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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
hasa prescription for a combination oral contraceptive. Which of the
following findings should the Nurse include as an adverse effect of oral
contracep- tives?
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 througha transdermal patch.The client is experiencing therapeutic benefits
from themedication even though the medication in the patch is no longer
active.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
shouldthe 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
groupof 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
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D. Less medication is stored in fatty tissue✅✅✅ the excretion of the
medicationis reduced
- 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 whichof the following client statements indicate a therapeutic
action of the med-ication?
A. “My mouth seems very dry lately.”
B. “I’ve noticed my heart beating faster.”
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ATI Pharmacology Proctored Retake 2 Exam
(Verified 70 Questions by Expert)
- 1. A Nurse is providing discharge dietary teaching to a client who has
a something and is taking medication theophylline and to provide
general instructions the Nurse should include?
A. Avoid caffeinated beverages
B.Take the medication with meals
C. Restrict milk products
D. Limit sodium intake>>> A - 2. the Nurse is mixing regular insulin and NPH into a syringe for a
client who has diabetes mellitus. Which of the following actions should the
Nurse take first?
A.Withdrawal NPH from the vial
B. Inject air into the NPH vial
C. Inject air into the regular vial
D.Withdrawal regular insulin from the vial>>> B - 3. a Nurse is teaching a client who has a new prescription of
Alendronate for osteoporosis. What instructions should the Nurse
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include?
A.Take the medication immediately after breakfast
B.Take the medication with an antacid
C. Sit upright for at least 30 mins after taking the medication
D. Drink orange juice with the medication>>> C
- 4. a Nurse is caring for a client who is postoperative following a
thyroidec- tomy and is receiving morphine for pain. Which of the following
findings should the Nurse recognize as an adverse effect of morphine?
A. Bladder distention
B. Productive cough
C. Gastrointestinal bleeding
D. Decrease deep tending reflexes>>> A - 5. Nurse is teaching a client who has pernicious anemia to selfadmin- ister cyanocobalamin. Which of the following information should
the Nurse include in the teaching?
A. Use nasal decongestion 15 mins before the medication if you have a
stuffy nose
B. Lie down for 1 hour after administering the medication
C. Administer the medication into one nostril once per week
D. Plan to self-administer this medication for the next 6 months>>> C - 6. a Nurse is teaching a newly license Nurse about medication
reconcil- iation. The Nurse should instruct the newly license Nurse for
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medication
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ATI Pharmacology Retake 3 Exam 2019
(Verified 70 Questions by Expert)
1.When a patient has been receiving sodium nitroprusside for 1 week, the
Nurse should be alert for>>> thiocyanate accumulation, evidenced by
disorientation and delirium
2.Your patient is taking lisinopril for hypertension. His blood pressure
still remains slightly elevated and the physician would like to order a
diuretic. Which of the following diuretics would be inappropriate to
prescribe>>> tri- amterene
3.How would the Nurse expect calcium channel blockers to
physiologically affect the function of the heart>>> Decrease AV node
conduction
4.The patient takes insulin for diabetes mellitus. The physician orders
atenolol for his hypertension. After medication teaching, the Nurse determines that learning has been effective when the patient makes which
state- ment>>> “This medication can enhance the effects of my
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insulin.”
5.Your patient is receiving 40 mg of furosemide every day, enteric-coated
as- pirin 325 mg every day and digoxin 0.25 mg every day. Your patient
suddenly begins complaining of muscle weakness and seeing yellow halos
around lights. What are your suspicions>>> digitalis toxicity due to
hypokalemia
6.Your patient is experiencing an emergent hypertensive crisis. The
provider has ordered nitroprusside. Before administration, you should take
action to>>> protect the solution from sunlight/bright light by
covering it up
7.Your patient is receiving a beta-blocker for his high blood pressure. He
arrives in the ER with complaints of severe dizziness and shortness of
breath. As you obtain his apical rate, you notive it is 40 bpm and realize
the patient has taken too much of the drug. What antidote should be
adminis- tered>>> atropine
8.A direct vasodilator that relaxes capacitance vessels (veins) has
what beneficial effect in the body>>> Decreases preload
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9.Your patient has been diagnosed with unstable angina. What is the
antici- pated treatment? (“select all that apply”): Morphine
Supplemental
Oxygen
Nitroglycerin
Aspirin
10.In addition to hypertension, alpha-1 blockers, such as doxazosin, may
be useful in the treatment of>>> Benign Prostatic Hypertrophy (BPH)
- hydralazine and isosorbide are used in combination for heart failure
patients because they cause synergistic effects and can avoid the
tolerance
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ATI Pharmacology Proctored Retake 4 Exam
Questions and Answers Latest | 100% Correct Answers
- The Nurse performs a physical assessment on a patient with TB
taking rifampin, what is an expected manifestation? ANS Red-orange
tinged urine - A patient is beginning treatment for activeTB in a region with little drug-resistant TB. Which treatment regimen will be used initially? ANS Isoniazid
Rifampin
Pyrazinamide Ethambutol - A patient asks whyTB drugs are given in the clinic.What is the Nurse s
best response? ANS To make sure the patient adheres to the drug regimen - A healthcare worker has a TST test with a induration of 10mm.What
intervention will the Nurse do next? ANS A chest X-ray and a sputum
culture
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- A patient is diagnosed with oral candidiasis.Which medication is ordered? ANS Nystatin swish and swallow
- Which of the following antifungals can be used topically? (select all that
apply) ANS Lamisil
Ketoconazole Miconazole - Which medication has an excellent outcome for the treatment of Hep
C? ANS Harvoni - A Nurse is teaching a nursing student about prevention of influenza.
Which statement indicates an understanding of the teaching? ANS “I will
receive my flu shot in October or November” - A patient is diagnosed with an outbreak of Herpes Simplex (shingles).
Which of the following would the Nurse expect to see ordered for the
pa- tient? ANS Acyclovir - A patient with asthma will be using a metered-dose inhaler (MDI) for
delivery of an inhaled medication. The provider has ordered 2 puffs to be
given twice daily. It is important for the Nurse to teach this patient that
ANS Wait one minute between each puff - A COPD patient uses and inhaled glucocorticoid and an inhaled beta2
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adrenergic agonist. What statement indicates understanding of drug regimen? ANS “I will use the beta2 adrenergic agonist drug daily”
- Which type of medication is most effective in treating seasonal and
perennial rhinitis ANS Fluticasone propionate (Flonase)
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ATI Pharmacology Retake 2019 Exam
(Verified 70 Questions by Expert)
- A client’s unexpected response has been attributed to characteristics
ofthe client’s genetic makeup. What area of study best explains this
client’s medication response✅✅✅ pharmacogenomics - The Nurse is writing a plan of care for a client receiving drug therapy.
Whatnursing diagnosis would be appropriate if the client developed
common adverse effects✅✅✅ disturbed sensory perception (visual) related
to central nervoussystem effects - A client is prescribed chloroquine, an antimalarial, and asks the Nurse
howit works. What process should the Nurse describe✅✅✅ changes the metabolic pathways necessary for the reproduction of the plasmodium
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- A Nurse practitioner provides primary care in a rural setting. The
Nurse should perform what actions in order to minimize the emergence
of drug-re-sistant microbials✅✅✅ avoid the use of broad-spectrum
antibacterial drugs when treating trivial or viral infections
use narrow-spectrum agents if they are thought to be effective
do not use vancomycin - A client taking diltiazem, a calcium channel blocker, for hypertension
hascome to the clinic for a follow-up appointment. What adverse effects
should the Nurse assess the client for✅✅✅ peripheral edema and
bradycardia - What is the Nurse ‘s priority assessment before giving a female client
herprescription for an angiotensin II-receptor blocker (ARB)✅✅✅ “When
was yourlast menstrual period (LMP)? - A client taking a calcium channel blocker is seen in the clinic and receives a diagnosis of drug toxicity. When collecting the nursing history,
consumption of what product would indicate the likely cause of this
drugtoxicity✅✅✅ grapefruit juice - An older adult client is taking a sustained-release antihypertensive drug. What is the Nurse ‘s priority teaching point about this
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medication✅✅✅ “Swallowthe drug whole and do not cut, crush, or chew it.”
- The Nurse assesses a client before administering digoxin, a cardiac
glyco-side.What finding would cause the Nurse to withhold the drug and
notify thehealth care provider✅✅✅ pulse 44 beats/min - The Nurse provides teaching about digoxin, a cardiac glycoside,
to a client who will be self-administering the drug at home. Which
statement by the client indicates to the Nurse that further teaching is
needed✅✅✅ “I’ll take themedications with food so I don’t get nauseous.”
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