ATI RN PHARMACOLOGY PROCTORED EXAM 2019 WITH VERIFIED SOLUTIONS/A+ GRADE

A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg
PO daily. After 6 weeks of treatment the nurse determines that the medication was effective if
the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which
of the following client statement indicates understanding of teaching:
2) I will move slowly from sitting to standing to prevent falls
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
statement by the patient indicates further teaching:
1) I should expect a rash to develop
A nurse isreceiving a telephone prescription for an antibiotic from a client's provider. Which of
the following is the nurse required to do:
3) Read the prescription back to the provider after transcribing
A nurse is providing teaching to an adolescent and her family regarding a new prescription of
phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client
statements indicates the understanding of the teaching:
1) I will keep a seizure frequency chart
A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and
digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the
following actions should the nurse take first:
1) Apply a cardiac monitor
A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of
the following client findings requires an incident report:
2) The client reports shortness of breath
A nurse is providing teaching to a female client who has been newly diagnosed with a seizure
disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can
decrease the effectiveness of which of the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is
prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse
include in her instructions:
2) Take 1SL tablet at onset of migrane
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin
(Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should
the nurse take:
1) Give the medication
A nurse is planning to provide medication education for a client who will begin a course of
therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the client
to avoid during the course of therapy:
4) Beer
A nurse is teaching a client who has heart failure about a new prescription for captopril
(Capoten). Which of the following statements by the client indicates a need for further teaching:
4) I will use a salt substitute with my meals
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is
prescribed. Which of the following client findings should the nurse recognize as being the best
indication that the medication is achieving it's therapeutic effect:
3) Decrease in intraocular pressure
A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the
following instructions should the nurse include in the teaching plan: (Select all that apply):
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is
4x the normal value and his INR is 2. Which of the following actions should the nurse plan to
take:
1) Decrease the heparin
The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by
continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor
indicates late decelerations. Which of the following actions should the nurse take first:
2) Discontinue the client's IV meds
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For
which of the following side effects should the nurse assess the client:
3) Insomnia
A nurse is teaching a client about the use of resedronate (Actonel) to treat osteoporasis. Which
of the following client statements indicates a need for further teaching:
4) I need to take the risdronate with food
A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the following
adverse effects should the nurse be observing:
2) Akathesia
A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse
document to indicate the effectiveness of the therapy:
1) Increased platelet count
A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of the
following should the nurse document as a therapeutic outcome:
2) Decrease flexor & extension spasticity
A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For which
should the nurse monitor related to this medication:
2) Increased BP
A nurse is planning teaching for a client who has depression and isto start a new prescription
for tranylcypromine (Parnate). Which should be included in teaching:
2) Move slowly when changing to a standing position
Provide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should the
nurse monitor and report:
1) Abdominal pain
A nurse is reveiwing lab results, for a patient who has chronic asthma and is taking prednisone
(Deltasome) every other day. Which of the following lab values should the nurse report to the
doctor:
3) Blood glucose 200 mg/dL
A nurse is caring for a client receiving zidovudine (Retrovir) for which of the following lab results
should the nurse prepare to monitor:
4) Hemoglobin
A client informsthe nurse at the primary care providers office that he received a prescription for
timolol (timoptic) to treat glaucoma. Which of the following in the client's history should
concern you:
3) The client has a history of bradycardia
A mom of a newborn asks the nurse when her newborn should receive his 1st diptheria,
tetanus, and pertusis vaccine (DTAP). Which of the following should the nurse say:
2) 2 months
A nurse is preparing to administer warfarin (coumadin) to a client diagnosed with atrial
fibrillation. Which action should the nurse take before administering warfarin:
1) Check INR results
A nurse caring for a client diagnosed with sickle cell anemia who istaking hydroxyurea (Droxia).
Which findings should the nurse report- select all that apply:
1) hemoglobin 4.2 g/dL
4) Platelets 75,000/mm3
5) Neutrophils 1,400 /mm3
A nurse assesses a patient with chronic back pain who is receving 650 mg acetaminophen
(Tylenol) every 4 hoursfor pain. PCP has prescribed oxycodone/acetaminophen (Percocet) every
4 to 6 hours PRN for breakthrough pain. Which action should the nurse take:
4) Notify the PCP
A nurse isteaching a patient who has a peptic ulcer disease and is to start a new prescription for
sucralfate (Carafate). The nurse explains to the patient this medication:
3) Forms a protective barriers over ulcers
Which of the following statements made by a client after a teaching session about Warfarin
(Coumadin) indicates a need for further teaching:
1) I may take aspirin as needed for pain
A nurse is caring for a patient who has pneumonia. The patient tells the nurse that she is
pregnant, but has not told her provider. Which of the following medication orders should the
nurse question:
2) Doxycycline (Doxycin)
A nurse is providing teaching to a patient who has hypertension and is to start a new
prescription for lisinopril (Zestril). For which of the following should the nurse instruct the client
to monitor and report to the PCP:
4) Dry cough
A nurse caring for the following patient with acute ST elevation myocardinal infarction. The
patient isreceiving nitroglycerin (Nitro-bid IV) by continuous IV infusion to maintain a systolic
blood pressure between 130-10 mmHg:
2) Increase the dose when the Systolic BP is 160 mmHg
Older adult taking procainamide (Pronestyl) is admitted to ER with an acute myocardinal
infarction and ventricular premature beats. Which finding should indicate to the nurse to
withold medication and notify PCP:
2) A QRS widening increase than 50%
A nurse is caring for a client who istaking tamoxifen (Nolvadex) for treatment of breast cancer.
The nurse should inform the client that which of the side effects can develop:(Slect all that
apply)
2) Menstrual irregularities
4) Hot flashes
5) Vaginal discharge