Hard ATI Pharmacology Test Questions Part I (1-46)

HARD ATI PHARMACOLOGY TEST QUESTIONS 1. A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication? a. Osteoporosis b. Hyperthyroidism c. Myocardial Infection d. Deep-vein thrombosis 2. A nurse is teaching about taking donepezil with a client who was recently diagnosed with early Alzheimer’s disease. Which of the following instructions should the nurse include in the teaching? a. b. c. d. You should chew the medication thoroughly prior to swallowing You should take this medication late in the evening You should take this medication with food If you miss taking a dose for a day, take two doses the following day. 3. 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. b. c. d. Amantadine Bupropion Phenelzine Hydroxyzine 4. A nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicylate. The client asks the nurse, "How will this medication help my ulcer?" Which of the following statements should the nurse make? a. b. c. d. This medication will decrease prostaglandins. The amount of bicarbonate in your body will be increased. This medication can decrease bacteria in the gastrointestinal tract. This medication acts by increasing blood flow to the stomach. 5. A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure? a. b. c. d. Amlodipine Diltiazem Nifedipine Lidocaine 6. A nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching? a. b. c. d. The patch will not constipation like other pain medications do. I will have to stop taking grapefruit juice while using the patch. I will place a heating pad on the patch to boost its effectiveness. The patch will give me relief from my pain faster than pills can. 7. A nurse is providing teaching to a female client who has a new prescription for Pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching? a. b. c. d. Pravastatin can be taken with grapefruit juice. Pravastatin can be continued during pregnancy. Pravastatin should be taken with the evening meal. Laboratory testing to monitor the client's WBC count is required 8. A nurse is caring for a client who has asthma and a prescription for Zileuton. Which of the following laboratory values should the nurse monitor while the client is taking this medication? a. b. c. d. Alanine aminotransferase (ALT) WBC Count Potassium Chloride 9. A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions as a result of this medication? a. b. c. d. Gouty Arthritis Dehydration Diabetes Insipidus Hypokalemia 10. A nurse is assessing a client who is taking varenicline for smoking cessation. Which of the following findings is the nurse’s priority? a. b. c. d. Mood Changes Nausea Altered sense of taste Skin Rash 11. A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following information should the nurse provide the parent? a. b. c. d. Inhaled glucocorticoids are less likely to cause thrush. Oral glucocorticoids are hazardous during times of stress. Oral glucocorticoids are more like to slow linear growth in children. Inhaled glucocorticoids are more effective for acute bronchospasm. 12. A nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. The nurse should identify which of the following findings is a contraindication to receiving this medication? a. b. c. d. High cholesterol levels Liver disease Family history of ovarian cancer Client report of hypermenorrhea 13.) A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone? A. Thrombosis B. Immunosuppression C. Gastric Ulceration D. Liver Toxicity 14.) A nurse is administering medication to a client. The nurse should identify which of the following medication distribution factors the effective passage of the medication across the client’s cell membranes? A. Protein-binding ability B. Lipid Solubility C. Hepatic Metabolism D. Slow Dissolution 15.) A nurse is reviewing the medical record of a client who has been taking vitamin D supplement. Which of the following findings from the client’s record should the nurse identify as a risk factor for developing vitamin D deficiency? A. Middle-Age B. Obesity C. Dark-colored eyes D. Light-pigmented skin 16.) A nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. The nurse should identify which of the following client statements indicates a potential adverse effect of the medication? A. “My body aches all over.” B. “I have abdominal cramping.” C. “My hair seems to be thinning.” D. “It hurts when I urinate.” 17.) A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has been taking tiotropium. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. “My body aches all over.” B. “I am urinating more during the day.” C. “My mouth feels dry all the time.” D. “I have trouble sleeping at night.” 18.) A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor-vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first? A. Acamprosate B. Naltrexone C. Chlordiazepoxide D. Disulfiram 19.) A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication? A. Thirst B. Nocturia C. Headache D. Heart Palpitations 20.) A charge nurse is teaching a newly licensed nurse about a client who has severe allergy-related asthma and a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medication’s mechanism of action? A. It reduces the number of immunoglobulin E (IgE) molecules on mast cells. B. It stabilized the cellular membrane of mast cells. C. It describes the synthesis and release of inflammatory mediators. D. It relaxes the smooth muscles by blocking adenosine receptors. 21.) A nurse is preparing to administer chlorothiazide 20 mg/kd/day PO divided equally and administered twice daily for a toddler who weighs 28.6 lbs. The amount available is chlorothiazide oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Fill in the blank with a numeric value only, round the nearest answer to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.) FILL IN THE BLANK:____________________________ 22.) A nurse is caring for a client who has diabetes insipidus. Which of the following laboratory values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder? A. Sodium 152 mEq/L B. Potassium 6.0 mEq/L C. Creatinine clearance 50 mL/min D. Aspartate aminotransferase (AST) 52 units/L 23.) A nurse is assessing an infant who is scheduled to receive the rotavirus vaccine. Which of the following criteria should the nurse identify as a potential contraindication for administering this vaccine? A. The infant is teething. B. The infant has a history of intussusception. C. The infant has been constipated for 3 days. D. The infant is 9 weeks old. 24.) A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? A. Administer a small test dose before giving the full dose. B. Infuse the medication over 30 seconds. C. Monitor the client closely for hypertension after the infusion. D. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs. 25.) A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? A. Naproxen B. Pegloticase C. Probenecid D. Allopurinol 26.) A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following effects to this medication? A. Jaundice B. Constipation C. Oral candidiasis D. Sedation 27.) A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline? A. Cromolyn B. Albuterol C. Zafirlukast D. Methylprednisolone 28.) A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expert as an adverse effect? A. Hypotension B. Tinnitus C. Urinary Retention D. Chest Pressure 29.) A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching? A. “Take both medications together for 72 hours and then stop taking the cyclosporine.” B. Stop taking the cyclosporine for 24 hours and then begin taking the tacrolimus.” C. “Alternate taking the medication for 48 hours and then take only the tacrolimus.” D. “If adverse reactions to the tacrolimus occur, stop taking it and restart the cyclosporine.” 29.) A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching? A. “Take both medications together for 72 hours and then stop taking the cyclosporine.” B. “Stop taking the cyclosporine for 24 hours and then begin taking the tacrolimus.” C. “Alternate taking the medications for 48 hours and then take only the tacrolimus.” D. “If adverse reactions to the tacrolimus occur, stop taking it and restart the cyclosporine.” 30.) A nurse is providing discharge teaching to a client who had a 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 taking this medication within 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.” 31.) A nurse who is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times? A. Within 3 months of initial diagnosis B. When DSAIDs have not provided pain relief C. During an exacerbation of symptoms D. Once bone degeneration progresses 32.) A nurse is teaching a client with chronic asthma who has a new prescription for cromolyn. Which of the following instructions should the nurse include in the teaching? A. “Use the inhaler just before exercise.” B. “The medication’s therapeutic effects can take up to several weeks to develop.” C. “You will shake the medication container for 3 seconds.” D. “You will need to exhale slowly after you inhale.” 33.) A nurse in a long-term care facility is administering medications to a group of older adult clients. Which of the following factors of pharmacokinetics should the nurse consider when caring for this age group? A. The excretion of medications is reduced. B. The percentage of medication absorbed has increased. C. The liver metabolizes medication more quickly. D. The rate at which the liver metabolizes medication declines with age. 34.) A nurse is reviewing the medical record for a client who has a migraine and a prescription for sumatriptan. Which of the following factors in the client’s medical history should the nurse identify as a contraindication to receiving sumatriptan? A. Renal impairment B. Ischemic heart disease C. Severe osteoporosis D. Cirrhosis 35.) A nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. The client has a prescription for depot medroxyprogesterone acetate (DMPA). At which of the following times should the nurse schedule the client to receive the first dose of the medication? A. After 3 months postpartum B. At 6 weeks postpartum C. Within the first 5 days postpartum D. During the first week of the first postpartum menstrual cycle. 36.) A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify which of the following medications used for long-term treatment places the client at an increased risk of asthma-related death? A. Salmeterol B. Fluticasone C. Budesonide D. Theophylline 37.) A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication? A. Urine-specific gravity B. Urine output C. Blood pressure D. Temperature 38.) A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? A. Stop taking the 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 shortness of breath with an extra dose of medication. 39.) A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate the onset of the insulin at which of the following times? A. 0800 B. 0745 C. 0900 D. 1030 40.) A nurse is assisting with a client’s laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions? A. Act as a catalyst for the anesthetic properties of lidocaine B. Delay systemic absorption of the anesthetic properties of lidocaine. C. Open the blood vessels for rapid anesthesia from the lidocaine. D. Prevent medication toxicity during the procedure. 41.) 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.” 42.) A nurse is teaching a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching? A. “I should take a calcium supplement while on this medication.” B. “Regular liver function studies will have to be done while I am taking this medication.” C. “I can take NSAIDs to treat mild pain while using this medication.” D. “I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication.” 43.) A nurse suspects that a client is having an allergic reaction to a medication. Which of the following factors should the nurse identify and increase the likelihood of an allergic reaction to the medication? A. “This is the client’s initial dose of the current prescription.” B. “The client received a large dosage.” C. “The route of administration was oral.” D. “The client has had previous exposure to the medication.” 44.) A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate labor. Which of the following statements should the nurse include in the teaching? A. “It is inserted using a catheter.” B. “One pouch is given every 4 hours until labor occurs.” C. “Lie on your back for at least 2 hours without getting up.” D. “If labor doesn’t occur within 6 hours, a second dose can be administered.” 45.) A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care? A. The client must sign an agreement with the provider before beginning alosetron. B. The client must stop taking alosetron if diarrhea continues for 1 week after beginning the medication. C. The client should expect to have a slower heart rate while taking alosetron. D. The client should use a barrier birth control method because alosetron interacts with oral contraceptives. 46.) A nurse is caring for a client who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should identify which of the following is an expected outcome for the client receiving this medication? A. Thinned pulmonary secretions that are retained in the air airways. B. Slowed progression of pulmonary damage C. Potentiated action of bronchodilator therapy D. Decreased risk of fevers associated with CF