Download RN ATI PHARMACOLOGY LATEST EXAM RETAKE WITH 70 QUESTIONS AND VERIFIED ANSWERS.pdf and more Exams Medicine in PDF only on Docsity!
RN ATI PHARMACOLOGY LATEST EXAM
RETAKE WITH 70 QUESTIONS AND VERIFIED
ANSWERS, 100% GUARANTEE PASS
QUESTION: 1. A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER-"I should stay upright for at least 15 minutes after taking this medication".
QUESTION: 2. A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. What of the following outcomes indicates that the client is adhering to the medication regimen?
- ANSWER-The client has a negative sputum culture
QUESTION: 3. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
- ANSWER-Elevate the client's leg and feet
QUESTION: 4. A nurse assesses a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?
- ANSWER-Distended neck veins
QUESTION: 5. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?
- ANSWER-Improved cognition
QUESTION: 6. A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?
- ANSWER-"Remove the patch prior to going to bed".
QUESTION: 7. A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements.
Which of the following supplements should the nurse advise the client to avoid?
QUESTION: 8. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?
QUESTION: 9. A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs?
- ANSWER-Increased blood pressure
QUESTION: 10. A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident
report?
- ANSWER-a. The charge nurse
b. The quality improvement committee
c. The nurse who identifies the error
d. The nurse who caused the error
QUESTION: 17. A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-release capsule. Which of the following statements by the client indicates an understanding of the teaching?
- ANSWER-"I should limit my fluid intake while on this medication."
QUESTION: 18. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
- ANSWER-Inject air into the NPH vial
QUESTION: 19. A nurse is preparing to administer subcutaneous heparin to a client. Which of the following actions should the nurse take?
- ANSWER-Insert the needle at least 5 cm (2in) from the umbilicus.
QUESTION: 20. A nurse is caring for a client who has a prescription for amoxicillin. Which of the following indicates the client is experiencing an allergic reaction?
- ANSWER-Cardiac dysrhythmia
QUESTION: 21. A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients?
- ANSWER-a. A client who is transferred to a step-down unit
QUESTION: 22. A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicated the treatment has been effective?
QUESTION: 23. A nurse is receiving a medication prescription by telephone from a provider. The provider states,
"Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain. "How should the nurse transcribe the prescription in the client's medical record?
- ANSWER-Morphine 6 mg IV push every 3 hr PRN acute pain
QUESTION: 24. A nurse is assessing a client's IV infusion site and notest that the site is cool and edematous. Which of the following actions should the nurse take?
- ANSWER-Apply a warm, moist compress
QUESTION: 25. A nurse is providing to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?
- ANSWER-"Notify your provider if you develop a fever while taking this medication."
QUESTION: 26. A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
- ANSWER-The medication vial sat at room temperature for 2 hr before it was administered.
QUESTION: 27. A nurse is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
- ANSWER-Mix the medications with semisolid food for the client.
QUESTION: 28. A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following effects is the priority for the nurse to report to the provider?
c. Warmer skin
d. Weight loss
QUESTION: 36. A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?
b. Dry cough
c. Hyperglycemia
d. Fever
QUESTION: 37. A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
- ANSWER-a. Nicotine transdermal system
b. Diphenhydramine
c. Beclomethasone
d. Estrogen-progestin combination
QUESTION: 38. A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the statements is appropriate for the nurse to make?
- ANSWER-a. "You will need to take two or more medications to treat your disease."
b. "You should report monthly to have your blood drawn to monitor kidney function while taking medication."
c. "You will need to undergo tuberculin skin tests every 6 months while taking medication for you disease."
d. "You should anticipate taking medication to treat your disease for at least the next 3 years."
QUESTION: 39. A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA)
- ANSWER-a. "Rinse the child's mouth following administration."
b. "Soak the inhaler in water after use."
c. "A spacer will make it easier to use the device
d. "Shake the device prior to administration"
e. "Have your child take one inhalation as needed for shortness of breath."
QUESTION: 40. A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to devine equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. - ANSWER-a. 7.
QUESTION: 41. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?
b. Fluid retention (second choice)
c. Tinnitus
d. Orthostatic hypotension (first choice)
QUESTION: 42. A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
- ANSWER-a. Elevate the extremity
b. Flush the IV catheter
b. Expel the air bubble from the syringe prior to injection
c. Apply firm pressure to the injection site following administration
d. Administer the medication into the client's muscle
QUESTION: 48. A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an indecent report?
b. Hgb 16g/dL
c. aPTT 90 seconds
d. WBC 6,000/mm
QUESTION: 49. A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10mg IV. Which of the following medications should the nurse expect to administer?
- ANSWER-a. Lidocaine patch
b. Naloxone IV
c. Fentanyl transmucosal
d. Morphine tablet
QUESTION: 50. A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?
- ANSWER-a. Prime the tubing with 0.9% sodium chloride
b. Use a gravity flow set
c. Administer the medication over 2 hr.
d. Discard the medication if it is yellow.
QUESTION: 51. A nurse is caring for a client who is taking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication?
b. Constipation
c. Hot flashes
d. Urinary frequency
QUESTION: 52. A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100mL IV over 30 min". For which of the following reasons should the nurse clarify this prescription with the provider?
- ANSWER-a. Another formulation of potassium should be give IV
b. Potassium chloride should be diluted in dextrose 5% in water
c. The potassium infusion rate is too rapid
d. The client should be treated by giving potassium by IV bolus
QUESTION: 53. A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?
- ANSWER-a. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose"
b. "Plan to self-administer this medication for the next 6 months"
c. "Lie down for 1 hour after administering the medication"
d. "Administer the medication into one nostril once per week"
QUESTION: 54. A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?
QUESTION: 58. A nurse is caring for a 4-year-old child following an orthopedic procedure. When assessing the child for pain, which of the following pain scales should the nurse use?
b. FACES
c. Word-graphic
d. CRIES
QUESTION: 59. A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following
prescriptions should the nurse expect to administer? - ANSWER-a. Chlorpromazine
b. Cimetidine
c. Colesevelam
d. colchicine
QUESTION: 60. A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
- ANSWER-a. Potassium 3.8 mEq/L
b. BUN 15 mg/dL
c. The client reports difficulty hearing
d. The client reports dizziness upon standing
QUESTION: 61. A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
- ANSWER-a. Change the nicotine patch every other day
b. Do not drink beverage while sucking on a nicotine lozenge
c. Administer 2 spray of nicotine nasal spray in each nostril with each dose
d. Chew nicotine gum for 10 mins before spitting it out.
QUESTION: 62. A nurse is caring for a client who had a prescription for total prenatal nutrition (TPN). Which of the following routes of administration should the nurse use?
- ANSWER-a. Midline catheter
b. Subcutaneous
c. Intraosseous
d. Central venous access device
QUESTION: 63. A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?
b. Alopecia
c. Drowsiness
d. Peripheral edema
QUESTION: 64. A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?
- ANSWER-a. Non dominant dorsal venous arch
b. Non dominant forearm basilic vein
c. Dominant distal dorsal vein
d. Dominant antecubital basilic vein
QUESTION: 65. A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
QUESTION: 69. A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?
b. Red man syndrome
c. Bradycardia
d. Hypoglycemia
QUESTION: 70. A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
b. Osteoporosis
c. Deep-vein thrombosis
d. Urinary tract infection
