Hard ATI Pharmacology Test Questions Part V (46-99)

46.)A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effective? A. "I can take my water pill as prescribed." ✔ B. "I can experience an imbalance in my electrolytes from this medication." C. "I should drink 8 ounces of bowel cleanser every 10 minutes until I drink a total of 4 liters." D. "I can experience rebound constipation after using this medication." 47.) A nurse is preparing to administer azithromycin 150 mg liquid suspension PO every 12 hr to a client. The amount available is azithromycin 50 mg/5 mL. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only, round to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.) FILL IN THE BLANK:___15______ 48.) A nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should identify which of the following actions is the purpose of this medication? ✔ A. Inhibition of ovulation B. Thinning of the endometrial lining C. Inhibition of luteinizing hormone D. Thinning of cervical mucus 49.) A nurse is preparing to administer 1 mg of enalapril via IV bolus to a client who is experiencing hypertension. The amount available is enalapril 1.25 mg/mL. How many mL should the nurse plan to 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______ 50.) A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the client's medical history? ✔ A. Recent myocardial infarction B. History of hemorrhagic stroke C. Current outbreak of psoriasis D. History of hypertension 51.) A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take naproxen if I have a headache because aspirin can cause lithium toxicity." B. "I can develop lithium toxicity if I eat foods with lots of sodium." ✔ C. "I can develop lithium toxicity if I experience vomiting or diarrhea." D. "I might need to take a daily diuretic along with my lithium to prevent lithium toxicity." 52.) A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? ✔ A. Anti-estrogenic B. Antimicrobial C. Androgenic D. Anti-inflammatory 53.) A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? A. Ecchymosis B. Jaundice ✔ C. Hypotension D. Hypokalemia 54.) A nurse is preparing to administer benztropine 8 mg PO daily in 2 divided doses to a client who has Parkinson's disease. The amount available is benztropine 2 mg tablets. How many tablets 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:____2____ 55.) A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client? A. Dextromethorphan B. Montelukast C. Ciprofloxacin ✔ D. Propranolol 56.) A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount available is amoxicillin 50 mg/mL. How many mL should the nurse administer per 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 Graded Response:__5___ 57.) A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurse’s priority? ✔ A. Paresthesia B. Alopecia C. Stomatitis D. Constipation 58.) A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? ✔ A. Stress fractures B. Orthostatic hypotension C. Gingival ulcerations D. Weight loss Graded 59.)A nurse is teaching a client about a new prescription for extended-release oxycodone for pain management. Which of the following statements should the nurse include in the teaching? ✔ A. "Swallow this medication whole." B. "Take this medication before meals and at bedtime." C. "Constipation decreases with continued use." D. "Avoid taking other supplemental analgesics with this medication." 60.) A nurse is preparing to administer fosphenytoin 550 mg via IV bolus to a client who is having a seizure. Fosphenytoin 50 mg/1 mL is available. How many mL should the nurse administer? (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:__11____ 61.) A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lb. Ampicillin 125 mg/5 mL oral solution 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__7.5___ 62.) A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administering this medication? ✔ A. Blood pressure B. Temperature C. Blood glucose levels D. Total protein level Graded Response 63.) A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider? ✔ A. Aspirin EC 325 mg per NG tube daily B. Atorvastatin 40 mg per NG tube daily C. Propranolol 20 mg per NG tube daily D. Sucralfate 2 g oral suspension per NG tube BID Graded Response: 64.) A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective? A. Increased aspartate aminotransferase (AST) B. Decreased alanine aminotransferase (ALT) C. Increased prothrombin time (PT) ✔ D. Decreased serum ammonia 65.) A nurse is teaching the guardian of an infant about the diphtheria, tetanus, and pertussis (DTaP) vaccine. Which of the following pieces of information should the nurse include in the teaching? A. "Routine immunization for DTaP consists of 3 injections." ✔ B. "The first immunization for DTaP in the series is given at 2 months." C. "DTaP immunization has been replaced with DTP." D. "This immunization is administered subcutaneously." 66.) A nurse is teaching a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective? ✔ A. "I should apply this patch behind my ear." B. "This patch should be replaced every 7 days." C. "Before putting on my patch, I should wipe the area with an alcohol swab." D. "I can use a second patch if a single patch is not effective." 67.) A nurse is preparing to administer desmopressin 0.3 mcg/kg in 0.9% sodium chloride 50 mL IV over 30 min to a client who weighs 154 lb. How many mcg of medication should the client receive? (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:21 68.) A nurse is teaching a client who has osteoporosis about a new prescription for risedronate. Which of the following client statements indicates an understanding of the teaching? ✔ A. "I will take this medication with a full cup of water." B. "I will lie down after I take this medication." C. "I will take this medication with food." D. "I will take this medication at bedtime." 69.) A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously? A. 0600 B. 0630 ✔ C. 0645 D. 0730 70.) A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect? A. Diarrhea B. Anxiety C. Nausea and vomiting ✔ D. Dry mouth 71.) A nurse is preparing to administer an IM injection for a client. Which of the following factors should the nurse identify as a potential contraindication to administering the medication via the IM route? A. The medication is a depot preparation. ✔ B. The client is taking an anticoagulant. C. The medication is a particulate suspension. D. The client has been vomiting. 72.) A nurse is caring for a client who has osteoporosis and has been taking a vitamin D supplement. The nurse notes that the client reports also taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity? A. Hyperkalemia B. Hypermagnesemia ✔ C. Hypercalcemia D. Hypernatremia 73.) A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous infusion of insulin. The nurse should document which of the following types of insulin was administered intravenously to treat ketoacidosis? ✔ A. Regular insulin B. Insulin lispro C. Insulin aspart D. Insulin glargine 74.) A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client when taking this medication? A. Reduced cancer-related bone pain B. Decreased anxiety and insomnia C. Decreased inflammatory response to cancer tumors ✔ D. Reduced cramping, aching, and burning neuropathic pain 75.) A nurse is teaching a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teaching? A. "This medication should be taken at the start of your symptoms." ✔ B. "Rinse your mouth after administering this medication." C. "Shake the canister prior to administering this medication." D. "This medication relaxes your airways to decrease your symptoms." 76.) A nurse is reviewing the laboratory data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following findings as a potential adverse effect of the medication? A. Fasting blood glucose 95 mg/dL B. Triglycerides 135 mg/dL C. Total cholesterol 175 mg/dL ✔ D. Absolute neutrophil count 1,200 mm^3 77.) A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? ✔ A. Hypotension B. Myalgia C. Diarrhea D. Ototoxicity 78.) A nurse is administering a medication parenterally to a client. Which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels? A. Gradually increasing the dose with the dosing interval B. Administering a single loading IM dose C. Using a large fluid-volume IV dose ✔ D. Administering a continuous infusion of the dose 79.) A nurse is planning care for a client with thrombophlebitis who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care? ✔ A. Infuse the heparin using an electronic IV pump B. Administer vitamin K if the client has indications of hemorrhage C. Adjust the dosage of heparin based on the client’s PT levels D. Inform the client that the heparin will dissolve the thrombus 80.) A nurse administered an antibiotic 10 min ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first? A. Give oral corticosteroids B. Administer dopamine C. Give diphenhydramine IV ✔ D. Administer epinephrine subcutaneously 81.)A nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's selection of which of the following foods for the client’s lunch indicates an understanding of the teaching? A. Bologna on wheat bread ✔ B. Chicken salad C. Cheddar cheese and crackers D. Pizza with pepperoni 82.) A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests? A. Platelet count B. Electrolyte levels C. Thyroid function ✔ D. Liver function 83.) A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? A. Hearing examination B. Glucose tolerance test ✔ C. Electrocardiogram D. Pulmonary function tests 84.) A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered-dose inhaler. Which of the following statements by the parent indicates the need for further teaching? ✔ A. "I will give my child a dose as soon as wheezing starts." B. "My child should rinse out his mouth after using the inhaler." C. "My child should exhale completely before placing the inhaler in his mouth." D. "If my child has difficulty breathing in the dose, a spacer can be used." 85.) A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation? A. Atropine ✔ B. Diltiazem C. Epinephrine D. Phenytoin 86.) A nurse in an acute care facility is preparing a reconciled list of medications for a client who is being discharged home. Which of the following actions should the nurse take? A. Give the client a handwritten medication list to take to the next care provider following discharge B. Include a list of medications the client received during care at the facility C. Inform the client that he can get a complete list of his medications from the provider who will be caring for him after discharge ✔ D. Provide the client and the next care provider with a list of medications the client will take after discharge 87.) A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication? A. Hypotension ✔ B. Diuresis C. Increased blood glucose level D. Weight gain 88.) A nurse is teaching a client who has a new prescription for phenytoin. The nurse should inform the client that which of the following adverse effects can occur with the abrupt withdrawal of phenytoin? ✔ A. Status epilepticus B. Bleeding gums C. Disorientation D. Severe nausea 89.) A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Hyperthermia C. Hypoglycemia ✔ D. Tachycardia 90.) A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Hyperthermia C. Hypoglycemia ✔ D. Tachycardia 91.) A home health nurse is visiting an older adult client who has Alzheimer’s disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client? A. Low-grade fever ✔ B. Sedation C. Diuresis D. Tonic-clonic seizures 92.) A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective? A. "I should start taking this medication at 800 mg daily." B. "I will need to have tests done on my liver due to the greater chance of liver failure." ✔ C. "I will increase my fluids to at least 2 liters per day." D. "I should take this medication twice daily." 93.) A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? A. Raynaud's phenomenon ✔ B. Migraine headaches C. Ulcerative colitis D. Anemia 94.) A nurse is preparing to administer prochlorperazine 2.5 mg IV. Prochlorperazine injection 5 mg/mL is available. How many mL should the nurse administer? (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:___0.5_____ 95.) A nurse is preparing to administer heparin 900 units/hr via IV infusion. The amount available is heparin 25,000 units in 500 mL 5% dextrose in water. 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:___18____ 96.) A nurse is caring for a client who has a new prescription for meperidine 500 mg PO q 4 to 6 hr to manage pain. Which of the following actions should the nurse take? A. Notify the pharmacist B. Administer the prescribed amount ✔ C. Contact the provider for clarification of the prescription D. Clarify the dose with the charge nurse 97.) A nurse is performing a preoperative assessment of a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements? A. Soy ✔ B. Garlic C. Black cohosh D. Green tea 98.) A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss? A. Frequent use of steroids ✔ B. Chronic use of salicylates C. Intermittent use of antacids D. Habitual use of laxatives 99.) A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I'll use a safety razor to shave each day." B. "I'll be sure to eat lots of spinach." ✔ C. "I'll avoid contact sports like football." D. "I'll take ibuprofen if I get a headache."