ATI PHARMACOLOGY PROCTORED EXAM

ATI PHARMACOLOGY PROCTORED EXAM 1. A nurse is providing teaching to a client who has prescription for trimethoprim/sulfamethoxazole. Which of the following instructionsshould the nurse include in the teaching? a. Take the medication with food b. Expect a fine, red rash as a transient effect (not normal with any drug) c. Drink 8-10 glasses of water daily (decrease chance of kidney damage) d. Store the medication in the refrigerator (only suspensions go in the fridge) 2. A nurse at an urgent care clinic is collecting a history from a female client who has a UTI. The nurse anticipated a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? Cipro=C. Diff a. “I have tendonitis, so I haven’t been able to exercise” (increase risk for tendon rupture) b. “I take a stool softener for chronic constipation” (Cipro= C. Diff) c. “I take medication for my thyroid” (most thyroids don’t interact with antibiotics) d. “I am allergic to sulfa” (not a sulfa) 3. A nurse is teaching a client who has an URI about guaifenesin. Which of the following statement should the nurse include in the teaching? a. “constipation is an expected adverse effect of this medication” (not anticholinergic drug) b. “increase your fluid intake to at least 2 liters per day while taking guaifenesin. An increase in fluid intake facilitates the removal of secretions and helps to create a more productive cough.” c. “store your medication in the refrigerator” (not usually in fridge) d. “You can expect to experience insomnia while taking this medication” (Normally drowsiness happens) 4. A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following lab tests should the nurse review before administering the meds? –ine=psych meds a. Troponin (cardiac) b. Total cholesterol (causes hyperlipidemia) c. Creatinine (not metabolized in kidneys) d. TSH (doesn’t affect thyroid) 5. A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instruction should the nurse include in the teaching plan? SELECT ALL THAT APPLY. a. Report muscle pain to the provider (rhabdomyolosis) This study source was downloaded by from CourseH on :53:00 GMT -06:00 b. Avoid taking the medication with grapefruit juice (grapefruit is almost always right-increase muscle injury risk) c. Take the medication in the early morning (take at night because cholesterol is created at night) d. Expect a flushing of the skin as a reaction to the medicine (goes with niacin) e. Expect therapy with this medication to be lifelong (cholesterol levels will increase without) 6. A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicatesthat the medication is effective? (What do we want to do with HF?) a. Decreased blood pressure b. Increased heart rate c. Increased Cardiac Output (goal for HF tx) d. Decreased serum potassium 7. 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? Diuretic, causes wet sx, carbonic anhydrase inhibitor a. Tingling of fingers b. Constipation c. Weight gain d. Oliguria 8. 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? TCA, expected reaction a. Diarrhea b. Cough c. Urinary retention (expected anticholinergic effects) d. Increased libido 9. 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? Powerful antifungal (antibiotic) a. Tachycardia (should be brady) b. Oliguria (nephrotoxic) c. Hyperkalemia (should be hypo) d. Weight gain (should be loss) 10. Medications can be administered 30 minutes before or after scheduled time without completing an incident report. 11. A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and respiratory rate of 6/minute. Which of the following medications should the nurse plan to administer? a. Methadone (not an emergency drug) b. Naloxone (fix it now) c. Diazepam (ETOH toxicity) d. Bupropion (Smoking/nicotine withdrawal) This study source was downloaded by from CourseH on :53:00 GMT -06:00 12. 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? a. “This medication increases your risk for hypertension” (lowers BP) b. “Avoid potassium rich foods in your diet” (causes hypokalemia) c. “take each dose of medication in the evening” (causes nocturia) d. “drink a glass of milk with each dose of medication” (prevent GI irritation) 13. 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? Psych med a. Infuse 0.9% sodium chloride 1000 ml IV fluid bolus b. Schedule the client for an electroencephalogram c. Obtain WBC with absolute neutrophil count (assess before intervening, agranyolocytosis) d. Place the client on a tyramine free diet 14. A nurse is teaching a client who is starting to take diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? Calcium channel blocker a. Blurred vision (mostly eye drops) b. Shortness of breath c. Muscle twitching (blocks Ca needed for muscle movement) d. Dry cough (goes with ACE inhibitor) 15. 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? Antiseizure me