N180 FINAL ATI Pharmacology Final EXAM |
QUESTIONS AND ANSWERS UPDATED | 2024
A nurse is planning to administer diltiazem via IV bolus to a client who has A Fib. When
assessing the client, the nurse should recognize that which of the following findings is a
contraindication to administer diltiazem?
Hypotension
Tachycardia
Decreased level of consciousness
History of diuretic use - Hypotension
.
.
.
Diltiazem can be a treatment option for essential hypertension. This medication will
lower blood pressure and is contraindicated for a client who is hypotensive. The nurse
should teach the client to self-monitor blood pressure and keep a record of the readings.
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure.
Which of the following data should the nurse plan to review prior to administration of this
medication?
Blood pressure
Temperature
Blood glucose levels
Total protein level - Blood pressure
.
.
.
epoetin alfa can cause hypertension, which can lead to stroke or cardio problems.
Monitor the BP & notify if it increases.
A nurse is providing discharge teaching to a pt who has HF & a prescription for digoxin
0.125 mg PO daily & furosemide 20 mg PO daily. Which of the following statements by
the pt indicates and understanding of the teaching?
a. "I know that blurred vision is something I will expect to happen while taking digoxin."
b. "I will measure my urine output each day and document it in my diary."
c. "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute."
d. "I will eat fruits and vegetables that have high potassium content every day." - d.
, Hypokalemia is an adverse effect of diuretic therapy.
Maintain potassium between 3.5 to 5.0 to avoid digoxin toxicity.
A nurse is preparing to administer iron dextran IV to a pt. Which of the following actions
should the nurse plan to take?
a. Administer a small test dose before giving the full dose.
b. Infuse the medication over 30 seconds.
c. Monitor the client closely for hypertension after the infusion.
d. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs. - a.
iron dextran adverse effect = anaphylaxis
test small dose over 5 min before giving full dose
A nurse is administering insulin glulisine 10 units subQ at 0730 to an adolescent pt who
has Type 1 diabetes. The nurse should anticipate onset of action of the insulin at which
of the following times?
0800
0745
0900
1030 - 0745
.
.
.
Insulin glulisine has a very short onset of action of 15 min. The nurse should expect the
onset of action around 0745 and ensure the client eats breakfast immediately following
administration of the insulin.
A nurse in an outpatient facility is assessing a pt who is prescribed furosemide 40 mg
daily, but the pt reports that she has been taking extra doses to promote weight loss.
Which of the following findings should indicate tot he nurse that the pt is dehydrated?
Urine specific gravity 1.035
Distended neck veins
BUN 18 mg/dL
Bounding radial pulses - urine specific gravity 1.035
.
.
.
Oliguria, increased urine concentration, and an increase in urine specific gravity greater
than 1.030 are expected findings in clients who are dehydrated.
QUESTIONS AND ANSWERS UPDATED | 2024
A nurse is planning to administer diltiazem via IV bolus to a client who has A Fib. When
assessing the client, the nurse should recognize that which of the following findings is a
contraindication to administer diltiazem?
Hypotension
Tachycardia
Decreased level of consciousness
History of diuretic use - Hypotension
.
.
.
Diltiazem can be a treatment option for essential hypertension. This medication will
lower blood pressure and is contraindicated for a client who is hypotensive. The nurse
should teach the client to self-monitor blood pressure and keep a record of the readings.
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure.
Which of the following data should the nurse plan to review prior to administration of this
medication?
Blood pressure
Temperature
Blood glucose levels
Total protein level - Blood pressure
.
.
.
epoetin alfa can cause hypertension, which can lead to stroke or cardio problems.
Monitor the BP & notify if it increases.
A nurse is providing discharge teaching to a pt who has HF & a prescription for digoxin
0.125 mg PO daily & furosemide 20 mg PO daily. Which of the following statements by
the pt indicates and understanding of the teaching?
a. "I know that blurred vision is something I will expect to happen while taking digoxin."
b. "I will measure my urine output each day and document it in my diary."
c. "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute."
d. "I will eat fruits and vegetables that have high potassium content every day." - d.
, Hypokalemia is an adverse effect of diuretic therapy.
Maintain potassium between 3.5 to 5.0 to avoid digoxin toxicity.
A nurse is preparing to administer iron dextran IV to a pt. Which of the following actions
should the nurse plan to take?
a. Administer a small test dose before giving the full dose.
b. Infuse the medication over 30 seconds.
c. Monitor the client closely for hypertension after the infusion.
d. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs. - a.
iron dextran adverse effect = anaphylaxis
test small dose over 5 min before giving full dose
A nurse is administering insulin glulisine 10 units subQ at 0730 to an adolescent pt who
has Type 1 diabetes. The nurse should anticipate onset of action of the insulin at which
of the following times?
0800
0745
0900
1030 - 0745
.
.
.
Insulin glulisine has a very short onset of action of 15 min. The nurse should expect the
onset of action around 0745 and ensure the client eats breakfast immediately following
administration of the insulin.
A nurse in an outpatient facility is assessing a pt who is prescribed furosemide 40 mg
daily, but the pt reports that she has been taking extra doses to promote weight loss.
Which of the following findings should indicate tot he nurse that the pt is dehydrated?
Urine specific gravity 1.035
Distended neck veins
BUN 18 mg/dL
Bounding radial pulses - urine specific gravity 1.035
.
.
.
Oliguria, increased urine concentration, and an increase in urine specific gravity greater
than 1.030 are expected findings in clients who are dehydrated.
