ATI Pharmacology proctored

ATI Pharmacology proctored exam 2023 / 2024 complete solution with correct answers latest update 2024 A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2.Calcium gluconate 3.Calcitonin (Miacalcin) 4.Large doses of vitamin D - CORRECT ANSWER-Calcitonin (Miacalcin) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? 1. Milk 2.Water 3.Apple juice 4.Orange juice - CORRECT ANSWER-Orange juice Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which of the following would indicate the presence of systemic toxicity from this medication? 1. Tinnitus 2.Diarrhea 3.Constipation 4.Decreased respirations - CORRECT ANSWER-Tinnitus The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied: 1. Immediately before swimming 2.15 minutes before exposure to the sun 3.Immediately before exposure to the sun 4.At least 30 minutes before exposure to the sun - CORRECT ANSWER-At least 30 minutes before exposure to the sun 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 (SATA) - CORRECT ANSWER-Hemoglobin 7.0 g/dl Platelets 75,000/mm3 Potassium 5.2 meq/l A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. Which of the following instructions should the nurse include (SATA)? - CORRECT ANSWER-1. Blood glucose levels will be monitored during therapy 2. Avoid contact with people who have known infections 3. Grapefruit juice can increase the effects of the medication A nurse is caring for a client who has pneumonia. The client tells the nurse that 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? - CORRECT ANSWER-Doxycycline 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? - CORRECT ANSWER-Bone density scans A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching? - CORRECT ANSWER-"I know smoking makes ranitidine less effective." 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? - CORRECT ANSWER-2 months A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? - CORRECT ANSWER-"I will taper off the medication before discontinuing it." 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? - CORRECT ANSWERA 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? - CORRECT ANSWERNaloxone 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? - CORRECT ANSWER-Urinary retention 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? - CORRECT ANSWER-Place monitoring cords and tubes in a stockinet 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? - CORRECT ANSWER-Bleeding gums A nurse is admitting a client to a long-term care facility. While reconcilingthe medication prescribed at home with those prescribed in the facility, the nursediscovers a discrepancy in the dosages. Which action should the nursetake? o Clarify the medication dosages with theprovider. o Change the prescribed medication dosages to reconcile thediscrepancy o Contact the pharmacist regarding the dosagediscrepancies o Ask a family member to verify the medicationdosages - CORRECT ANSWER-Clarify the medication dosages with theprovider. A nurse is caring for a client who is receiving a fentanyl transdermalsystem (Duragesic). What is important to document in the client'srecord? o Fluidintake o Skinintegrity o Respiratory rate o Pulserate - CORRECT ANSWER-Respiratory rate A nurse is caring for a client who has acute angina and has a prescription fornitroglycerin. Which of the following is an appropriate intervention for the nurse totake whenadministering thismedication? o Massage the nitroglycerin ointment completely into theskin. o Replace the nitroglycerin transdermal patch every 4hours. o Administer a sustained nitroglycerin tabletorally. o Administer a nitroglycerin tablet sublingually every 5minutes. - CORRECT ANSWERAdminister a nitroglycerin tablet sublingually every 5minutes. A nurse is preparing to administer infliximab (Remicade) to a client who hasrheumatoid arthriti. The nurse should watch the patient for which of the following adverse effects?(Select all thatapply.) o Bradycardia o Jaundice o Polyuria o Urtipeniao o Fever - CORRECT ANSWER-Jaundice Urtipeniao o Fever a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? - CORRECT ANSWER-Clopidogrel