Hard ATI Pharmacology Test Questions Part VI (100-154)

100.) A nurse is assessing a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately? A. "I have had occasional constipation." B. "I have had some gas." C. "My head has been hurting for some days." ✔ D. "My legs feel weak and achy." 101.) A nurse is preparing to administer atropine 0.6 mg IM preoperatively to a client. The amount available is atropine 0.4 mg/1 mL. How many mL should the nurse plan to administer? (Fill in the blank with the numeric value only, round to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:__________ 102.) A nurse is teaching a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives? A. Bone fractures ✔ B. Deep-vein thrombosis C. Increased LDL cholesterol D. Increased risk of breast cancer 103.) A nurse working in the emergency department is admitting a client who has a gastric ulcer and gastrointestinal (GI) bleeding. Which of the following factors in the client's medical history should the nurse report to the provider? ✔ A. Arthritis treated with ibuprofen every 8 hours as needed B. Previous tobacco smoking with cessation 5 years ago C. Negative H. pylori breath test 1 year prior D. Prescribed bismuth subsalicylate as needed for GI upset 104.) A nurse in a provider's office is reviewing a client’s medication history. The client asks the nurse if she should begin taking high-dose vitamins as she ages. Which of the following pieces of information should the nurse provide about high doses of vitamin supplements? A. High doses of water-soluble vitamins enhance their therapeutic actions. ✔ B. High doses of water-soluble vitamins can have adverse effects. C. High doses of vitamin supplements are restricted to use during pregnancy. D. Tolerance might develop, resulting in an increased vitamin need. 105.) A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? ✔ A. “A full therapeutic response may take several months to happen." B. "The medication should be taken with high-protein foods." C. "A full therapeutic response might cause vivid dreams." D. "The medication is given at the onset of mild symptoms." 106.) A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of this medication? A. Diabetes mellitus ✔ B. Current use of isosorbide to treat heart failure C. Eyeglasses for presbyopia D. Osteoarthritis 107.) A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? A. Thrombophlebitis B. Hyperactive reflexes ✔ C. Muscle weakness D. Hypoglycemia 108.) A nurse is preparing to administer the first injection of the diphtheria, tetanus, and pertussis (DTaP) vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization? A. "Your child might develop diarrhea or vomiting within 24 hours of receiving this vaccine." B. "I can either give your child all of the injections in this series at once or individually." ✔ C. "The vaccine will be injected into the infant's thigh." D. "This injection contains a live virus." 109.) A nurse is preparing to administer an IV injection to a client. For which of the following reasons should the nurse inject the medication slowly? ✔ A. To reduce toxicity risk B. To improve absorption pattern C. To prevent medication dilution D. To protect against embolism 110.) A nurse is preparing to administer heparin 500 units/hr to a client who has a deep-vein thrombosis. Heparin is available at 25,000 units in 500 mL of 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 to the nearest whole number, use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank___10_____ 111.) A nurse is caring for a client who has been receiving medication through a transdermal patch. The client is experiencing therapeutic benefits from the medication even though the medication in the patch is no longer active. The nurse should recognize that this is an example of which of the following? A. Pharmacodynamic tolerance ✔ B. Placebo effect C. Metabolic tolerance D. Tachyphylaxis 112.) A nurse is preparing to administer verapamil 5.5 mg via IV bolus to a client who has hypertension. The amount available is verapamil 2.5 mg/1 mL. How many mL should the nurse administer? (Fill in the blank with the numeric value only, round to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:__2.2____ 113.) A nurse is preparing to administer levothyroxine 12.5 mcg PO daily to a client who has hypothyroidism. Levothyroxine 25 mcg/1 tablet is available. How many tablets 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:_0.5_____ 14.) A nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist. Which of the following should the nurse identify as the expected outcome of this medication? A. Reduces the frequency of attacks ✔ B. Reverses bronchospasm C. Prevents inflammation D. Decreases chronic manifestations 15.) A nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of the medication? A. BP 132/84 mmHg B. Blood glucose 106 mg/dL C. Decreased deep tendon reflexes ✔ D. Maternal heart rate >120/min 116.) A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine? ✔ A. Broiled beef steak B. Macaroni and cheese C. Pepperoni pizza D. Smoked salmon 117.) A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client? A. Ipratropium ✔ B. Albuterol sulfate C. Tiotropium D. Budesonide 118.) A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? A. Aspirin B. Warfarin C. Ticagrelor ✔ D. Enoxaparin 119.) A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain? A. Meperidine B. Buprenorphine C. Methadone ✔ D. Fentanyl 120.) A nurse is preparing to administer heparin 12,000 units subcutaneously to a client every 8 hr. Heparin 20,000 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:___0.6_______ 121.) A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer’s disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make? ✔ A. "Ginkgo biloba will likely interfere with the effectiveness of his other medications." B. "You should ask his provider if ginkgo biloba is safe." C. "Ginkgo biloba is most effective in the later stages of Alzheimer’s disease." D. "People who have Alzheimer's disease should adhere to the medication regimen their provider prescribes." 122.) A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain that nifedipine works for clients who are pregnant through which of the following mechanisms? A. It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. ✔ B. It inhibits uterine contractions by blocking the entry of calcium into uterine cells. C. It decreases activity within the CNS, which regulates all smooth muscle. D. It stimulates beta-2 receptors in the uterus, which decreases the frequency of contractions. 123.) A nurse is reviewing the laboratory reports of a client who has been taking warfarin for atrial fibrillation. Which of the following results should the nurse report to the provider immediately? A. PT 18 seconds B. Platelet count 160,000/mm^3 C. Hct 43% ✔ D. INR 5.5 124.) A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg 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:__20____ 125.) A nurse is preparing to administer metoclopramide 10 mg IM to a client who is postoperative and nauseated. The amount available is metoclopramide 5 mg/1 mL. How many mL should the nurse administer? (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:___2_____ 126.) A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The amount available is codeine oral solution 15 mg/5 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 whole number, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:__10_____ 127.) A nurse in a provider's office is assessing a client who has been taking feverfew. Which of the following statements by the client indicates a therapeutic effect of the supplement? ✔ A. "I am having fewer migraine headaches since I started taking feverfew." B. "My memory seems to be getting better since I started taking feverfew." C. "I have fewer infections when I take feverfew." D. "I have not had another urinary tract infection since starting feverfew." 128.) A nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation ✔ B. Tremors C. Fatigue D. Bradycardia 129.) A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL for infusion over 10 hr. The drop factor of the manual IV tubing is 15 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 to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:__25______ 130.) A nurse is preparing to administer an enteral feeding through an NG tube at 250 mL over 4 hr. The nurse should set the 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:___63____ 131.) A nurse is caring for a client who has a dry nonproductive cough. Which of the following types of medication should the nurse recommend? A. Expectorant B. Mucolytic C. Bronchodilator ✔ D. Antitussive 132.) A nurse is teaching a client who has a prescription for doxycycline for the treatment of a Helicobacter pylori infection. Which of the following instructions should the nurse include in the teaching? A. "Take this medication with meals to decrease gastrointestinal upset." B. "Continue this medication if you become pregnant." ✔ C. "Wear protective clothing while in the sun." D. "Expect to have severe diarrhea while taking this medication." 133.) A nurse is caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin? A. Seizures B. Tachycardia C. Bronchodilation ✔ D. Hypotension 134.) A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV infused over 8 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? (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_____ 135.) A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication? A. Weight loss B. Hypotension C. Lethargy ✔ D. Osteoporosis 136.) A nurse is administering a client’s first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate? A. "Sucralfate decreases gastric acid secretions." ✔ B. "Sucralfate forms a gel-like substance that protects ulcers." C. "Sucralfate inactivates Helicobacter pylori." D. "Sucralfate inhibits the production of gastric acid." Incorrect, try again! 137.) A nurse is assessing a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement? ✔ A. The client is having 1–2 bowel movements per day. B. The client's glucose level is elevated. C. The client has experienced weight loss. D. The client has abdominal distention. 138.) A nurse is preparing to administer acetaminophen 1 g PO 3 times per day PRN to a client who has a fever. The amount available is acetaminophen 325 mg/1 tablet. How many tablets 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:__3____ 139.) A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the following responses should the nurse make? A. "You will find that all antihistamines cause sedation." B. "You should avoid taking the antihistamine with food." C. "The effects of sedation will occur with each dose." ✔ D. "You should try antihistamines with non-sedative effects." 140.) A nurse is teaching a client about taking tetracycline PO. Which of the following statements should the nurse include in the teaching? A. "Take this medication on a full stomach." ✔ B. "Limit your consumption of dairy products while taking this medicine." C. "Take the medication with your regular iron supplement." D. "Take antacids if you have an upset stomach from using tetracycline." 141.) A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypertension ✔ B. Cardiac dysrhythmias C. Gastric discomfort D. Tachycardia I 142.) A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? A. Take ibuprofen as needed for headaches or other minor pains ✔ B. Carry a medical alert ID card C. Report to the laboratory weekly to have blood drawn for aPTT D. Increase intake of dark green vegetables 143.) A nurse is preparing to administer magnesium hydroxide 1.5 oz PO to a client who has constipation. How many mL should the nurse administer? (Round the answer to the whole number and use a leading zero if applicable. Do not use a trailing zero.) Fill in the blank:__45____ 144.) A nurse is teaching a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. The nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alpha? ✔ A. Hypertension B. Leukocytosis C. Bone pain D. Neutropenia 145.) A nurse is reviewing the laboratory data for a client who has Alzheimer’s disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the client’s risk for reduced clearance of the medication? A. Alanine aminotransferase (ALT) 60 international units/L ✔ B. Creatinine clearance 35 mL/min C. HbA1c 5% D. BMI 31 146.) A nurse is caring for a client who has Alzheimer's disease and a prescription for memantine. Which of the following laboratory findings should the nurse identify as a contraindication to receiving this medication? A. Alanine aminotransferase (ALT) 60 units/L ✔ B. Creatinine clearance 35 mL/min C. HbA1c 5% D. BMI 31 147.) A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication? A. ½ inch ✔ B. 1 ½ inch C. 2 ½ inch D. 3 inch 148.) A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching? ✔ A. "I might have difficulty recognizing when my blood sugar is low." B. "I will have a lower risk of developing an infection while I take this medication." C. "I should be concerned about losing excess weight while I take this medication." D. "I could have more problems with high blood sugar while taking this medication." 149.) A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications? A. Protamine sulfate B. Fondaparinux ✔ C. Vitamin K D. Bivalirudin 150.) A nurse is preparing to administer lactated Ringer's (LR) 700 mL IV by infusion over 24 hr to a pediatric client. The drop factor of the manual IV tubing is 60 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:______ 151.) A nurse is teaching a client who is using topical lidocaine about preventing systemic toxicity. Which of the following pieces of information should the nurse include about the application of topical lidocaine? A. Apply a dressing after covering the affected areas with topical lidocaine ✔ B. Apply topical lidocaine to affected areas that are intact C. Apply topical lidocaine in a thick layer to affected areas D. Apply topical lidocaine frequently to large affected areas 152.) A nurse is preparing to administer 150 units/hr of regular insulin to a client. Regular insulin is available at 1,500 units in 0.9% sodium chloride 500 mL. The nurse should set the IV pump to deliver how many mL/hr? (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:__50____ 153.) A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis? A. Weight gain B. Constipation ✔ C. Chest pain D. Fatigue 154.) A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching? A. "The effects of the insulin lispro can last for 8 to 12 hours." B. "Administer insulin lispro 30 to 60 minutes before eating." ✔ C. "Insulin lispro has an onset of about 15 minutes." D. "This insulin can be given as a continuous intravenous bolus."