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NGN ATI PHARMACOLOGY 202 5 LATEST
TEST BANK 270 QUESTIONS WITH
ANSWERS A+ GRADE ASSURED
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a. Apply firm pressure to the injection site following administration b. Administer the medication into the client's muscle c. Expel the air bubble from the syringe prior to injection d. Insert the syringe needle halfway into the client's skin - ...ANSWER...a. Apply firm pressure to the injection site following administration A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report? 000/mm a. ePTT 90 seconds b. Hgb 16 g/dL c. INR 1. d. WBC 6000/mm3 - ...ANSWER...a. ePTT 90 seconds
DETAILED VERIFIED CORRECT
A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosal - ...ANSWER...d. Fentanyl transmucosal A nurse is assessing a client who reports taking over- the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Constipation b. Decreased urine output c. Positive Trousseau's sign d. Headache - ...ANSWER...c. Positive Trousseau's sign A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." which of the following reasons should the nurse clarify this prescription with the provider. a. Potassium chloride should be diluted in dextrose 5% in water. b. The potassium infusion rate is too rapid c. Another formulation of potassium should be given IV
d. Check the client's glucose level - ...ANSWER...d. Check the client's glucose level A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the medication is provided as hydromorphone 8 mg per tablets. Which of the following actions is appropriate for the nurse to take? a. Return the remaining medication to the facility's pharmacy b. Store the remaining half of the pill in the automated medication dispensing system c. Place the remaining half of the pill in the unit dose package d. Dispose of the remaining medication while another nurse observes - ...ANSWER...d. Dispose of the remaining medication while another nurse observes A nurse is caring for 4 - year-old child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use? a. FACES b. Numeric c. CRIES d. Word graphic - ...ANSWER...a. FACES A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer? a. Colchicine b. Cimetidine
c. Colerain d. Chlorpromazine - ...ANSWER...c. Colerain
- Colesevelam (Welchol) A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. The client reports difficulty hearing d. BUN 15 mg/dL - ...ANSWER...c. The client reports difficulty hearing A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include? a. Change the nicotine patch every other day b. Do not drink beverages while sucking on a nicotine lozenge c. Chew nicotine gum for 10 min before spitting it out d. Administer 2 sprays of nicotine nasal spray in each nostril with each dose - ...ANSWER...b. Do not drink beverages while sucking on a nicotine lozenge A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use? a. Subcutaneous
laboratory values should the nurse report to the provider? a. Total bilirubin 1. mg/dL b. Potassium 4. mEq/L c. Hct 0.44% d. WBC count 5000/mm3 - ...ANSWER...a. Total bilirubin 1.5 mg/dL A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypocalcemia b. Hypokalemia c. Hyponatremia d. Hypomagnesemia - ...ANSWER...c. Hyponatremia A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication? a. Hypoglycemia b. Bradycardia c. Red man syndrome d. Hypotension - ...ANSWER...b. Bradycardia CNS effects: drowsiness sedation, depression ,confusion, anxiety, double vision, ataxia, cognitive impairment, nystagmus ii. Gingival hyperplasia, skin rash, dysrhythmias, hypotension
A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Urinary tract infection d. Deep vein thrombosis - ...ANSWER...a. Osteoporosis A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? a. Avoid caffeinated beverages b. Take the medication with meals c. Restrict milk products d. Limit sodium intake - ...ANSWER...a. Avoid caffeinated beverages the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? a. Withdrawal NPH from the vial b. Inject air into the NPH vial c. Inject air into the regular vial d. Withdrawal regular insulin from the vial - ...ANSWER...b. Inject air into the NPH vial
d. Plan to self-administer this medication for the next 6 months - ...ANSWER...c. Administer the medication into one nostril once per week A nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? a. Client who is transported to radiology b. A client who has a consultation for .... c. A client who has a referral for social services d. A client who has been transferred to a step- down unit - ...ANSWER...d. A client who has been transferred to a step-down unit A nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse's priority? a. Back pain b. Flushing c. nausea d. Uterine tachysystole - ...ANSWER...d. Uterine tachysystole A nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? a. Messages the site to enhance absorption b. Injections the medication into a muscle c. Administers the medication into the abdomen
d. Aspirates the medication after injection - ...ANSWER...c. Administers the medication into the abdomen A nurse is assessing a client how has been taking digoxin and ...... which of the following findings to the nurse indicates this client has developed digoxin toxicity? a. Ringing in the ears b. Hyperkalemia c. Blurred vision d. hypertension - ...ANSWER...c. Blurred vision A nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? a. Headache b. Excessive salivation c. Fever d. Myoclonic seizure - ...ANSWER...b. Excessive salivation Anurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? a. NPH insulin b. Clopidogrel c. Furosemide d. Pantoprazole - ...ANSWER...b. Clopidogrel
following outcomes indicates that the client is adhering to the medication regimen? - ...ANSWER...The client has a negative sputum culture A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? - ...ANSWER...St. John's Wort A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? - ...ANSWER...Hypotension A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? - ...ANSWER...increased blood pressure A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? - ...ANSWER...The nurse who identifies the error A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse
should monitor the client for which of the following?
...ANSWER...Pruritus A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) - ...ANSWER...Obtain the client's apical heart rate Remove the medication from the dispensing system Open the medication package Compare the client's wristband to the medication administration record Document administration of the medication A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg ( lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? - ...ANSWER...Determine medication adherence by the client 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? - ...ANSWER...Urticaria A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include
...ANSWER...A client who is transferal to a step- down unit nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? - ...ANSWER...LDL 120 mg/dL A nurse is receiving a medication prescription by telephone from a provider. The provider states, "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record? - ...ANSWER...Morphine 6 mg IV push every 3 hr PRN acute pain A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? - ...ANSWER...Apply a warm, moist compress a nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? - ...ANSWER...Notify your provider if you develop a fever while taking this medication. A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? - ...ANSWER...it can take up to
1 year to become pregnant after stopping an oral contraceptive A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
...ANSWER...Mix the medications with a semisolid food for the client A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include? - ...ANSWER...You cannot take this medication with an antacid. A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine? - ...ANSWER...eggs A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse. "I do not take this medication. I would prefer a natural therapy." Which of the following supplements should the nurse suggest the client discuss with the provider? - ...ANSWER...Saw palmetto A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes
manager include? - ...ANSWER...IM administration is recommended if PO opioids are ineffective A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? - ...ANSWER...estrogen-progestin combination A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? - ...ANSWER...Ciprofloxacin A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) - ...ANSWER...Shake the device prior to administration. A spacer will make it easier to use the device. Rinse your child's mouth following administration. A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? - ...ANSWER...You will need liver function tests before beginning therapy.
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? - ...ANSWER...Elevate the extremity A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep- vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - ...ANSWER...0.4 mL A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.) - ...ANSWER...7.5 ml A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect? - ...ANSWER...Increase in BP A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) - ...ANSWER...Polypharmacy
