Pharmacology Proctored ATIATIATI 2020/2021 ... PDF

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PHARMACOLOGY 1. A nurse is caring for a client who is post-operative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine?  Bladder distention 2. 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?  Alcohol use disorder 3. A nurse is discussing adverse reaction 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? (SATA)  Polypharmacy  Multiple health problems  Decreased renal function 4. 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?  Colerain – Colesevelam 5. 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?  The client has a history of a severe PNC allergy 6. 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?  Increased respiratory rate 7. 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?  Laryngeal edema 8. A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?  The client has a negative sputum culture 9. 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?  Nondominant dorsal venous arch 10. A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following action should the nurse take?  Elevate the extremity

11. 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?  A client who is transferal to a step-down unit 12. 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?  Client reports a decrease in nausea 13. 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?  LDL 120 mg/dL 14. 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.” Which of the following reasons should the nurse clarify this prescription with the provider?  The potassium infusion rate is too rapid 15. A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following finding should the nurse expect?  Increase in BP 16. A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?  Calcium gluconate 17. A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching?  It can take up to 1 year to become pregnant after stopping an oral contraceptive 18. 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 (5 lb) since the last visit 2 days ago. Which of the following actions should the nurse take first?  Determine medication adherence by the client 19. A nurse is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?  Administer epinephrine IM 20. A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?  Estrogen-progestin combination (non-hormonal forms of contraception) 21. A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take?  Document this as an expected finding

22. 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?  Oliguria 23. A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following should the nurse take?  Apply a warm, moist compress 24. A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?  Apply firm pressure to the injection site following administration 25. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus. Which of the following actions should the nurse take first?  Inject air into NPH 26. 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?  Constipation 27. A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. Available is 6.7 mEq/5mL. How many mL should the nurse administer per dose?  20mEq/6.7mEq x 5mL = 14.93/2 = 7.5 mL 28. A nurse is caring for a client who has breast cancer and reports pain. 1 hour after administration of prescribed morphine 10 mg IV. Which of the following should the nurse expect to administer?  Lidocaine patch 29. A nurse is reviewing the lab results of a client who as a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider?  Potassium 5.2 mEq/L 30. A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an aPPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs?  Increased blood pressure 31. Nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching?  Administer the medication into one nostril once per week 32. 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 tablets. Which of the following actions is appropriate for the nurse to take?  Dispose of the remaining medication while another nurse observes

33. A nurse is assessing a client who is receiving IV therapy. The nurse should identify of the following findings as a manifestation of fluid volume excess?  Distended neck veins 34. A nurse is preparing to administer the initial dose of Penicillin G IM to a client. The nurse should monitor for which of the following is an indication of an allergic reaction following the injection?  Urticaria 35. 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?  Pruritus 36. A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription of doxazosin. The client tells the nurse “I do not take this medication. I would prefer a natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider?  Saw palmetto 37. 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?  Do not drink beverages while sucking on a nicotine lozenge 38. 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?  Improved cognition 39. 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?  “Remove the patch prior to going to bed” 40. A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements shoul d the nurse advise the client to avoid?  St. John’s Wort 41. A nurse is caring got 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?  Hypotension 42. A nurse is preparing to administer medication 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?  The nurse who identifies the error 43. A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take.  Obtain the client’s apical heart rate  Remove the medication from the dispensing system

 Open the medication package  Compare the client’s wristband to the medication administration record  Document administration of the medication 44. A nurse is teaching a client who has angina and a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?  “Keep the tablets at room temperature in their original glass bottle” 45. 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?  “I will need to have blood levels drawn.” 46. A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take?  Insert the needle at least 5 cm (2 in) from the umbilicus 47. 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?  Morphine 6 mg IV push every 3 hr PRN acute pain 48. 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?  Notify your provider if you develop a fever while taking this medication. 49. A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?  Mix the medications with a semisolid food for the client 50. A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?  “You cannot take this medication with an antacid” 51. The nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?  Eggs 52. A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity?  Taking a high ceiling diuretic 53. A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include?  IM administration is recommended if PO opioids are ineffective 54. 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?

 Gentamicin 55. 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)  “Shake the device prior to administration.”  “A spacer will make it easier to use the device.”  “Rinse your child’s mouth following administration.” 56. A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?  “You will need liver function tests before beginning therapy.” 57. A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider?  Creatinine 2.5 mg/dL 58. 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 incident report?  aPTT 90 seconds 59. A nurse is monitoring laboratory 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?  Potassium 2.9 mEq/L 60. A nurse accidently administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?  Check the client’s glucose level 61. 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?  FACES 62. 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?  The client reports difficulty hearing 63. A nurse is caring for a client who has prescription for total parenteral nutrition (TPN). Which of the following routes of administration should the nurse use?  Intravenous 64. A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?  Total bilirubin 1.5 mg/dL 65. 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 following electrolyte imbalances?

 Hyponatremia 66. A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication?  Hypotension 67. 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?  Osteoporosis 68. A nurse is providing discharge dietary teaching to a client who has a new prescription for theophylline. Which of the following instructions should the nurse include?  Avoid caffeinated beverages 69. A nurse is teaching a client who has a new prescription of alendronate for osteoporosis. What instructions should the nurse include?  Sit upright for at least 30 mins after taking the medication 70. A nurse is assessing a client who received dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse’s priority?  Uterine tachysystole 71. A nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching?  Administers the medication into the abdomen 72. A nurse is assessing a client who has been taking digoxin for about a month. Which of the following findings should the nurse identify as an indication that his client has developed digoxin toxicity?  Blurred vision 73. A nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which of the following manifestations should the nurse expect?  Excessive salivation 74. A nurse in the emergency department is reviewing a medication record for a client who reports vomiting blood. The nurse should anticipate that the provider will discontinue which of the following medications?  Clopidogrel 75. A nurse is assessing a client who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication?  Watery diarrhea 76. A nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching?  Cromolyn is a long-term management medication 77. A nurse is reviewing the medications of a client who is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medication?  Imipramine

78. A nurse is reviewing a client’s medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated?  Glaucoma 79. A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?  Blurred vision 80. A nurse is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider?  Fentanyl 81. A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report?  A client who has a lithium level of 1.8 receives her morning dose 82. A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time?  Implement seizure precautions 83. A nurse is planning care for a group of clients. Which of the following client’s medications should be monitored by the nurse for hearing loss related to a medication interaction?  Furosemide and amikacin 84....