ATI PHARMACOLOGY EXAM STUDY GUIDE (ATI)

Exam (elaborations) ATI PHARMACOLOGY EXAM STUDY GUIDE (ATI) 1. A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? a. Reye's syndrome b. Visual disturbances c. Diabetes mellitus d. Wilm's tumor ANS: A 2. A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? a. Reduces blood pressure b. Inhibits clotting of fistula c. Promotes RBC production d. Stimulates growth of neutrophils ANS: C 3. A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? a. Ibuprofen (NSAIDS) b. Naproxen (NSAIDS) c. Aspirin (NSAIDS) d. Acetaminophen (anlagesics) ANS: D 4. A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? a. Insomnia b. Hypotension c. Bleeding d. Constipation ANS: C 5. A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as contraindication to ceftriaxone? a. Gentamicin b. Clindamycin c. Piperacillin d. Sulfamethoxazole-trimethroprim ANS: C 1 ATI PHARMACOLOGY EXAM STUDY GUIDE ATI PHARMACOLOGY 6. A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? a. Hyperthyroidism b. Intestinal obstruction c. Glaucoma d. Low blood pressure ANS: B 7. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? a. Amantadine b. Bupropion (aytpical antidepressant) c. Phenelzine (MAOI) d. Hydroxyzine (Antihistamine) ANS: A 8. A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? a. Hypotension b. Hyperthermia c. Hypoglycemia d. Tachycardia ANS: D 9. A nurse is providing teaching to a client who has UTI and new prescription for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? a. If the phenazopyridine upsets my stomach, I can take it with meals. b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the infections. c. I need to drink2 liters of fluid per day while I am taking cipro. d. I should notify my provider immediately if my urine turns an orange color. ANS: D 10. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? a. Ecchymosis b. Decreased urine output c. Increased blood pressure d. Dizziness 2 ATI PHARMACOLOGY ANS: D 11. A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? a. Methimazole b. Somatropin c. Levothyroxine d. Propylthiouracil ANS: C 12. A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50mg po daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? a. Take the hydrochlorothiazide as needed for edema b. Check your weight once each week c. Take the hydrochlorothiazide on an empty stomach d. Take the hydrochlorothiazide in the morning. ANS: D 13. A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? a. Oxytocin b. Nifedipine c. Dinoprostone d. Misoprostol ANS: B 14. A nurse is providing teaching to a client who has cirrhosis and new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? a. Increases blood pressure b. Prevents esophageal bleeding c. Decreases heart rate d. Reduce ammonia levels ANS: D 15. A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? a. Hearing examination b. Glucose tolerance test c. Electrocardiogram d. Pulmonary function test 3 ATI PHARMACOLOGY ANS: C 16. A nurse is providing teaching to a client who has gout and new prescription for allopurinol. The nurse should instruct client to discontinue taking the medications for which of the following adverse effects? a. Nausea b. Metallic taste c. Fever d. Drowsiness ANS: C 17. A nurse is assessing a client who is receiving IV gentamicin 3 x daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? a. Hypoglycemia b. Proteinuria c. Nasal congestion d. Visual disturbances ANS: B 18. A nurse is providing teaching to a newly nurse about caring for a client who has prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following lab tests? a. Platelet count b. Electrolyte levels c. Thyroid functions d. Liver function ANS: D 19. A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? a. Raynaud's phenomenon b. Migraine headaches c. Ulcerative colitis d. Anemia ANS: B 20. A nurse is reviewing the lab values for a client who is receiving a continuous IV heparin infusion and has an aPTT (TR-60-80 sec) of 90 seconds. Which of the following actions should the nurse prepare to take? a. Administer Vit K b. Reduce the infusion rate c. Give the client a low dose aspirin d. Request an INR 4 ATI PHARMACOLOGY ANS: B 21. A nurse is providing teaching to a client who had rheumatoid arthritis and a prescription for long term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? a. Stress fractures b. Orthostatic hypotension c. Gingival ulcerations d. Weight loss ANS: A 22. A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? a. Antiestrogenic b. Antimicrobial c. Androgenic d. Anti-inflammatory ANS: A 23. A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? a. Hyperkalemia b. Hypertension c. Constipation d. Nephrotoxicity ANS: D 24. A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following should the nurse take? a. Administer the medication into the client’s abdomen b. Inject the medication into a muscle c. Massage the site after administering the medication d. Use a 22 gauge needle to administer the medication ANS: A 25. A nurse is reviewing the lab results for a client who has prescription for filgastrim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? a. Erythrocyte count b. Neutrophil count c. Lymphocyte count d. Thrombocyte count ANS: B 5 ATI PHARMACOLOGY 26. A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. Jaundice b. Constipation c. Oral candidiasis d. Sedation ANS: A 27. A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following lab values should the nurse plan to monitor? Select all that apply. a. BUN b. PTT c. Aspartate aminotransferase (AST) d. Urinalysis e. Alanine aminotransferase (ALT