ATI RN PHARMACOLOGY PROCTORED EXAM 2024 NEWEST EXAM 70 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT) AND RATIONALES /ALREADY GRADED A+ A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mmHg, heart rate is 55/min, and the respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? ----
------- Correct Answer --------- Heart Rate Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing the heart rate. The nurse should withhold the medication and notify the provider for a heart rate of 55/min because this is an early indication of digoxin toxicity. A nurse at a clinic is providing follow -up care to a client wo is taking fluox etine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? ----------- Correct Answer -------------------------------- ------- Sexual dysfunction Sexual dysfunction, including a decreased libido, impotence, and delayed orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70% of clients who take this SSRI antidepressant. A nurse is teaching a client about warren. The client asks if they can take aspirin while taking the warren. Which of the following responses should the nurse make? ----------- Correct Answer Aspirin will increase the risk of bleeding Aspirin inhibits platelet aggregation and can potentiate the action of the anticoagulant warfarin. Therefore, the client should avoid taking aspirin because it increases the risk for bleeding. A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure as an indication that the client is ready for discharge? --- Correct Answer --- The client's capnography has returned to baseline. The nurse should identify that the client is ready for discharge when the capnography level indicates that gas exchange is adequate. A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? --------- Correct Answer Sedation Metoclopramide has multiple CNS adverse effects, including dizziness, fatigue, and sedation. A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? --------- Correct Answer -------------------------------- --------------------- Take one tablet at onset of migraine The client should take one tablet immediately after the onset of aura or headache. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? --------- Correct Answer ---------- Administer the medication outside the 5cm (2in) radius of the umbilicus. The nurse should administer the heparin by subcutaneous injection to the abdomen in an area that is above the iliac crest and at least 5 cm (2 in) away from the umbili 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? --------- Correct Answer - Tingling of fingers The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide. A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? --------- Correct Answer Obtain the client's blood pressure. When using the nursing process, the first action the nurse should take to prevent injury to the client is to assess the client for adverse effects of atenolol, such as hypotension. A nurse is preparing to administer PO sodium polystyrene sulfonate to a client client who has hyperkalemia. Which of the following action should the nurse plan to take? ----- ---- Correct Answer Monitor the client for constipation. The nurse should monitor the client for the adverse effect of constipation and report it to the provider because this can lead to fecal impaction. A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer deceases the risk for which of the following adverse effect of the medication? --------- Correct Answer Oral candidiasis Dysphonia and oral candidiasis are adverse effects of inhaled corticosteroids. Using a spacer and rinsing the mouth after inhalation will minimize the amount of medication remaining in the oropharynx, preventing the development of these
------- Correct Answer --------- Heart Rate Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing the heart rate. The nurse should withhold the medication and notify the provider for a heart rate of 55/min because this is an early indication of digoxin toxicity. A nurse at a clinic is providing follow -up care to a client wo is taking fluox etine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? ----------- Correct Answer -------------------------------- ------- Sexual dysfunction Sexual dysfunction, including a decreased libido, impotence, and delayed orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70% of clients who take this SSRI antidepressant. A nurse is teaching a client about warren. The client asks if they can take aspirin while taking the warren. Which of the following responses should the nurse make? ----------- Correct Answer Aspirin will increase the risk of bleeding Aspirin inhibits platelet aggregation and can potentiate the action of the anticoagulant warfarin. Therefore, the client should avoid taking aspirin because it increases the risk for bleeding. A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure as an indication that the client is ready for discharge? --- Correct Answer --- The client's capnography has returned to baseline. The nurse should identify that the client is ready for discharge when the capnography level indicates that gas exchange is adequate. A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? --------- Correct Answer Sedation Metoclopramide has multiple CNS adverse effects, including dizziness, fatigue, and sedation. A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? --------- Correct Answer -------------------------------- --------------------- Take one tablet at onset of migraine The client should take one tablet immediately after the onset of aura or headache. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? --------- Correct Answer ---------- Administer the medication outside the 5cm (2in) radius of the umbilicus. The nurse should administer the heparin by subcutaneous injection to the abdomen in an area that is above the iliac crest and at least 5 cm (2 in) away from the umbili 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? --------- Correct Answer - Tingling of fingers The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide. A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? --------- Correct Answer Obtain the client's blood pressure. When using the nursing process, the first action the nurse should take to prevent injury to the client is to assess the client for adverse effects of atenolol, such as hypotension. A nurse is preparing to administer PO sodium polystyrene sulfonate to a client client who has hyperkalemia. Which of the following action should the nurse plan to take? ----- ---- Correct Answer Monitor the client for constipation. The nurse should monitor the client for the adverse effect of constipation and report it to the provider because this can lead to fecal impaction. A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer deceases the risk for which of the following adverse effect of the medication? --------- Correct Answer Oral candidiasis Dysphonia and oral candidiasis are adverse effects of inhaled corticosteroids. Using a spacer and rinsing the mouth after inhalation will minimize the amount of medication remaining in the oropharynx, preventing the development of these
