PAUSE 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? Tingling of fingers MY ANSWER The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide. Constipation Diarrhea is an adverse effect of acetazolamide due to gastrointestinal disturbances. Weight gain Weight loss is an adverse effect of acetazolamide due to gastrointestinal disturbances causing reduced appetite. Oliguria Polyuria, rather than oliguria, is an adverse effect of acetazolamide • • • • • Question: 7 of 60 CORRECT • Time Elapsed: 00:48:56 • Pause Remaining: 08:20:00 PAUSE FLAG A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? Schedule the client for the last surgery of the day. The circulating nurse should schedule the client for the first surgery of the day to minimize the client's exposure to latex, including latex dust. Place monitoring cords and tubes in a stockinet. MY ANSWER The circulating nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. Choose rubber injection ports for fluid administration. The circulating nurse should ensure that latex-free products are used in the care of this client. Rubber injection ports contain latex, which would place the client at risk for a severe allergic reaction. Ensure phenytoin IV is readily available. The nurse should ensure that epinephrine is readily available in the operating room in case of an anaphylactic reaction of accidental exposure to latex FLAG A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider? Orange urine The client who takes clindamycin can develop jaundice, which can cause the urine to turn dark brown in color. Watery diarrhea MY ANSWER The client who takes clindamycin can have an adverse effect of watery diarrhea that can lead to Clostridium difficile-associated diarrhea or pseudomembranous colitis. The client should report these findings immediately to the provider. Weight gain The client who takes clindamycin can have the adverse effect of weight loss. Headache The client who takes clindamycin will not have adverse effects that involve the central nervous system or cause a headache. Question: 9 of 60 CORRECT • Time Elapsed: 00:56:14 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages? Birth According to the current recommended immunization schedule, only the hepatitis B vaccine is given at birth. 2 months MY ANSWER The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP immunization at 2 months of age. 6 months The CDC recommends that newborns receive the third dose of the five-dose series of the DTaP immunization at 6 months of age. 15 months The CDC recommends that newborns receive the fourth dose of the five-dose series of the DTaP immunization between 15 to 18 months of age Question: 10 of 60 CORRECT • Time Elapsed: 00:57:37 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? Chest pressure MY ANSWER Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider. White patches on the tongue White patches on the tongue can indicate a fungal infection, which is not an adverse effect of sumatriptan. Bruising Ecchymosis can indicate thrombocytopenia, which is not an adverse effect of sumatriptan. Insomnia Sumatriptan can cause drowsiness and sedation as an adverse effect of the medication Question: 11 of 60 CORRECT • Time Elapsed: 00:59:44 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? Hyperventilation MY ANSWER When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is hyperventilation. This indicates the client might have acute salicylate poisoning, which causes respiratory alkalosis in the early stages. Heartburn Heartburn is nonurgent because the client who is taking aspirin can experience gastrointestinal distress. Therefore, there is another finding that is the nurse's priority. Anorexia Anorexia is nonurgent because the client who is taking aspirin can experience a decrease in appetite. Therefore, there is another finding that is the nurse's priority. Swollen ankles Swollen ankles are nonurgent because the client who is taking aspirin can experience sodium and fluid retention. Therefore, there is another finding that is the Question: 13 of 60 CORRECT • Time Elapsed: 01:04:29 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective? Decreased blood pressure Dopamine is an adrenergic that causes a receptor specificity effect, which increases blood pressure. Increased heart rate Tachycardia is an adverse effect of dopamine, and it does not indicate the medication's effectiveness. Increased cardiac output MY ANSWER Dopamine is an adrenergic that causes a receptor specificity effect, which increases cardiac output and improves perfusion. Decreased serum potassium Dopamine does not affect serum potassium levels. Question: 14 of 60 CORRECT • Time Elapsed: 01:06:00 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used to treat tuberculosis? (Select all that apply.) Mirtazapine Temazepam Infliximab Isoniazid MY ANSWER Rifampin is correct. This medication is given to treat tuberculosis by inhibiting the production of mycobacteria. Mirtazapine is incorrect. This medication is given to treat depression. Temazepam is incorrect. This medication is given to treat insomnia. Infliximab is incorrect. This medication is given to treat moderate to severe Crohn's disease or arthritis. Isoniazid is correct. This medication is given to treat tuberculosis by inhibiting the production of mycobacteria uestion: 15 of 60 CORRECT • Time Elapsed: 01:08:47 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome? Increase in seizure threshold The client who has a seizure disorder and takes baclofen can have a decrease in the seizure threshold, which can result in seizure activity. Decrease in flexor and extensor spasticity MY ANSWER The client who has a spinal cord injury and takes baclofen can experience a decrease in the frequency and severity of muscle spasms and in flexor and extensor spasticity. Increase in cognitive function The client who takes baclofen can experience the adverse effect of memory impairment and a decrease in cognitive function. Decrease in paralysis of the extremities The client who takes baclofen can experience the adverse effect of inhibited reflexes at the spinal level, but the medication does not decrease the effects of paralysis Question: 16 of 60 CORRECT • Time Elapsed: 01:11:41 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? "I will need to get laboratory testing prior to a refill of this medication." Laboratory testing is not needed when taking this medication for sleep. "I will use this medication for a short period of time." MY ANSWER Zolpidem is used for short-term treatment of insomnia. Therefore, the provider should reassess the client before refilling the prescription. "I will need to take this medication for 1 week before results are seen." The client who takes zolpidem should have improved sleep within 2 days of starting this medication. "I will need to change the medications to prevent building up a tolerance." The client who takes zolpidem should not build up a tolerance with short-term use. Question: 17 of 60 CORRECT • Time Elapsed: 01:24:28 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching? "Check for bruising while taking this medication." MY ANSWER The nurse should instruct the client to check for bruising because ketorolac can increase the risk of bleeding by interfering with platelet aggregation. "Take the medication on an empty stomach." Ketorolac should be taken with food to prevent gastrointestinal distress. "The medication can cause anxiety." There is no indication that ketorolac causes anxiety. "Increase iron intake with this medication." There is no indication that the client should increase iron intake Question: 18 of 60 CORRECT • Time Elapsed: 01:27:32 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions? Observe for hypoglycemia when the insulin peaks. Insulin glargine does not cause peaks. Instead, it maintains a steady blood level up to a 24-hr period, which reduces the risk of hypoglycemia. Administer the insulin immediately before meals. The client can inject glargine once or twice a day, any time during the day, but always at the same time every day. Do not mix this medication in a syringe with other insulin. MY ANSWER The client should not mix insulin glargine with any other type of insulin in the same syringe, because this procedure can alter the medication's effects. Rotate the bottle gently prior to drawing up the insulin. Insulin glargine is clear. Therefore, there is no need for the client to rotate the bottle prior to drawing up the insulin Question: 19 of 60 CORRECT • Time Elapsed: 01:36:31 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? Diarrhea Constipation is an adverse effect of amitriptyline. Cough Developing a cough is not an adverse effect of amitriptyline. Urinary retention MY ANSWER The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary retention. Increased libido A decrease in libido is an adverse effect of amitriptyline Question: 20 of 60 CORRECT • Time Elapsed: 01:38:57 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family? The provider will prescribe naloxone at home for respiratory depression. Naloxone is only for use in an acute care setting for the reversal of severe respiratory depression. Remove the patch to reverse the adverse effects immediately. After removing the patch, the effects will persist for several hours due to the absorption of the residual medication on the skin. Expect an increase in urinary output. Urinary retention is an adverse effect of opioids, including fentanyl. Take a stool softener on a daily basis. MY ANSWER Constipation is an adverse effect of opioid use and stool softeners can decrease the severity of this adverse effect Question: 21 of 60 CORRECT • Time Elapsed: 01:42:27 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first? Administer epinephrine 0.5 mL via IV bolus. The nurse should administer epinephrine, which is a beta-adrenergic agonist that can stimulate the heart, cause vasoconstriction of blood vessels in the skin and mucous membranes, and cause bronchodilation in the lungs. However, there is another action the nurse should take first. Discontinue the medication IV infusion. MY ANSWER The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first action the nurse should take is to discontinue the medication IV infusion to prevent the client from receiving more medication. However, the nurse should not remove the IV catheter. Instead, the nurse should change the tubing and administer 0.9% sodium chloride by continuous IV infusion. Elevate the client's legs above the level of the heart. The nurse should elevate the client's legs and feet to a level above the client's heart to facilitate blood flow to the vital organs. However, there is another action the nurse should take first. Collect a blood specimen for ABGs. The nurse should collect a blood specimen for ABGs levels to evaluate the client's respiratory status. However, there is another action the nurse should take first Question: 22 of 60 CORRECT • Time Elapsed: 01:45:03 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? Tachycardia Neostigmine can cause bradycardia, rather than tachycardia, due to the excessive muscarinic stimulation. Oliguria Neostigmine can cause urinary urgency, rather than decreased urinary output, due to the excessive muscarinic stimulation. Xerostomia Neostigmine can cause increased salivation, rather than dry mouth, due to the excessive muscarinic stimulation. Miosis MY ANSWER Miosis, which is pupillary constriction, is a common adverse effect of neostigmine due to the excessive muscarinic stimulation that causes difficulty with visual accommodation. Question: 23 of 60 CORRECT • Time Elapsed: 01:47:57 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching a client who is to start taking temazepam. Which of the following instructions should the nurse include? Limit continuous use to 7 to 10 weeks. The nurse should include in the teaching to limit use of temazepam to 7 to 10 days. Schedule doses for early morning before breakfast. The nurse should instruct the client to administer temazepam at bedtime to treat insomnia. Expect that it will take 4 nights before benefits are noticed. The nurse should include in the teaching that it will take 2 nights before benefits are noticed. Plan to withdraw from the medication gradually. MY ANSWER The nurse should include in the teaching to have the client plan to withdraw from taking temazepam gradually to avoid mild withdrawal syndrome Question: 24 of 60 CORRECT • Time Elapsed: 01:50:02 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? "I will have increased saliva production." The client should use gum or sip on water to prevent dry mouth, which is an adverse effect of cyclobenzaprine. "I will continue taking the medication until the rash disappears." The client should take cyclobenzaprine for treatment of muscle spasms. This medication does not have an effect on skin rashes. "I will taper off the medication before discontinuing it." MY ANSWER The client should taper off cyclobenzaprine before discontinuing it to prevent the return of the musculoskeletal condition. "I will report any urinary incontinence." The client should report any urinary retention because of the anticholinergic effects created when taking cyclobenzaprine Question: 25 of 60 CORRECT • Time Elapsed: 01:52:03 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication? Tachycardia Bradycardia, not tachycardia, is an adverse effect of amphotericin B. Oliguria MY ANSWER Oliguria can indicate renal compromise in a client who is taking amphotericin B. The nurse should report this finding to the provider. Hyperkalemia Hypokalemia, not hyperkalemia, is an adverse effect of amphotericin B due to the medication causing damage to the kidneys. Weight gain Weight loss, not weight gain, is an adverse effect of amphotericin B Question: 26 of 60 CORRECT • Time Elapsed: 01:54:07 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? "I should take my medication with antacids to minimize gastric upset." The client should not take phenytoin with antacids because they can decrease the effects of phenytoin. If needed, antacids should be taken 2 hr before or after the phenytoin. "This type of medication does not require blood monitoring." The client should receive instructions to have blood levels of phenytoin monitored to determine effective dosage. Subtherapeutic and toxic levels can result in poor outcomes. "I should let my dentist know I'm taking this medication." MY ANSWER Phenytoin commonly causes gingival hyperplasia. As a result, the client should notify his dentist. "I should expect to experience some unusual eye movement when taking this medication." The client should not expect to experience unusual eye movement when taking phenytoin. However, nystagmus is a serious adverse effect when taking phenytoin that the client should report to the provider Question: 27 of 60 CORRECT • Time Elapsed: 01:56:07 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication? Smoked sausage MY ANSWER The nurse should instruct the client to avoid eating smoked sausage because it contains tyramine. Tyramine can interact with MAOIs and result in hypertensive crisis. Cottage cheese The nurse should inform the client that it is safe to eat cottage cheese, which contains little to no tyramine, when taking MAOI medications. Green beans The nurse should inform the client that it is safe to eat green beans, which contain little to no tyramine, when taking MAOI medications. Apple pie The nurse should inform the client that it is safe to eat apple pie, which contains little to no tyramine, when taking MAOI medications Question: 28 of 60 CORRECT • Time Elapsed: 01:58:51 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? "I will apply the patch once a week for 2 weeks." The client should apply the patch once a week for 3 weeks and then no patch for 1 week to promote menstruation. "I will leave the existing patch on for 4 hours after applying the new patch." The client should remove and dispose the patch before applying a new patch to prevent an overdose of the medication by combining the remaining medication on the old patch with the medication on the new patch. "I will fold the sticky sides of the old patch together before disposing it." MY ANSWER The client should fold the sticky sides of the old patch together and then place it in a childproof container to ensure safe disposal of the patch. "I will apply the patch within 14 days of menses." The client should apply the patch within 7 days of menses to prevent ovulation and the need for another contraceptive method FLAG A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? Troponin The nurse should review the troponin level of a client who has chest pain and possible myocardial infarction. Total cholesterol MY ANSWER The nurse should review the client's total cholesterol before administering clozapine, because this medication can cause hyperlipidemia. Creatinine Clozapine is not metabolized by the kidneys. Therefore, the nurse does not need to review the creatinine level before administering the medication. Thyroid stimulating hormone The nurse should review the thyroid stimulating hormone level of a client who has hypothyroidism or hyperthyroidism Question: 30 of 60 CORRECT • Time Elapsed: 02:03:50 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? "I can apply the patch to a chest area that has hair." The client should apply the patch to an area of the skin that is hairless to enhance absorption of the medication. "I can take this medication if using an erectile dysfunction product." The client should not use erectile dysfunction products with nitroglycerin because this combination can cause severe hypotension and death. "I will remove the patch after 14 hours." MY ANSWER The client should remove the patch after 12 to 14 hr to prevent tolerance of the medication. "I need to apply a new patch to the same area every day." The client should rotate the location of the patch daily to avoid irritation of the skin Question: 31 of 60 CORRECT • Time Elapsed: 02:08:07 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? Methadone The nurse should administer methadone, an opioid agonist, to a client who has heroin toxicity to decrease manifestations of opioid withdrawal and to suppress the euphoria the client feels when using heroin. However, the client should not receive methadone in an emergency. Naloxone MY ANSWER The nurse should administer naloxone, an opioid antagonist, to a client who has heroin toxicity to reverse the respiratory depressive effects of the heroin. However, the nurse should not administer naloxone too quickly because naloxone can cause hypertension, tachycardia, nausea, vomiting, and might cause the client to enter a state of opioid withdrawal. Diazepam The nurse should administer diazepam, a benzodiazepine, to a client who has alcohol toxicity to decrease the manifestations of alcohol withdrawal and prevent withdrawal seizures. Bupropion The nurse should administer bupropion, an atypical antidepressant, for a client who is trying to quit smoking cigarettes to decrease the manifestations of nicotine withdrawal and ease the client's cravings for nicotine Question: 32 of 60 CORRECT • Time Elapsed: 02:11:06 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? Ondansetron Ondansetron is an antiemetic and the nurse should administer the medication to treat nausea and vomiting. Magnesium sulfate Magnesium sulfate is an electrolyte replacement and the nurse should administer the medication to treat the risk of seizure activity. Flumazenil MY ANSWER Flumazenil is an antidote and the nurse should administer the medication to reverse benzodiazepines, such as diazepam. Protamine sulfate Protamine sulfate is an antidote for heparin and the nurse should administer the medication to reverse an elevated aPTT caused by the use of heparin Question: 33 of 60 CORRECT • Time Elapsed: 02:13:34 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? "Take beclomethasone to avoid an acute attack." The client should take albuterol, a short-acting beta2-adrenergic agonist, to avoid an acute asthma attack. "Use beclomethasone 5 minutes before using albuterol." The client should use the bronchodilator, albuterol, prior to taking beclomethasone, a glucocorticoid inhaler, to enhance its absorption. "Limit your calcium and vitamin D intake when taking beclomethasone." The client should increase the intake of calcium and vitamin D to minimize bone loss while taking beclomethasone, a glucocorticoid inhaler. "Rinse your mouth after inhaling the beclomethasone." MY ANSWER The client should rinse her mouth after using beclomethasone, a glucocorticoid inhaler, to prevent oropharyngeal candidiasis and hoarseness. Question: 34 of 60 CORRECT • Time Elapsed: 02:16:37 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing discharge instruction to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective? "I should avoid getting rid of the air bubble in the syringe." The nurse should instruct the client to expel all air bubbles in the syringe to ensure an accurate dosage is delivered. "I should inject the insulin into my thigh for the fastest absorption." The nurse should instruct the client that the fastest absorption of insulin occurs with abdominal injections. Absorption is slowest when the injection is into the thigh. "I will store my unopened bottles of insulin in the refrigerator." MY ANSWER The client should store unopened vials of insulin in the refrigerator to maintain medication viability. Once opened, the insulin may remain at room temperature for up to 1 month. "I need to shake the insulin before using it to make sure it is well mixed." The nurse should instruct the client to mix insulin by rolling the insulin in the palm of his hand to prevent frothing, which can cause the drawing up of an inaccurate dose of insulin Question: 35 of 60 CORRECT • Time Elapsed: 02:17:53 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? Hypertension The nurse should monitor for hypotension, which may indicate bleeding. Low INR The nurse should monitor the INR daily until it increases to a therapeutic level. Constipation The nurse should monitor for gastrointestinal irritation, which can include diarrhea, nausea, and vomiting. Bleeding gums MY ANSWER The nurse should monitor the client for bleeding gums, which is an adverse effect of warfarin, an anticoagulant Question: 36 of 60 CORRECT • Time Elapsed: 02:19:24 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take? Infuse 0.9% sodium chloride 1,000 mL IV fluid bolus. The client who is dehydrated may receive 0.9% sodium chloride IV bolus, but it is not used to treat the adverse effects of lethargy, myalgia, and weakness from taking clozapine. Schedule the client for an electroencephalogram. The client who develops seizures may have an electroencephalogram, but it is not used to treat or diagnose the client who has lethargy and myalgia. Obtain WBC with absolute neutrophil count. MY ANSWER The client who takes clozapine can develop lethargy and myalgia caused by the adverse effect of agranulocytopenia. Therefore, monitoring the WBC with absolute neutrophil count weekly for the first 6 months of treatment is recommended. After 6 months, monitoring can be changed to occur every 2 weeks up to 1 year. Place the client on a tyramine-free diet. The client can take clozapine with or without food and does not need to follow a tyramine-free diet, The client will follow a tyramine-free diet if taking monoamine oxidase inhibitors Question: 37 of 60 CORRECT • Time Elapsed: 02:21:47 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? Pulmonary function tests Pulmonary function tests are not indicated for a client who is taking prednisone. Electrocardiograms Routine echocardiograms are not indicated for a client who is taking prednisone. Liver function studies Liver function studies are not indicated for a client who is taking prednisone. Bone density scans MY ANSWER The client who is taking prednisone, which is a glucocorticoid, should have regularly scheduled bone density scans to monitor for the adverse effects of osteoporosis. Question: 38 of 60 CORRECT • Time Elapsed: 02:23:43 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? (Select all that apply.) Creatinine 1 mg/dL RBC 4.7 million/mm3 Platelets 75,000/mm3 Potassium 5.2 mEq/L MY ANSWER Hemoglobin 7.0 g/dL is correct. A hemoglobin level of 7.0 g/dL indicates hydroxyurea toxicity, and the nurse should report it to the provider. Creatinine 1 mg/dL is incorrect. A creatinine level of 1 mg/dL is within the expected reference range. RBC 4.7 million/mm3 is incorrect. A RBC 4.7 million/mm3 is within the expected reference range. Platelets 75,000/mm3 is correct. A platelet level of 75,000/mm3 indicates hydroxyurea toxicity, and the nurse should report it to the provider. Potassium 5.2 mEq/L is correct. A potassium level of 5.2 mEq/L indicates tumor lysis syndrome, and the nurse should report it to the provider. Question: 39 of 60 CORRECT FLAG • Time Elapsed: 02:25:38 • Pause Remaining: 08:20:00 PAUSE A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication? Difficulty seeing in the dark The client who has received atropine eye drops can have photosensitivity, which causes difficulty seeing in brightly lit areas due to the muscarinic receptors causing mydriasis. Pinpoint pupils Dilation of pupils, or mydriasis, is an expected finding following the administration of atropine eye drops. Blurred vision MY ANSWER Blurred vision is an expected finding following the administration of atropine eye drops. This is due to the cycloplegic effects of the medication, which cause distant objects to appear blurry to the client. Excessive tearing Excessive tearing is not an expected finding following the administration of atropine eye drops Question: 40 of 60 CORRECT • Time Elapsed: 02:27:53 • Pause Remaining: 08:20:00 PAUSE FLAG 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? Turn the client to a side-lying position. MY ANSWER The greatest risk to the fetus experiencing late decelerations is injury from uteroplacental insufficiency. Therefore, the priority intervention the nurse should take is to place the client in a lateral position. Disconnect the client's oxytocin from the maintenance IV. The nurse should discontinue the oxytocin to reduce uterine contractions. However, another action is the nurse's priority. Apply oxygen to the client by face mask. The nurse should apply oxygen by face mask to provide supplemental oxygen to the fetus. However, another action is the nurse's priority. Increase the client's maintenance IV infusion rate. The nurse should increase the client's maintenance IV infusion rate to maintain adequate blood flow and promote placental perfusion. However, another action is the nurse's priority FLAG A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? Administer the medication outside the 5-cm (2-in) radius of the umbilicus. MY ANSWER The nurse should administer the heparin by subcutaneous injection to the abdomen in an area that is above the iliac crest and at least 2 inches away from the umbilicus. Aspirate for blood return before injecting. The nurse should not aspirate by pulling back on the plunger of the heparin syringe to check for a blood return, because it will cause the injection site to bruise. Rub vigorously after the injection to promote absorption. The nurse should apply firm pressure to the injection site for 1 to 2 min after the administration of the heparin to prevent bruising. Place a pressure dressing on the injection site to prevent bleeding. The nurse does not need to apply a dressing over the injection site if pressure is held for at least 1 min to prevent bleeding FLAG A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching? "This medication increases your risk for hypertension." The client who takes furosemide has an increased risk of hypotension due to the fluid loss from the diuretic effect of the medication. "Avoid potassium-rich foods in your diet." The client who takes furosemide has an increased risk for potassium loss because of the diuretic effect of the medication that causes excretion of potassium through the kidneys. The client should increase the intake of potassium-rich foods. "Take each dose of medication in the evening before bed." The client should take each dose of medication in the morning to avoid sleep disturbances from nocturia. "Drink a glass of milk with each dose of medication." MY ANSWER The client should take furosemide with food or milk to reduce gastric irritation Question: 43 of 60 CORRECT • Time Elapsed: 02:34:22 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? (Select all that apply.) Report muscle pain to the provider. Avoid taking the medication with grapefruit juice. Take the medication in the early morning. Expect a flushing of the skin as a reaction to the medication. Expect therapy with this medication to be lifelong. MY ANSWER Report muscle pain to the provider is correct. Myopathy is an adverse effect of simvastatin that can lead to rhabdomyolysis, so it should be reported to the provider. Avoid taking the medication with grapefruit juice is correct. When taken with grapefruit juice, simvastatin increases the risk of muscle injury from elevations in creatine kinase. Take the medication in the early morning is incorrect. This medication is most effective when taken in the evening because cholesterol production generally increases overnight. Expect a flushing of the skin as a reaction to the medication is incorrect. The nurse should identify flushing of the skin as an adverse effect of the medication niacin, which can be used to decrease the client's triglyceride levels. Expect therapy with this medication to be lifelong is correct. If medication therapy is discontinued, cholesterol levels will return to their pretreatment range within several weeks to months Question: 44 of 60 CORRECT • Time Elapsed: 02:37:42 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? Chew on the medication stick to release the medication. The nurse should instruct the client to place the fentanyl stick between her cheek and lower gum and to actively suck it for increased absorption of the medication. Leave the medication stick in one location of the mouth until melted. The nurse should instruct the client to periodically move the medication stick to a different location in the mouth for best absorption. Allow the medication 1 hr for analgesia effects to begin. The nurse should instruct the client to expect the medication's analgesia effects to begin within 10 to 15 min. Store unused medication sticks in a storage container. MY ANSWER The nurse should instruct the client to store unused, used, or partially used medication sticks in the safe storage container that comes in the kit when the medication is initially prescribed Question: 46 of 60 CORRECT • Time Elapsed: 02:53:16 • Pause Remaining: 08:20:00 PAUSE FLAG 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 of the following client statements indicates a contraindication for administering this medication? "I have tendonitis, so I haven't been able to exercise." MY ANSWER The nurse should identify tendonitis is a contraindication for taking ciprofloxacin due to the risk of tendon rupture. "I take a stool softener for chronic constipation." Ciprofloxacin is not contraindicated for the client who takes a stool softener for chronic constipation. An adverse effect of the medication is diarrhea. "I take medicine for my thyroid." Ciprofloxacin does not affect thyroid function and is not contraindicated for the client who takes thyroid medication. "I am allergic to sulfa." Ciprofloxacin is a quinolone antibiotic. Therefore, the client who has a sulfa allergy can take this medication Question: 47 of 60 CORRECT • Time Elapsed: 02:55:14 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first? Perform a capillary blood glucose test. MY ANSWER The greatest risk to this client is injury from hypoglycemia. Therefore, the nurse should perform a capillary blood glucose test to determine the client's blood glucose status. Manifestations of hypoglycemia include weakness, anxiety, confusion, sweating, and seizures. Provide the client with a protein-rich snack. The nurse should provide the client with a protein-rich snack after determining the client's blood glucose value and providing a carbohydrate first. However, there is another action that the nurse should take first. Give the client 120 mL (4 oz) of orange juice. The nurse should give the client 10 to 15 g of carbohydrates, such as 4 oz of orange juice, to treat hypoglycemia. However, there is another action that the nurse should take first. Schedule an early meal tray. The nurse should schedule the client an early meal tray to maintain the client's blood glucose level following the initial interventions for hypoglycemia. However, there is another action the nurse should take first Question: 48 of 60 CORRECT • Time Elapsed: 03:00:06 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? Take the medication with food. The nurse should instruct the client to take the medication on an empty stomach either 1 hr before or 2 hr after meals. Expect a fine, red rash as a transient effect. The nurse should instruct the client to notify the provider if a rash develops, as this can be an indication of Stevens-Johnson syndrome. However, the client should not expect to have a fine, red rash as a transient effect. Drink 8 to 10 glasses of water daily. MY ANSWER The nurse should instruct the client to increase water intake to 1,920 to 2,400 mL (64 to 80 oz) a day to decrease the chance of kidney damage from crystallization. Store the medication in the refrigerator. The nurse should inform the client to store trimethoprim/sulfamethoxazole in a light-resistant container at room temperature. Question: 49 of 60 CORRECT • Time Elapsed: 03:02:04 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? Carbamazepine MY ANSWER Carbamazepine causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes. Sumatriptan There is no medication interaction between oral contraceptives and sumatriptan, which is a medication to treat migraines. Atenolol There is no medication interaction between oral contraceptives and atenolol, a beta blocker. Glipizide There is no medication interaction between oral contraceptives and glipizide, an antidiabetic medication. Question: 50 of 60 CORRECT • Time Elapsed: 03:04:02 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? Serum calcium The client does not need to have a laboratory test for serum calcium levels when taking isotretinoin. Pregnancy test MY ANSWER The client who is pregnant or might become pregnant must not take isotretinoin because this medication has teratogenic effects. Pregnancy testing is mandatory before the initial prescription (two tests) and before monthly refills (one test). 24 hr urine collection for protein The client does not need to have a 24 hr urine test for protein levels when taking isotretinoin. Aspartate aminotransferase level The client does not need to have a laboratory test for aspartate aminotransferase levels when taking isotretinoin Question: 51 of 60 CORRECT • Time Elapsed: 03:08:37 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is preparing to administer to a client 0.9% sodium chloride 1,000 mL IV over 8 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) gtt/min MY ANSWER Question: 52 of 60 CORRECT • Time Elapsed: 03:10:15 • Pause Remaining: 08:20:00 PAUSE FLAG 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? 1000 The nurse should identify that administering an antibiotic 2 hr after the scheduled time is too late and requires filing an incident report. 0900 The nurse should identify that administering an antibiotic 1 hr after the scheduled time is too late and requires filing an incident report. 0830 MY ANSWER The nurse should identify that an antibiotic can be administered 30 min before or after the scheduled time to maintain therapeutic blood levels without requiring an incident report. 1200 The nurse should identify that administering an antibiotic 4 hr after the scheduled time is too late and requires filing an incident report Question: 53 of 60 CORRECT • Time Elapsed: 03:12:07 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? Hypoglycemia Hydrochlorothiazide is an antihypertensive thiazide diuretic medication, which can cause hyperglycemia. Orthostatic hypotension MY ANSWER The nurse should identify that hydrochlorothiazide is an antihypertensive thiazide diuretic medication, which can cause orthostatic hypotension and light headedness in clients who are taking the medication. Therefore, the nurse should instruct the client to rise slowly when moving from a recumbent to a standing position. Bradycardia The nurse should identify palpitations as an adverse effect of hydrochlorothiazide, which is an antihypertensive thiazide diuretic medication. Xanthopsia The nurse should identify that hydrochlorothiazide is an antihypertensive thiazide diuretic medication and has an adverse effect of blurred vision. Xanthopsia causes objects to appear yellow and is not an adverse effect of this medication Question: 54 of 60 CORRECT • Time Elapsed: 03:13:44 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? Obtain the client's blood pressure. MY ANSWER The first action the nurse should take to prevent injury to the client when using the nursing process is to assess the client for adverse effects of atenolol, such as hypotension. Contact the client's provider. The nurse should contact the provider, who can provide direction to the nurse to prevent injury to the client. However, there is another action the nurse should take first. Inform the charge nurse. The nurse should alert the charge nurse to the medication error. However, there is another action the nurse should take first. Complete an incident report. The nurse should complete an incident report, which is used as part of a facility's quality assurance program. However, there is another action the nurse should take first. Question: 55 of 60 CORRECT • Time Elapsed: 03:16:25 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include? Take the medication on an empty stomach. The nurse should instruct the client to take extended release verapamil with food to minimize gastric distress. Avoid crowds. Avoiding crowds is not necessary for the client who is taking verapamil because it does not cause an immunosuppression disorder. Discontinue the medication if palpitations occur. The nurse should instruct the client that verapamil can cause palpitations, which should be reported to the provider. The client should never discontinue the medication abruptly because the client may experience chest pain. Change positions slowly. MY ANSWER The nurse should instruct the client to change positions gradually to prevent orthostatic hypotension and syncope Question: 56 of 60 CORRECT • Time Elapsed: 03:17:47 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching a client who has an upper respiratory infection about guaifenesin. Which of the following statements should the nurse include in the teaching? "Constipation is an expected adverse effect of this medication." The nurse should inform the client that diarrhea, not constipation, is an expected adverse effect of guaifenesin. "Increase your fluid intake to at least 2 liters each day while taking this medication." MY ANSWER The nurse should instruct the client to increase fluid intake to at least 2 L per day while taking guaifenesin. An increase in fluid intake facilitates the removal of secretions and helps to create a more productive cough. "Store your medication in the refrigerator." The nurse should instruct the client to store the medication at room temperature. Refrigeration can alter the properties of the medication. "You can expect to experience insomnia while taking this medication." The nurse should inform the client that drowsiness, not insomnia, is an expected adverse effect of this medication. The client should avoid driving or other potentially hazardous activities while taking this medication if drowsiness occurs. Question: 57 of 60 CORRECT • Time Elapsed: 03:20:08 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol? Cholelithiasis Cholelithiasis is not a contraindication to receiving propranolol. Asthma MY ANSWER Asthma is a contraindication to receiving propranolol. Propranolol is an adrenergic antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and possibly respiratory arrest. Angina pectoris The client who has angina pectoris can receive propranolol to decrease heart rate and contractility, resulting in a reduction of oxygen demand. Propranolol is contraindicated for use when a client has vasospastic angina. Tachycardia Tachycardia is not a contraindication to receiving propranolol. Propranolol is administered to slow a client's heart rate and decrease oxygen demand Question: 58 of 60 CORRECT • Time Elapsed: 03:21:59 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply.) Avoid contact with people who have known infections. Take the medication 1 hr before breakfast. Decrease dietary intake of foods containing potassium. Grapefruit juice can increase the effects of the medication. MY ANSWER Blood glucose levels will be monitored during therapy is correct. The nurse should monitor the client for hyperglycemia while providing this medication to the client. Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can require management with insulin or antihyperglycemics. Avoid contact with people who have known infections is correct. The nurse should instruct the client to avoid exposure to infectious agents, such as contact with those who have active infections or illnesses. Glucocorticoids, such as methylprednisolone, depress the immune system, placing the client at an increased risk for developing an infection. Take the medication 1 hr before breakfast is incorrect. The nurse should instruct the client to take the medication with food or milk to decrease gastrointestinal upset. Decrease dietary intake of foods containing potassium is incorrect. The nurse should instruct the client to increase dietary intake of potassium-rich foods while taking this medication. Glucocorticoids, such as methylprednisolone, deplete potassium in the body, which manifests as hypokalemia. Grapefruit juice can increase the effects of the medication is correct.The nurse should instruct the client that grapefruit and grapefruit juice can increase the level of methylprednisolone in the body Question: 60 of 60 CORRECT • Time Elapsed: 03:25:49 • Pause Remaining: 08:20:00 PAUSE FLAG A nurse is teaching a client who is to start taking diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? ATI PHARMACOLOGY 7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive.The client is beginning medication therapy with zidovudine (Retrovir). Which of thefollowing statements should the nurse include in the teaching. (Select all thatapply.) o Must be taken with other retroviralmedicines.o Has few adverseeffects o Cures an HIVinfection o Prevents you from transmitting the HIVinfection o Increases CD4+ cellcount 8. A nurse is assessing a school age client who is experiencing seizure activity and isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receivinga continuous infusion of which of the followingIV: o Lactated Ringerssolution o 0.9% Sodium chloride with 100 units of regularinsulin o 0.9% sodiumchloride o 0.9% Sodium chloride with 20 mEq of potassiumchloride 9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heartfailure. Which of the following indicates an expectedfinding? o Activitytolerance o Orthostatichypotension o Loss of strength o Increase in bloodpressure 10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of thefollowing therapeutic effects should the nursemonitor? o Increased urineoutput o Increasedenergy o Decreased anxiety o Decreased spacity 11. Clinical findings of a client who has a prescription for lithium carbonate (Lithobid).For which reasons should the nurse withhold the medication and notify theprovider? o Lithium level 1.0mEq/L o Potassium at 3.7mEq/L o Sodium at 143mEq/L o Lithium level 2.5mEq/L 12. The nurse is caring for a client who has tuberculosis and is being treated withcombination medication therapy. To test the effectiveness of the treatment, the nurse shouldperiodically monitor which of the following laboratoryresults. o TT o ESDrate o Sputumculture oINR 13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and isexperiencing adverse effects. Which of the following instructions should the nurse give to thisclient? o “Stand up slowly after taking thismedication.” o“Monitorforincreasedurineoutput.” o “Take this medication with asnack.” o “Administer the medication atbedtime.” 14. A nurse is reviewing the medication administration record for a client whohas metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports apain level of 10 on a scale of 0 to 10. Which of the following medications should the nurseanticipate administering? o Hydromorphone(Dilaudid) o Butorphanol(Stadol) o Alprazolam(Xanax) o Carbenezepine(Tegretol) 15. A nurse is caring for a client with PCA Morphine Sulfate. Which of thefollowing statements is nottrue? o "I will not receive any pain medications during the lockoutperiod" o "I should push the button when the pain becomessevere" o "I will be asked to rate my painoccasionally" o "I don't have to worry about getting an overdose of themedication" 16.A nurse is caring for a client who is to receive a series of allergy tests. The nurseshould instruct the client to avoid which medications for up to 4 weeks before theprocedure? o Acetemetaphen(Tylenol) o Diphenhyramine(Benadryl) o Albuterol(Accuneb) o Psuedoephedrine hydrochloride(Sudafed) 17. A nurse administered meperidine (Demerol) intramuscularly to a client with anankle fracture. Which of the following actions should the nurse takenext? o Assesstheclient‟srespiratorystatus o Document on the clients medicationrecord o Reassess the client's painlevel o Check the client's bloodpressure 18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily.The nurse should recognize that which of the following findings is a side effect of thismedication? o WBC 8,000mm3 o Serum sodium 136mg/dL o Fasting blood glucose of 220mg/dL o Weight loss of 2.26 kg (5 lb) in 2weeks 19. A client with diabetes mellitus is admitted to the medical unit. The client has routinebefore- breakfast prescription for 8 units of regular insulin and 18 units ofNPH. The primarycare provider adds an additional dose of Regular insulin based on thefollowing: Blood Glucose Regular InsulinDose 121 to 150 2 units 151 to 180 4 units 201. 200 6 units 201 to 250 8 units > 250 Callprovider The client‟s pre-breakfast glucose is 192 mg/dl. Which dosage of insulinshould the nurseadminister? o 8 units of Regular, 18 units ofNPH o 8 units of Regular, 24 units ofNPH o 14 units of Regular, 18 units ofNPH o 14 units of Regular, 24 units ofNPH 20. A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mgby mouth. Which comments by the client indicates understanding regarding thismedication? o“Iwilltakemymedicationatbedtime.” o “I will take this medication withfood.” o “I will stop taking this medication in 1 week, so I don‟t getaddicted.” o “I will take vitamin C to increase the effectiveness of thismedication.” 21. A nurse is monitoring a client who is taking fosinopril (Monopril). The nurseshould understand that this has a beneficial effect on which of the bodysystems? o Gastrointestinal oCardiovascular o Pulmonary o Reproductive 22. A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the followingis an expected outcome for this client? o Increasedappetite o Reducedbleeding o Improvedbreathing o Reducedpain 23. A nurse is providing teaching to a client who just started taking lithium (Eskalith). Whichof the following statements indicates that the client understands theteaching? o „I should inject this medicationsubcutaneously.‟ o “I should expect to feel better in just a fewdays.” o“IshouldcallmydoctorifIdevelophandtremors.” o “I should take this medication on an emptystomach.” 24.A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse shouldmonitor for whichoutcome? o A rapid increase inaPTT. o A sudden increase in heartrate. o A sudden decrease in heartrate. o A rapid decrease ofaPTT. 25.A nurse is caring for a client who has rheumatoid arthritits. The client isprescribed methotrexate (Rheumatrex). Which of the following should the nurse instruct the clientto monitor and report to theprovider? o Sorethroat o Urinaryretention o Constipation o Insomnia 26.A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). Thenurse notes that the client‟s chart lists a penicillin allergy. Which of the following actions shouldthe nurse takefirst? o Notify the provider that the client is allergic to themedication. o Teach the client about signs of allergic response. o Question the client about previous allergicreactions. o Administer the medication and monitor the client for allergicresponse. 27.A nurse is teaching a client who has decided to quit smoking about using anicotine transdermal system (Nicotrol). Which of the following instructions should the nurseinclude? o Cleanse the skin with alcohol before applying thepatch. o Moisten the patch and hold it against the skin until itadheres. o Apply the patch first thing in the morning and remove it atbedtime. o Place the patch in the same skin area for the duration of thetreatment. 28. A nurse is caring for a client who has been taking furosemide (Lasix) for 3 days to treatheart failure. Which of the following findings indicate that the medication iseffective? o Reduced levels ofHDL o Potassium within the expected referencerange o Clear lungsounds o Increased level ofconsciousness 29. A client is questioning the nurse about why she is receiving frequent doses of IVantibiotics. Which of the following responses by the nurse isappropriate? o It helps to maintain a steady druglevel o It helps to prevent the emergence of drug-resistantbacteria o It decreases the risk of an allergicreaction o It decreases the length of necessarytreatment 30. A female adult client is scheduled to start a prescription for azathioprine (Imuran) foractive Rheumatoid Arthritis. The nurse should inform the client about the need for which ofthe f