Hard ATI Pharmacology Test Questions Part VII (155-199)

155.) A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take? A. Verify with the provider about giving insulin glargine at 1700 B. Ensure the insulin glargine is a cloudy suspension C. Request a prescription for giving insulin glargine twice daily ✔ D. Use separate syringes for administering insulin glargine and NPH insulin Incorrect, try again! 156.) A nurse is caring for a client who takes a combination oral contraceptive (OC). Which of the following findings should indicate to the nurse that the client is experiencing a deficiency of estrogen in the OC? ✔ A. Mid-cycle breakthrough bleeding or spotting B. Breast tenderness C. Migraine headaches D. Nausea Incorrect 157.) A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? A. Nitroglycerin ✔ B. Aspirin C. Morphine D. Metoprolol 158.) A nurse is admitting a client who has atrial fibrillation with a heart rate of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications? A. Atropine ✔ B. Diltiazem C. Epinephrine D. Vasopressin 159.) A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give? A. "The enteric coating allows a lower dosage to be given." B. "Enteric-coated medications have better absorption in the body." ✔ C. "Enteric-coated medications cause less gastric irritation." D. "The enteric coating provides a steady release of the medication over time." 160.) A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract infection (UTI). The client asks why both medications are needed. Which of the following responses should the nurse make? A. "Phenazopyridine decreases the adverse effects of ciprofloxacin hydrochloride." B. "Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy." C. "The use of phenazopyridine allows the doctor to prescribe a lower dosage of ciprofloxacin hydrochloride." ✔ D. "Ciprofloxacin hydrochloride treats the infection, and phenazopyridine treats pain." Incorrect, try again! 161.) A nurse is caring for a client who takes Ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement? ✔ A. Decreased platelet aggregation B. Prevention of migraine headaches C. Increased risk of deep-vein thrombosis D. Lowered cholesterol and triglyceride levels 162.) A nurse in a provider's office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include? A. Alendronate sodium can be administered by IV once yearly. ✔ B. Take alendronate sodium with a full glass of water on an empty stomach. C. Side effects of alendronate sodium include leukopenia. D. Alendronate sodium should be taken with calcium-containing foods to increase absorption. 163.) A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provider immediately? A. "My last bowel movement was 2 days ago." ✔ B. "My tongue keeps moving like a worm." C. "I feel dizzy when I stand up too quickly." D. "I can't stop blinking when I'm in the sun." 164.) A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder 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’ll likely 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 foods that are high in fiber because amitriptyline can cause diarrhea." 165.) 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 Incorrect 166.) A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching? A. Lidocaine toxicity will cause the client to develop tachycardia. B. Most clients develop a headache from spinal anesthesia. ✔ C. Hypotension is an adverse effect of spinal anesthesia. D. Urinary urgency occurs when the client has spinal anesthesia. 167.) A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, "What should this medication do?" Which of the following responses should the nurse make? A. "It helps your heart return to a normal rhythm." B. "It dissolves blood clots." ✔ C. "It can reduce your risk of having a stroke." D. "It helps to prevent bleeding in atrial fibrillation." 168.) A nurse is teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). Which of the following findings should the nurse include in the teaching as an indication of progestin deficiency? ✔ A. Amenorrhea B. Weight gain C. Depression D. Acne 169.) A nurse is reviewing the laboratory values of a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 sec. Which of the following actions should the nurse prepare to take? A. Administer vitamin K ✔ B. Reduce the infusion rate C. Give the client a low-dose aspirin D. Request an INR 170.) 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 171.) A nurse is teaching a client who has dyspepsia about prescribed antacids. Which of the following statements should the nurse include in the teaching? ✔ A. "Take antacids 1 hour apart from other medications." B. "Increase your sodium intake to avoid hyponatremia." C. "Avoid combining antacids due to an increased risk of adverse effects." D. "Antacids are taken 3 times daily." 172.) A nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide? A. "This medication is for short-term use only." B. "You should eat a low-residue diet while taking this medication." ✔ C. "Mix this medication with water and follow with an additional glass of liquid." D. "The medication's adverse effects of stomach cramps and nausea will go away in time." 173.) A nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (Select all that apply.) A. "Do not stop taking this medication abruptly." B. "Take the medication right before bedtime." C. "Avoid exposure to sunlight." D. "Count your radial pulse daily." E. "Change positions slowly." 174.) A nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching? A. "You might notice that you see better in dim areas." ✔ B. "You should increase your fluid intake." C. "You should expect to have excessive urination." D. "You might experience difficulty sleeping." 175.) A nurse is caring for a client who has a prescription for a QT interval medication. Which of the following conditions should the nurse identify as an adverse effect of this medication? ✔ A. Bradycardia B. Jaundice C. Low blood pressure D. Dark urine 176.) A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take? A. Place the client leaning forward in a chair B. Hold the medication dropper 2.5 cm (1 in) from the client's ear canal ✔ C. Pull the pinna of the client's ear upward and outward D. Have the client remain still for 30 seconds after the medication is administered Incorrect, try again! 177.) A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during the administration of adenosine? A. Seizures B. Cinchonism ✔ C. Dyspnea D. Transient pallor of the face 178.) A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions? A. Aspirin EC 80 mg PO daily ✔ B. Levothyroxine 75 mcg PO q AM before breakfast C. Metformin XR 500 mg PO daily D. Nitroglycerin 0.3 mg SL PRN chest pain, may repeat q 5 min for 2 additional doses 179.) A nurse is preparing to administer an IV fluid bolus of 1 L 0.9% sodium chloride over 2 hr to a client who is dehydrated. The nurse should set the IV pump to deliver how many mL/hr? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:___500________ 180.) A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? A. Suppression of dysrhythmias B. Increased atrioventricular (AV) conduction ✔ C. Visual disturbances D. Weight gain 181.) A nurse is providing discharge teaching to a client who 1has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching? A. "I know that blurred vision is expected to happen while I’m taking digoxin." B. "I will measure my urine output each day and document it in my diary." C. "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute." ✔ D. "I will eat fruits and vegetables that have a high potassium content every day." 182.) A nurse is reviewing laboratory reports for a client who has Clostridium difficile infection and is receiving vancomycin. Which of the following results should the nurse report to the provider before administering the next dose? A. Hematocrit 46% B. Serum glucose 110 mg/dL ✔ C. Serum creatinine 2.5 mg/dL D. Serum potassium 4.8 mEq/L 183.) A nurse is assessing an infant during a routine checkup. The parent asks the nurse about the infant's immunization schedule. Which of the following responses should the nurse make? A. "Immunizations for children are recommended to start at the age of 2." B. "If your child misses an immunization, she should restart a new schedule." ✔ C. "It is recommended that your infant receives 6 immunizations at 2 months of age." D. "The recommended immunization schedule can be customized to fit your child's needs." 184.) A nurse is teaching about the adverse effects of baclofen with a client who has multiple sclerosis with spasms. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. "Adverse effects include urinary frequency." B. "I should increase my fiber intake to counteract the adverse effect of diarrhea." C. "This medication can cause addiction." ✔ D. "I should not stop taking this medication suddenly." 185.) A nurse is caring for a client who had a myocardial infarction 2 hours ago and is receiving alteplase. Which of the following findings should the nurse identify as an adverse effect of receiving this medication? ✔ A. Bleeding B. Increased clot formation C. Shortness of breath D. Blockage of the central venous catheter 186.) A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include? A. "You should take the medication on an empty stomach to increase absorption." B. "You can stop taking the medication once your back spasms disappear." C. "You can expect to experience urinary frequency when you first start taking this medication." ✔ D. "You should change positions slowly while taking this medication." 187.) A nurse is preparing to administer an epinephrine IV bolus to a client. Which of the following should the nurse verify before initiating the IV medication? ✔ A. Concentration of the formulation B. Reversibility of the medication C. Potential barriers to absorption D. Gastric emptying time 188.) A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take? A. Cover the applied ointment with cotton gauze ✔ B. Apply the ointment using a dose-measuring applicator C. Apply the ointment using the index finger D. Massage the ointment into the client's skin 189.) A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention? ✔ A. Heart rate 106/min B. Dry skin C. Oral temperature 36.8°C (98.2°F) D. Lethargy 190.) A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose? A. Bradycardia B. Cold intolerance ✔ C. Tremor D. Hypothermia Incorrect, try again! 191.) A nurse is checking a client who is receiving an IV infusion of telavancin for Streptococcus pyogenes. Which of the following actions should the nurse include? A. Check to see if the client's urine is blue in color ✔ B. Check the client for pruritus C. Check for hypertension D. Check for numbness in the limbs 192.) A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports 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 1.035 B. Distended neck veins C. BUN 18 mg/dL D. Bounding radial pulses 193.) A nurse is providing teaching to a client about a new prescription for captopril to treat hypertension. Which of the following client statements indicates an understanding of the teaching? A. "I might have a sore throat that will go away after a few days." B. "I will take this medication with food to avoid getting an upset stomach." ✔ C. "I might feel dizzy at times while taking this medication." D. "I will take ibuprofen if I get a fever while taking this medication." 194.) 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 195.) A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? A. Hct 45% B. Hgb 15 g/dL C. aPTT 35 seconds ✔ D. INR 3.0 196.) A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. 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 197.) A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL to infuse over 12 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank Incorrect:__14____ 198.) A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hr. Heparin 10,000 units/1 mL is available. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only, round the answer to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:__0.8____ 199.) A nurse is preparing to administer cefixime 4 mg/kg PO twice daily to a preschooler who weighs 31 lb. How many milligrams should the nurse administer with each dose? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:_56____