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ATI CAPSTONE PHARMACOLOGY ASSESSMENT
2024(160 QUESTIONS) WITH CORRECT DETAILED
ANSWERS
- a nurse is providing teaching to a pt who has a new prescription for montelukast, what statement by the pt indicates understanding - ANSWER> >i will take the med every day to control my exercise-induced asthma
- a nurse is preparing to administer a 2nd unit of PRBCs to a pt who is experiencing hemorrhagic shock, the nurse should monitor for the manifestations of what as circulatory overload? - ANSWER> >dyspnea
- a nurse is caring for a client who is receiving morphine, what assessment is priority - ANSWER >>RR 4) a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma, what is the priority to report to the provider - ANSWER> > bronchospasms 5) a nurse is caring for a client who has prescription for terazosin, the nurse
should identify that this medication is indicated for which of the following disorders? - ANSWER>>hypertension BPH 6) a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse instruct? - ANSWER>>you should gargle with water after each use of this inhaler 7) a nurse is preparing to administer topotecan IV, which of the following meds should the nurse expect to administer to control the adverse effects - A NSWER >>granisetron (antiemetic to prevent n/v) for clients receiving chemo 8) a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about anticholinergic adverse effects? - ANSWER >> blurred vision tachycardia constipation
- a nurse is providing teaching to a client who has a new prescription for
( n/v, anorexia, blurred vision) 19)a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point?
- ANSWER>>you should report a rash to your provider (fatal disorder Stevens-Johnson syndrome) 21)a nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression, what is the priority instruction? - ANSWER>>move slowly when standing from a lying down position (r/f orthostatic hypotension) 23)a nurse is reviewing the medical record of a client who received his medications 1 hour ago, the pt reports chest pain, this can be an AE of what
med?
- ANSWER>>albuterol (beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias)
- a nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma, what indicates an understanding of the instructions? - ANSWER>>i can expect to feel some irritation when i put these drops in my eyes
- a nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene, what should the nurse assess prior to initiating therapy? - ANSWER>>pregnancy status 27)(risk category X) 28)a nurse is teaching a pt to use TD nitroglycerin patches to treat angina pectoris, what instructions should she include? - ANSWER>>apply a new patch every morning
35)a nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline once per day, what should the nurse include? - ANSWER>>increase fluids while on this med 36)(urine turns blue/green, sedation is an AE) 37)a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion over 30min every 12 hours, what should the nurse take? - ANSWER>>contact the provider for prescription clarification 38)(administer over 60min or more to reduce risk of infusion reaction-- hypotension, flushing) 39)a nurse is providing teaching to a male client who has a new prescription for folic acid, the client tells the nurse he heard that the medication is prescribed for women during pregnancy, what statements should the nurse make? - ANSWER>>folic acid is important for the building of blood cells for adults and children 40)(tx megaloblastic and macrocytic anemias)
- a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavirand zidovudine. the client asks why she has to take both medications, which explanation should the nurse provide? - ANSWER>>taking the 2 meds together keeps you from becoming resistant to either of them
- a nurse in the PACU is caring for a client who has received GA and has a manifestations of malignant hyperthermia, the nurse should expect to administer which of the following meds? - ANSWER>>dantrolene
- a nurse is providing teaching to a client who has a new prescription for oxybutynin, what statements by the client indicates an understanding of the teaching? - ANSWER>>i need to avoid jogging on warm days 44)(suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia) 45)a nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV, which should the nurse report to the provider - ANSWER>>neutrophil count 650/mm 46)(normal is 1500 - 8000)
53)(category X, can cause spontaneous abortion) 54)a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what med should the nurse prepare? - ANSWER>>adenosine 55)(decreases electrical conduction through the AV node)
- a nurse is assessing a pt who has open angle glaucoma and a new prescription for timolol, the nurse should monitor for what AE - ANSWER>>hypoglycemia
- a nurse is caring for a client who has varicella zoster, what med should the nurse administer - ANSWER>>acyclovir
- a nurse is caring for a client who has recurrent lower UTIs which of the following meds should the nurse expect to administer? - ANSWER>>nitrofuratoin
- ab for lower recurrent UTIs
- a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. what info should the nurse include? - ANSWER>>increase calcium intake 61)(can cause bone loss)
- a nurse in ICU is monitoring a pt who has cardiogenic shock and is receiving a continuous IV infusion of dopamine. what requires an immediate intervention bythe nurse? - ANSWER>>infiltration of the peripheral IV
- a nurse is caring for a pt who has a new diagnosis of adrenal insufficiency. whichof the following prescriptions should the nurse anticipate? - ANSWER>>fludrocortisone 64)(mineralcorticoid replacement med used to treat adrenal insufficiency, monitor for hypertension and edema)
71)(angiotensin II receptor blocker)
- a nurse is assessing a pt who is taking ondansetron, what is a therapeutic effect?
- ANSWER>>suppressed emesis
- a nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what as an expected therapeutic effect of this med - ANSWER>>increased urinary output 74)(loop diuretic) 75)a nurse is teaching a client who has a seizure disorder and is starting to take phenytoin, what statement should indicate understanding? - ANSWER>>i will have my blood checked to monitor the med levels 76)(10-20)
- a nurse is providing teaching to the parents of a child who is starting to take liquid ferrous sulfate, what info should the nurse include in the teaching - ANSWER>>monitor your child for constipation
- a nurse is caring for a pt with hyperlipidemia, a new prescription for colesevelam, the nurse should monitor what as an AE of colesevelam? - ANSWER>>constipation 79)(and dyspepsia) 80)the nurse is providing teaching to a female pt for ciprofloxacin, what statement indicates understanding of the teaching - ANSWER>>i should wear protective clothing when I go outdoors 81)(and sunscreen to prevent sunburn bc r/f photosensitivity)
- 1 puff MDI, 2 puff albuterol, what is the correct order - ANSWER>>have pt take one puff of albuterol
91)a nurse is caring for apt with difficulty voiding following surgery, nurse notes a palpable bladder distention, what med should the nurse administer
- ANSWER>>bethanechol 92)(for nonobstructive urinary retention) 93)a nurse is preparing to admin meds to a client who has type 1 diabetes mellitus, the client receives multiple oral meds, takes lispro insulin, he is starting to take pramlintide, what actions should the nurse take? - ANSWER>>monitor for hypoglycemia for 3 hours after pramlintide administration 94)(take before meals along with lispro insulin) 95)a nurse is caring for a pt who has HIV and a prescription for delavirdine, the nurse should monitor the pt for what manifestations as an AE of the med - ANSWER>>rash 96)(steven-Johnson sndrome)
97)a nurse is reviewing the health history of a pt who has migraine headaches and asks about a prescription for sumatriptan, the nurse should identify what as a contraindication for the med - ANSWER>>coronary artery disease 98)(can cause coronary vasospasm, ECG changes, hypertension)
- (suppressing production of gastric acid, reduces baseline acid level and blocks production of all stimulated acid production within 2 hours of an oral dose)
- a nurse is caring for a pt who has a prescription for HCTZ for the initial txof hypertension, what should the nurse recognize as the action of this med? - ANSWER>>HCTZ decreases the reabsorption of sodium and water in the distalrenal tubule
- a nurse is teaching a client who is starting to take benzonatate, which ofthe following statements by the pt indicates understanding? - ANSWER>>i should not drive while taking this medication
- (AE is sedation and dizziness)
- a nurse is caring for a pt who reports using the herbal med garlic along with his prescribed warfarin, the nurse should identify what is a potential AE of taking both of these products concurrently? - ANSWER>>increased ecchymosis
- (antiplatelet effects can increase bleeding)
- a nurse is reviewing lab data for a pt who is taking niacin to correct plama lipid levels, what lab findings should inidcate the nurse an AE of this therapy? - ANSWER>>elevated ALT
- (AE hepatotoxicity: incr ALT, AST, LDH)
- a nurse is caring for a client who has a prescription for metoclopramide, what outcomes should the nurse use to evaluate the effectiveness of this med? - ANSWER>>reduced nausea
- a nurse is teaching a client who has a new prescription for isoniazid to txTB, what info should the nurse include? - ANSWER>>you will have frequent sputum tests to monitor the effectiveness of this medication
- (sputum species every 2 - 4 weeks to monitor the effectiveness, 3 negative tests, continue for 6- 12 mo)
