ATI RN PHARMACOLOGY PROCTORED EXAM 2023/2024 LATEST GRADED A+

A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client: 3) Insomnia 4) Tinnitus A nurse is teaching a client about the use of resedronate (Actonel) to treat osteoporasis. Which of the following client statements indicates a need for further teaching: 3) I need to set up or stand after taking the risedronate 4) I need to take the risdronate with food A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the following adverse effects should the nurse be observing: 1) vomiting 2) Akathesia A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse document to indicate the effectiveness of the therapy: 1) Increased platelet count 2) Increased RBC count A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome: 1) Increase in seizure threshold 2) Decrease flexor & extension spasticity A nurse caring for a client that has undergone a liver transplant and is taking cyclosporine (Sandimmune). Which of the following laboratory findings indicates an adverse effect of the medication: 1) WBC count 8,000/mm3 2) Serum creatine 2.5 mg/dL A nurse is providing teaching to a client who has a new pancrelipase (Pancrease). Which of the following should the nurse include in the teaching: 3) Take the medication with each meal and snack 4) Monitor blood glucose levels daily A client who is postoperative has received 2 mg of hydromorphine (Dilaudid) IV bolus every 2 hours. The client continue to rate his pain at a 7 on a scale from 0 to 10. which of the following client findings should the nurse attend to first: 1) Constipation 2) Hypotension A nurse is instructing a client who has asthma. The client is currently taking albuterol (Proventil) every 4 hours PRM for bronchial spasms. He is to start a new prescription for montelukast (Singulair). Which of the following instructions should the nurse include: (Select all that apply) 1) Use montelukast to relieve an asthma attack 2) Do not take montelukast with food 3) Administer montelukast 30 min before sports activities 4) Report any increased need to use albuterol 5) Take montelukast once a day in the the evening A nurse is caring for a client who is experiencing acute alcohol withdrawl. For which of the following is the client prescribed chlordiazpoxide (Librium) 3) Lessen craving 4) Prevent delirium tremens A child is prescribed amoxicillin-clavulanic acid (Augmentin) for the treatment of an ear infection. The child's mother asks the nurse why her child is receiving this combination of two medications. The nurse appropriately responds by stating that this medication is: 1) More effective 2) Known to decrease allergic reaction A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate (Rheumatrex). Which of the following statements by the client indicates an understanding of the teaching: 3) I should call my doctor if I develop sores in my mouth 4) I will have difficulty sleeping when i take this medication A nurse is caring for a client who is starting a new prescription for warfarin (Coumadin). Which of the following medications should the nurse plan to administer if the client experiences bleeding: 1) Vitamin K 2) Protamine sufate A nurse is evaluating a client who has been prescribed oral metformin (Glucophage) and glipizide (Glucotrol) 3 months ago to control diabetes mellitus. The nurse should identify which of the following laboratory findings as indicative of client compliance over time: 1) HbA1c 8.0% 2) HbA1c 6.5% An older adult client who has an infection is prescribed gentamicin (Garamycin). Which of the following client statements indicates a side effect of this medication and should be reported to the provider immediately: 1) I'm having difficulty reading the newspaper 2) I have to turn the volume up on the TV to hear it A client is prescribed amitriptyline (Elavil). Which of the following adverse effects should the nurse instruct the client to report: 3) Urinary retention 4) Decreased libido A nurse is caring for a client who has heart failure and is prescribed enalapril (Vasotec) and spironolactone (Aldactone). For which of the following potential side effects should the nurse plan to monitor: 1) Hypokalemia 2) Hyperkalemia A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following indicates to the nurse that the client is experiencing magnesium toxicity: 3) Decreased level of consciousness 4) Agitation A nurse is administering donepezil (Aricept) to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately: 3) Dizziness 4) Dyspnea A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For which should the nurse monitor related to this medication: 1) Paresthesias 2) Increased BP A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine (Parnate). Which should be included in teaching: 1) Avoid eating citrus fruits while taking this medication 2) Move slowly when changing to a standing position Provide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should the nurse monitor and report: 1) Abdominal pain 2) Increased thirst A nurse is reveiwing lab results, for a patient who has chronic asthma and is taking prednisone (Deltasome) every other day. Which of the following lab values should the nurse report to the doctor: 3) Blood glucose 200 mg/dL 4) BUN 14 mg/dL A nurse is caring for a client receiving zidovudine (Retrovir) for which of the following lab results should the nurse prepare to monitor: 3) Serum creatine 4) Hemoglobin A client informs the nurse at the primary care providers office that he received a prescription for timolol (timoptic) to treat glaucoma. Which of the following in the client's history should concern you: 3) The client has a history of bradycardia 4) The client reports that he is taking loratadine (Claritan) A mom of a newborn asks the nurse when her newborn should receive his 1st diptheria, tetanus, and pertusis vaccine (DTAP). Which of the following should the nurse say: 1) Birth 2) 2 months A nurse is preparing to administer warfarin (coumadin) to a client diagnosed with atrial fibrillation. Which action should the nurse take before administering warfarin: 1) Check INR results 2) Monitor the aPTT level A nurse caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea (Droxia). Which findings should the nurse report- select all that apply: 1) hemoglobin 4.2 g/dL 2) Hematocrit 42% 3) RBC 4,700,000/ mm3 4) Platelets 75,000/mm3 5) Neutrophils 1,400 /mm3 A nurse assesses a patient with chronic back pain who is receving 650 mg acetaminophen (Tylenol) every 4 hours for pain. PCP has prescribed oxycodone/acetaminophen (Percocet) every 4 to 6 hours PRN for breakthrough pain. Which action should the nurse take: 3) Place the client on seizure precautions 4) Notify the PCP A nurse is teaching a patient who has a peptic ulcer disease and is to start a new prescription for sucralfate (Carafate). The nurse explains to the patient this medication: 3) Forms a protective barriers over ulcers 4) Treats ulcers by eradicating H. pylor Which of the following statements made by a client after a teaching session about Warfarin (Coumadin) indicates a need for further teaching: 1) I may take aspirin as needed for pain 2) I should limit the amount of green, leafy vegetables A nurse is caring for a patient who has pneumonia. The patient tells the nurse that she is pregnant, but has not told her provider. Which of the following medication orders should the nurse question: 1) Acetaminophen (Tylenol) 2) Doxycycline (Doxycin) A nurse is providing teaching to a patient who has hypertension and is to start a new prescription for lisinopril (Zestril). For which of the following should the nurse instruct the client to monitor and report to the PCP: 3) Facial Flushing 4) Dry cough A nurse caring for the following patient with acute ST elevation myocardinal infarction. The patient is receiving nitroglycerin (Nitro-bid IV) by continuous IV infusion to maintain a systolic blood pressure between 130-10 mmHg: 1) Increase the dose when the Systolic BP is 120 mmHg 2) Increase the dose when the Systolic BP is 160