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ATI PHARM EXAM 4 2025|ACTUA 55 QUESTIONS
AND ANSWERS|100% VERIFIED|GRADED A+
A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take? A. Expel the air bubble from the prefilled syringe before injecting B. Insert the needle completely into the client's tissue. C. Administer the injection in the client's thigh. D. Aspirate carefully after inserting the needle into the client's skin. B. Insert the needle completely into the client's tissue A nurse is caring for a hospitalized client who is receiving IVheparinfora deep vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer? A. Vitamin K B. Atropine C. Protamine D. Calcium gluconate C. Protamine A nurse is planning to administer IV a/teplase to a client who is demonstrating manifestations of a massive pulmonary embolism. Which of the following interventions should the nurse plan to take?
A. Administer IM enoxaparin along with the alteplase dose. B. Hold direct pressure on puncture sites for up to 30 min. C. Administer aminocaproic acid IV prior to alteplase infusion. D. prepare to administer alteplase within 8 hr of manifestation onset. B. Hold direct pressure on puncture sites for up to 30 min. A nurse is monitoring a client who takes aspirin 81 mg PO dailynurse should identify which of the following manifestations as adverse effects of daily aspirin therapy? (Select all that apply) A. Hypertension B. Coffee-ground emesis C. Tinnitus D. Paresthesias of the extremities E. Nausea B. Coffee-ground emesis C. Tinnitus E. Nausea A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran to prevent development of thrombosis. Which of the following medications is prescribed concurrently to treat an adverse effect of dabigatran?
B. Plan to take the medication at bedtime. C. Expect increased swelling of the ankles D. Fluid intake should be limited in the morning. A. Take the medication with food A nurse is monitoring a client who is receiving spironolactone. Which ofthe following findings should the nurse report to the provider. A. Serum sodium 144 mEq/L B. Urine output 120 m L in 4 h C. Serum potassium 5.2 mEq/l D. Blood pressure 140/90 mm Hg C. Serum potassium 5.2 mEq/l A nurse is ca ring fora client who has increased intracranial pressure and is receiving mannitol. Which the following finding should the nurse report to the provider? A. Blood glucose 150 mg/dL B. Urine output 40 mL/hr C. Dyspnea D. Bilateral equal pupil size C. Dyspnea
A nurse is planning caring for for a client who has a new prescription for fortorsemide. The nurse should for should plan to monitor which of the following adverse reactions of this medications? (Select all that apply) A. Respiratory acidosis B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias A nurse is reviewing the health record of a client who asks bout using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? A. Asthma B. Glaucoma C. Hypertension D. Tachycardia A. Asthma
C. Delirium A nurse is planning to administer first dose of captopril to a client has hypertension. Which of the following medications can intensify first dose hypotension? (Select all that apply.) A. Simvastatin B. Hydrochlorothiazide C. Phenytoin D. Clonidine E. Aliskiren B. Hydrochlorothiazide D. Clonidine E. Aliskiren A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. potassium 4.8 mEq/L C. Potassium 3.4 mEq/L
A nurse is caring for an older adult client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? A. Phenytoin B. Verapamil C. Warfarin D. Aluminum hydroxide B. Verapamil A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. Lowered heart rate B. Increased myocardial contractility C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessels B. Increased myocardial contractility A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation digoxin toxicity? (Select all that apply) A. Fatigue
B. "Call the emergency response team. C. "Take a sustained-release nitroglycerin capsule." D. "Wait another 5 minutes then take a second sublingual tablet. B. "Call the emergency response team. A nurse is teaching a client who has prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include? A. Remove the patch each evening. B. Cut each patch in half if angina attacks are under control. C. Take off the nitroglycerin patch for 30 min if a headache occurs. D. Apply a new patch every 48 hr. A. Remove the patch each evening. A nurse is taking a medication history from a client who has angina is to begin taking ranolazine. The nurse should report which of the following medications in the client's history that can interact with ranolazine? (Select all that apply.) A. Digoxin B. Simvastatin C. Verapamil
D. Amlodipine E. Nitroglycerin transdermal patch A. Digoxin B. Simvastatin C. Verapamil A nurse is caring for a client who is prescribed isosorbid mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications shouId the nurse expect to administer? A. Furosemide B. Captopril C. Ranolazine D. Metoprolol D. Metoprolol A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which o the following instruction? A. "Remove the prior dose before applying a new dose. B. "Rub the ointment directly into your skin until it is no longer visible. C. "Cover the applied ointment with a clean gauze pad." D. "Apply the ointment to the same skin area each time.
A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity? A. Bruising B. Report of metallic taste C. Muscle pain D. Report of anorexia D. Report of anorexia A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication? (Select all that apply) A. Hypertension B. Widened QRS complex C. Narrowed QT interval D. Easy bruising E. Swollen joints B. Widened QRS complex D. Easy bruising
E. Swollen joints A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take? A. Hold propranolol for an apical pulse greater than 100/min. B. Administer propranolol to increase the client's blood pressure C. Assist the client when sits up or stands after taking this medication. D. Check for hypokalemia frequently due to the risk for propranolol toxicity C. Assist the client when sits up or stands after taking this medication. A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching? A. Take this medication in the evening. B. Change position slowly when rising from a chair.
B. "Your sodium and potassium levels will be monitored periodically while taking colesevelam. C. "Watch for bleeding or bruising while taking colesnvelam. D. "Take colesevelam with food at least one glass of water. D. "Take colesevelam with food at least one glass of water. A nurse is completing a nursi ng history for a client who takes simvastatin. The nurse should identify which of the following disorders as a contraindication to adding ezetimibe to the client's medications? A. History of severe constipation B. History of hypertension C. Active hepatitis C D. Type 2 diabetes mellitus C. Active hepatitis C A nurse is caring for a client who has a new prescription for niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of niacin? (Select all that apply-)
A. Muscle aches B. Hyperglycemia C. Hearing loss D. Flushing of the skin E. Jaundice B. Hyperglycemia D. Flushing of the skin E. Jaundice A nurse is assessing a client has salicylism. Which of the ollowing findings should the nurse expect? (Select all that apply.) A. Dizziness B. Diarrhea C. Jaundice D. Tinnitus E. Headache A. Dizziness D. Tinnitus E. Headache
A nurse is taking a history for a client who reports that he is taking aspirin about four times daily for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin? A. Digoxin B. Metformin C. Warfarin D. Nitroglycerin C. Warfarin A nurse in an emergency department is performing an admission assessment for a client who has severe aspirin toxicityWhich of the following findings should the nurse expect? A, Body temperature 35C (95° F) B. Lung crackles C. Cool, dry skin D. Respiratory depression D. Respiratory depression
A nurse is preparing to administer an opioid agonist to a client who has acute pain. Which of the following complications should the nurse monitor? A. Urinary retention B. Tachypnea C. Hypertension D. Irritating cough A. Urinary retention A nurse is caring for a client who has end-stage cancer and is receiving morphine. The client's daughter asks why the provider prescribed methylnaltrexone. Which of the following responses should the nurse make? A. The medication will increase your mother's respirations. B. "The medication will prevent dependence on the morphine C."The medication will relieve your mothers constipation. D."The medication works with the morphine to increase pain relief." C."The medication will relieve your mothers constipation.
