ATI PHARMACOLOGY PROCTORED EXAM A &B RECENT
AND COMPLETE VERSION ALL 300 QUESTIONS AND
CORRECT ANSWERS WITH RATINALES| GRADED A+
A nurse is developing a teaching plan for a client who has a new prescription for
simvastatin. Which of the following instructions should the nurse include in the
teaching plan? (Select all that apply.)
1. Report muscle pain to the provider.
2. Avoid taking the medication with grapefruit juice.
3. Take the medication in the early morning.
4. Expect a flushing of the skin as a reaction to the medication.
5. Expect therapy with this medication to be lifelong.
- ANSWER:
1. Report muscle pain to the provider.
- Myopathy is an adverse effect of simvastatin that can lead to rhabdomyolysis.
2. Avoid taking the medication with grapefruit juice.
- When taken with grapefruit juice, simvastatin increases the risk of muscle injury
from elevations in creatine kinase.
5. Expect therapy with this medication to be lifelong.
- If medication therapy is discontinued, cholesterol levels will return to their
pretreatment range within several weeks to months
A nurse is caring for a client who is receiving heparin therapy via continuous IV
infusion to treat pulmonary embolism. Which of the following findings should the
nurse identify as an adverse effect of the medication and report to the provider?
1. Vomiting
2. Blood in the urine
3. Positive Chvostek's sign
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4. Ringing in the ears - ANSWER: 2. Blood in the urine
The nurse should report blood in the urine to the provider because this can be a
manifestation of heparin toxicity. Other manifestations can include bruising,
hematomas, hypotension, and tachycardia.
A nurse is assessing a client who is taking propylthiouracil for the treatment of
Graves' disease. Which of the following findings should the nurse identify as an
indication that the medication has been effective?
1. Decrease the WBC count
2. Decrease in amount of time sleeping
3. Increase in appetite
4. Increase in ability to focus - ANSWER: 4. Increase in ability to focus
A client who has Graves' disease can experience psychological manifestations such
as difficulty focusing, restlessness, and manic-type behaviors. Propylthiouracil is a
thyroid hormone antagonist that decreases the circulating T4 hormone, reducing
the manifestations of hyperthyroidism. An increased ability to focus indicates that
the medication has been effective.
A nurse is assessing a client who is postoperative following an outpatient
endoscopy procedure using midazolam. The nurse should monitor for which of the
following findings as an indication that the client is ready for discharge?
1. The client's capnography has returned to baseline.
2. The client can respond to their name when called.
3. The client is passing flatus.
4. The client is requesting oral intake. - ANSWER: 1. The client's capnography
has returned to baseline
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The nurse should identify that the client is ready for discharge when the
capnography level indicates that gas exchange is adequate.
A nurse is providing discharge teaching about handling medication to a client who
is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a
stick. Which of the following information should the nurse include in the teaching?
1. Chew on the medication stick to release the medication.
2. Leave the medication stick in one location of the mouth until melted.
3. Allow the medication 1 hr for analgesia effects to begin.
4. Store unused medication sticks in a storage container. - ANSWER: 4. Store
unused medication sticks in a storage container.
A nurse is providing teaching to a client who is to start treatment for asthma with
beclomethasone and albuterol inhalers. Which of the following instructions should
the nurse include in the teaching?
A. "Take beclomethasone to avoid an acute attack."
B. "Use beclomethasone 5 minutes before using albuterol."
C. "Limit your calcium and vitamin D intake when taking beclomethasone."
D. "Rinse your mouth after inhaling the beclomethasone." - ANSWER: D.
"Rinse your mouth after inhaling the beclomethasone."
A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take?
a. Administer the medication outside the 5-cm (2-in) radius of the umbilicus.
b. Aspirate for blood return before injecting.
c. Rub vigorously after the injection to promote absorption.
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d. Place a pressure dressing on the injection site to prevent bleeding.
- ANSWER:
a. Administer the medication outside the 5-cm (2-in) radius of the umbilicus.
The nurse should administer the heparin by subcutaneous injection to the abdomen
in an area that is above the iliac crest and at least 5 cm (2 in) away from the
umbilicus.
a nurse is preparing to administer medication to a client who has gout. the nurse
discovers that an error was made during the previous shift and the client received
atenolol instead of allopurinol. Which of the following actions should the nurse
take first?
a. Obtain the client's blood pressure
b. contact the client's provider
c. inform the charge nurse
d. complete an incident report - ANSWER: a. Obtain the client's blood
pressure
When using the nursing process, the first action the nurse should take to prevent
injury to the client is to assess the client for adverse effects of atenolol, such as
hypotension.
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