Nurs 3524 ATI Pharmacology Proctor Test Bank QUESTIONS AND COMPLETE SOLUTION
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NUR 3524
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NUR 3524
Nurs 3524 ATI Pharmacology Proctor Test Bank QUESTIONS AND COMPLETE SOLUTION
A nurse is caring for a client who is taking Ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication?
A. Increased TSh level
B. D...
nurs 3524 ati pharmacology proctor test bank questions and complete solution
nurs 3524 ati pharmacology proctor
ati pharmacology proctor test bank
a nurse is assessing a cli
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Nurs 3524 ATI Pharmacology Proctor Test
Bank QUESTIONS AND COMPLETE
SOLUTION
A nurse is caring for a client who is taking Ritonavir, a protease inhibitor, to treat
HIV infection. The nurse should monitor for which of the following adverse effects
of this medication?
A. Increased TSh level
B. Decreased ALT level
C. Hypoglycemia
D. Hyperlipidemia Correct Answer: D (Hyperlipidemia with increased cholesterol
and triglyceride levels can occur as an adverse effect of ritonavir)
A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the
nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four Correct Answer: A (Medications with long half-lives remain at their
therapeutic levels between doses for long periods of time. The nurse should expect
to administer this medication once a day.)
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. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse Correct Answer: b. Distended neck veins
A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation. Which
of the following factors should the educator include as a reason to administer lower
medication dosages? (Select all that apply.)
A. Increased renal secretion
,B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes Correct Answer:
Answer:
C, E
(C. Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for
metabolism, thereby increasing the concentration of one or both medications. This
requires decreasing the dosage of one or both)
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 as an indication of an allergic
reaction following the injection? Correct Answer: Urticaria
A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation Correct Answer: b, d,
e
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
A nurse is completing discharge teaching for a client who has a new prescription
for transdermal patches. Which of the following statements should the nurse
identify as an indication that the client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch. Correct Answer: C (The
client should apply the patch to a hairless area of skin to promote absorption of the
medication.)
,A nurse reviewing a client's medical record notes a new prescription for verifying
the trough level of the client's medication. Which of the following actions should
the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining a
blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late Correct
Answer: A (To verify trough levels of a medication, the nurse should obtain a
blood specimen immediately before administering the next dose of medication.)
A nurse is preparing a client's medications. Which of the following actions should
the nurse take in following legal practice guidelines? (Select all that apply.)
A. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis Correct Answer: a, c, d
(A.maintaining skill competency and using appropriate administration techniques
are legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse effects of
medication
D. Safeguarding of medications, such as controlled substances, is a legal
responsibility of the nurse)
A nurse reviewing a client's health record notes a new prescription for Lisinopril
10 mg PO once every day. The nurse should identify this as which of the following
types of prescription?
A. Single
B. Stat
C. Routine
D. Standing Correct Answer: C (A routine or standard prescription identifies
medications to give on a regular schedule with or without a termination date or a
specific number of doses. The nurse will administer
this medication every day until the provider discontinues it.)
, A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should
clarify which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency Correct Answer: D (This prescription does not include the time or
frequency of medication administration. The nurse must clarify this with the
prescribing provide)
A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the
preassessment? (Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies Correct Answer: a, c, e
(A. The nurse should inquire about the client's use of herbal products, which often
contain caffeine, prior to medication administration because caffeine can affect
medication biotransformation
C. The nurse should review the client's current health status because new
prescriptions can cause alterations in current health status
E. The nurse should inquire about food allergies during the preassessment to
identify any potential reactions or interactions)
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription. Which of the following statements should the nurse identify
as an
indication that the newly licensed nurse understands the process?
A. "A second nurse enters the prescription into the client's medical record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription Correct Answer:
B (A second nurse should listen to a telephone prescription to prevent errors in
communication.)
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