ATI-Pharm-2020
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ATI-Pharm-2020
ATI PHARMACOLOGY 2020 PROCTORED EXAM (REAL EXAM)
1) A nurse working in an urgent care clinic is collecting data from… 1) A nurse working in an urgent care clinic is collecting data from a client who t akes Montelukast. Which of the following is an expected therapeutic effect of this medication? a) Reduced bronchial inflammation b) Neutralized gastric acid C) Improved peripheral vasodilation d) Increased WBC count 2) A nurse is collecting follow-up data from a client who has taken simvastatin for 3 months. Which of the following findings is the priority for the nurse to report? a) Rhinitis b) Muscle pain c) Cough d) Chronic constipation 3) A nurse reviewing the medication history of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction? a) Acetaminophen b) Donepezil c) Scopolamine d) Metoprolol 4) A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor? a) Dizziness b) Hypertension c) Decreased appetite d) Urinary retention 5) A nurse is reinforcing teaching with a client who had an anaphylactic reaction to piperacillin/tazobactam. Which of the following clint statement indicates an understanding of the teaching? a) “I will wear an allergy bracelet that indicates that I cannot take tetracyclines.” b) “If I am exposed on this medication again, I will not experience as severe a reaction.” c) “I will need to avoid takin penicillin in the future.” d) “I will need to take cephalosporins when I have an infection.” 6) A nurse is assisting in the care of a client who is to receive a transfusion of packed RBC’s. Which of the following of actions should the nurse take? a) Ensure that the unit of packed RBC is transfused within 6 hr. b) Use filterless IV tubing for the transfusion. c) Obtain 0.9% sodium chloride solution for IV infusion. d) Remain at the client’s bedside for the first 5 min of the transfusion. 7) A nurse administered a dose of almotriptan to a clien 30 min ago. Which of the following statements by the client indicates the medication is effective? a) “I am no longer agitated.” b) “My headache pain has decreased.” c) “My hand tremors are slower now.” d) “I am not coughing as much as I was before.” 8) A nurse is reinforcing teaching with a client who is taking oral prednisone for long-term management of chronic asthma. Which of the following information should the nurse include in the teaching? a) “You must rinse your mouth after each dose.” b) “You can expect some weight loss with this medication.” c) “You should take a calcium supplement while taking this medication.” d) “You should take this medication on an empty stomach.” 9) A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effects of this medication? a) Tinnitus b) Fever c) Diarrhea d) Jaundice 10) A nurse is caring for an adolescent who has sickle cell anemia and is experiencing a vasco -occlusive crisis. Which of the following interventions the nurse’s priority? a) Reinforce education with the parents regarding immunizations. b) Administer analgesics on a schedule. c) Schedule an interprofessional team meeting. d) Arrange for completion of school assignments. 11) A nurse is caring for a client who is requesting assistance with smoking cessation. Which of the following medication should the nurse plan to administer? a) Disulfiram b) Bupropion c) Alprazolam d) Naltrexone 12) A nurse is administering regular insulin 10 units and NPH insulin 15 units in one syringe to a client. Which of the following actions should the nurse take? a) Draw the regular insulin into the syringe first. b) Insert the needle to a 15″angle to the skin. c) Use a 3ml syringe. d) Administer the medication into the vastus lateralis muscle. 13) A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin. Which of the following information should the nurse include? a) Take this medication 2 hr following a meal. b) This medication might cause insomnia. c) Report unusual hair growth. d) This medication might cause urine to turn blue or green. 14) A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take? a) Administer the medication with a 27-guage ½ inch needle. b) Inject the medication at least 5 cm (2in) from the umbilicus. c) Use the Z-track technique to administer the medication. d) Give the medication without aspirating prior to injection. 15) A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should inform the client that which of the following is a requirement of the program? a) Sexually active female clients must use two forms of birth control during treatment. b) client must have a Papanicolaou test every 6 months during treatment. c) Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy. d) Female clients must have a negative mammogram prior to beginning therapy. 16) A nurse is collecting data from a client who is taking aspirin. Which of the following findings the nurse report to the provider? a) Rhinitis b) Hct 43% c) Headache d) BP 120/70 mm HG 17) A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make? a) “I will ask your provider to increase the dose of the medication.” b)” I will inform your provider so she can provide a different medication.” c)” You will need to take this medication on an empty stomach for it to be more effective.” d)” You will need to wait a couple of weeks to feel the therapeutic effect of the medication.” 18) A nurse is reinforcing teaching with a client who has a new prescription for furosemide, Which of the following should the nurse include as an adverse effect of the medication that the client should report to the provider? a) Increase blood pressure b) Visual disturbances c) Leg cramps d) Anxiety 19) A client who has type 1 diabetes mellitus has a prescription for 8 units of insulin glargine and 4 units of NPH insulin at the same time. The client will ask the nurse why the insulins are given in separate injections? a) The combine volume of the insulins exceeds the recommended amount per injection. b) The 2 insulins cannot be mixed in one syringe because they are incompatible. c) Separate injections allow for greater control of blood glucose levels. d) There is a greater risk of lipodystrophy if the 2 insulins are mixed together. 20) A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective? a) Weight gain b) Increased libido c) Clear breath sounds d) Decreased menstrual flow 21) A nurse is collecting data from a client who is receiving vancomycin for a clostridium difficile injection. Which of the following findings is the priority for the nurse to report to the provider? a) Two loose stools in the past 24 hr. b) Creatinine 3.1mg/dl c) WBC 11,000/mm3 d) Heart rate 104/min 22) A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching? a) “I should increase the sodium in my diet.” b) “I will take this medication on an empty stomach.” c) “I will report a sore throat to my provider.” d) “I should watch for weight loss.” 23) A nurse is caring for a client who is postoperative and reports pain at the incision site. Which of the following actions should the nurse take? a) Have the client use the incentive spirometer. b) Charge the client’s incisional dressing. c) Instruct the client to try to sleep. d) Reposition the client. 24) A nurse is caring for a client who has a prescription for cephalexin 1g PO daily to be given in divided doses every 6 hr. Available is cephalexin xx mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leadlin……. Do not use a trailing zero.) 25) A nurse is caring for a client who receives a prescription for isoniazid. For which of the following conditions is this medication appropriate? a) Fungal injection b) Influenza c) Tuberculosis d) HIV 26) A nurse in an urgent care clinic is collecting data from a client who reports itching for the past 5 days. Which of the following medications should the nurse expect the provider to prescribe? Lorazepam Ondansetron Cimetidine Diphenhydramine 27) A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam? Anorexia Drowsiness Tremors Hypotension 28) A nurse is collecting data from a client following the administration of a medication. Which of the following findings should the nurse identify as allergic reaction? a) Hypertension b) Jaundice c) Bradycardia d) Urticaria 29) A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include? a) Gastric emptying rate increase. b) Hepatic enzymes process medications more rapidly. c) Brain receptors becomes less sensitive to medications. d) Renal excretion time slows for medication. 30) A nurse is checking the forearm of a client who received a tuberculin skin test 48 hrs ago. Which of the following findings at the injection site should indicate to the nurse a positive result? a) Ulceration b) Firmness c) Bleeding d) Excoriation 31) A nurse is collecting data from a client who has hypertension. The nurse should recognize that which of the following over the-counter medications is contraindicated for this clint? a) Guaifenesin b) Pseudoephedrine c) Omeprazole d) Docusate sodium 32) A nurse is assisting with planning care for a client who reports pain at an 8 on scale of 0-10. Which of the following medications should nurse plan to administer? a) Pregabalin b) Cyclobenzaprine c) Ibuprofen d) Oxycodone 33) A nurse is preparing to administer a client’s daily dose of alendronate. Which of the following actions should the nurse plan to take? a) Check the client’s blood pressure 30 min after administration. b) Administer the medication with food. c) Administer the medication in the evening. d) Keep the client upright for 30 min after administration. 34) A nurse is reinforcing teaching with a client who has a prescription for nystatin oral suspension. Which of the following instruments should the nurse include in the training? a) “Use a straw when taking this medication”. b) “Take the medication with meals.” c) “Swish the medication in your mouth.” d) “Drink at least 8 ounces of water after taking the medication.” 35) A nurse is preparing to administer acetaminophen 650 mg rectally. Which of the following actions should the nurse take? a) Hold the suppository for 1 min to warm it prior to insertion. b) Insert the suppository 5 cm (2 in) into the clint’s rectum. c) Have the client lie on his left side for 5 min after insertion. d) Lubricate the flat end of the suppository prior to administration.
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