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ATI PHARMACOLOGY PROCTORED CME 2024/ 2025 EXAM QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS

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ATI PHARMACOLOGY PROCTORED CME 2024/ 2025 EXAM QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS “A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? - CORRECT ANSWER One" "A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? - CORRECT ANSWER A second nurse should listen to a telephone prescription to prevent errors in communication" "A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero. - CORRECT ANSWER 22" "A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero. - CORRECT ANSWER 200" "A nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10 mg/1 mL. how many mL should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.) - CORRECT ANSWER 8" "A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give? - CORRECT ANSWER "Change positions slowly when you move from sitting to standing."" "A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client? - CORRECT ANSWER Central nervous" "A nurse is caring for a client who is taking oral Oxycodone The client states he is also taking Ibuprofen in three recommended doses daily. The nurse should identify that an interaction between these two medications will cause which of the following findings? - CORRECT ANSWER An increase in the expected therapeutic effect of both medications" "A nurse is preparing to administer medications to a 4‑month‑old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (Select all that apply.) - CORRECT ANSWER Infants have immature liver function. Infants' blood‑brain barrier is poorly developed. Infants have an increased ability to absorb topical medications." "A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing Serotonin syndrome? - CORRECT ANSWER Fever" "A nurse is reviewing laboratory findings and notes that a client's plasma Lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? - CORRECT ANSWER Perform immediate gastric lavage." "A nurse is caring for a client who has a new prescription for Lithium Carbonate. When teaching the client about ways to prevent Lithium toxicity, the nurse should advise the client to do which of the following? - CORRECT ANSWER Limit aerobic activity in hot weather" "A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication? - CORRECT ANSWER Coarse tremors" "A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse should instruct the client that while taking this medication he will need to have which of the following laboratory tests completed periodically? (Select all that apply.) - CORRECT ANSWER thrombocyte count amylase Liver function tests" "A nurse is preparing a teaching plan for a female client who has Bipolar disorder and a new prescription for Carbamazepine. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) - CORRECT ANSWER "Eliminate grapefruit juice from your diet." "You will need to have a complete blood count and carbamazepine levels drawn periodically." "Notify your provider if you develop a rash." "Avoid driving for the first few days after starting this medication." "A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (Select all that apply.) - CORRECT ANSWER Lorazepam Diazepam" "A nurse is providing teaching to a client who has a new prescription for Clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? - CORRECT ANSWER Dry mouth" "A nurse is teaching a female client who has tobacco use disorder about Nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? - CORRECT ANSWER "I should avoid eating right before I chew a piece of nicotine gum."" "A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from Opioid use and has a new prescription for Clonidine. Which of the following actions should the nurse identify as the priority? - CORRECT ANSWER Obtain baseline vital signs" "A nurse in the post‑anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications? - CORRECT ANSWER Neostigmine" "A nurse is providing information to a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? - CORRECT ANSWER hallucinations" "A nurse is teaching a client who has a new prescription for Levodopa/Carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? - CORRECT ANSWER take this medication with food" "A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should anticipate administering which of the following medications to the client? (Select all that apply.) - CORRECT ANSWER Ethosuximide's Valproic acid Lamotrigine" "A nurse is reviewing a new prescription for oxcarbazepine with a female client who has partial seizures. Which of the following instructions should the nurse include? (Select all that apply.) - CORRECT ANSWER "Use caution if given a prescription for a diuretic medication." "Consider using an alternate form of contraception if you are using oral contraceptives." "Avoid driving until you see how the medication affects you." "Notify your provider if you develop a skin rash" "A nursing is planning care for a client who is receiving Furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) - CORRECT ANSWER Assess for tinnitus. Monitor serum potassium levels. Elevate the head of bed slowly before ambulation. Recommend eating a banana daily" "A nurse is providing information to a client who has a new prescription for Hydrochlorothiazide. Which of the following information should the nurse include? - CORRECT ANSWER Take the medication with food." "A nurse is providing information to a client who has a new prescription for Hydrochlorothiazide. Which of the following information should the nurse include? - CORRECT ANSWER Expect increased swelling of the ankles." "A nurse is caring for a client who has increased intracranial pressure and is receiving Mannitol. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER Dyspnea" "A nurse is planning caring for a client who is has a new prescription for Torsemide. The nurse should plan to monitor for which of the following adverse reactions of this medications? (Select all that apply.) - CORRECT ANSWER Hypokalemia Hypotension Ototoxicity Ventricular dysrhythmias" "A nurse is reviewing the health record of a client who asks about using Propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? - CORRECT ANSWER asthma" "A nurse is teaching a client who has a new prescription for Verapamil to control Hypertension. Which of the following instructions should the nurse include? - CORRECT ANSWER Increase the amount of dietary fiber in the diet" "A nurse is caring for a client who has a new prescription for Captopril for hypertension. The nurse should monitor the client for which of the following adverse effects of this medication? - CORRECT ANSWER Neutropenia" "A nurse in an acute care facility is caring for a client who is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? - CORRECT ANSWER Delirium" "A nurse is planning to administer a first dose of Captopril to a client who has hypertension. Which of the following medications can intensify first dose hypotension? (Select all that apply.) - CORRECT ANSWER hydrochlorothiazide Clonidine Aliskiren" "A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for Digoxin toxicity? - CORRECT ANSWER Potassium 3.4 mEq/L" "A nurse is caring for an older adult client who has a new prescription for Digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for Digoxin toxicity? - CORRECT ANSWER Verapamil" "A nurse is administering a Dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? - CORRECT ANSWER increased myocardial contractility" "A nurse is providing teaching to a client who has a new prescription for Digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation Digoxin toxicity? (Select all that apply.) - CORRECT ANSWER Fatigue anorexia diplopia" "A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER contact the provider for a heart rate less than 60/min" "A nurse is teaching a client who has Angina Pectoris and is learning how to treat acute Anginal attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have Anginal pain?" Which of the following responses should the nurse make? - CORRECT ANSWER "Call the emergency response team."" "A nurse is teaching a client who has a new prescription for Nitroglycerin transdermal patch for Angina Pectoris. Which of the following instructions should the nurse include? - CORRECT ANSWER Remove the patch each evening." "A nurse is taking a medication history from a client who has Angina and is to begin taking Ranolazine. The nurse should report which of the following medications in the client's history that can interact with Ranolazine? (Select all that apply.) - CORRECT ANSWER Digoxin Simvastatin Verapamil" "A nurse is caring for a client who is prescribed Isosorbide Mononitrate for chronic stable Angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? - CORRECT ANSWER metoprolol" "A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which of the following instructions? - CORRECT ANSWER "Remove the prior dose before applying a new dose."" "A nurse is assessing a client who is taking Amiodarone to treat Atrial Fibrillation. Which of the following findings is a manifestation of Amiodarone toxicity? - CORRECT ANSWER Productive cough" "A nurse is assessing a client during transfusion of a unit of whole blood. The client develops a cough, shortness of breath, elevated blood pressure, and distended neck veins. The nurse should anticipate a prescription for which of the following medications? - CORRECT ANSWER Furosemide" "A nurse is providing instructions to a client who has a prescription for Amoxicillin and Clarithromycin to treat a Peptic Ulcer. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER take these medications with food" "A nurse is teaching a client who has a new prescription for Omeprazole for management of heartburn. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER reduces gastric acid secretion" "A nurse is teaching a client who is taking Sucralfate PO for Peptic Ulcer Disease has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include? - CORRECT ANSWER Allow a 2‑hr interval between these medications" "A nurse is caring for four clients who have Peptic Ulcer Disease. The nurse should recognize Misoprostol is contraindicated for which of the following clients? - CORRECT ANSWER A client who is pregnant" "A nurse is providing a client who has Peptic Ulcer Disease with instructions about managing his condition. Which of the following instructions should the nurse include? (Select all that apply.) - CORRECT ANSWER "Seek measures to reduce stress." "Avoid smoking."" "A nurse is caring for a client who received Prochlorperazine 4 hr ago. The client reports spasms of his face. The nurse should anticipate a prescription for which of the following medications? - CORRECT ANSWER Diphenhydramine" "A nurse is planning to administer Ondansetron IV for an older adult client who has a history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for cancer. For which of the following adverse effects of ondansetron should the nurse monitor? (Select all that apply.) - CORRECT ANSWER headache Diarrhea prolonged QT interval" "A nurse is providing teaching for a client who has gout and a new prescription for Allopurinol. For which of the following adverse effects should the client be taught to monitor? (Select all that apply.) - CORRECT ANSWER Nausea Rash increase in gout pain" "A nurse is caring for a client who has a new prescription for Adalimumab for Rheumatoid Arthritis. Based on the route of administration of Adalimumab, which of the following should the nurse plan to monitor? - CORRECT ANSWER The subcutaneous site for redness following injection" "A nurse is preparing to administer Belimumab for a client who has Systemic Lupus Erythematosus. Which of the following actions should the nurse plan to take? - CORRECT ANSWER Monitor the client for hypersensitivity reactions" "A nurse is caring for a client who has a new diagnosis of Fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client? - CORRECT ANSWER Duloxetine" "A nurse is evaluating teaching for a client who has Rheumatoid Arthritis and a new prescription for Methotrexate. Which of the following statements by the client indicates understanding of the teaching? A. "I will be sure to return to the clinic at least once a year to have my blood drawn while I'm taking methotrexate." - CORRECT ANSWER "I'll let the doctor know if I develop sores in my mouth while taking this medication. (Ulcerations in the mouth, tongue, or throat are often the first signs of methotrexate toxicity and should be reported to the provider immediately)" "A nurse is providing teaching to a client who is taking Raloxifene to prevent Postmenopausal Osteoporosis. The nurse should advise the client that which of the following are adverse effects of this medication? (Select all that apply.) - CORRECT ANSWER Hot flashes Swelling or redness in calf Shortness of breath" "A nurse is teaching a client who has Osteoporosis and a new prescription for Alendronate. Which of the following instructions should the nurse provide? (Select all that apply.) - CORRECT ANSWER Take medication in the morning before eating. Drink an 8 oz glass of water with each tablet. Avoid lying down after taking this medication" "A nurse is caring for a client who has a new prescription for Calcitonin‑salmon for Osteoporosis. Which of the following tests should the nurse tell the client to expect before beginning this medication? - CORRECT ANSWER Skin test for allergy to the medication" "A nurse is caring for a young adult client whose serum Calcium is 8.8 mg/dL. Which of the following medications should the nurse anticipate administering to this client? - CORRECT ANSWER Calcium carbonate" "A nurse is providing instruction to a client who has a new prescription for Calcitonin‑salmon for postmenopausal Osteoporosis. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Skin test for allergy to the medication" "A nurse is assessing a client who has salicylism. Which of the following findings should the nurse expect? (Select all that apply.) - CORRECT ANSWER dizziness tinnitus headache" "A nurse is admitting a toddler to the hospital after an Acetaminophen overdose. Which of the following medications should the nurse anticipate administering to this client? - CORRECT ANSWER acetylcysteine" "A nurse is teaching a client about the a new prescription for Celecoxib. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER increased risk for a myocardial infarction" "A nurse is taking a history for a client who reports that he is taking Aspirin about four times daily for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin? - CORRECT ANSWER warfarin" "A nurse in an emergency department is performing an admission assessment for a client who has severe Aspirin toxicity. Which of the following findings should the nurse expect? - CORRECT ANSWER Respiratory depression" "A nurse is preparing to administer an Opioid agonist to a client who has acute pain. Which of the following complications should the nurse monitor? - CORRECT ANSWER urinary retention" "A nurse is caring for a client who has end‑stage cancer and is receiving Morphine. The client's daughter asks why the provider prescribed Methylnaltrexone. Which of the following responses should the nurse make? - CORRECT ANSWER "The medication will relieve your mother's constipation."" "A nurse is preparing to administer Butorphanol to a client who has a history of substance use disorder. The nurse should identify which of the following information as true regarding Butorphanol? - CORRECT ANSWER Butorphanol can cause abstinence syndrome in opioid‑dependent clients" "A nurse is planning to administer Morphine IV to a client who is postoperative. Which of the following actions should the nurse take? - CORRECT ANSWER withhold all opioids if the respiratory rate is 12/min or less" "A nurse is reviewing the medication administration record for a client who is receiving transdermal Fentanyl for severe pain. Which of the following medications should the nurse expect to cause an adverse effect when administered concurrently with Fentanyl? - CORRECT ANSWER Diazepam" "A nurse is caring for a client who has cancer and is taking Morphine and Carbamazepine or pain. Which of the following effects should the nurse monitor for when giving the medications together? (Select all that apply.) - CORRECT ANSWER Need for reduced dosage of the opioid Reduced adverse effects of the opioid Increased analgesic effects" "A nurse is planning care for a client who has brain cancer and is experiencing headaches. Which of the following adjuvant medications are indicated for this client? - CORRECT ANSWER Dexamethasone" "A nurse is preparing to administer Pamidronate to a client who has bone pain related to cancer. Which of the following precautions should the nurse take when administering pamidronate? - CORRECT ANSWER Assess the IV site for Thrombophlebitis frequently during administration" "A nurse is planning care for a client who has cancer and is taking a Glucocorticoid as an adjuvant medication for pain control. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) - CORRECT ANSWER Monitor serum glucose. Monitor serum potassium level. Monitor for gastric bleeding" "A nurse is administering Amitriptyline to a client who is experiencing cancer pain. For which of the following adverse effects should the nurse monitor? - CORRECT ANSWER orthostatic hypotension" "A nurse is providing teaching to a client who is experiencing migraine headaches. Which of the following instructions should the nurse provide? (Select all that apply.) - CORRECT ANSWER Identify and avoid trigger factors. Lie down in a dark quiet room at the onset of a migraine. Avoid foods that contain Tyramine." "A nurse is planning care for a client who is to receive Tetracaine prior to a Bronchoscopy. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER Keep the client NPO until pharyngeal response returns" "A nurse is caring for a client who receives a local anesthetic of Lidocaine during the repair of a skin laceration. For which of the following adverse reactions should the nurse monitor the client? - CORRECT ANSWER Seizures" "A nurse is reviewing the health history of a client who has migraine headaches and is to begin prophylaxis therapy with Propranolol. Which of the following findings in the client history should the nurse report to the provider? - CORRECT ANSWER An ECG indicates a first‑degree heart block" "A nurse is providing teaching to a client who has migraine headaches and a new prescription for Ergotamine. For which of the following adverse effects should the nurse instruct the client to stop taking the medication and notify the provider? (Select all that apply.) - CORRECT ANSWER Positive home pregnancy test Numbness and tingling in fingers Muscle pain" "A nurse is teaching clients in an outpatient facility about the use of Insulin to treat type 1 Diabetes Mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hr after administration? - CORRECT ANSWER Regular insulin" "A nurse is caring for a client in an outpatient facility who has been taking Acarbose for type 2 Diabetes Mellitus. Which of the following laboratory tests should the nurse plan to monitor? - CORRECT ANSWER Liver function tests" "A nurse is providing teaching to a client who has type 2 Diabetes Mellitus and is starting Repaglinide. Which of the following statements by the client indicates understanding of the administration of this medication? - CORRECT ANSWER "I'll take this medicine 30 minutes before I eat."" "A nurse is providing teaching for a client who has a new prescription for Metformin. Which of the following adverse effects of Metformin should the nurse instruct the client to report to the provider? - CORRECT ANSWER Somnolence" "A nurse is providing teaching to a client who has a prescription for Pramlintide for type 1 Diabetes Mellitus. Which of the following should the nurse include in the teaching? (Select all that apply.) - CORRECT ANSWER "Inject pramlintide just before a meal." "Discard open vials after 28 days." "A nurse is caring for a client who is taking Propylthiouracil. For which of the following adverse effects of this medication should the nurse monitor? - CORRECT ANSWER Bradycardia" "A nurse is teaching a client who has Graves' disease about her prescribed medications. Which of the following statements by the client indicates an understanding of the use of Propranolol in the treatment of Graves' disease? - CORRECT ANSWER "Propranolol will decrease my tremors and fast heart beat."" "A nurse is caring for an older adult client in a long‑term care facility who has Hypothyroidism and a new prescription for Levothyroxine. Which of the following dosage schedules should the nurse expect for this client? - CORRECT ANSWER The client will start on a low dose, which will be gradually increased" "A nurse is caring for a client who is taking for Somatropin to stimulate growth. The nurse should plan to monitor the client's urine for which of the following? - CORRECT ANSWER calcium" "A nurse is assessing a client who takes Desmopressin for Diabetes Insipidus. For which of the following adverse effects should the nurse monitor? - CORRECT ANSWER Headache" "A nurse is admitting a client to an acute care facility for a total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following actions is the nurse's priority? - CORRECT ANSWER Administering a supplemental dose of hydrocortisone" "A nurse is caring for several clients who came to the clinic for a seasonal influenza immunization. The nurse should identify that which of the following clients is a candidate to receive the vaccine via nasal spray rather than an injection? - CORRECT ANSWER 17‑year‑old who has a hypersensitivity to Penicillin" "A nurse is teaching a group of new parents about immunizations. The nurse should instruct the parents that the series for which of the following vaccines is completed prior to the first birthday? - CORRECT ANSWER Rotavirus vaccine" "A nurse at a provider's office is preparing to administer RV, DTaP, hib, PCV13, and IPV immunizations to a 4‑month‑old infant. Which of the following actions should the nurse plan to take? (Select all that apply.) - CORRECT ANSWER Administer subcutaneous injections in the anterolateral thigh. Giving the infant a pacifier during injections" "A 12‑month‑old child just received the first measles, mumps, and rubella (mmR) vaccine. For which of the following possible reactions to this vaccine should the nurse teach the parents to monitor? (Select all that apply.) - CORRECT ANSWER rash Swollen glands bruising" "A nurse is caring for a group of clients who are not protected against Varicella. The nurse should prepare to administer the Varicella vaccine at this time to which of the following clients? - CORRECT ANSWER A 32‑year‑old man who has essential hypertension" "A nurse is caring for a client who has breast cancer and asks why she is receiving a combination therapy of Cyclophosphamide, Methotrexate, and Fluorouracil. The response by the nurse should include that combination chemotherapy is used to do which of the following? (Select all that apply.) - CORRECT ANSWER Decrease medication resistance Attack cancer cells at different stages of cell growth Decrease injury to normal body cells" "A nurse is preparing to administer Cyclophosphamide IV to a client who has Hodgkin's disease. Which of the following medications should the nurse expect to administer concurrently with the chemotherapy to prevent an adverse effect of Cyclophosphamide? - CORRECT ANSWER Uroprotectant agent, such as mesna" "A nurse is preparing to administer Leucovorin to a client who has cancer and is receiving chemotherapy with Methotrexate. Which of the following responses should the nurse use when the client asks why Leucovorin is being given? - CORRECT ANSWER "Leucovorin protects healthy cells from methotrexate's toxic effect."" "A nurse is teaching a client who has breast cancer about Tamoxifen. Which of the following adverse effects of tamoxifen should the nurse discuss with the client? - CORRECT ANSWER abnormal uterine bleeding" "A nurse is caring for a client who is being treated with Interferon alfa‑2b for Malignant Melanoma. For which of the following adverse effects should the nurse monitor? (Select all that apply.) - CORRECT ANSWER muscle aches Peripheral neuropathy Depression" "A nurse is caring for a client who receives Rituximab to treat Non‑hodgkin's Leukemia and who asks the nurse how Rituximab works. Which of the following should the nurse include? - CORRECT ANSWER Binds with specific antigens on tumor cells" "A nurse is implementing a plan of care for a client who has a wound infection. Which of the following actions should the nurse perform first? - CORRECT ANSWER Obtain a wound specimen for culture" "A nurse is caring for a client who has a UTI and a history of recurrence of this type of infection. The client asks why the provider has not yet prescribed an antibiotic. The nurse should explain that the provider has to wait for the results of which of the following laboratory tests to identify which antibiotic to prescribe? - CORRECT ANSWER sensitivity" "A nurse is preparing information for the unit's nurses about the effectiveness of antimicrobial therapy for clients who have bacterial infections. Which of the following host factors should the nurse include as conditions that affect antimicrobial effectiveness? (Select all that apply.) - CORRECT ANSWER meningitis pacemaker endocarditis" "A nurse is caring for a group of clients who are receiving antimicrobial therapy. Which of the following clients should the nurse plan to monitor for manifestations of antibiotic toxicity? - CORRECT ANSWER An older adult client who has prostatitis" "A charge nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which of the following information should the charge nurse include in the teaching? (Select all that apply.) - CORRECT ANSWER Administer prophylactic antimicrobial therapy to clients who report exposure to a sexually transmitted infection. Administer prophylactic antimicrobial therapy to clients who are having orthopedic surgery. Instruct clients who have a prosthetic heart valve about the need for prophylactic antimicrobial therapy before dental work. Consult the provider for prophylactic antimicrobial therapy for clients who have recurrent urinary tract infections" "A nurse in an outpatient facility is preparing to administer Nafcillin Im to an adult client who has an infection. Which of the following actions should the nurse plan to take? (Select all that apply.) - CORRECT ANSWER Administer the medication deeply into the ventrogluteal muscle. Ask the client about an allergy to penicillin before administering the medication. Monitor the client for 30 min following the injection" "A nurse is preparing to administer Cefotaxine IV to a client who has a severe infection and has been receiving Cefotaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider? - CORRECT ANSWER Diarrhea" "A nurse is obtaining a medication history from a client who is to receive Imipenem‑cilastatin IV to treat an infection. Which of the following medications the client also receives puts him at risk for a medication interaction? - CORRECT ANSWER valproic acid" "A nurse is caring for a client who has a Cerebrospinal fluid infection with gram‑negative bacteria. Which of the following Cephalosporin antibiotics should the nurse expect to administer IV to treat this infection? - CORRECT ANSWER Cefepime" "A nurse is preparing to administer Penicillin V to a client who has a streptococcal infection. The client tells the nurse that she has difficulty swallowing tablets and doesn't "do well" with liquid or chewable medications because the taste gags her, even when the a nurse mixes the medication with food. The nurse should request a prescription for which of the following medications? - CORRECT ANSWER Nafcillin" "A nurse is teaching a client about taking Tetracycline to treat a GI infection due to Helicobacter pylori, Which of the following statements should the nurse identify as an indication that the client understands the instructions? - CORRECT ANSWER "I will let my doctor know if I start having diarrhea."" "A nurse is administering gentamicin by IV infusion at 0900. The medication will take 1 hr to infuse. When should the nurse plan to obtain a blood sample for a peak serum level of gentamicin? - CORRECT ANSWER 1030" "A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory infection. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (Select all that apply.) - CORRECT ANSWER pruritus hematuria muscle weakness Vertigo" "A nurse is caring for a client who has Subacute Bacterial Endocarditis and is receiving several antibiotics, including Streptomycin Im. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? - CORRECT ANSWER Extremity paresthesias" "A nurse is caring for a client who is undergoing preparation for extensive colorectal surgery. Which of the following oral antibiotics should the nurse expect to administer specifically to suppress normal flora in the GI tract? - CORRECT ANSWER neomycin" "A nurse reviewing a client's medication history notes an allergy to Sulfonamides. This allergy is a contraindication for taking which of the following medications? (Select all that apply.) - CORRECT ANSWER hydrochlorothiazide glyburide furosemide" "A nurse is teaching a client who has a new prescription for Nitrofurantoin. Which of the following information should the nurse include? (Select all that apply.) - CORRECT ANSWER Observe for bruising on the skin. Take the medication with milk or meals. Expect brown discoloration of urine" "A nurse is teaching a female client who has a severe UTI about ciprofloxacin. Which of the following information about adverse reactions should the nurse include? (Select all that apply.) - CORRECT ANSWER Observe for pain and swelling of the Achilles tendon. Watch for a vaginal yeast infection. Inspect the mouth for cottage cheese‑like lesions" "A nurse is planning discharge teaching for a female client who has a new prescription for Trimethoprim‑sulfamethoxazole. Which of the following information should the nurse include? - CORRECT ANSWER Take it on an empty stomach" "A nurse is planning to administer Ciprofloxacin IV to a client who has cystitis. Which of the following actions should the nurse take? - CORRECT ANSWER Infuse the medication over 60 min." "A nurse is caring for a client who has Diabetes Mellitus, Pulmonary Tuberculosis, and a new prescription for Isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH? - CORRECT ANSWER Pyridoxine" "A nurse is infusing IV Amphotericin B to a client who has a systemic fungal infection. The nurse should monitor the client for which of the following adverse effects of this medication? - CORRECT ANSWER fever" "A nurse is administering IV Amphotericin B to a client who has a systemic fungal infection. The nurse should monitor which of the following laboratory values? (Select all that apply.) - CORRECT ANSWER serum potassium Hematocrit serum creatinine" "A nurse is teaching a client who is beginning a course of Metronidazole to treat an infection. For which of the following adverse effects should the nurse instruct the client to stop taking Metronidazole and notify the provider? - CORRECT ANSWER Ataxia" "A nurse is teaching a client who has active tuberculosis about his treatment regimen. The client asks why he must take four different medications. Which of the following responses should the nurse make? - CORRECT ANSWER "Four medications reduce the chance that the bacteria will become resistant." "A nurse is teaching a client who has a new prescription for combination oral NRTIs (abacavir, lamivudine, and zidovudine) for treatment of hIV. Which of the following statements should the nurse include? - CORRECT ANSWER "These medications work by inhibiting enzymes to prevent hIV replication."" "A nurse is caring for a client who takes several antiretroviral medications, including the NRTI Zidovudine, to treat hIV infection. The nurse should monitor for which of the following adverse effects of Zidovudine? (Select all that apply.) - CORRECT ANSWER Fatigue hyperventilation Vomiting" "A nurse is caring for a client who is taking Ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication? - CORRECT ANSWER Hyperlipidemia" "A nurse is caring for a client who has a new prescription for Enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the adverse reactions of this medication? (Select all that apply.) - CORRECT ANSWER pneumonia Localized Enfuvirtide hypotension" "A nurse is administering IV Acyclovir to a client who has Varicella. Which of the following actions should the nurse take? - CORRECT ANSWER Monitor for a for hypotension" "A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV infection about ways to prevent medication resistance. Which of the following information should the nurse teach the client about resistance? - CORRECT ANSWER Taking medication at the same times daily without missing doses minimizes resistance." "A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.) - CORRECT ANSWER Answer: Liver Failure Concurrent Use of medication the same pathway metabolizes" "A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) - CORRECT ANSWER Ask the client to look up at the ceiling Drop the medication into the center of the client's conjunctival sac Instruct the client to close her eye gently after instillation" "A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - CORRECT ANSWER I will apply the patch to an area of skin with no hair" "A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take? - CORRECT ANSWER Obtain a blood specimen immediately prior to administering the next dose of medication." "A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.) - CORRECT ANSWER Maintain skill competency. Monitor for adverse effects. Safeguard medications." "A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? - CORRECT ANSWER routine" "A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following parts of the prescription with the provider? - CORRECT ANSWER frequency" "A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select all that apply.) - CORRECT ANSWER use of herbal products current health status food allergies" "A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amount available is haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero. - CORRECT ANSWER 2" "A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide equally every 12 hr to a preschooler who weighs 44 lb. The amount available is amoxicillin suspension 250 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Do not use a trailing zero.) - CORRECT ANSWER 4" "A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr. The amount available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Do not use a trailing zero. - CORRECT ANSWER 0.8" "A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. - CORRECT ANSWER 6.5" "A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero. - CORRECT ANSWER 125" "A nurse is assessing a client's IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis? (Select all that apply.) - CORRECT ANSWER Erythema Pain" "A nurse manager is reviewing the facility's policies for IV therapy with the members of his team. The nurse manager should remind the team that which of the following techniques helps minimize the risk of catheter embolism? - CORRECT ANSWER avoid reinserting the needle into an IV catheter. This action can result in severing the end of the catheter and consequently cause a catheter embolism" "A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take? - CORRECT ANSWER The nurse should distend the veins using a blood pressure cuff to reduce overfilling of the vein,which can result in a hematoma)" "A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the following actions should the nurse take? (Select all that apply.) - CORRECT ANSWER Warm compresses Elevation of the arm helps reduce edema" "A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) - CORRECT ANSWER A client who takes Prednisone and has a possible Fungal infection A client who has chronic liver disease and is taking Hydrocodone A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy" "A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following actions should the nurse take? - CORRECT ANSWER withhold the medication" "A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client? - CORRECT ANSWER Inactivated influenza vaccine" "A nurse on a medical‑surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness? - CORRECT ANSWER reduced hepatic function" "A nurse working in an emergency department is caring for a client who has Benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority? - CORRECT ANSWER Identify the client's level of orientation." "A nurse is teaching a client who has a new prescription for Escitalopram for treatment of generalized Anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? - CORRECT ANSWER "I need to discontinue this medication slowly."" "A nurse is providing teaching to a client who has a new prescription for Buspirone to treat Anxiety. Which of the following information should the nurse include? - CORRECT ANSWER "This medication has a low risk for dependency."" "A nurse is teaching a client who has OCD and has a new prescription for Paroxetine. Which of the following instructions should the nurse include? - CORRECT ANSWER "It can take several weeks before you feel like the medication is helping."" "A nurse is caring for a client who takes Paroxetine to treat PTSD and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage Bruxism? (Select all that apply.) - CORRECT ANSWER Concurrent administration of buspirone Use of a mouth guard Changing to a different class of antidepressant medication" "A nurse is caring for a client who has a new prescription for Phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? - CORRECT ANSWER Orthostatic hypotension" "A nurse is providing teaching to a client who has a new prescription for Amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply.) - CORRECT ANSWER Change positions slowly to minimize dizziness. Chewing sugarless gum to prevent dry mouth" "A nurse is providing discharge teaching to a client who has a new prescription for Fluoxetine for PTSD. Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER "You may have a decreased desire for intimacy while taking this medication."" "A nurse is caring for a client who has Depression and a new prescription for Venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select all that apply) - CORRECT ANSWER Cough Dizziness Decreased libido" "A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of Fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? - CORRECT ANSWER Chew sugarless gum to moisten the mouth." "A nurse is assessing a male client who recently began taking Haloperidol. Which of the following findings is the highest priority to report to the provider? - CORRECT ANSWER Neck spasms" "A nurse is providing discharge teaching to a client who has a new prescription for Clozapine. Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER "You should have your white blood cell count monitored every week." "A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER "Notify the provider if you develop breast enlargement."" "A nurse is preparing to perform a follow‑up assessment on a client who takes Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? (Select all that apply.) - CORRECT ANSWER disorganized speech. bizarre behavior hallucinations" "A nurse is teaching the parents of a child who has a new prescription for Desipramine. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? - CORRECT ANSWER suicidal thoughts" "A nurse is teaching an adolescent client who has a new prescription for Clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? - CORRECT ANSWER Wearing sunglasses when outdoors" "A nurse is caring for a school‑age child who has a new prescription for Atomoxetine. The nurse should monitor the client for which of the following adverse effects of this medication? - CORRECT ANSWER Liver damage" "A nurse is teaching the parents of a school‑age child about transdermal Methylphenidate. Which of the following instructions should the nurse include? - CORRECT ANSWER Leave the patch on for 9 hr." "A nurse is teaching a school‑age child and his parents about a new prescription for Lisdexamfetamine. Which of the following information should the nurse include in the teaching? (Select all that apply.) - CORRECT ANSWER An adverse effect is CNS stimulation This medication raises the levels of dopamine in the brain This medication raises the levels of dopamine in the brain" "A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for Propranolol. Which of the following information should the nurse to include in the teaching? - CORRECT ANSWER Decreases cravings" "A nurse is instructing a client who has a new prescription for Timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication? - CORRECT ANSWER nasolacrimal duct" "A nurse is teaching a client who has a new prescription for Brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER "This medication can absorb into your contacts."" "A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle‑closure Glaucoma. Which of the following findings are indicative of this condition? - CORRECT ANSWER Severe pain around eyes" "A nurse is teaching a client about preventing Otitis Externa. Which of the following instructions should the nurse include? - CORRECT ANSWER Tip the head to the side to remove water from the ears after showering" "A nurse in a provider's office is instructing a parent of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select all that apply.) - CORRECT ANSWER "Place the child on his unaffected side when you are ready to administer the medication." "Warm the medication by gently rolling it between your hands for a few minutes." "Gently shake medication that is in suspension form." "keep the child on his side for 5 minutes after instillation of the ear drops."" "A nurse in the operating room is caring for a client who received a dose of Succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications? - CORRECT ANSWER Dantrolene" "A nurse in the post‑anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (Select all that apply.) - CORRECT ANSWER Place a cooling blanket on the client. Administer oxygen at 100%. Administer iced 0.9% sodium chloride. Monitor core body temperature" "A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) - CORRECT ANSWER "I know the doctor will gradually increase my dose of this medication for a while." "I should increase fiber to prevent constipation from this medication." "I won't be able to drink alcohol while I'm taking this medication."" "A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for Oxybutynin. The nurse should recognize that Oxybutynin is contraindicated in the presence of which of the following conditions? - CORRECT ANSWER glaucoma" "A nurse is caring for a client who has a prescription for Bethanechol to treat urinary retention. The nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation? - CORRECT ANSWER Excessive perspiration" "A nurse is providing instructions to a client who has been experiencing Insomnia and has a new prescription for Temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select all that apply.) - CORRECT ANSWER incoordination Sleep driving amnesia" "A nurse is caring for a client who is receiving moderate sedation with Diazepam IV. The client is oversedated. Which of the following medications should the nurse anticipate administering to this client? - CORRECT ANSWER Flumazenil" "A nurse is teaching a client who has a new prescription for Ramelteon. The nurse should instruct the client to avoid which of the following foods while taking this medication? - CORRECT ANSWER fried chicken" "A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of Ketamine as an intravenous anesthetic? - CORRECT ANSWER schizophrenia" "A nurse is providing instructions to a female client who has a new prescription for Zolpidem. Which of the following instructions should the nurse include? - CORRECT ANSWER "Notify the provider if you plan to become pregnant."" "A nurse is teaching a client who has a new prescription for Beclomethasone. Which of the following instructions should the nurse include? - CORRECT ANSWER "Rinse your mouth after each use of this medication."" "A nurse is providing instructions to a client who has a new prescription for Albuterol and Beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Administer the albuterol inhaler prior to using the beclomethasone inhaler." "A nurse is providing instructions to the parent of an adolescent client who has a new prescription for Albuterol, PO. Which of the following instructions should the nurse include? - CORRECT ANSWER "Tremors are an adverse effect of this medication."" "A nurse is teaching a client who has a prescription for long‑term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? - CORRECT ANSWER Weight gain" "A nurse is caring for a client who states she has been taking Phenylephrine nasal drops for the past 10 days for Sinusitis. The nurse should assess the client for which of the following adverse effects of this medication? - CORRECT ANSWER nasal congestion" "A nurse is teaching a client who has a new prescription for Dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? - CORRECT ANSWER sedation" "A nurse is teaching the family of a child who has Cystic Fibrosis and a new prescription for Acetylcysteine. Which of the following information should the nurse include in the instructions? - CORRECT ANSWER "Expect this medication to smell like rotten eggs."" "A nurse is teaching a client who has a new prescription for Diphenhydramine for allergic Rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (Select all that apply.) - CORRECT ANSWER Dry mouth Drowsiness Urinary hesitation" "A nurse is teaching a client about the use of Fluticasone to treat Perennial Rhinitis. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER "It can take as long as 3 weeks before the medication takes a maximum effect."" "A nurse is caring for a client who received IV Verapamil to treat supraventricular tachycardia (SVT). The client's pulse rate is now 98/min and his blood pressure is 74/44 mg hg. The nurse should anticipate a prescription for which of the following IV medications? - CORRECT ANSWER Calcium gluconate" "A nurse is assessing a client who is taking Digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity? - CORRECT ANSWER Report of anorexia" "A nurse is assessing a client who has taken Procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication? (Select all that apply.) - CORRECT ANSWER widened QRS complex easy bruising swollen joints" "A nurse is preparing to administer Propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take? - CORRECT ANSWER Assist the client when she sits up or stands after taking this medication." "A nurse is providing teaching to a client who is starting Simvastatin. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER Take this medication in the evening" "A nurse is collecting data from a client who is taking Gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse reaction to the medication? - CORRECT ANSWER Jaundice" "A nurse is teaching a client who is taking Digoxin and has a new prescription for Colesevelam. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Colesevelam should be taken with food and at least 8 oz of water" "A nurse is completing a nursing history for a client who takes Simvastatin. The nurse should identify which of the following disorders as a contraindication to adding Ezetimibe to the client's medications? - CORRECT ANSWER Active hepatitis C" "A nurse is caring for a client who has a new prescription for Niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of Niacin? (Select all that apply.) - CORRECT ANSWER hyperglycemia Flushing of the skin jaundice" "A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of Enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take? - CORRECT ANSWER Insert the needle completely into the client's tissue" "A nurse is caring for a hospitalized client who is receiving IV heparin for a deep‑vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer? - CORRECT ANSWER Protamine" "A nurse is planning to administer IV Alteplase to a client who is demonstrating manifestations of a massive Pulmonary Embolism. Which of the following interventions should the nurse plan to take? - CORRECT ANSWER Hold direct pressure on puncture sites for up to 30 min." "A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of the following manifestations as adverse effects of daily aspirin therapy? (Select all that apply.) - CORRECT ANSWER coffee‑ground emesis Tinnitus Nausea" "A nurse is caring for a client who has Atrial Fiibrillation and a new prescription for Dabigatran to prevent development of Thrombosis. Which of the following medications is prescribed concurrently to treat an adverse effect of Dabigatran? - CORRECT ANSWER Omeprazole" "A nurse is caring for a client who is receiving daily doses of Oprelvekin. Which of the following laboratory values should the nurse monitor to determine effectiveness of this medication? - CORRECT ANSWER platelet count" "A nurse is preparing to administer Filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate? - CORRECT ANSWER Discard vial after removing one dose of the medication" "A nurse is monitoring a client who is receiving Epoetin alfa for adverse effects. The nurse should identify which of the following findings as an adverse effect of this medication? (Select all that apply) - CORRECT ANSWER hypertension headache" "A nurse is assessing a client who has chronic Neutropenia and who has been receiving Gilgrastim. Which of the following actions should the nurse take to assess for an adverse effect of filgrastim? - CORRECT ANSWER Assess for bone pain" "A nurse is preparing to administer a transfusion of 300 mL o

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ATI PHARMACOLOGY PROCTORED CME 2024/ 2025 EXAM
QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS
“A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse expect
to administer this medication? - CORRECT ANSWER One"

"A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription. Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process? - CORRECT
ANSWER A second nurse should listen to a telephone prescription to prevent errors in
communication"

"A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is
vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop
factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion
to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use
a trailing zero. - CORRECT ANSWER 22"

"A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The
amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9%
NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?
(Round
the answer to the nearest whole number. Do not use a trailing zero. - CORRECT
ANSWER 200"

"A nurse is preparing to administer furosemide 80 mg PO daily. The amount available is
furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the answer to
the nearest whole number. Do not use a trailing zero.) - CORRECT ANSWER 8"


"A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give? -
CORRECT ANSWER "Change positions slowly when you move from sitting to
standing.""

"A nurse is reviewing a client's health record and notes that the client experiences
permanent




2

, extrapyramidal effects caused by a previous medication. The nurse should recognize that
the
medication affected which of the following systems in the client? - CORRECT ANSWER
Central nervous"

"A nurse is caring for a client who is taking oral Oxycodone The client states he is also
taking Ibuprofen in three recommended doses daily. The nurse should identify that an
interaction between these two medications will cause which of the following findings? -
CORRECT ANSWER An increase in the expected therapeutic effect of both medications"

"A nurse is preparing to administer medications to a 4-month-old infant. Which of the
following pharmacokinetic principles should the nurse consider when administering
medications to this client? (Select all that apply.) - CORRECT ANSWER Infants have
immature liver function.

Infants' blood-brain barrier is poorly developed.

Infants have an increased ability to absorb topical medications."


"A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of
the following assessment findings should alert the nurse to the possibility that the client is
developing Serotonin syndrome? - CORRECT ANSWER Fever"

"A nurse is reviewing laboratory findings and notes that a client's plasma Lithium level is
2.1 mEq/L. Which of the following is an appropriate action by the nurse? - CORRECT
ANSWER Perform immediate gastric lavage."

"A nurse is caring for a client who has a new prescription for Lithium Carbonate. When
teaching the client about ways to prevent Lithium toxicity, the nurse should advise the
client to do which of the following? - CORRECT ANSWER Limit aerobic activity in hot
weather"

"A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar
disorder. The nurse should recognize which of the following findings as a possible
indication of toxicity to this medication? - CORRECT ANSWER Coarse tremors"

"A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse
should instruct the client that while taking this medication he will need to have which of




2

, the following laboratory tests completed periodically? (Select all that apply.) - CORRECT
ANSWER thrombocyte count

amylase

Liver function tests"

"A nurse is preparing a teaching plan for a female client who has Bipolar disorder and a
new prescription for Carbamazepine. Which of the following instructions should the nurse
include in the teaching? (Select all that apply.) - CORRECT ANSWER "Eliminate
grapefruit juice from your diet."

"You will need to have a complete blood count and carbamazepine levels drawn
periodically."

"Notify your provider if you develop a rash."

"Avoid driving for the first few days after starting this medication."


"A charge nurse is planning a staff education session to discuss medications used during
the care of a client experiencing alcohol withdrawal. Which of the following medications
should the charge nurse include in the discussion? (Select all that apply.) - CORRECT
ANSWER Lorazepam

Diazepam"

"A nurse is providing teaching to a client who has a new prescription for Clonidine to assist
with maintenance of abstinence from opioids. The nurse should instruct the client to
monitor for which of the following adverse effects? - CORRECT ANSWER Dry mouth"

"A nurse is teaching a female client who has tobacco use disorder about Nicotine
replacement therapy. Which of the following statements by the client indicates
understanding of the teaching? - CORRECT ANSWER "I should avoid eating right before
I chew a piece of nicotine gum.""

"A nurse in an acute mental health facility is caring for a client who is experiencing
withdrawal from Opioid use and has a new prescription for Clonidine. Which of the
following actions should the nurse identify as the priority? - CORRECT ANSWER Obtain
baseline vital signs"




2

, "A nurse in the post-anesthesia recovery unit is caring for a client who received a
nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse
should anticipate a prescription for which of the following medications? - CORRECT
ANSWER Neostigmine"

"A nurse is providing information to a client who has early Parkinson's disease and a new
prescription for pramipexole. The nurse should instruct the client to monitor for which of
the following adverse effects of this medication? - CORRECT ANSWER hallucinations"

"A nurse is teaching a client who has a new prescription for Levodopa/Carbidopa for
Parkinson's disease. Which of the following instructions should the nurse include? -
CORRECT ANSWER take this medication with food"

"A nurse is preparing to administer a medication to a client who has absence seizures. The
nurse should anticipate administering which of the following medications to the client?
(Select all that apply.) - CORRECT ANSWER Ethosuximide's

Valproic acid

Lamotrigine"

"A nurse is reviewing a new prescription for oxcarbazepine with a female client who has
partial seizures. Which of the following instructions should the nurse include? (Select all
that apply.) - CORRECT ANSWER "Use caution if given a prescription for a diuretic
medication."

"Consider using an alternate form of contraception if you are using oral contraceptives."

"Avoid driving until you see how the medication affects you."

"Notify your provider if you develop a skin rash"


"A nursing is planning care for a client who is receiving Furosemide IV for peripheral
edema. Which of the following interventions should the nurse include in the plan of care?
(Select all that apply.) - CORRECT ANSWER Assess for tinnitus.

Monitor serum potassium levels.

Elevate the head of bed slowly before ambulation.




2

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