ATI Pharmacology Practice Exam A 2024

ATI Pharmacology Practice Exam A 2024
Amnursemismprovidingmdischargeminstructionsmtomamclientmwhomhasmheartmfailuremandmamnewmp
rescriptionmformcaptopril.mWhichmofmthemfollowingmclientmstatementsmindicatesmanmunderstan
dingmofmthemteaching?

a. "Imshouldmtakemthismmedicationmwithmfood."
b. "ImshouldmtakemnaproxenmifmImdevelopmjointmpain."
c. "ImshouldmtellmmymprovidermifmImdevelopmamsoremthroat."
d. "Imshouldmexpectmthemmedicationmtomcausemmymurinemtomlookmorange."m-
mc.m"Imshouldmtellm
mymprovidermifmImdevelopmamsoremthroat."

Themclientmshouldmreportmamsoremthroatmtomthemprovidermbecausemthismcanmindicatemneutrop
enia,mamseriousmadversemeffectmofmcaptopril.mNeutropeniamcanmbemreversedmifmitmismidentified
mearlymandmthemmedicationmismpromptlymdiscontinued.




Amnursemismprovidingmteachingmtomamclientmwhomhasmpepticmulcermdiseasemandmismtomstar
tmamnewmprescriptionmformsucralfate.mWhichmofmthemfollowingmactionsmofmsucralfatemshoul
dmthemnursemincludeminmthemteaching?

a.mDecreasesmstomachmacidmandmsecretio
nmb.mNeutralizesmacidminmthemstomach
c.mFormsmamprotectivembarrier
d.mTreatsmulcersmbymeradicatingmH.mpylorim-mC.mFormamamprotectivembarriermovermulcers

Secretionsmbymthemparietalmchiefmcells,mhydrochloricmacidmandmpepsin,mcanmfurthermirrita
temthemulceratedmareas.mSucralfate,mammucosalmprotectant,mformsmamgel-
likemsubstancemthatmcoatsmthemulcer,mcreatingmambarriermtomhydrochloricmacidmandmpepsi
n.

Amnursemismprovidingmteachingmtomamclientmwhomhasmmultiplemsclerosismandmamnewmprescri
ptionmformmethylprednisolone.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclu
de?m(SATA)

a.mBloodmglucosemlevelsmwillmbemmonitoredmduringmthera
pymb.mAvoidmcontactmwithmpeoplemwhomhavemknownminfect
ionsmc.mTakemthemmedicationm1mhrmbeforembreakfast
d.mDecreasemdietarymintakemofmfoodsmcontainingmpotassium
e.mGrapefruitmjuicemcanmincreasemthemeffectsmofmthemmedicationm-
ma.mBloodmglucosemlevelsm willmbemmonitoredmduringmtherapy
b.mAvoidmcontactmwithmpeoplemwhomhavemknownminfections
e.mGrapefruitmjuicemcanmincreasemthemeffectsmofmthemmedication

a. Themnursemshouldmmonitormthemclientmformhyperglycemiamwhilemprovidingmmethylpredni
solonemtomthemclient.mGlucocorticoids,msuchmasmmethylprednisolone,mincreasemserummgluc
osemlevelsmandmcanmrequiremmanagementmwithminsulinmormantihyperglycemia.

,b. Themnursemshouldminstructmthemclientmtomavoidmexposuresmtominfectiousmagents,msuchma
smcontactmwithmthosemwhomhavemactiveminfectionsmormillnesses.mGlucocorticoids,mwhichmas
mmethylprednisolone,mdepressmthemimmunemsystem,mplacingmthemclientmatmanmincreasedmr

iskmformdevelopingmanminfection.
e.mThemnursemshouldminmstrictmthemclientmthatmgrapefruitmandmgrapefruitmjuicemcanmincreasem
themlevelmofmmethylprednisoloneminmthembody.

Themnursemismprovidingmdischargemteachingmaboutmhandlingmmedicationmtomamclientmwhomi
smtomcontinuemtakingmoralmtransmucosalmfentanylmraspberry-flavoredmlozengesmonmamstick.
Whichmofmthemfollowingminformationmshouldmthemnursemincludeminmthemteaching?

a. Chewmonmthemmedicationmstickmtomreleasemthemmedication
b. Leavemthemmedicationmstickminmonemlocationmofmthemmouthmuntilmmelt
edmc.mAllowmthemmedicationm1mhrmformthemanalgesiameffectsmtombegin
d.mStoremunusedmmedicationmsticksminmamstoragemcontainerm-
md.mStoremunusedmmedicationm sticksminmamstoragemcontainer

Themnursemshouldminstructmthemclientmtomstoremunused,mormpartiallymused,mmedicationsmstic
ksminmthemsafemstoragemcontainermthatmcomesminmthemkitmwhenmthemmedicationmisminitiallympr
escribed.

AmnursemismreviewingmthemECGmofmamclientmwhomismreceivingmIVmfurosemidemformheartmfailu
re.mThemnursemshouldmidentifymwhichmofmthemfollowingmfindingsmasmanmindicationmofmhypokal
emia?

a.mTall,mtentedmTmwaves
mb.mPresencemofmUmwav

es
c.mWidenedmQRSmcomplex
d.mSTmelevationm-mb.mPresencemofmUmwaves

Amnursemismcaringmformamclientmandmismtakingmoralmmorphinemandmdocusatemsodium.mThem
nursemshouldminstructmthemclientmthatmtakingmthemdocusatemsodiummdailymcanmminimizem
whichmofmthemfollowingmadversemeffectsmofmmorphine?

a.mConstipation
b.mDrowsiness
m

c.mFacialmflushing
d.mItchingm-ma.mConstipation

Constipationmismamcommonmadversemeffectmofmmorphinemthatmcanmbemminimizedmbymtakin
gmdocusatemsodium,mamstoolmsoftenermthatmpromotesmeasiermevacuationmofmstoolmbymincre
asingmwatermandmfatminmthemintestine.

AmnursemismplanningmcaremformamclientmwhomismreceivingmmannitolmviamcontinuousmIVminfusio
n.mThemnursemshouldmmonitormformwhichmofmthemfollowingmadversemeffects?

, a. Weightmloss
b. Increasedmintraocularmpressur
emc.mAuditorymhallucinations
d.mBibasilarmcracklesm-md.mBibasilarmcrackles

Mannitol,manmosmoticmdiuretic,mcanmprecipitatemheartmfailuremandmpulmonarymedem
a,mtherefore,mthemnursemshouldmrecognizemlungmcracklesmasmanmindicationmofmampote
ntialmcomplicationmandmstopmtheminfusion.

Amnursemismprovidingmteachingmtomamclientmwhomhasmamgastricmulcermandmamnewmprescriptio
nmformranitidine.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclude?

a. "Takemthemmedicationmonmanmemptymstomachmformfullmeffectiveness."
b. "mYoummaymdiscontinuemthismmedicationmwhenmstomachmdiscomfortmsubsides
."mc.m"Reportmyellowingmofmthemskin."
d.m"Storemthemmedicationminmthemrefrigerator."m-mc.m"Reportmyellowingmofmthemskin."

Ranitidinemcanmbemhapatotoxicmandmcausemjaundice.mThemnursemshouldminstructmthemclie
ntmtommonitormformandmreportmyellowingmofmthemskinmormeyesmtomthemprovider.

AmnursemismassessingmamclientmaftermthemadministeringmamsecondmdosemofmcefazolinmIV.mThem
nursemnotesmthemclientmhasmanxiety,mhypotension,mandmdyspnea.mWhichmofmthemfollowingmm
edicationsmshouldmthemnursemadministermfirst?

a.mDiphenhydramine
b.mAlbuterolminhalerm
m

c.mEpinephrine
d.mPrednisolem-mc.mEpinephrine

Accordingmtomevidence-
basedmpractice,mthemnursemshouldmadministermepinephrinemfirstmtominducemvasoconstrictionm
andmbronchodilationmduringmanaphylaxis.

Amnursemismplanningmcaremformamclientmwhomhasmhypertensionmandmismtomstartmtakingmmetopr
olol.mWhichmofmthemfollowingminterventionsmshouldmthemnursemincludeminmthemplanmofmcare?

a. Weightmthemclientmweekly
b. Determinemapicalmpulsempriormtomadministering
c. Administermthemmedicationm30mminmpriormtombreakfast
d. Monitormthemclientmformjaundicem-mb.mDeterminemthemapicalmpulsempriormtomadministering

Life-
threateningmbradycardiamismanmadversemeffectmthatmmightmaffectmthemclient.mTherefore,mthe
mnursemshouldmassessmthemclient'smapicalmpulsempriormtomadministeringmthemmedication.mIfm
t
hemclient'smpulsemratemismlessmthanm60/min,mthemnursemshouldmwithholdmthemmedicationman
dmnotifymthemprovider.