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ATI
Pharmacology P c
roctored Exam 7 L c c c
atest Versions c
2022
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ATIc PHARMACOLOGY
Versionc 1
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7. AcnurseciscprovidingcteachingctocacclientcwhocwascrecentlycdiagnosedcascHIVcpositive.Th
ec clientciscbeginningcmedicationctherapycwithczidovudinec(Retrovir).cWhichcofcthefollowin
gc statementscshouldcthecnursecincludecincthecteaching.c(Selectcallcthatapply.)
o Mustcbectakencwithcotherc retroviralmedici
nes.ocHascfewcadverseeffects
o CurescancHIVinfection
o Preventscyoucfromctransmittingc thecHIVinfection
o IncreasescCD4+ccellcount
8. Acnurseciscassessingcacschoolcagecclientcwhociscexperiencingcseizurecactivitycandcisprescribe
dc diazepamc(Valium)cIV.cThecnursecshouldcshouldcclarifycthecordercifcthecclientciscreceivinga
c continuous cinfusioncofcwhichcofcthecfollowingIV:
o LactatedcRingerssolution
o 0.9%cSodiumcchloridecwithc100cunitscofcregularinsulin
o 0.9%csodiumchloride
o 0.9%cSodiumcchloridecwithc20c mEqcofcpotassiumchloride
9. Acnurseciscassessingcacclientcwhocisctakingcenalaprilc(Vasotec)cforccongestivecheartfailur
e.c Whichcofcthecfollowingcindicatescancexpectedfinding?
o Activitytolerance
o Orthostatichypotension
o Losscofcstrength
o Increasecincbloodpressure
10. AcchildcwithccerebralcpalsyciscprescribedcBaclofenc(Lioresol).cWhichcofcthefollowin
gc therapeuticceffectscshouldcthecnursemonitor?
o Increasedcurineoutput
o Increasedenergy
o Decreasedcanxiety
o Decreasedcspacity
11. Clinicalcfindingscofcacclientcwhochascacprescriptioncforclithiumccarbonatec(Lithobid).Fo
rc whichcreasonscshouldcthecnursecwithholdcthecmedicationcandcnotifyctheprovider?
o Lithiumclevelc1.0mEq/L
o Potassiumcatc3.7mEq/L
o Sodiumcatc143mEq/L
o Lithiumclevelc2.5mEq/L
12. Thecnursecisccaringcforcacclientcwhochasctuberculosiscandciscbeingctreatedcwithcombinatio
nc medicationctherapy.cToctestctheceffectivenesscofcthectreatment,cthecnursecshouldperiodicall
yc monitorcwhichcofcthecfollowingclaboratoryresults.
o TT
o ESDrate
o Sputumculture
c oINR
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13. Acnursecisccaringcforcacclientcwhocisctakingcamoxicillinc(Amoxil)candcisexperiencin
gc adversec effects.c Whichc ofc thecfollowingcinstructions c shouldc thec nursec givec toc thiscli
ent?c oc“Standcupcslowlycafterctakingcthismedication.”
o“Monitorforincreasedurineoutput.”c o
“Takecthiscmedicationcwithcasnack.”
o “Administercthecmedicationcatbedtime.”
14. Acnurseciscreviewingcthec medicationcadministrationcrecordcforcacclientcwhohas
metastaticccancercandcacfentanylc(Duragesic)ctransdermalcpatchcforcpain.cThecclientcreportscapai
nc levelcofc10concacscalecofc0ctoc10.cWhichcofcthecfollowingcmedicationscshouldcthecnurseantici
patec administering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol)
o Alprazolam(Xanax)
o Carbenezepine(Tegretol)
15. AcnursecisccaringcforcacclientcwithcPCAcMorphinecSulfate.cWhichcofcthefollowin
gc statementsciscnottrue?
o "Icwillcnotcreceivecanycpaincmedications cduringctheclockoutperiod"
o "Icshouldcpushcthecbuttoncwhencthecpaincbecomessevere"
o "Icwillcbecaskedctocratecmycpainoccasionally"
o "Icdon'tchavectocworrycaboutcgettingcancoverdosecofcthemedication"
16. Acnursecisccaringcforcacclientcwhocisctocreceivecacseriescofcallergyctests.cThecnurseshou
ldc instructcthecclientctocavoidcwhichcmedications cforcupctoc4cweekscbeforectheprocedure?
o Acetemetaphen(Tylenol)
o Diphenhyramine(Benadryl)
o Albuterol(Accuneb)
o Psuedoephedrinec hydrochloride(Sudafed)
17. Acnursecadministeredcmeperidinec(Demerol)cintramuscularlyctocacclientcwithcanankl
ec fracture.cWhichcofcthecfollowingcactionscshouldcthecnursectakenext?
o Assesstheclient‟srespiratorystatus
o Documentconcthecclientsc medicationrecord
o Reassesscthecclient'scpainlevel
o Checkcthecclient'scbloodpressure
18. Acnursecisccaringcforcacclientcwhochascancordercforcclozapinec(Clozaril)c350cmgcPOcdaily.T
hec nursecshouldcrecognizecthatcwhichcofcthecfollowingcfindingsciscacsideceffectcofcthismedicati
on?
o WBCc8,000mm3
o Serumcsodiumc 136mg/dL
o Fastingcbloodcglucosecofc220mg/dL
o Weightclosscofc2.26ckgc(5clb)cinc2weeks
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ATIc PHARMACOLOGY
Versionc 1
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7. AcnurseciscprovidingcteachingctocacclientcwhocwascrecentlycdiagnosedcascHIVcpositive.Th
ec clientciscbeginningcmedicationctherapycwithczidovudinec(Retrovir).cWhichcofcthefollowin
gc statementscshouldcthecnursecincludecincthecteaching.c(Selectcallcthatapply.)
o Mustcbectakencwithcotherc retroviralmedici
nes.ocHascfewcadverseeffects
o CurescancHIVinfection
o Preventscyoucfromctransmittingc thecHIVinfection
o IncreasescCD4+ccellcount
8. Acnurseciscassessingcacschoolcagecclientcwhociscexperiencingcseizurecactivitycandcisprescribe
dc diazepamc(Valium)cIV.cThecnursecshouldcshouldcclarifycthecordercifcthecclientciscreceivinga
c continuous cinfusioncofcwhichcofcthecfollowingIV:
o LactatedcRingerssolution
o 0.9%cSodiumcchloridecwithc100cunitscofcregularinsulin
o 0.9%csodiumchloride
o 0.9%cSodiumcchloridecwithc20c mEqcofcpotassiumchloride
9. Acnurseciscassessingcacclientcwhocisctakingcenalaprilc(Vasotec)cforccongestivecheartfailur
e.c Whichcofcthecfollowingcindicatescancexpectedfinding?
o Activitytolerance
o Orthostatichypotension
o Losscofcstrength
o Increasecincbloodpressure
10. AcchildcwithccerebralcpalsyciscprescribedcBaclofenc(Lioresol).cWhichcofcthefollowin
gc therapeuticceffectscshouldcthecnursemonitor?
o Increasedcurineoutput
o Increasedenergy
o Decreasedcanxiety
o Decreasedcspacity
11. Clinicalcfindingscofcacclientcwhochascacprescriptioncforclithiumccarbonatec(Lithobid).Fo
rc whichcreasonscshouldcthecnursecwithholdcthecmedicationcandcnotifyctheprovider?
o Lithiumclevelc1.0mEq/L
o Potassiumcatc3.7mEq/L
o Sodiumcatc143mEq/L
o Lithiumclevelc2.5mEq/L
12. Thecnursecisccaringcforcacclientcwhochasctuberculosiscandciscbeingctreatedcwithcombinatio
nc medicationctherapy.cToctestctheceffectivenesscofcthectreatment,cthecnursecshouldperiodicall
yc monitorcwhichcofcthecfollowingclaboratoryresults.
o TT
o ESDrate
o Sputumculture
c oINR
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13. Acnursecisccaringcforcacclientcwhocisctakingcamoxicillinc(Amoxil)candcisexperiencin
gc adversec effects.c Whichc ofc thecfollowingcinstructions c shouldc thec nursec givec toc thiscli
ent?c oc“Standcupcslowlycafterctakingcthismedication.”
o“Monitorforincreasedurineoutput.”c o
“Takecthiscmedicationcwithcasnack.”
o “Administercthecmedicationcatbedtime.”
14. Acnurseciscreviewingcthec medicationcadministrationcrecordcforcacclientcwhohas
metastaticccancercandcacfentanylc(Duragesic)ctransdermalcpatchcforcpain.cThecclientcreportscapai
nc levelcofc10concacscalecofc0ctoc10.cWhichcofcthecfollowingcmedicationscshouldcthecnurseantici
patec administering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol)
o Alprazolam(Xanax)
o Carbenezepine(Tegretol)
15. AcnursecisccaringcforcacclientcwithcPCAcMorphinecSulfate.cWhichcofcthefollowin
gc statementsciscnottrue?
o "Icwillcnotcreceivecanycpaincmedications cduringctheclockoutperiod"
o "Icshouldcpushcthecbuttoncwhencthecpaincbecomessevere"
o "Icwillcbecaskedctocratecmycpainoccasionally"
o "Icdon'tchavectocworrycaboutcgettingcancoverdosecofcthemedication"
16. Acnursecisccaringcforcacclientcwhocisctocreceivecacseriescofcallergyctests.cThecnurseshou
ldc instructcthecclientctocavoidcwhichcmedications cforcupctoc4cweekscbeforectheprocedure?
o Acetemetaphen(Tylenol)
o Diphenhyramine(Benadryl)
o Albuterol(Accuneb)
o Psuedoephedrinec hydrochloride(Sudafed)
17. Acnursecadministeredcmeperidinec(Demerol)cintramuscularlyctocacclientcwithcanankl
ec fracture.cWhichcofcthecfollowingcactionscshouldcthecnursectakenext?
o Assesstheclient‟srespiratorystatus
o Documentconcthecclientsc medicationrecord
o Reassesscthecclient'scpainlevel
o Checkcthecclient'scbloodpressure
18. Acnursecisccaringcforcacclientcwhochascancordercforcclozapinec(Clozaril)c350cmgcPOcdaily.T
hec nursecshouldcrecognizecthatcwhichcofcthecfollowingcfindingsciscacsideceffectcofcthismedicati
on?
o WBCc8,000mm3
o Serumcsodiumc 136mg/dL
o Fastingcbloodcglucosecofc220mg/dL
o Weightclosscofc2.26ckgc(5clb)cinc2weeks
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