ATI Pharmacology Practice Exam A 2023.

ATI Pharmacology Practice Exam A 2023
A67nurse67is67providing67discharge67instructions67to67a67client67who67has67heart67failure67
and67a67new67prescription67for67captopril.67Which67of67the67following67client67statements
67indicates67an67understanding67of67the67teaching?


a. "I67should67take67this67medication67with67food."
b. "I67should67take67naproxen67if67I67develop67joint67pain."
c. "I67should67tell67my67provider67if67I67develop67a67sore67throat."
d. "I67should67expect67the67medication67to67cause67my67urine67to67look67orange."67-
67c.67"I67should67tell67my67provider67if67I67develop67a67sore67throat."


The67client67should67report67a67sore67throat67to67the67provider67because67this67can67indi
cate67neutropenia,67a67serious67adverse67effect67of67captopril.67Neutropenia67can67be67r
eversed67if67it67is67identified67early67and67the67medication67is67promptly67discontinued.

A67nurse67is67providing67teaching67to67a67client67who67has67peptic67ulcer67disease67a
nd67is67to67start67a67new67prescription67for67sucralfate.67Which67of67the67following67act
ions67of67sucralfate67should67the67nurse67include67in67the67teaching?

a. Decreases67stomach67acid67and67secretion
b. Neutralizes67acid67in67the67stomach
c. Forms67a67protective67barrier
d. Treats67ulcers67by67eradicating67H.67pylori67-
67C.67For67a67a67protective67barrier67over67ulcers


Secretions67by67the67parietal67chief67cells,67hydrochloric67acid67and67pepsin,67can67fur
ther67irritate67the67ulcerated67areas.67Sucralfate,67a67mucosal67protectant,67forms67a67
gel-
like67substance67that67coats67the67ulcer,67creating67a67barrier67to67hydrochloric67acid6
7and67pepsin.


A67nurse67is67providing67teaching67to67a67client67who67has67multiple67sclerosis67and67a67
new67prescription67for67methylprednisolone.67Which67of67the67following67instructions67sh
ould67the67nurse67include?67(SATA)

a. Blood67glucose67levels67will67be67monitored67during67therapy
b. Avoid67contact67with67people67who67have67known67infections
c. Take67the67medication67167hr67before67breakfast
d. Decrease67dietary67intake67of67foods67containing67potassium
e. Grapefruit67juice67can67increase67the67effects67of67the67medication67-
67a.67Blood67glucose67levels67will67be67monitored67during67therapy
b.67Avoid67contact67with67people67who67have67known67infections
e.67Grapefruit67juice67can67increase67the67effects67of67the67medication

a. The67nurse67should67monitor67the67client67for67hyperglycemia67while67providing67met
hylprednisolone67to67the67client.67Glucocorticoids,67such67as67methylprednisolone,67incr
ease67serum67glucose67levels67and67can67require67management67with67insulin67or67anti
hyperglycemia.

,b. The67nurse67should67instruct67the67client67to67avoid67exposures67to67infectious67agen
ts,67such67as67contact67with67those67who67have67active67infections67or67illnesses.67Gluc
ocorticoids,67which67as67methylprednisolone,67depress67the67immune67system,67placing
67the67client67at67an67increased67risk67for67developing67an67infection.
e.67The67nurse67should67in67strict67the67client67that67grapefruit67and67grapefruit67juice67c
an67increase67the67level67of67methylprednisolone67in67the67body.

The67nurse67is67providing67discharge67teaching67about67handling67medication67to67a67cli
ent67who67is67to67continue67taking67oral67transmucosal67fentanyl67raspberry-
flavored67lozenges67on67a67stick.
Which67of67the67following67information67should67the67nurse67include67in67the67teaching?

a. Chew67on67the67medication67stick67to67release67the67medication
b. Leave67the67medication67stick67in67one67location67of67the67mouth67until67melted
c. Allow67the67medication67167hr67for67the67analgesia67effects67to67begin
d. Store67unused67medication67sticks67in67a67storage67container67-
67d.67Store67unused67medication67sticks67in67a67storage67container


The67nurse67should67instruct67the67client67to67store67unused,67or67partially67used,67medic
ations67sticks67in67the67safe67storage67container67that67comes67in67the67kit67when67the67
medication67is67initially67prescribed.

A67nurse67is67reviewing67the67ECG67of67a67client67who67is67receiving67IV67furosemide67fo
r67heart67failure.67The67nurse67should67identify67which67of67the67following67findings67as67
an67indication67of67hypokalemia?

a. Tall,67tented67T67waves
b. Presence67of67U67waves
c. Widened67QRS67complex
d. ST67elevation67-67b.67Presence67of67U67waves

A67nurse67is67caring67for67a67client67and67is67taking67oral67morphine67and67docusate67so
dium.67The67nurse67should67instruct67the67client67that67taking67the67docusate67sodium67
daily67can67minimize67which67of67the67following67adverse67effects67of67morphine?

a. Constipation
b. Drowsiness
c. Facial67flushing
d. Itching67-67a.67Constipation

Constipation67is67a67common67adverse67effect67of67morphine67that67can67be67minimized
67by67taking67docusate67sodium,67a67stool67softener67that67promotes67easier67evacuati
on67of67stool67by67increasing67water67and67fat67in67the67intestine.

A67nurse67is67planning67care67for67a67client67who67is67receiving67mannitol67via67continuou
s67IV67infusion.67The67nurse67should67monitor67for67which67of67the67following67adverse67
effects?

, a. Weight67loss
b. Increased67intraocular67pressure
c. Auditory67hallucinations
d. Bibasilar67crackles67-67d.67Bibasilar67crackles

Mannitol,67an67osmotic67diuretic,67can67precipitate67heart67failure67and67pulmonar
y67edema,67therefore,67the67nurse67should67recognize67lung67crackles67as67an67in
dication67of67a67potential67complication67and67stop67the67infusion.

A67nurse67is67providing67teaching67to67a67client67who67has67a67gastric67ulcer67and67a67ne
w67prescription67for67ranitidine.67Which67of67the67following67instructions67should67the67nu
rse67include?

a. "Take67the67medication67on67an67empty67stomach67for67full67effectiveness."
b. "67You67may67discontinue67this67medication67when67stomach67discomfort67subsides."
c. "Report67yellowing67of67the67skin."
d. "Store67the67medication67in67the67refrigerator."67-
67c.67"Report67yellowing67of67the67skin."


Ranitidine67can67be67hapatotoxic67and67cause67jaundice.67The67nurse67should67instruct6
7the67client67to67monitor67for67and67report67yellowing67of67the67skin67or67eyes67to67the67
provider.

A67nurse67is67assessing67a67client67after67the67administering67a67second67dose67of67cefaz
olin67IV.67The67nurse67notes67the67client67has67anxiety,67hypotension,67and67dyspnea.67
Which67of67the67following67medications67should67the67nurse67administer67first?

a. Diphenhydramine
b. Albuterol67inhaler
c. Epinephrine
d. Prednisole67-67c.67Epinephrine

According67to67evidence-
based67practice,67the67nurse67should67administer67epinephrine67first67to67induce67vasoco
nstriction67and67bronchodilation67during67anaphylaxis.

A67nurse67is67planning67care67for67a67client67who67has67hypertension67and67is67to67start6
7taking67metoprolol.67Which67of67the67following67interventions67should67the67nurse67inclu
de67in67the67plan67of67care?

a. Weight67the67client67weekly
b. Determine67apical67pulse67prior67to67administering
c. Administer67the67medication673067min67prior67to67breakfast
d. Monitor67the67client67for67jaundice67-
67b.67Determine67the67apical67pulse67prior67to67administering


Life-
threatening67bradycardia67is67an67adverse67effect67that67might67affect67the67client.67Ther
efore,67the67nurse67should67assess67the67client's67apical67pulse67prior67to67administering6
7the67medication.67If67the67client's67pulse67rate67is67less67than6760/min,67the67nurse67sho
uld67withhold67the67medication67and67notify67the67provider.