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ATI CAPSTONE PHARMACOLOGY
ASSESSMENT 1 LATEST QUESTIONS
AND VERIFIED ANSWERS 100% PASS
Question-a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info regarding the action of guaifenesin should the nurse include in the teaching? - answer- guaifenesin increases cough production Question-a nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. The nurse should monitor the client for which of the following outcomes as therapeutic response to the medication? - answer-decreased anginal pain Question-a nurse is providing teaching to a client who has a new prescription for levothyroxine, which statement indicates understanding of the teaching? - answer-"i might not realize the full effect of the medication for several weeks" Take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast Question-a nurse is assessing a client who has HF is taking digoxin. The nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider? - answer-vomiting (n/v, anorexia, blurred vision) Question- A nurse is caring for a client who is receiving morphine, what assessment is priority - answer-RR Question-a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma, what is the priority to report to the provider - answer-bronchospasms
Question-a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse instruct? - answer-you should gargle with water after each use of this inhaler Question-a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about anticholinergic adverse effects? - answer-blurred vision Tachycardia Constipation Question-a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point? - answer-you should report a rash to your provider (fatal disorder Stevens-Johnson syndrome) Question-a nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression, what is the priority instruction? - answer-move slowly when standing from a lying down position (r/f orthostatic hypotension) Question-a nurse is reviewing the medical record of a client who received his medications 1 hour ago, the pt reports chest pain, this can be an AE of what med? - answer-albuterol (beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias) Question-a nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma, what indicates an understanding of the instructions? - answer-i can expect to feel some irritation when i put these drops in my eyes Question-a nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene, what should the nurse assess prior to initiating therapy? - answer-pregnancy status
nurse provide? - answer-taking the 2 meds together keeps you from becoming resistant to either of them Question-a nurse in the PACU is caring for a client who has received GA and has a manifestations of malignant hyperthermia, the nurse should expect to administer which of the following meds? - answer-dantrolene Question-a nurse is providing teaching to a client who has a new prescription for oxybutynin, what statements by the client indicates an understanding of the teaching? - answer-i need to avoid jogging on warm days (suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia) Question-a nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV, which should the nurse report to the provider - answer-neutrophil count 650/mm (normal is 1500-8000) Question-a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what finding as an AE of this med? - answer-muscle tenderness (--> myopathy, rhabdomyolysis) Question-a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago The client reports experiencing n/d, what should the nurse say - answer-your symptoms are common AE of metformin and should decrease with time (GI manifestations at onset of therapy) Question-a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that misoprostol is contraindicated for which of the following clients? - answer-a client who might be pregnant
(category X, can cause spontaneous abortion) Question-a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what med should the nurse prepare? - answer-adenosine (decreases electrical conduction through the AV node) Question-a nurse is caring for a client who has varicella zoster, what med should the nurse administer - answer-acyclovir Question-a nurse is caring for a client who has recurrent lower utis which of the following meds should the nurse expect to administer? - answer-nitrofuratoin Ab for lower recurrent utis Question-a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. What info should the nurse include? - answer-increase calcium intake (can cause bone loss) Question-a nurse is providing discharge teaching to a pt who is starting to use an albuterol inhaler, what statement indicates understanding? - answer-i should take this medication 15 minutes before exercising Question-a nurse is teaching a pt who is taking methyldopa for the tx of htn, what info should the nurse include? - answer-the med can cause dizziness Question-a nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what as an expected therapeutic effect of this med - answer-increased urinary output
Question-a nurse is caring for a pt who has a prescription for HCTZ for the initial tx of hypertension, what should the nurse recognize as the action of this med? - answer-HCTZ decreases the reabsorption of sodium and water in the distal renal tubule Question-a nurse is caring for a client who has an infection and is starting to take gentamicin, what lab test should the nurse monitor to detect an AE of the med? - answer-creatinine (Cr, BUN, U.O.) Question-a nurse is caring for a pt who has chemo induced anemia, the nurse should expect to administer which of the following meds to treat the anemia - answer-epoetin alfa Question-a nurse is providing teaching to a pt who has a prescription for buspirone, what info should the nurse include in the teaching - answer-expect to have a full response from buspirone after 3-4 weeks Question-a nurse is caring for an OA client who is confirmed positive for HIV and will begin med therapy, what instruction should the nurse give the client - answer-you will be prescribed more than one medication to fight the virus Your medication plan can also include an antibiotic medication You will need to take the medication for the rest of your life Question-a nurse is teaching the partner of a pt who has DM how to manage episodes of sever hypoglycemia, when the pt is unresponsive, what action should the nurse instruct the pt to do first? - answer-administer glucagon IM to the client Question-a nurse is providing teaching to a pt who has a new prescription for ranitidine for the tx of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers by which of the following actions? - answer-it reduces gastric acid production (H2 antagonist)
Question-a nurse in the PACU is caring for a pt who has received GA and has a manifestation of malignant hyperthermia, the nurse should expect to administer what med? - answer-dantrolene Question-a nurse is caring for a pt who is receiving a continuous IV of heparin, the nurse should expect to administer which of the following meds if the client experiences a heparin overdose? - answer-protamine sulfate Question-a nurse is preparing to administer IV mannitol to a client, the nurse should monitor the client for which of the following manifestations as an expected outcome of this med - answer- reduced intracranial pressure Question-a nurse is caring for a client who has HF and a prescription for acetazolamide. Prior to administration of the first dose, the nurse should ask the client if she has allergy to what meds? - answer-sulfa-based meds Question-a nurse is providing teaching to a pt who has a new prescription for oral extended release potassium chloride tablets, what instructions should the nurse include in the teaching? - answer-do not crush this medication Question-a nurse is caring for a female client who has a new prescription for alosetron, what therapeutic effects should the nurse expect in this pt? - answer-a decrease in the frequency of defecation Question-a nurse is discussing AE with a pt who has non-Hodgkin's lymphoma and it is starting to take methotrexate, what should the nurse provide? - answer-methotrexate can increase the risk for bleeding Question-a nurse is providing teaching to a pt who has PD and has a new prescription for levodopa/carbidopa, what should the nurse include in the teaching - answer-you should move slowly when you want to stand up Question-a nurse is teaching a pt who has a new prescription for nitrofurantoin, what info should the nurse include in the teaching? - answer-you should stop taking the med if you develop a cough
Question-a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info regarding the action of guaifenesin should the nurse include in the teaching? - answer- guaifenesin increases cough production Question-a nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. The nurse should monitor the client for which of the following outcomes as therapeutic response to the medication? - answer-decreased anginal pain Question-a nurse is providing teaching to a client who has a new prescription for levothyroxine, which statement indicates understanding of the teaching? - answer-"i might not realize the full effect of the medication for several weeks" Take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast Question-a nurse is assessing a client who has HF is taking digoxin. The nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider? - answer-vomiting (n/v, anorexia, blurred vision) Question-a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point? - answer-you should report a rash to your provider (fatal disorder Stevens-Johnson syndrome) Question-a nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression, what is the priority instruction? - answer-move slowly when standing from a lying down position (r/f orthostatic hypotension)
Question-a nurse is reviewing the medical record of a client who received his medications 1 hour ago, the pt reports chest pain, this can be an AE of what med? - answer-albuterol (beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias) Question-a nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma, what indicates an understanding of the instructions? - answer-i can expect to feel some irritation when i put these drops in my eyes Question-a nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene, what should the nurse assess prior to initiating therapy? - answer-pregnancy status (risk category X) Question-a nurse is teaching a pt to use TD nitroglycerin patches to treat angina pectoris, what instructions should she include? - answer-apply a new patch every morning (effects begin 30-60 min after application and last 14 hours) Question-a nurse is providing teaching to a pt who has a new prescription for allopurinol to treat gout, what should the nurse include? - answer-increase your fluid intake Question-a nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline once per day, what should the nurse include? - answer-increase fluids while on this med (urine turns blue/green, sedation is an AE) Question-a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion over 30min every 12 hours, what should the nurse take? - answer-contact the provider for prescription clarification
(--> myopathy, rhabdomyolysis) Question-a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago The client reports experiencing n/d, what should the nurse say - answer-your symptoms are common AE of metformin and should decrease with time (GI manifestations at onset of therapy) Question-a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that misoprostol is contraindicated for which of the following clients? - answer-a client who might be pregnant (category X, can cause spontaneous abortion) Question-a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what med should the nurse prepare? - answer-adenosine (decreases electrical conduction through the AV node) Question-a nurse is caring for a client who has varicella zoster, what med should the nurse administer - answer-acyclovir Question-a nurse is caring for a client who has recurrent lower utis which of the following meds should the nurse expect to administer? - answer-nitrofuratoin Ab for lower recurrent utis Question-a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. What info should the nurse include? - answer-increase calcium intake
(can cause bone loss) Question-a nurse is providing discharge teaching to a pt who is starting to use an albuterol inhaler, what statement indicates understanding? - answer-i should take this medication 15 minutes before exercising Question-a nurse is teaching a pt who is taking methyldopa for the tx of htn, what info should the nurse include? - answer-the med can cause dizziness Question-a nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what as an expected therapeutic effect of this med - answer-increased urinary output (loop diuretic) Question-a nurse is teaching a client who has a seizure disorder and is starting to take phenytoin, what statement should indicate understanding? - answer-i will have my blood checked to monitor the med levels (10-20) Question-a nurse is caring for a pt with hyperlipidemia, a new prescription for colesevelam, the nurse should monitor what as an AE of colesevelam? - answer-constipation (and dyspepsia) Question-the nurse is providing teaching to a female pt for ciprofloxacin, what statement indicates understanding of the teaching - answer-i should wear protective clothing when I go outdoors (and sunscreen to prevent sunburn bc r/f photosensitivity)
You will need to take the medication for the rest of your life Question-a nurse is teaching the partner of a pt who has DM how to manage episodes of sever hypoglycemia, when the pt is unresponsive, what action should the nurse instruct the pt to do first? - answer-administer glucagon IM to the client Question-a nurse is providing teaching to a pt who has a new prescription for ranitidine for the tx of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers by which of the following actions? - answer-it reduces gastric acid production (H2 antagonist) Question-a nurse in the PACU is caring for a pt who has received GA and has a manifestation of malignant hyperthermia, the nurse should expect to administer what med? - answer-dantrolene Question-a nurse is caring for a pt who is receiving a continuous IV of heparin, the nurse should expect to administer which of the following meds if the client experiences a heparin overdose? - answer-protamine sulfate Question-a nurse is preparing to administer IV mannitol to a client, the nurse should monitor the client for which of the following manifestations as an expected outcome of this med - answer- reduced intracranial pressure Question-a nurse is caring for a client who has HF and a prescription for acetazolamide. Prior to administration of the first dose, the nurse should ask the client if she has allergy to what meds? - answer-sulfa-based meds Question-a nurse is providing teaching to a pt who has a new prescription for oral extended release potassium chloride tablets, what instructions should the nurse include in the teaching? - answer-do not crush this medication
Question-a nurse is caring for a female client who has a new prescription for alosetron, what therapeutic effects should the nurse expect in this pt? - answer-a decrease in the frequency of defecation Question-a nurse is discussing AE with a pt who has non-Hodgkin's lymphoma and it is starting to take methotrexate, what should the nurse provide? - answer-methotrexate can increase the risk for bleeding Question-a nurse is providing teaching to a pt who has PD and has a new prescription for levodopa/carbidopa, what should the nurse include in the teaching - answer-you should move slowly when you want to stand up Question-a nurse is teaching a pt who has a new prescription for nitrofurantoin, what info should the nurse include in the teaching? - answer-you should stop taking the med if you develop a cough (pulmonary reactions) Question-a nurse is providing teaching to a pt who has a new prescription for montelukast, what statement by the pt indicates understanding - answer-i will take the med every day to control my exercise-induced asthma Question-a nurse is preparing to administer a 2nd unit of prbcs to a pt who is experiencing hemorrhagic shock, the nurse should monitor for the manifestations of what as circulatory overload? - answer-dyspnea Question-acetylcysteine is prescribed for what med - answer-acetaminophen overdose Question-a nurse is providing teaching to a client who has T2D, and is starting to take immediate release exenatide, what statement is an understanding of the teaching - answer-i will take this med 1 hour before morning and evening meals
Question-A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse should explain that the most common side effect of this medication is - answer-sedation Question-A nurse is teaching a client who has asthma the appropriate use of inhaled beclomethasone (Beclovent). To avoid complications related to the use of beclomethasone, the nurse should encourage the client to - answer-rinse the mouth after administration. Question-A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to minimize gastric mucosal irritation, she should take this medication at which of the following times? - answer-Immediately after a meal Question-A nurse is monitoring a client's IV site. Which of the following findings are associated with phlebitis and should be reported to the RN? (Select all that apply.) - answer-- Erythema
- Throbbing
- Warmth at insertion site
- Streak formation Question-A nurse is teaching medication safety to a group of healthy older adults at a community center. The nurse explains that due to the high frequency of food-drug interactions, the clients should avoid taking their medications with which of the following? - answer-Grapefruit juice Question-A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the following should the nurse include in the response? (Select all that apply.) - answer-- The medication will prevent wheezing
- The medication will open the airways.
- The medication will decrease coughing episodes. Question-A client diagnosed with oral candidiasis has received instructions from the nurse about the use of nystatin (Mycostatin) suspension. Which of the following statements made by the client should indicate to the nurse that the teaching has been effective? - answer-"I will hold the medication in my mouth for as long as possible."
Question-A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which of the following? - answer-Move the decimal point 3 places to the right. Question-A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply.) - answer-- Count each dose of narcotics in inventory.
- Match number of available doses to record.
- Sign acceptance of narcotic count if correct. Question-A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of rheumatoid arthritis. Which of the following comments by the client requires further discussion by the nurse? - answer-"i've been buying Tagamet to help with the indigestion i've had." Question-A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following is an appropriate response by the nurse? - answer-"Take most of the daily dose at bedtime." Question-A nurse is preparing to administer hydrocodone/acetaminophen (Lortab) 5 mg. It is available in 7.5 mg/500 mg/15 ml elixir. How many ml should the nurse administer? (Round the answer to the nearest whole number.) - answer- 10 ml Question-A nurse is to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following position's while in bed? - answer-Sim's position Question-A nurse is caring for a client who has difficulty swallowing medications and is prescribed aspirin (Ecotrin) PO once daily. The client asks if the medication can be crushed to make it easier to swallow. The nurse's response should be, "Crushing the pill - answer-might cause you to have a stomachache or indigestion." Question-A client tells the nurse she took a dose of dimenhydrinate (Dramamine) before coming to the health care clinic. The nurse determines that the medication is effective when the client reports relief of - answer-nausea
