ATI RN PHARMACOLOGYPROCTOR EXAM 2023 LATEST UPDATE

  ATI RN PHARMACOLOGYPROCTOR EXAM 2023 LATEST UPDATE 1. A nurse is providing discharge dietary teaching to a client who has a something and is takingImedication theophylline and to provide general instructions the nurse should include? Avoid caffeinated beverages 2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? Inject air into the NPHvial 3. a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. Whatinstructions should the nurse include? Sit upright for at least 30 mins after taking the medication 4. a nurse is caring for a client who is postoperative following a thyroidectomy and is receivingmorphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? Bladder distention 5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? Administer theImedication into one nostril once per week 6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? A client who has been transferred to a step-down unit 7. a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening.Which of the following is the nurses priority? Uterine tachysystole 8. a nurse is performing a return demonstration of an enoxaparin administration. Which of thefollowing client actions indicates an understanding of the teaching? Administers the medication into the abdomen 9. a nurse is assessing a client how has been taking digoxin and …… which of the followingfindings to the nurse indicates this client has developed digoxin toxicity? Blurred vision 10. a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? Excessivesalivation 11. a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the followingmedications? Clopidogrel 12. a nurse is assessing a who is receiving clindamycin. Which of the following findings shouldthe nurse identify as an adverse effect of this medication? Watery diarrhea 13. a nurse is teaching a client who is to start taking Cromolyn. Which of the followinginformation should the nurse include in the teaching? Cromolyn is a long-term management medication 14. a nurse is reviewing the medications of a client is experiencing orthostatic hypotension. Thenurse should identify this finding as an adverse effect of which of the following medications? Imipramine 15. a nurse is reviewing a client’s medical history before administering a new prescription ofatropine. Which of the following client conditions is contraindicated? Glaucoma 16. a nurse is providing teaching to a client who has a new prescription for carbamazepine for thetreatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects? Blurred vision 17. math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000units = 0.4 18. a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a writtenIrather than a verbal prescription from the provider? Fentanyl 19. charge nurse is observing a newly licensed nurse provide care to a group of clients. Which ofthe following action by the newly licensed nurse requires the charge nurse to complete an incident report? a client who has a lithium level of 1.8 receives her morning dose 20. a nurse is caring for a client who has an alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? Implementseizure precautions 21. a nurse is planning care for a group of clients. which of the following client's medicationsIshould be monitored by the nurse for hearing loss related to a medication interaction? furosemide and amikacin 22. a nurse is caring for a client who has major depression and a new prescription for of the following adverse effects is the priority for the nurse to report to the provider? Insomnia answer is either confusion or bruxism IDK (habitual grinding oftI eeth) look up confusion 23. a nurse is caring for a client who requires a re-insertion of a short peripheral venous which of the following locations should the nurse place the catheter? a vein on the clients wrist 24. a nurse is assessing a client who is in labor and is receiving epidural anesthesia. which of thefollowing findings should the nurse identify as the priority? Hypotension 25. a nursing is providing teaching to a client who has a prescription for omeprazole. which ofIthe following instructions should the nurse include in the teaching? long term use increases risk of fractures 26. a nurse is reviewing a client’s laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contactthe provider? Potassium 2.5 mEq/L 27. the nurse is assessing a client who takes glipizide for the treatment of type 2 diabetesmellitus. Which of the following findings indicates effectiveness of the medication? Hgba1c 6.5% o Goal: keep levels below 7%. The HbA1c goal level for a client who has diabetes isbetween 6.5% and 7%. 28. a nurse in the emergency department is caring for a client who reports a severe headache. theclient's blood pressure is 280/160 mm hg. the nurse should plan to administer which of the following medications? Nitroprusside 29. a nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. which ofthe following statements by the parent indicates an understanding of the teaching? I willrinse my child's mouth with water after she takes the medicine 30. a nurse is caring for a client who is to start therapy with lovastatin. the nurse should prepareIthe client for which of the following diagnostic assessments? liver function test 31. a nurse is developing a teaching plan for an older adult client who has a new prescription forinsulin glargine. which of the following expected outcomes should the nurse include in the plan?the client will wear his reading glasses when drawing insulin glargine 32. a nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfatefI or preterm labor. the nurse should discontinue the infusion and prepare to administer claim gluconate if the client demonstrates which of the following findings? Select all that apply absence of deep-tendon reflexesurine output 80 mL/hr decreased LOC 33. a nurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands theteaching? I will rotate application site to avoid skin irritation 34. Nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medicationssI hould the nurse plan to teach the client about first? Metformin 35. a nurse is teaching a client who has active pulmonary tuberculosis about management ofmedication for the disease. which of the following statements is appropriate for the nurse tomake? you will need to take two or more medication to treat your disease 36. a nurse is planning care for a client who has a prescription for erythromycin lactobionate IVbolus. which of the following actions should the nurse include in the plan of care? monitor for hearing loss 37. a nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. the nurse should notify the provider that the client is taking which of the followingover-the counter medications? salicylic acid 38. A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of thefollowing instructions should the nurse include in the teaching? notify provider for the appearance of a skin rash 39. a nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. which of the following laboratory tests should the nurse review to evaluate for an adverse effectoI f this medication? ALT 40. A nurse is teaching a client who has multiple allergies about using an epinephrine auto- injector. Which of the following instructions should the nurse include? Administer theImedication through clothing if necessary 41. for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? I should stay upright for 15 minutes after taking thismedication. 42. nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. thenurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? 1.3 43. a nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mgIV bolus 30 min earlier. For which of the following findings should the nurse notify the provider? Client reports difficulty hearing 44. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurseIshould plan to monitor the client for which of the following adverse effects? Orthostatic hypotension 45. a nurse is wanting to report a n infusion reaction for a client who is receiving a dose via IV ofamphotericin B. which is the following findings that indicate to the nurse that the patient is experiencing an acute infusion reaction? Fever 46. a nurse is providing teaching to a client who has a new prescription for paroxetine. the nurseIshould instruct the client to monitor for which of the following adverse effects? drowsiness or Peripheral edema = IDK have to look it up 47. A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken, he medication for 2 months? increasedsleeping 48. a nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverseeffect of this medication? muscle pain 49. a nurse is reviewing a client's 0800 laboratory values at 1100. the nurse notes that the clientreceived heparin at 1000. which of the following laboratory values warrants an incident report? aPtt 90 50. a nurse is administering medications to a client. which of the following medications shouldthe nurse plan to administer by a parental route. Fondaparinux 51. a nurse is assessing a client who takes levothyroxine for hypothyroidism. the nurse should identify that which of the following findings indicates the need for an increase in dosage? SelectIall that apply heart rate 46 cold intolerance impaired short-term memory 52. a nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over the counter products. which of the following products should thenurse instruct the client to avoid? Naproxen 53. A nurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. WhichIof the following adverse effects of this medication should the nurse include in the teaching? Leukopenia 54. a nurse is reviewing the medical record of a client who is receiving vancomycin daily. thenurse should review which of the following laboratory results prior to administering the next dose? creatinine level 55. a nurse is providing teaching to a client who has a new prescription for phenelzine. which ofthe following foods should the nurse instruct the client to avoid? Cheddar cheese Pseudoephedrine interacts with MAOI medications and is therefore contraindicated. Ingesting products containing ephedrine along with phenelzine can precipitate a hypertensivecrisis. 56. a nurse eis preparing to administer nitroglycerin topical ointment to a client. which of the following actions should the nurse plan to take? measure dosage on medication applicatorpaper 57. a nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. which ofthe following laboratory values indicates an adverse effect of this medication? WBC 3000 58. a nurse is providing teaching to a client who has a new prescription for phenelzine. the nurseIinstruct the client to avoid which of the following foods? smoked salmon 59. a nurse is reviewing the laboratory data of a client who is receiving filgrastim. which of thefollowing laboratory values should the nurse monitor to evaluate the effectiveness of the treatment? WBC count 60. a nurse is planning to administer medications to a client who weighs 198 lb. he prescription reads, "filgrastim 5mcg/kg, subcutaneous, daily". available is filgrastim 300 mcg/mL. how manyml should the nurse plan to give with each dose? 1.5 61. a nurse is providing teaching to a client who has a new prescription for nitroglycerin. whichof the following client statements indicates an understanding of the teaching? I will call 911 if pain is not relieved after taking the medication 62. a nurse is providing discharge teaching to a client who is receiving warfarin. Which of thefollowing statements is appropriate to make? Avoid eating large amounts of cabbage and broccoli 63. a nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. which of the following client information is the priority for the nurse to report tothe provider? a client with a history of severe Penicillin allergy 64. a nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. for which of the following data, discovered after the medication was administered, should the nurse file an incident report.? vile sat out for 2 hoursat room temperature before administration 65. A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis.Which of the following findings should indicate to the nurse that the therapy is effective? platelets within the expected range 66. A nurse receives a prescription to give tobramycin to a client daily. Which of the followingIlaboratory values should the nurse report to the provider? serum creatinine 2.5 o S/E: ototoxicity, tinnitus, voice alteration, pseudomembranous, nephrotoxicity 67. a nurse is providing teaching to a client who has a new prescription for nitroglycerin sublingual. Which of the following client responses indicates an understanding of the teaching? Keep tablets in dark container at room temperature 68. A nurse is reviewing a client's medical record before administering acetaminophen 650 mgPO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider? History of alcohol use disorder 69. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following theinjection? Urticaria 70. A nurse is assessing a client who has been taking lithium for one year. Which of thefollowing client reports is the nurse's priority? mild thirst