ATI PN PHARMACOLOGY PROCTORED EXAM

ATI PN PHARMACOLOGY PROCTORED EXAM VERSION 1 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? 1. Hyperthyroidism 2. Intestinal obstruction 3. Glaucoma 4. Low blood pressure 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 is a contraindication to ceftriaxone? 1. Gent amicin 2. Clindamycin 3. Piperacillin 4. Sulfamethoxazole -trimethoprim A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? 1. Allergic response 2. Superinfection 3. Renal toxicity 4. Hepatotoxicity A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? 1. Administer vitamin K 2. Reduce the infusion rate 3. Give the client a low -dose aspirin 4. Request an INR Final practice a nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? hypotension tachycardia decreased level of consciousness histor y of diuretic use A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? 1. Administer the medication into the client's abdomen . 2. Inject the medication into a muscle. 3. Massage the site after administering the medication. 4. Use a 22 -gauge needle to administer the medication. A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridin e and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? 1. "If the phenazopyridine upsets my stomach, I can take it with meals." 2. "The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of the infection." 3. "I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin." 4. "I should notify my provider immediately if my urine turns an orange color." A nurse is providing teaching to a group of new parents a bout 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? 1. Reye's syndrome 2. Visual disturbances 3. Diabetes mellitus 4. Wilms ' tumor A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how may gtt/min? (Round the answer to the near est whole number). 1 hr/60 min = 8 hr/X min X = 480 min 1,000 mL/480 min x 10 gtt/mL = X gtt/min X = 20.833 21 gtt/ min 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? ? 1. Antiestrogenic 2. Antimicrobial 3. Androgenic 4. Anti -inflammatory A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number) 2.2 lb/1 kg = 22 lb/X kg X = 10 kg 4 mg x 10 kg = 40 mg/day 20mg A nurse is assessing a client who is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? 1. Hypoglycemia 2. Proteinuria 3. Nasal congestion 4. Visual disturbances A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? 1. Increases blood pressure 2. Prevents esophageal bleeding 3. Decreases heart rate 4. Reduces ammonia levels 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? 1. Hyperthyroidism 2. Intestinal obstruction 3. Glaucoma 4. Low blood pressure 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 is a contraindication to ceftriaxone? 1. Gentamicin 2. Clindamycin 3. Piperacillin 4. Sulfameth oxazole -trimethoprim A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? 1. Allergic re sponse 2. Superinfection 3. Renal toxicity 4. Hepatotoxicity A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? 1. Administer vitamin K 2. Reduce the infusion rate 3. Give the client a low -dose aspirin 4. Request an INR Final practice a nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the clie nt, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? hypotension tachycardia decreased level of consciousness history of diuretic use a nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication ? blood pressure temperature blood glucose levels total protein levels a nurse is providing discharge teaching to a client who has heart failure and a new prescription for digoxin 0.215 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching ? "I know that blurred vision is something I w ill expect to happen while taking digoxin." "I will measure my urine output each day and document it in my diary." "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute." "I will eat fruits and vegetables that have high po tassium content every day ." a nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? administer a small test dose before giving the full dose infuse the medication over 30 seconds monit or client closely for hypertension administer cyanocobalamin as an antidote if toxicity occurs A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipa te onset of action of the insulin at which of the following times? Insulin glulisine has a very short onset of action of 15 min. The nurse should expect the onset of action around 0745 and ensure the client eats breakfast immediately following administration of the insulin. 0745 A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg daily but the client reports she has been taking extra doses to promote weight loss. Which of the following indicates she is deh ydrated? urine specific gravity of 1.035 Oliguria, increased urine concentration, and an increase in urine specific gravity greater than 1.030 are expected findings in clients who are dehydrated. A nurse is planning to administer chlorothiazide 20 mg/kg/ day PO divided equally and administered twice daily for a toddler who weighs 28.6 lb. The amount available is