Hard ATI Pharmacology Test Questions Part III (95-140)

95.) A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs? A. Bruising ✔ B. Drowsiness C. Coughing D. Constipation 96.) A nurse is teaching a client who has diabetes mellitus about a new prescription for pioglitazone. Which of the following statements should the nurse include in the teaching? A. "Monitor for hypoglycemia 6 hours after taking the medication." B. "This medication cannot be taken if you have a sulfa allergy." ✔ C. "This medication can be taken when using insulin." D. "This medication is effective for people with type 1 diabetes mellitus." 97.) A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical history? ✔ A. Takes St. John's wort B. Breastfeeds a 6-month-old infant C. Has a parent with hypertension D. Has a positive human papillomavirus (HPV) test result 98.) A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates to the nurse that the client is experiencing an adverse effect of the medication? A. Hypotension B. Weight loss ✔ C. Hypokalemia D. Anorexia 99.) A nurse is caring for a client who takes sulfasalazine twice daily for rheumatoid arthritis. Which of the following values should the nurse review prior to the administration of the medication? A. Respirations B. Serum creatinine level C. Blood pressure ✔ D. Complete blood count 100.) A nurse is teaching the guardian of a school-aged child about growth hormone therapy. Which of the following statements should the nurse include in the teaching? A. "Your child will grow an extra 4 to 6 inches while receiving hormone therapy." B. "Hormone injection therapy will occur for 2 to 3 years." C. "Your child will receive hormone injections no more often than 1 to 2 times each week." ✔ D. "The hormone injections are administered subcutaneously." 101.) A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible? A. Albuterol and montelukast ✔ B. Theophylline and zileuton C. Aminophylline and fluticasone D. Salmeterol and levalbuterol 102.) A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma? ✔ A. Dry-powder inhaler (DPI) B. Metered-dose inhaler (MDI) with spacer C. Respimat D. Nebulizer 103.) A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget’s disease of the bone. Which of the following actions should be the nurse’s priority? A. Administer the medication to the client before breakfast in the morning ✔ B. Ambulate the client to a chair prior to administering the medication C. Give the medication to the client with water rather than milk D. Teach the client how to take the medication at home 104.) A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication? A. "You may need to take a lower dosage when you are ill or experiencing stress." B. "Take this medication before going to bed because it will make you tired." ✔ C. "Carry a supply of pills and a single-use injectable preparation with you at all times." D. "You will need to stop this medication before routine procedures such as a colonoscopy." 105.) A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take? A. Place the oxytocin from a pre-filled syringe into the posterior fornix of the vagina every 10 min until effective labor occurs B. Check the client’s blood pressure and pulse every 15 min while induction of labor is occurring C. Stop oxytocin for contractions that continue for more than 30 sec ✔ D. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min 106.) A nurse is teaching about adverse effects of ergotamine with a client who has migraine headaches. Which of the following client statements should indicate an understanding of the teaching? ✔ A. "If I overuse this medication, I might become addicted to it." B. "This medication is okay to use during pregnancy." C. "Tingling in my fingers and toes is an adverse effect that goes away with continued use." D. "I will experience restlessness as an adverse effect when I begin taking this medication" 107.) A nurse is educating a client with urethritis who has a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching? ✔ A. "Report persistent diarrhea to the provider." B. "Take this medication with a full glass of milk." C. "Some people who take erythromycin experience vision loss." D. "Antacids will reduce the extent of absorption of this medication." 108.) A nurse is teaching a client who is starting patient-controlled analgesia (PCA) following a procedure. Which of the following client statements indicates an understanding of the teaching? A. "This method of medication can increase the chances of overdose." B. "I should self-administer the medication 1 hour before walking." C. "I should expect to receive smaller doses when I am sleeping." ✔ D. "This method works by keeping my opioid levels steady." 109.)A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share? A. The SABA will provide prolonged control of asthma attacks. B. SABAs are also available in an oral form. C. The SABA will have to be taken with an inhaled glucocorticoid. ✔ D. Notify the provider if the SABA is needed more than twice per week. 110.) A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider? A. Restlessness B. Insomnia ✔ C. Palpitations D. Weight Gain 111.) A nurse is teaching a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching? A. "You can lie down 15 minutes after taking this medication." ✔ B. "Take this medication on an empty stomach." C. "Crush this medication to improve absorption." D. "Avoid taking antacids or supplements that contain calcium while taking this medication." 112.) A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates a need for further teaching? A. "If phenazopyridine upsets my stomach, I can take it with meals." B. "Phenazopyridine will relieve my discomfort, but ciprofloxacin will get rid of the infection." C. "I need to drink 2 L of fluid per day while I am taking the ciprofloxacin." ✔ D. "I should notify my provider immediately if my urine turns an orange color." 113.) A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take? A. Choose an IV port for IV bolus injection of diphenhydramine as near as possible to the client’s hanging IV bag B. Flush the IV tubing with 2 mL of 0.9% sodium chloride before and after administering diphenhydramine C. Allow the IV infusion to keep running while administering the diphenhydramine via IV bolus ✔ D. Aspirate to check for IV patency before administering the diphenhydramine Graded Response: Unanswered 114.) A nurse is teaching a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching? ✔ A. "If I experience severe diarrhea, I will call my doctor." B. "Pneumonia is associated with long-term use of this medication." C. "I will need to take this medication with food." D. "I should take vitamin B12 while using this medication." 115.) A nurse is administering a prescription for nifedipine to a client who is pregnant. Which of the following pieces of information related to nifedipine should the nurse monitor and document? A. Hypoglycemia B. Uterine ripening C. Increased blood pressure ✔ D. Number of uterine contractions 116.) A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medication? A. Hyperthyroidism ✔ B. Intestinal obstruction C. Glaucoma D. Low blood pressure 117.) A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril? ✔ A. Tongue swelling B. Low potassium level C. Runny nose D. Bruising 118.) A nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? ✔ A. Small stature for age B. Decreased weight C. Poor dentition D. Atrophied muscles 119.) A nurse is teaching a client who has a new prescription for alosetron. Which of the following client statements indicates an understanding of the teaching? A. "Nausea is a common adverse effect of this medication." ✔ B. "I should contact my provider immediately if I experience constipation." C. "If I do not respond to treatment at the lowest dosage, my provider may continue to increase the dosage at weekly intervals." D. "Abdominal pain with diarrhea can indicate a serious complication." 120.) A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? A. Glomerular filtration rate (GFR) <60 B. Alanine aminotransferase (ALT) 82 units/L ✔ C. Anorexia and weakness D. Varicose veins in the lower extremities 121.) A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include? A. "You’ll need to take this medication for the rest of your life to prevent recurrence." B. "Your provider will monitor your thyroid function while you are taking this medication." ✔ C. "You should take this medication on an empty stomach." D. "You should take this medication with an antacid." 122.) A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following adverse effects of the medication? (Select all that apply.) A. Dizziness B. Pale appearance C. Palpitations D. Abdominal pain E. Peripheral edema 123.) A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following pieces of information should the nurse include in the teaching? ✔ A. Respiratory depression can occur 7 min after the morphine is administered. B. The morphine will peak in 10 min. C. Withhold the morphine if the client has a respiratory rate of <16/min. D. Administer the morphine over 2 min. 124.) A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the following assessments is the nurse’s priority? ✔ A. Pulmonary function B. CBC C. Urinary output D. Peripheral edema 125.) A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons? A. Long-term use to reduce the risk of breast cancer B. Short-term use to stimulate the endometrium C. Long-term use to prevent osteoporosis ✔ D. Short-term use to control urogenital atrophy 126.) A nurse is evaluating how a client who is pregnant is responding to medication. Which of the following physiological effects of pregnancy should the nurse take into consideration? A. Increased intestinal transit rate ✔ B. Accelerated excretion of fluids C. Reduced renal blood flow D. Decreased hepatic metabolism 127.) A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication? A. Breast cancer ✔ B. History of deep-vein thrombosis (DVT) C. Allergy to calcitonin D. Current diagnosis of cholecystitis Graded Response: Unanswered 128.) A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hr to treat a postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the medication? A. Disorientation ✔ B. Epistaxis C. Constipation D. Jaundice 129.) A nurse is providing teaching to a client with tuberculosis who has prescriptions for rifampin and ethambutol. Which of the following findings is an adverse effect of these medications that the client should report to the provider? A. Red-orange discoloration of urine B. Unexpected weight gain C. Ringing in the ears ✔ D. Decreased visual acuity 130.) A nurse is assessing a client who has multidrug-resistant tuberculosis and takes ethambutol. The nurse should identify which of the following findings as an adverse effect of this medication? A. Mottling of the extremities B. Orange-red urine and bodily secretions C. Yellowing of the sclera ✔ D. Loss of red/green color discrimination 131.) A nurse is caring for a client who has tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following adverse effects of rifampin? ✔ A. Red-tinged urine B. Tinnitus C. Blurred vision D. Dry mouth 132.) A nurse is preparing to administer the varicella vaccine to a 12-month-old infant. The nurse asks the infant's guardian if the infant has any allergies. Which of the following allergies is a contraindication to the infant receiving the vaccine? ✔ A. Gelatin B. Milk C. Eggs D. Peanuts 133.) A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include? ✔ A. "Seizures can occur with this medication." B. "You should observe for manifestations of bleeding." C. "Check your hands and feet for sensory dysfunction." D. "This medication can increase the risk of ototoxicity." 134.) A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective? A. "I feel a little drowsy with this medication." B. "I am now drinking much more water." ✔ C. "I have not had a bowel movement today." D. "I no longer feel chest tightness." 135.) A nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. Which of the following data should the nurse collect before administering this medication? A. Indications of superinfection B. Peak and trough medication levels ✔ C. Baseline BUN and creatinine D. History of allergy to aminoglycoside antibiotics 136.) A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication? A. Gestational diabetes ✔ B. Past cesarean delivery C. Preeclampsia D. Genital herpes 137.) A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy? A. Mineralocorticoids help the body metabolize carbohydrates, fats, and proteins. B. Mineralocorticoids support secondary sexual development. ✔ C. Mineralocorticoids maintain electrolyte and fluid balance. D. Mineralocorticoids reduce the risk of cardiac dysrhythmias. 138.) A nurse is reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the following prescriptions should the nurse clarify with the provider? A. Metoprolol B. Ondansetron ✔ C. Lorazepam D. Naloxone 139.) A nurse is caring for a client who is taking glucocorticoids. The nurse should monitor the client for which of the following adverse effects of the medication? A. Weight loss ✔ B. Peptic ulcer C. Hyperkalemia D. Diplopia 140.) A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? A. Hypertension B. Peripheral vision loss ✔ C. Asthma D. Increased intraocular pressure