Pharm ATI Retake 1.docx remediation PDF

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pharm retake for remediation, retake 1. Rasmussen university, Capstone test...

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Pharm Retake 1 ATI exam 1. A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosal 2. A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. Notify your provider if you develop a fever while taking this medication b. Diarrhea is a common adverse effect of this medication c. Ringing in the ears is an expected adverse effect of this medication d. You might experience weight loss while taking this medication 3. 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 the medication? a. Bradycardia b. Red man syndrome c. Hypoglycemia d. Hypotension 4. A client who has active TB and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take? a. Document this as an expected finding b. Prepare the client for dialysis c. Check the client’s liver functions d. Instruct the client to increase his fluid intake 5. A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg since the last visit 2 days ago. Which of the following actions should the nurse take first? a. Notify the provider of the client’s weight gain b. Determine medication adherence by the client c. Encourage the client to dangle the legs while sitting in a chair

d. Teach the client about food low in sodium 6. 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? a. Constipation b. Hot flashes c. Urinary frequency d. Tinnitus 7. A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Headache b. Decreased urine output c. Positive Trousseau’s sign d. Constipation 8. 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? a. The quality improvement committee b. The nurse who caused the error c. The charge nurse d. The nurse who identifies the error 9. A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse should identify that this medication is used for which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Deep-vein thrombosis d. Urinary tract infection 10. A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Ciprofloxacin b. Gentamicin c. Rifampin d. Penicillin G

11. A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Bilateral muscle weakness b. Decreased bowel sounds c. Thread pulse d. Distended neck veins 12. A nurse is caring for a client who has heart failure ad a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Hypotension b. Tinnitus c. Bradycardia d. Hypokalemia 13. A nurse is reviewing the lab results of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Creatinine 2.5 mg/dl b. Sodium 137 mEq/L c. Hct 43% d. Hgb 15 g/dL 14. A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take? a. Store the remaining half of the pill in the automated medication dispensing system b. Return the remaining medication to the facility’s pharmacy c. Dispose of the remaining medication while another nurse observes d. Place the remaining half of the pill in the unit-dose package 15. A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPPT of 90 seconds. The nurse should monitor for which of the following changes in their vital signs? a. Decreased respiratory rate b. Increased pulse rate c. Decreased temperature d. Increased blood pressure

16. 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? a. Tilt the client’s head back when administering the medications b. Administer more than one pill to the client at a time c. Mix the medications with a semisolid food for the client d. Place the medications on the back of the client’s tongue 17. 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 100 mL IV over 30 min.” For which of the following reasons should the nurse clarify this prescription with the provider? a. Potassium chloride should be diluted in dextrose 5% in water b. Another formulation of potassium should be given IV c. The client should be treated by giving potassium by IV bolus d. The potassium infusion rate is too rapid 18. 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? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. BUN 15 mg/dL d. The client reports dizziness 19. 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? (Select all that apply) a. Rinse your child’s mouth following administration b. Soak the inhaler in water after use c. Have your child take one inhalation as needed for SOB d. A spacer will make it easier to use the device e. Shake the device prior to administration 20. A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypomagnesemia b. Hypokalemia c. Hypocalcemia

d. Hyponatremia 21. A nurse is reviewing the lab values of a client who is taking atorvastatin. Which of the following lab values indicates the treatment has been effective? a. BUN 15mg/dL b. Urine specific gravity 1.020 c. Blood glucose 90 mg/dL d. LDL 120 m/dL 22. 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? a. A client who is transported to radiology b. A client who is transferred to a step-down unit c. A client who has a referral for social services d. A client who has a consultation for physical therapy 23. 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? a. Colchicine b. Chlorpromazine c. Cimetidine d. Colesevelam 24. 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? a. Dominant distal dorsal vein b. Nondominant dorsal venous arch c. Dominant antecubital basilic vein d. Nondominant forearm basilic vein 25. A nurse is providing teaching to a client about the administration of omeprazole. Which of the following information should the nurse include in the teaching? a. You should reduce your intake of calcium while taking this medication b. You can take a second dose if symptoms persist up to 2 hours after the first dose c. You cannot take this medication with an antacid d. You should take this medication before meals

26. A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect? a. Increase in BP b. Oxygen saturation 96% c. Decrease in protein d. PaCO2 30 mm Hg 27. A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide 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). a. 7.5mL 28. A nurse is caring for a client who is taking triamterene. For which of the following lab values should the nurse withhold the medication? a. Potassium 5.3 b. Sodium 142 c. BUN 16 d. Albumin 4 29. 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? a. Cardiac arrhythmias absent b. Improved cognition c. Absent Chvostek’s sign d. Decreased vomiting 30. A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? a. Slow the IV solution rate b. Initiate a new IV distal to the initial site c. Apply a warm, moist compress d. Maintain the extremity below the level of the heart 31. A nurse is reviewing the lab results of a client who is taking amitriptyline. Which of the following lab values should the nurse report to the provider? a. Hct 44%

b. WBC count 5,000 c. Potassium 4.2 d. Total bilirubin 1.5 32. A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take? a. Collect the client’s uric acid level b. Monitor the client’s thyroid function levels c. Obtain the client’s HDL level d. Check the client’s glucose level 33. A nurse is assessing for allergies with a client who is scheduled to receive the flu vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine? a. Shellfish b. Eggs c. Peanuts d. Milk 34. 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? a. Take this medication 2 hours before a meal b. Limit foods containing tyramine c. Decrease your daily sodium intake d. Report swelling of the feet to your provider 35. 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? a. I should limit my fluid intake while on this medication b. I may sprinkle the medication in applesauce c. I can take my medication in the morning with my coffee d. I will need to have blood levels drawn 36. 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? a. Chew nicotine gum for 10 min before spitting it out

b. Administer 2 sprays of nicotine nasal spray in each nostril with each dose c. Do not drink beverages while sucking on a nicotine lozenge d. Change the patch every other day 37. A nurse is teaching a client about oral contraceptives. Which of the following information should the nurse include in the teaching? a. A pelvic exam is needed prior to starting an oral contraceptive b. It can take up to 1 year to become pregnant after stopping an oral contraceptive c. Abdominal pain is an expected adverse effect d. Some herbal supplements can decrease the effectiveness of oral contraceptives 38. 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? a. Administer epinephrine IM b. Replace the infusion with 0.9% sodium chloride c. Give diphenhydramine IM d. Elevate the client’s legs and feet 39. A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity? a. Having a 10-year history of COPD b. Taking an HMG CoA reductase inhibitor c. Taking a high-ceiling diuretic d. Havin a prolapsed mitral valve 40. 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? a. Inject air into the regular insulin vial b. Inject air into the NPH vial c. Withdraw the NPH insulin from the vial d. Withdraw the regular insulin from the vial 41. A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings hold the nurse identify as an indication of fluid volume deficit? a. Nausea b. Weight gain

c. Oliguria d. Headaches 42. A nurse is teaching a client who has a new prescription for a nitroglycerin patch. Which of the following instructions should the nurse include? a. Apply a new patch if you have chest pain b. Cover the patch with dry gauze when taking a shower c. Remove the patch prior to going to bed d. Discontinue the patch if you experience a headache 43. A nurse is assessing a client following the administration of ondansetron. Which of the following findings should indicate to the nurse that the ondansetron has been effective? a. Decrease in pain b. Decrease in diarrhea c. Decrease in coughing d. Decrease in nausea 44. A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? a. Decreased nausea b. Decreased BP c. Increased pain relieve d. Increased respiratory rate 45. A nurse manager is planning an in-service about pain management with opioids for clients who have cancer. Which of the following information should the nurse manager include? a. Meperidine is the opioid of choice for treating chronic pain b. Withhold PRN pain medication for the client who is receiving opioids every 6 hr. c. Respiratory depression decreases as opioid tolerance develops d. IM administration is recommended if PO opioids are ineffective 46. A nurse is caring for a client who has TB and is taking isoniazid and rifampin. Which of the following outcomes indicates that the patient is adhering to the medication program? a. The client has a positive purified protein derivative test b. The client has a negative sputum culture c. The client’s liver function test results are within the expected reference range

d. The client tests negative for HIV 47. A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps in the order of performance. 5.Document administration of the medication 2.Compare the client’s wristband to the medication administration record 1.Obtain the client’s apical heart rate 4.Open the medication package 3.Remove the medication from the dispensing system 48. A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Calcium gluconate b. Acetylcysteine c. Protamine sulfate d. Flumazenil 49. A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, “I do not want to take this medication. I would prefer a natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider? a. Saw palmetto b. Black cohosh c. Garlic d. Fever few 50. A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication? a. Chronic kidney disease b. Diabetes mellitus c. Hepatitis B vaccine within the last week d. Alcohol use disorder 51. 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?

a. Morphine 6.0 mg IV push every 3 hr PRN acute pain b. MSO4 6 mg IV push every 3 hr PRN acute pain c. MS 6 mg IV push every 3 hr PRN acute pain d. Morphine 6 mg IV push every 3 hr PRN acute pain 52. A nurse is teaching a client who has angina about a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? a. Place the tablet between your cheek and gum to dissolve b. Discard any tablets you do not use every 6 months c. Keep the tablets at room temperature in their original glass bottle d. Take one tablet each morning 30 minutes prior to eating 53. A nurse is monitoring lab values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? a. Potassium 2.9 mEq/L b. BUN level 10 mg/dL c. Sodium 138 mEq/L d. Magnesium 1.5 mEq/L 54. 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? a. Word-graphic b. FACES c. CRIES d. Numeric 55. A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects? a. Gastric bleeding b. Cough c. Pruritus d. Tachypnea 56. A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? a. The client has a BUN level of 18

b. The client takes aspirin daily c. The client has a history of a severe PCN allergy d. The client reports a history of nausea with cefuroxime 57. 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? a. Diphenhydramine b. Estrogen-progestin combination c. Nicotine transdermal system d. Beclomethasone 58. 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? a. Slow the infusion rate b. Apply pressure to the IV site c. Flush the IV catheter d. Elevate the extremity 59. A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply) a. Decreased renal function b. Polypharmacy c. Decreased percentage of body fat d. Multiple health problems e. Increased rate of absorption 60. A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a. Administer the medication into the client’s muscle b. Apply firm pressure to the injection site following administration c. Expel the air bubble from the syringe prior to injection d. Insert the syringe needle halfway into the client’s skin

61. A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? a. Nausea b. Insomnia c. Laryngeal edema d. Cardiac dysrhythmia 62. A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use? a. Central venous access device b. Subcutaneous c. Midline catheter d. Intraosseous 63. 0.4 64. 325...