ATI Pharmacology Proctored Exam 2019 | Verified Answers Graded A

ATI PHARMACOLOGY PROCTORED 2019 EXAM WITH REVISED AND VERIFIED ANSWERS. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? Amantadine Bupropion Phenelzine Hydroxyzine The client is experiencing parkinsonism, which is an adverse effect of the antipsychotic medication chlorpromazine. Amantadine is an antiparkinsonian medication used to treat the extrapyramidal manifestations that can occur with chlorpromazine therapy. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? Ecchymosis Decreased urine output Increased blood pressure Dizziness Zolpidem can cause dizziness and daytime drowsiness. It can confuse the older adult client. A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority? Administer the medication to the client before breakfast in the morning. Ambulate the client to a chair prior to administering the medication. Give the medication to the client with water rather than milk. Teach the client how to take the medication at home. Answer- Ambulate the client to a chair prior to administering the medication. The nurse should ambulate the client to a chair and ensure that the client is sitting upright before administering the alendronate to prevent esophagitis from occurring. The client must also be able to sit or stand upright for 30 min after taking the medication. The nurse should apply the safety and risk reduction priority-setting framework. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow's Hierarchy of Needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client. A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? Raynaud's phenomenon Migraine headaches Ulcerative colitis Anemia Ergotamine prevents or stops a migraine headache by blocking alpha-adrenergic receptors in the cranial peripheral vascular smooth muscle, which causes vasoconstriction of dilated cerebral blood vessels. A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? Ibuprofen Naproxen Aspirin Acetaminophen Acetaminophen is an analgesic used for mild to moderate pain. It can be administered to a client who has peptic ulcer disease because it does not affect blood coagulation and does not increase the risk of gastrointestinal bleeding. A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching? "I will give my child a dose as soon as wheezing starts." "My child should rinse out his mouth after using the inhaler." "My child should exhale completely before placing the inhaler in his mouth." "If my child has difficulty breathing in the dose, a spacer can be used." Answer- "I will give my child a dose as soon as wheezing starts." Cromolyn is a mast cell inhibitor that has a slow onset and is given for prophylactic treatment of asthma. It is not a rescue medication. A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? Methimazole Somatropin Levothyroxine Propylthiouracil