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ATI PHARM 2025.pdf graded 100% complete, Exams of Nursing

University of West London (UWL)Nursing

ATI PHARM 2025.pdf graded 100% compelte

Typology: Exams

2024/2025

Available from 07/10/2025

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ATI PHARMACOLOGY
1
1. A nurse is providing teaching to a group of new parents about medications. The nurse
should include that aspirin is contraindicated for children who have a viral infection due
to the risk of developing which of the following adverse effects?
a. Reye's syndrome
b. Visual disturbances
c. Diabetes mellitus
d. Wilm's tumor
ANS: A
2. A nurse is providing teaching to a client who has chronic kidney failure with an AV
fistula for hemodialysis and new prescription for epoetin alfa. Which of the following
therapeutic effects of epoetin alfa should the nurse include in the teaching?
a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils
ANS: C
3. A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which
of the following medications should the nurse plan to administer?
a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics)
ANS: D
4. A nurse is caring for a client who has prescription for clopidogrel. The nurse should
monitor the client for which of the following adverse effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation
ANS: C
5. A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The
nurse should include a severe allergy to which of the following medications as
contraindication to ceftriaxone?
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim
ANS: C
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  1. A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? a. Reye's syndrome b. Visual disturbances c. Diabetes mellitus d. Wilm's tumor ANS: A
  2. A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? a. Reduces blood pressure b. Inhibits clotting of fistula c. Promotes RBC production d. Stimulates growth of neutrophils ANS: C
  3. A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? a. Ibuprofen (NSAIDS) b. Naproxen (NSAIDS) c. Aspirin (NSAIDS) d. Acetaminophen (anlagesics) ANS: D
  4. A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? a. Insomnia b. Hypotension c. Bleeding d. Constipation ANS: C
  5. A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as contraindication to ceftriaxone? a. Gentamicin b. Clindamycin c. Piperacillin d. Sulfamethoxazole-trimethroprim ANS: C
  1. A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? a. Hyperthyroidism b. Intestinal obstruction c. Glaucoma d. Low blood pressure ANS: B
  2. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? a. Amantadine b. Bupropion (aytpical antidepressant) c. Phenelzine (MAOI) d. Hydroxyzine (Antihistamine) ANS: A
  3. A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? a. Hypotension b. Hyperthermia c. Hypoglycemia d. Tachycardia ANS: D
  4. A nurse is providing teaching to a client who has UTI and new prescription for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? a. If the phenazopyridine upsets my stomach, I can take it with meals. b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the infections. c. I need to drink2 liters of fluid per day while I am taking cipro. d. I should notify my provider immediately if my urine turns an orange color. ANS: D
  5. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? a. Ecchymosis b. Decreased urine output c. Increased blood pressure d. Dizziness

ANS: C

  1. A nurse is providing teaching to a client who has gout and new prescription for allopurinol. The nurse should instruct client to discontinue taking the medications for which of the following adverse effects? a. Nausea b. Metallic taste c. Fever d. Drowsiness ANS: C
  2. A nurse is assessing a client who is receiving IV gentamicin 3 x daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? a. Hypoglycemia b. Proteinuria c. Nasal congestion d. Visual disturbances ANS: B
  3. A nurse is providing teaching to a newly nurse about caring for a client who has prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following lab tests? a. Platelet count b. Electrolyte levels c. Thyroid functions d. Liver function ANS: D
  4. A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? a. Raynaud's phenomenon b. Migraine headaches c. Ulcerative colitis d. Anemia ANS: B
  5. A nurse is reviewing the lab values for a client who is receiving a continuous IV heparin infusion and has an aPTT (TR- 60 - 80 sec) of 90 seconds. Which of the following actions should the nurse prepare to take? a. Administer Vit K b. Reduce the infusion rate c. Give the client a low dose aspirin d. Request an INR

ANS: B

  1. A nurse is providing teaching to a client who had rheumatoid arthritis and a prescription for long term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? a. Stress fractures b. Orthostatic hypotension c. Gingival ulcerations d. Weight loss ANS: A
  2. A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? a. Antiestrogenic b. Antimicrobial c. Androgenic d. Anti-inflammatory ANS: A
  3. A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? a. Hyperkalemia b. Hypertension c. Constipation d. Nephrotoxicity ANS: D
  4. A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following should the nurse take? a. Administer the medication into the client’s abdomen b. Inject the medication into a muscle c. Massage the site after administering the medication d. Use a 22 gauge needle to administer the medication ANS: A
  5. A nurse is reviewing the lab results for a client who has prescription for filgastrim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? a. Erythrocyte count b. Neutrophil count c. Lymphocyte count d. Thrombocyte count ANS: B

ANS: B

  1. A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary TB. The client reports his urine is an orange color. Which of the following statements should the nurse make? a. Stop taking isoniazid for 3 days and the discoloration should go away. b. Rifampin can turn body fluids orange. c. I'll make an appointment for you to see the provider this afternoon. d. Isoniazid can cause bladder distention. ANS: B
  2. A nurse is caring for a client who had a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? a. Ecchymosis b. Jaundice c. Hypotension d. Hypokalemia ANS: C
  3. A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching? a. Respiratory depression can occur 7 min after the morphine is administered. b. The morphine will peak in 10 min c. Withhold the morphine if the client has a respiratory rate of less than 16/min d. Administer the morphine over 2 min ANS: A
  4. A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching? a. I will give my child a dose as soon as wheezing starts. b. My child should rinse out his mouth after using the inhaler. c. My child should exhale completely before placing the inhaler in his mouth. d. If my child has difficulty breathing in the dose, a spacer can be used. ANS: A
  5. A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. Identify the sequence of instructions that the nurse should tell the client to use if he experiences chest pain. Place them in order of performance.
    1. Stop activity
    2. Place a tablet under the tongue
    3. Wait 5 min
    4. Call 911 if the pain is not relieved.
  1. A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine (Calcium blocker). The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain to the client that nifedipine works for clients who are pregnant by which of the following mechanism? a. It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. b. It inhibits uterine contractions by blocking entry of calcium into uterine cells. c. It decreases the activity within the CNS, which regulates smooth muscle. d. It stimulates beta2 receptors in the uterus, which results in decreased frequency of contractions. ANS: B
  2. A nurse is preparing to administer oxytocin to a client who is at 41 weeks of gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take? a. Place the oxytocin from a pre-filled syringe into the posterior fornix of the vagina every 10 min until effective labor occurs. b. Check the client’s blood pressure and pulse every 15 min while induction of labor is occurring. c. Stop the oxytocin for contractions that continue longer than 30 seconds d. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min. ANS: D
  3. A home health nurse is visiting an older adult client who has Alzheimer’s disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 x daily, to the client for restlessness and anxiety during the past few days. For which of the following effects should the nurse assess the client? a. Low-grade fever b. Sedation c. Diuresis d. Tonic-clonic seizures ANS: B
  4. A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? a. I should take naproxen if I have a headache because aspirin can cause lithium toxicity b. I can develop lithium toxicity if I eat foods with lots of sodium c. I can develop lithium toxicity if I experience vomiting or diarrhea. d. I might need to take a daily diuretic along with my lithium to prevent lithium
  1. A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching? a. I will increase my intake of citrus fruits, bananas, and potatoes. b. I will use salt substitutes on my food c. I will drink as much water as I can while taking this medication. d. I will watch for increased breast tissue growth while taking this medication. ANS: D
  2. A nurse is assessing a client who takes oral theophylline for relief of chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline? a. Constipation b. Tremors c. Fatigue d. Bradycardia ANS: B
  3. A nurse is caring for a client who has heart failure and is taking oral furosemide 40mg daily. For which of the following adverse effects should the client taught to monitor and notify the provider if occurs? a. Nasal congestion b. Tremors c. Tinnitus d. Frontal headache ANS: C
  4. A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? a. Hypotension b. Tachycardia c. Decreased level of consciousness d. History of diuretic use ANS: A
  5. A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect? a. Diarrhea b. Anxiety c. Nausea and vomiting d. Dry mouth ANS: D
  1. A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching? a. I will administer a spray into each nostril daily. b. I should expect nasal bleeding for the first week. c. I will need to depress the side arms to activate the pump. d. I should expect to take this medication for a short-term course of treatment. ANS: C
  2. A nurse is providing discharge teaching to a client who had venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? a. Take ibuprofen as needed for headache or other minor pains b. Carry a medic alert ID card c. Report to the lab weekly to have a blood drawn for aPTT d. Increase intake of dark green vegetables. ANS: B
  3. A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings should alert the nurse that the client is experiencing acute levothyroxine overdose? a. Bradycardia b. Cold intolerance c. Tremor d. Hypothermia ANS: C
  4. A nurse is providing discharge to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, “my brother takes verapamil for high blood pressure. Do you think the provider made a mistake?” which of the following responses should the nurse make? a. Verapamil is used to treat both high blood pressure and angina. b. You should talk to your provider to make sure the prescription is correct for you. c. Are you concerned that you might have high blood pressure? d. Your provider has prescribed verapamil so that you will not develop high blood pressure. ANS: A
  5. A nurse is providing teaching to a client who is to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods rich in potassium. Which of the following statements by the client indicates an understanding of the teaching? a. This medication will not work unless I have enough potassium. b. Potassium will increase the therapeutic effect of my blood pressure medication. c. Potassium will lower my blood pressure.

ANS: D

  1. A nurse is caring for a client who was brought to the ED by friends who report the client has overdosed on heroin. Which of the following findings should the nurse expect to assess? a. Temperature 39.2 (102.6) b. Respiratory rate 30/min c. Pinpoint pupils d. Severe abdominal cramping ANS: C
  2. A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg daily, but the client reports that she has been taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? a. Urine specific gravity 1. b. Distended neck veins c. BUN 18mg/dL d. Bounding radial pulse ANS: A
  3. A nurse is providing discharge teaching to a client who had kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching? a. I will be able to stop this medication 6 months after my surgery. b. I am likely to develop higher blood pressure while taking this medication. c. I am likely to lose my hair while taking this medication. d. I am taking this medication to boost my immune system. ANS: B
  4. A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 x daily po and gabapentin 1,800mg 3 x daily po to manage pain. The client tells the nurse, “I’m having pain that keeps me from doing what I’d like most of the time.” which of the following additions should the nurse anticipate to the client’s medication regimen? a. Oral meperidine b. Parenteral naloxone c. Parenteral diazepam d. Oral oxycodone ANS: D
  5. A nurse is caring for a client who has CHF and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? a. Encourage the client to eat the toast on the breakfast tray. b. Administer an antiemetic c. Inform the client’s provider.

d. Check the client’s apical pulse. ANS: D

  1. A nurse is preparing a discharge teaching plan for a client who is to begin long term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? a. Stop taking medication if a rash occurs. b. Take the medication on an empty stomach to enhance absorption. c. Schedule the medication on alternate days to decrease adverse effects. d. Treat SOB with an extra dose of medication. ANS: C
  2. A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? a. Urinary health promotion b. Immune system stimulation c. Decreased leg pain from arterial disease d. Prevention of nausea caused by motion sickness. ANS: A
  3. A nurse is providing discharge teaching to a client who has been hospitalized for MDD and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? a. I will take amitriptyline in the morning because I’m likely to have trouble falling asleep if I take it in the evening. b. I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease. c. I can drink a glass of beer or wine with my evening meal because amitriptyline doesn’t interact with alcohol. d. I will avoid goods high in fiber because amitriptyline can cause diarrhea. ANS: B
  4. A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for isoniazid. The nurse should teach the client that which of the following laboratory values should be monitored while taking isoniazid? a. Thyroid stimulating hormone level (TSH) b. Aspartate aminotransferase (AST) c. Potassium d. Sodium ANS: B
  5. A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25mg po to the client instead of the prescribed digoxin 0. mg po. Which of the following actions should the nurse take first?
  1. A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and is prescribed omeprazole. Which of the following statements should the nurse include in the teaching? a. You will need to take this medication for the next 6 months. b. Taking this medication will decrease your risk for acquiring pneumonia c. You should take this medication before breakfast everyday. d. Watch for the serious adverse effects of tachycardia and heart palpitations while taking this medications. ANS: C
  2. A nurse is providing teaching to the parents of a school age child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to used to relieve an acute asthma attack? a. Salmeterol b. Cromolyn c. Fluticasone d. Albuterol ANS: D
  3. A nurse is administering insulin glulisine 10 units subQ at 0730 to an adolescent client who has type I diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of the following times? a. 0800 b. 0745 c. 0900 d. 1030 Ans: B
  4. A nurse is providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching? a. Discontinue the medication if a rash develops. b. Expect increased salivation during the first few weeks of therapy. c. Minimize fiber intake to prevent diarrhea. d. Avoid driving until the client’s reaction to the medication is known. ANS: D
  5. A nurse is providing teaching to a client who has hypertension and type I diabetes mellitus and a new prescription for metoprolol. Which of the following statements by the clients indicates an understanding of the teaching? a. I might have difficulty recognizing when my blood sugar is low. b. I will have less risk for developing an infection while I take this medication. c. I should be concerned about losing excess weight while I take this medication.

d. I could have more problems with high blood sugars while taking this medication.

a. Choose an IV post for IV bolus of the diphenhydramine as near as possible to the client’s hanging IV bag b. Flush the IV tubing with 2 ml of o.9% sodium chloride before and after administering diphenhydramine. c. Allow the IV infusion to keep running while administering the diphenhydramine via IV bolus. d. Aspirate to check for IV patency before administering the diphenhydramine. ANS: D

  1. A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe UTI. The client asks why both medications are needed. Which of the following responses should the nurse make? a. Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride. b. Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy. c. The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride. d. Ciprofloxacin hydrochloride treats the infection and the phenazopyridine treats pain. ANS: D
  2. A nurse is providing teaching to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the clients to watch for and report to the provider? a. Weight gain b. Myalgia c. Hypoglycemia d. Severe constipation ANS: B
  3. A nurse is planning discharge teaching for a client who has MDD and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client consume while taking phenelzine? a. Broiled beef steak b. Macaroni and cheese c. Pepperoni pizza d. Smoked salmon ANS: A