ATI PHARMACOLOGY PROCTORED TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE (RASMUSSEN COLLEGE) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? - ANSWER>> Calcitonin Oral iron supplements are prescribed for a 6 -year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? - ANSWER>> Orange juice. Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which of the following would indicate the presence of systemic toxicity from this medication? - ANSWER>> Tinnitus. The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied: - ANSWER>> At least 30 minutes before exposure to the sun. Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the client complains of local discomfort and burning. Which of the following is the most appropriate nursing action? - ANSWER>> Informing the clien t that this is normal. The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client, knowing that which of the following indicates that a systemic effect has occurred? - ANSWER>> Hyperventilation. Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed? - ANSWER>> Triglyceride level. A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the client is taking which medication? - ANSWER>> Vitamin A. The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas? - ANSWER>> Axilla The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the client is being treated for: - ANSWER>> Acne. The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial -thickness burn, which has cultured positive for gram -negative bacteria. The nurse is reinforcing information to the client about the medication. Which sta tement made by the client indicates a lack of understanding about the treatments? - ANSWER>> "The medication will permanently stain my skin." A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. During an inspection of the site, the nurse notes redness and swelling an d that the rate of infusion of the medication has slowed. The nurse should take which appropriate action? - ANSWER>> Notify the registered nurse. The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed? - ANSWER>> Pulmonary function studies. The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory value would the nurse specifically monitor during treatment with this medication? - ANSWER>> Uric acid level. The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is assisting in caring for the client during its administration understands that which side effect is specifically associated with this medication? - ANSWER>> Orthostatic hypotension. The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic medication. When implementing the plan, the nurse tells the client: - ANSWER>> Consult with health care providers before receiving immunizations. The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors the client, knowing that which of the following indicates a side effect specific to this medication? - ANSWER>> Numbness and tingling of toes. The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which of the follow ing is documented in the client's history? - ANSWER>> Pancreatitis. Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understands that the primary action of this medication is to: - ANSWER>> Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptor s. The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication? - ANSWER>> Calcium level. A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adverse effects that the nurse monitors for that are associated with this medication. Select all that apply. - ANSWER>> - Tinnitus - Ototoxicity - Nephrotoxicity - Hypomagnesemia A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed to: - ANSWER>> Treat hypocalcemia. A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which information should the nurse teach when carrying out plans for discharge? - ANSWER>> Rotate the insulin injection sites systematically. A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the client, indicates the need for further teaching? - ANSWER>> Withdraws the NPH insulin first. A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse tells the client to: - ANSWER>> Refrigerate the insulin. Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces instructions for the client and tells the client to avoid which of the following while taking this medication? - ANSWER>> Alcohol. Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the client's medical record and would question the prescription if which of the following is noted in the client's history? - ANSWER>> Use of nitroglycerin. The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. The nurse knows that which of the following is the appropriate intervention? - ANSWER>> The medication is withheld and the HCP is called to question the prescription for the client. A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the client and tells the client that the most likely time for a hypoglycemic reaction to occur is: - ANSWER>> 4 to 12 hours after administration. A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide (DiaBeta) daily, but recently the
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