ATI Pharmacology Exam Pack.

ATI Pharmacology Exam Pack. A nurse in a provider’s office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome an Hba1c of 6.5%. Which of the following medications should the nurse plan to teach the client about first? METFORMIN A nurse is reviewing a client’s laboratory results before administering furosemide 40mg IB bolus. For which of the following values should the nurse withhold the medication and contact the provider? POTASSIUM 2.5 mEq 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 the injection? Urticaria A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? B. Naloxone A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? A. Carbamazepine A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? C. Heart Rate A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? B. Sexual dysfunction A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? B. "Aspirin will increase the risk of bleeding." using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge? A. The client's capnography has returned to baseline A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diptheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages? B. 2 months A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? D. Increase in ability to focus A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions should the nurse take? A. Document the refusal and inform he client’s provider A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? D. Dyspnea A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? D. Miosis A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? C. "I will taper off the medication before discontinuing it." A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect. ( all that apply) Dry mouth Blurred vision Dry eyes A nurse is preparing to administer dextrose 5 in water 400ml iv to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtts/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? 100 A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? D. Insomnia A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for adverse effects? Orthostatic Hypotension A nurse is assessing a client who takes glipizide for treatment of type 2 diabetes mellitus. Which of the following findings indicates effectiveness of the medication? HgbA1c 6.5% A nurse is reviewing a clients medical record before administering acetaminophen 650mg PO every 6 hr. Which of the following findings indicates need for the nurse to notify the provider? History of alcohol use disorder A nurse is assessing a client who has been taking lithium for one year which of the following client reports is the nurse’s priority? Mild Thirst A client who has grave’s disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months? Increased sleeping Math 4,000 units of heparin subcutaneously to a client with deep-vein thrombosis. Available s heparin 10,000….. 0.4mL