ATI PHARMACOLOGY PROCTORED LATEST STUDY GUIDE

1. 1. A nurse in a provider's office is preparing to teach a middle adult client of metabolic syndrome and an HbAlc of 6.5%. Which of the following medications should the nurse plan to teach the client about first? A. Metformin B. Exenatide C. Insulin glargine D. Regular insulin 2. 2. A nurse is reviewing a client's laboratory results before administering furosemide 40mb IV bolus. For which of the following values should the nurse with- hold the medication and contact the provider? A. WBC count 8.000/mm? B. Potassium 2.5 mEg/L C. INR 1.0 D. Sodium 141 mEq/L 3. 3. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of allergic reaction following the injection? A. Bradycardia B. Pallor C. Urticaria D. Dyspepsia 4. 4. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects? A. Tinnitus B. orthostatic hypotension C. insomnia D. fluid retention 5. 5. A nurse is assessing a client who takes glipizide for the treatment of type 2 diabetes mellitus. Which of the following findings indicates effectiveness of the A. Metformin B. Potassium 2.5 mEg/L C. Urticaria B. Orthostatic Hy- potension D. HgbA1c 6.5% medication? A. Fasting blood glucose 160mg/dL B. An increase in appetite C. Stable weight D. HgbA1c 6.5% 6. 6. A nurse is reviewing a client's medical record be- fore administering acetaminophen 650m PO every 6hr. which of the following findings indicates a need for the nurse to notify the provider? A. Hypothyroidism B. History of alcohol use disorder C. Recurrent headaches D. BP 92/60mm Hg 7. 7. A nurse is assessing a client who has been taking lithium for one year. Which of the following client re- ports is the nurse's priority? A. transient fatigue B. Weight gain of 2.7 kg (6lbs) C. mild thirst D. Blurred vision 8. 8. A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for months? A. Weigh loss B. Increase in pulse rate C. Increased sleeping D. Warmer skin 9. 9. A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep vein thrombosis. Available is heparin 10,00(units/mL.) 10. 10. A nurse is teaching a client who is to begin cy- clophosphamide therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching? B. History of alco- hol use disorder C. mild thirst C. Increased sleeping 0.4 mL B. leukopenia A. Hyperglycemia B. Leukopenia C. Bradycardia D. hypotension 11. 11. A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching? A. notify the provider for the appearance of a skin rash B. expect severe nausea and vomiting for the first week of therapy C. take a double dose of this medication if a dose is missed D. Swallow the medication with milk upon awakening in the morning 12. 12. A nurse is assessing a client who has been taking digoxin for about a month. Which of the following findings should the nurse identify as an indication that this client has developed digoxin toxicity? A. Hyperkalemia B. Blurred vision C. ringing in the ears D. Hypertension 13. 13. A nurse receives a prescription to give tobramycin to a client daily. Which of the following laboratory values should the nurse report to the provider? A. Serum sodium 137 mean B. Hgb 15 g/dL C. Het 43% D. Serum creatinine 2.5 mg/dL 14. 14. A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the priority at this time? A. Implement seizure precautions B. Administer naltrexone C. encourage participation in a 12-step program D. assist the client to identity triggers for alcohol use A. notify the provider for the ap- pearance of a skin rash B. Blurred vision D. Serum creati- nine 2.5 mg/dL A. Implement seizure precau- tions 15. 15. A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindi- cated? A. Diarrhea B. Diverticulitis C. Glaucoma D. Bronchospasms 16. 16. A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following state- ments by the client indicates an understanding of the teaching? A. "I should take an antacid with this medication to prevent stomach upset" B. "I should take this medication with 8 ounces of milk. C. "I should notify my provider if my stools turn black. D. " I should stay upright for at least 15 minutes after taking this medication. 17. 17. A nurse is teaching a client who has multiple allergies about using an epinephrine auto-injector. Which of the following instructions should the nurse include? A. Inject the medication into the abdomen B. aspirate prior to administration of the medication C. avoid massaging the site after injection D. administer the mediation through clothing if neces- sary 18. 18. A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following should indicate to the nurse that the therapy is effective? A. reduced calf circumference B. decreased INR C. Presence of pedal pulses D. Platelets within the expected reference range