2013 ATI RN Proctored Pharmacology Form B with Answers (70 Solved Questions)

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ATI RN Proctored Pharmacology Form B 2013Pharmacology ATI1.A nurse is assessing a client who is receiving chloramphenicol(Chloromycetin). Which of the following findings is an adverse effect ofthis medication? (adverse affect is thrombocytopenia)oEcchymosisoOtotoxicityoHypertension o Anxiety2.A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodiumchloride IV over 8 hours. The nurse plans to use IV tubing with a drop factorof 10 gtt/mL.How many gtt/min of IV fluid should the client receive? (Round youranswer to the nearest whole number).31 gtt/min3.A nurse is admitting a client to a long-term care facility. While reconcilingthe medication prescribed at home with those prescribed in the facility, thenurse discovers a discrepancy in the dosages. Which action should the nursetake?oClarify the medication dosages with the provider.oChange the prescribed medication dosages to reconcile thediscrepancy o Contact the pharmacist regarding the dosagediscrepanciesoAsk a family member to verify the medication dosages4.A nurse is caring for a client who is receiving a fentanyl transdermalsystem (Duragesic). What is important to document in the client’srecord?lOMoARcPSD|13778330

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oFluidintake o SkinintegrityoRespiratoryrate o Pulse rate5.A nurse is caring for a client who has acute angina and has a prescription fornitroglycerin. Which of the following is an appropriate intervention for the nurse totake when administering this medication?oMassage the nitroglycerin ointment completely intothe skin. o Replace the nitroglycerin transdermal patchevery 4 hours.oAdminister a sustained nitroglycerin tablet orally.oAdminister a nitroglycerin tablet sublingually every 5 minutes.6.A nurse is preparing to administer infliximab (Remicade) to a client who hasrheumatoid arthritis. The nurse should watch the patient for which of the followingadverse effects? (Select all that apply.)oBradycardia o JaundiceoPolyuriaoUrtipeniao FeverlOMoARcPSD|13778330

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7.A nurse is providing teaching to a client who was recently diagnosed as HIVpositive. The client is beginning medication therapy with zidovudine (Retrovir).Which of the following statements should the nurse include in the teaching. (Selectall that apply.)oMust be taken with other retroviralmedicines. o Has few adverse effectsoCures an HIV infectionoPrevents you from transmitting the HIVinfection o Increases CD4+ cell count8.A nurse is assessing a school age client who is experiencing seizure activity and isprescribed diazepam (Valium) IV. The nurse should should clarify the order if theclient is receiving a continuous infusion of which of the following IV:oLactated Ringers solutiono0.9% Sodium chloride with 100 units of regularinsulin o 0.9% sodium chlorideo0.9% Sodium chloride with 20 mEq of potassium chloride9.A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heartfailure. Which of the following indicates an expected finding?oActivity toleranceoOrthostatichypotension o Loss ofstrengthoIncrease in blood pressure10.A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of thefollowing therapeutic effects should the nurse monitor?oIncreased urineoutput o IncreasedenergyoDecreasedanxiety olOMoARcPSD|13778330

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Decreased spacity11.Clinical findings of a client who has a prescription for lithium carbonate(Lithobid). For which reasons should the nurse withhold the medication and notifythe provider?oLithium level 1.0mEq/L o Potassium at3.7 mEq/L o Sodium at143 mEq/LoLithium level 2.5 mEq/L12.The nurse is caring for a client who has tuberculosis and is being treated withcombination medication therapy. To test the effectiveness of the treatment, thenurse should periodically monitor which of the following laboratory results.oTToESD rateoSputumculture o INRlOMoARcPSD|13778330

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13.A nurse is caring for a client who is taking amoxicillin (Amoxil) and isexperiencing adverse effects. Which of the following instructions should thenurse give to thisclient? o “Stand up slowly after taking thismedication.”o“Monitorfor increased urineoutput.”o “Take this medicationwith asnack.”o“Administer the medication atbedtime.”14.A nurse is reviewing the medication administration record for a client who hasmetastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The clientreports a pain level of 10 on a scale of 0 to 10. Which of the following medicationsshould the nurse anticipate administering?oHydromorphone(Dilaudid) o Butorphanol(Stadol)oAlprazolam (Xanax)oCarbenezepine (Tegretol)15.A nurse is caring for a client with PCA Morphine Sulfate. Which of thefollowing statements is not true?o"I will not receive any pain medications during the lockoutperiod" o "I should push the button when the pain becomessevere"o"I will be asked to rate my pain occasionally"o"I don't have to worry about getting an overdose of the medication"16.A nurse is caring for a client who is to receive a series of allergy tests. The nurseshould instruct the client to avoid which medications for up to 4 weeks before theprocedure?oAcetemetaphen (Tylenol)oDiphenhyramine(Benadryl) o Albuterol(Accuneb)lOMoARcPSD|13778330

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oPsuedoephedrine hydrochloride (Sudafed)17.A nurse administered meperidine (Demerol) intramuscularly to a client withan ankle fracture. Which of the following actions should the nurse take next?o Assess theclient’srespiratorystatusoDocument on the clients medicationrecord o Reassess the client's pain leveloCheck the client's blood pressure18.A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg POdaily. The nurse should recognize that which of the following findings is a side effect ofthis medication?o WBC 8,000 mm3oSerum sodium 136 mg/dLoFasting blood glucose of 220mg/dLoWeight loss of 2.26 kg (5 lb) in 2 weekslOMoARcPSD|13778330

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19.A client with diabetes mellitus is admitted to the medical unit. The client hasroutine before- breakfast prescription for 8 units of regular insulin and 18 unitsofNPH. The primary care provider adds an additional dose of Regular insulin based onthe following:Blood Glucose Regular InsulinDose 121 to 150 2 units151 to 180 4 units201. 200 6 units201 to 250 8units> 250 Call providerThe client’s pre-breakfast glucose is 192 mg/dl. Which dosage of insulinshould the nurse administer?o8 units of Regular, 18 units ofNPH o 8 units of Regular, 24 unitsof NPH o 14 units of Regular, 18units of NPH o 14 units of Regular,24 units of NPH20.A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10mg by mouth. Which comments by the client indicates understanding regarding thismedication?o“I will take my medication atbedtime.”o “I will take thismedication withfood.”o“I will stop taking this medication in 1 week, so I don’t getaddicted.” o “I will take vitamin C to increase the effectiveness ofthismedication.”21.A nurse is monitoring a client who is taking fosinopril (Monopril). The nurseshould understand that this has a beneficial effect on which of the bodylOMoARcPSD|13778330

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