ATI Pharmacology CMS Proctored Exam Test Bank 2024

1. A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin). Which of the following findings is an adverse effect of this medication? (adverse effect is thrombocytopenia) o Ecchymosis o Ototoxicity o Hypertension o Anxiety - A 2. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL. How many gtt/min of IV fluid should the client receive? (Round your answer to the nearest whole number). - 31 gtt/min 3. A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the nurse take? A. Clarify the medication dosages with the provider. B. Change the prescribed medication dosages to reconcile the discrepancy C. Contact the pharmacist regarding the dosage discrepancies D. Ask a family member to verify the medication dosages - A 5. A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when administering this medication? A. Massage the nitroglycerin ointment completely into the skin. B. Replace the nitroglycerin transdermal patch every 4 hours. C. Administer a sustained nitroglycerin tablet orally. D. Administer a nitroglycerin tablet sublingually every 5 minutes. - D 6. A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects? (Select all that apply.) A. Bradycardia B. Jaundice C. Polyuria D. Urtipenia E. Fever - B, D, E 7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning medication therapy with zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching. (Select all that apply.) A. Must be taken with other retroviral medicines. B. Has few adverse effects C. Cures an HIV infection D. Prevents you from transmitting the HIV infection E. Increases CD4+ cell count - A, B, E 8. A nurse is assessing a school age client who is experiencing seizure activity and is prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving a continuous infusion of which of the following IV: o Lactated Ringers solution o 0.9% Sodium chloride with 100 units of regular insulin o 0.9% sodium chloride o 0.9% Sodium chloride with 20 mEq of potassium chloride - A 9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure. Which of the following indicates an expected finding? o Activity tolerance o Orthostatic hypotension o Loss of strength o Increase in blood pressure - B 10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of the following therapeutic effects should the nurse monitor? o Increased urine output o Increased energy o Decreased anxiety o Decreased spacity - D 12.The nurse is caring for a client who has tuberculosis and is being treated with combination medication therapy. To test the effectiveness of the treatment, the nurse should periodically monitor which of the following laboratory results. o TT o ESD rate o Sputum culture o INR - B 13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and is experiencing adverse effects. Which of the following instructions should the nurse give to this client? o "Stand up slowly after taking this medication." o "Monitor for increased urine output." o "Take this medication with a snack." o "Administer the medication at bedtime." - A 14. A nurse is reviewing the medication administration record for a client who has metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports a pain level of 10 on a scale of 0 to 10. Which of the following medications should the nurse anticipate administering? o Hydromorphone (Dilaudid) o Butorphanol (Stadol) o Alprazolam (Xanax) o Carbenezepine (Tegretol) - A 15. A nurse is caring for a client with PCA Morphine Sulfate. Which of the following statements is not true? o "I will not receive any pain medications during the lockout period" o "I should push the button when the pain becomes severe" o "I will be asked to rate my pain occasionally" o "I don't have to worry about getting an overdose of the medication" - D 16.A nurse is caring for a client who is to receive a series of allergy tests. The nurse should instruct the client to avoid which medications for up to 4 weeks before the procedure? o Acetemetaphen (Tylenol) o Diphenhyramine (Benadryl) o Albuterol (Accuneb) o Pseudoephedrine hydrochloride (Sudafed) - B 17. A nurse administered meperidine (Demerol) intramuscularly to a client with an ankle fracture. Which of the following actions should the nurse take next? o Assess the client's respiratory status o Document on the client’s medication record o Reassess the client's pain level level o Check the client's blood pressure - A 18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily. The nurse should recognize that which of the following findings is a side effect of this medication? o WBC 8,000 mm3 o Serum sodium 136 mg/dL o Fasting blood glucose of 220 mg/dL o Weight loss of 2.26 kg (5 lb) in 2 week - A