ATI Pharmacology Proctored Exam
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A nurse is assessing a client who is receiving intravenous therapy. The
nurse should identify which of the following findings as a
manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
Ans: b. Distended neck veins
A nurse is caring for a client who has hyponatremia and is receiving
an infusion of a prescribed hypertonic solution. Which of the
following findings should indicate to the nurse that the treatment is
effective?
a. Absent Chvostek's sign
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b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
Ans: b. Improved cognition
A nurse is teaching a client who has a new prescription for a
nitroglycerin transdermal patch. Which of the following instructions
should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed."
Ans: d. "Remove the patch prior to going to bed."
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A nurse is reviewing he laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr.
which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
Ans: d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level
greater than 5.0 mEq/L) increases the client risk for fatal cardiac
dysrhythmias. Kayexalate is used to decrease the serum potassium level so
the PN should monitor the client's serum potassium level
A nurse is caring for a client who has tuberculosis and is taking
isoniazid and rifampin. Which of the following outcomes indicates
that the client is adhering to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
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c. The client has a positive purified protein derivative test
d. The client's liver function test results are within the expected
reference range
Ans: a. The client has a negative sputum culture
A client is caring for a client who develops an anaphylactic reaction
to IV administration. After assessing the client's respiratory status and
stopping the medication infusion. Which of the following actions
should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM
Ans: d. Administer epinephrine IM