ATI PHARM CMS Exam Questions & Answers with Complete Solutions Graded A 2024

1. A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin). Which of the following findings is an adverse effect of this medication? (adverse affect is thrombocytopenia) o Ecchymosis o Ototoxicity o Hypertension o Anxiety - A 2. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL. How many gtt/min of IV fluid should the client receive? (Round your answer to the nearest whole number). - 31 gtt/min 3. A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the nurse take? A. Clarify the medication dosages with the provider. B. Change the prescribed medication dosages to reconcile the discrepancy C. Contact the pharmacist regarding the dosage discrepancies D. Ask a family member to verify the medication dosages - A 5. A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when administering this medication? A. Massage the nitroglycerin ointment completely into the skin. B. Replace the nitroglycerin transdermal patch every 4 hours. C. Administer a sustained nitroglycerin tablet orally. D. Administer a nitroglycerin tablet sublingually every 5 minutes. - D 6. A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects? (Select all that apply.) A. Bradycardia B. Jaundice C. Polyuria ATI PHARM CMS Exam Questions & Answers with Complete Solutions Graded A 2024 D. Urtipenia E. Fever - B, D, E 7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning medication therapy with zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching. (Select all that apply.) A. Must be taken with other retroviral medicines. B. Has few adverse effects C. Cures an HIV infection D. Prevents you from transmitting the HIV infection E. Increases CD4+ cell count - A, B, E 8. A nurse is assessing a school age client who is experiencing seizure activity and is prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving a continuous infusion of which of the following IV: o Lactated Ringers solution o 0.9% Sodium chloride with 100 units of regular insulin o 0.9% sodium chloride o 0.9% Sodium chloride with 20 mEq of potassium chloride - A 9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure. Which of the following indicates an expected finding? o Activity tolerance o Orthostatic hypotension o Loss of strength o Increase in blood pressure - B 10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of the following therapeutic effects should the nurse monitor? o Increased urine output o Increased energy o Decreased anxiety o Decreased spacity - D 12. The nurse is caring for a client who has tuberculosis and is being treated with combination medication therapy. To test the effectiveness of the treatment, the nurse should periodically monitor which of the following laboratory results. o TT o ESD rate o Sputum culture o INR - B 13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and is experiencing adverse effects. Which of the following instructions should the nurse give to this client? o "Stand up slowly after taking this medication." o "Monitor for increased urine output." o "Take this medication with a snack." o "Administer the medication at bedtime." - A 14. A nurse is reviewing the medication administration record for a client who has metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports a pain level of 10 on a scale of 0 to 10. Which of the following medications should the nurse anticipate administering? o Hydromorphone (Dilaudid) o Butorphanol (Stadol) o Alprazolam (Xanax) o Carbenezepine (Tegretol) - A 15. A nurse is caring for a client with PCA Morphine Sulfate. Which of the following statements is not true? o "I will not receive any pain medications during the lockout period" o "I should push the button when the pain becomes severe" o "I will be asked to rate my pain occasionally" o "I don't have to worry about getting an overdose of the medication" - D 16.A nurse is caring for a client who is to receive a series of allergy tests. The nurse should instruct the client to avoid which medications for up to 4 weeks before the procedure? o Acetemetaphen (Tylenol) o Diphenhyramine (Benadryl) o Albuterol (Accuneb) o Psuedoephedrine hydrochloride (Sudafed) – B 17. A nurse administered meperidine (Demerol) intramuscularly to a client with an ankle fracture. Which of the following actions should the nurse take next? o Assess the client's respiratory status o Document on the clients medication record o Reassess the client's pain level level o Check the client's blood pressure - A 18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily. The nurse should recognize that which of the following findings is a side effect of this medication? o WBC 8,000 mm3 o Serum sodium 136 mg/dL o Fasting blood glucose of 220 mg/dL o Weight loss of 2.26 kg (5 lb) in 2 week - A 19. A client with diabetes mellitus is admitted to the medical unit. The client has routine before- breakfast prescription for 8 units of regular insulin and 18 units of NPH. The primary care provider adds an additional dose of Regular insulin based on the following: Blood Glucose Regular Insulin Dose 121 to 150 2 units 151 to 180 4 units 201. 200 6 units 201 to 250 8 units > 250 Call provider The client's pre-breakfast glucose is 192 mg/dl. Which dosage of insulin should the nurse administer - o 8 units of Regular, 18 units of NPH o 8 units of Regular, 24 units of NPH o 14 units of Regular, 18 units of NPH o 14 units of Regular, 24 units of NPH 20. A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mg by mouth. Which comments by the client indicates understanding regarding this medication? o "I will take my medication at bedtime." o "I will take this medication with food." o "I will stop taking this medication in 1 week, so I don't get addicted." o "I will take vitamin C to increase the effectiveness of this medication." - A 21. A nurse is monitoring a client who is taking fosinopril (Monopril). The nurse should understand that this has a beneficial effect on which of the body systems? o Gastrointesti nal o Cardiovascular o Pulmonary o Reproductive - B 22. A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the following is an expected outcome for this client? o Increased appetite o Reduced bleeding o Improved breathing o Reduced pain - D 23. A nurse is providing teaching to a client who just started taking lithium (Eskalith). Which of the following statements indicates that the client understands the teaching? o 'I should inject this medication subcutaneously.' o "I should expect to feel better in just a few days." o "I should call my doctor if I develop hand tremors." o "I should take this medication on an empty stomach." - C 24.A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse should monitor for which outcome? o A rapid increase in aPTT. o A sudden increase in heart rate. o A sudden decrease in heart rate. o A rapid decrease of aPTT - C 25.A nurse is caring for a client who has rheumatoid arthritits. The client is prescribed methotrexate (Rheumatrex). Which of the following should the nurse instruct the client to monitor and report to the provider? o Sore throat o Urinary retention o Constipation o Insomnia - A 26.A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). The nurse notes that the client's chart lists a penicillin allergy. Which of the following actions should the nurse take first? o Notify the provider that the client is allergic to the medication. o Teach the client about signs of allergic response. o Question the client about previous allergic reactions. o Administer the medication and monitor the client for allergic response. - D 27.A nurse is teaching a client who has decided to quit smoking about using a nicotine transdermal system (Nicotrol). Which of the following instructions should the nurse include? o Cleanse the skin with alcohol before applying the patch. o Moisten the patch and hold it against the skin until it adheres. o Apply the patch first thing in the morning and remove it at bedtime. o Place the patch in the same skin area for the duration of the treatment. - C 28. A nurse is caring for a client who has been taking furosemide (Lasix) for 3 days to treat heart failure. Which of the following findings indicate that the medication is effective? o Reduced levels of HDL o Potassium within the expected reference range o Clear lung sounds o Increased level of consciousness - B 29. A client is questioning the nurse about why she is receiving frequent doses of IV antibiotics. Which of the following responses by the nurse is appropriate? o It helps to maintain a steady drug level o It helps to prevent the emergence of drug-resistant bacteria o It decreases the risk of an allergic reaction o It decreases the length of necessary treatment - B 30. A female adult client is scheduled to start a prescription for azathioprine (Imuran) for active Rheumatoid Arthritis. The nurse should inform the client about the need for which of the following diagnostic tests prior medication? o Erythrosedimentation rate o Bone density scan o Electrocardiogr am o Pregnancy Test - A 31.A nurse is caring for a client who has been taking ferrous sulfate for the past 2 months. Which of the following findings is expected? o Increased energy o Reduced frequency of coughing o Increased vision o Decreased inflammation - A 32. A nurse is caring for a client who has a prescription for Metformin (Glucophage) twice daily. Which of the following lab results projects the expected outcome? o Hemoglobin A1C 6.4% o Pre-meal plasma glucose 135mg/dl o Bedtime blood glucose 150 mg/dl o Systolic blood pressure 146 mm Hg - A 33. A nurse is teaching about IV betamethasone (Celestone Soluspan) with a client who is at 31 weeks of gestation and is in premature labor. Which of the following information should the nurse include in the teaching? o Prevents contractions of the uterus to avoid premature birth o Promotes the production of surfactant in the fetal lung o Decreases inflammation associated with an allergic reaction o Suppresses the immune system to prevent fetal respiratory distress. - B 34.A nurse is providing teaching to a client who had a total gastrectomy. The client has a new prescription for Cyanocobalamin (Vitamin B12). Which of the following client statements indicates understanding of the teaching? o "I will have to take this medication for the rest of my life." o "After I receive injections for a week, I will be able to switch to a pill." o "I need to have my vitamin B12 levels measured once a month." o "Increasing my intake of green, leafy vegetables will increase my vitamin B12 levels." - A 35. A nurse is planning teaching for a client who has leukemia and is receiving chemotherapy. The client is taking Allopurinal (Zyloprim). The nurse should instruct the client that this medication will? o Decrease blood glucose levels o Prevent cardiac toxicity. o Prevent urinary tract infections. o Decrease uric acid levels - D 36.A nurse receives a phone call from a client who has heart failure and reports a dry cough for the last week. After reviewing the client's medical record, the nurse asks the client to come to the provider's office. The nurse should then instruct the client to stop taking which of the following daily medications until he sees his provider? o Isosorbide (Imdur) o Hydroclorothiazide (Hydrodiuril) o Nifedipine (Procardia) o Lisinopril (Zestril) - B 37.A nurse is planning discharge teaching for a client who is to start therapy with repaglinide (Prandin). Which of the following should the nurse include in the teaching? o "Take the medication 1 hour before mealtime." o "Hold the medication if your blood glucose is less than 120 mg/dL." o "Monitor for irritability and diaphoresis." o "Increase your protein intake." - B