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ATI Pharmacology Proctored Exam 2019
- A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor-vehicle crash. A few
hours after admission, the client develops restlessness and tremors. Which
of the following medications should the nurse anticipate administering to
the client first?
A. Acamprosate
B. Naltrexone
C. Chlordiazepoxide
D. Disulfiram✅✅✅ Chlordiazepoxide - A nurse is reinforcing teaching with a client who is premenopausal and has
a prescription for a combination oral contraceptive. Which of the following
findings should the nurse include as an adverse effect of oral contraceptives?
A. Bone Fractures
B. Deep-Vein Thrombosis
C. Increased LDL cholesterol
D. Increased risk of breast cancer✅✅✅ Deep-Vein Thrombosis
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- A nurse is collecting data from a client who has heart failure and is
receiving digoxin.Which of the following findings should indicate to the
nurse the client is experiencing digoxin toxicity?
A. Suppression of dysrhythmias
B. Increase in atrioventricular (AV) conduction
C.Visual disturbances
D.Weight gain✅✅✅ Visual disturbances - A nurse is caring for a client who has been receiving medication through
a transdermal patch.The client is experiencing therapeutic benefits from the
medication even though the medication in the patch is no longer active.The
nurse should recognize that this is an example of which of the following?
A. Pharmacodynamic tolerance
B. Placebo effect
C. Metabolic tolerance
D.Tachyphylaxis✅✅✅ Placebo effect - A nurse is caring for a client who is 12 hours postoperative following a
total hip arthroplasty. Which of the following medications should the nurse
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anticipate administering to this client to prevent deep vein thrombosis (DVT)
A. Aspirin
B. Warfarin
C.Ticagrelor
D. Enoxaparin✅✅✅ Enoxaparin
- A nurse is collecting data from a client who is taking duloxetine to treat
diabetic neuropathy pain. For which of the following manifestations should
the nurse monitor for as a potential adverse effect of the medication?
A. Urinary frequency
B. Increased appetite
C. Dry mouth
D. Decreased sweating✅✅✅ Dry mouth - A nurse in a long-term care facility is administering medications to a group
of older adult clients. Which of the following factors of pharmacokinetics
should the nurse consider when caring for this age group?
A. the excretion of the medication is reduced
B.The percentage of medication absorbed is increased.
C.The liver metabolizes medication more quickly
D. Less medication is stored in fatty tissue✅✅✅ the excretion of the
medicationis reduced
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- A nurse is collecting data from a client who is receiving a continuous
morphine IV infusion and finds the client’s respiratory rate has decreased
from 20 to 12/min.Which of the following actions should the nurse take?
A. Flush the IV line with saline
B. Administer flumazenilopioid toxicity
C. Lower the head of the bed
D. Slow the rate of the infusion✅✅✅ Slow the rate of the infusion - A nurse is caring for a client who has multiple sclerosis and neurogenic
bladder and is receiving bethanechol.The nurse should identify that which
of the following client statements indicate a therapeutic action of the medication?
A. “My mouth seems very dry lately.”
B. “I’ve noticed my heart beating faster.”