ATI Pharmacology Comprehensive Proctored 2019 A Exam Questions and Answers with Rationales (Verified by Expert)

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ATI Pharmacology Comprehensive Proctored 2019 Exam A

Questions and Answers with Rationales

1.A nurse is providing discharge instructions to a client who has heartfailure and a new prescription for captopril. Which of the following clientstatements indicates an understanding of the teaching?

a. "I should take this medication with food."

b. "I should take naproxen if I develop joint pain."

c. "I should tell my provider if I develop a sore throat."

d. "I should expect the medication to cause my urine to look orange."

 ANS c. "I should tell my provider if I develop a sore throat."

The client should report a sore throat to the provider because this can

indicate neutropenia, a serious adverse effect of captopril. Neutropenia

can be reversed if it is identified early and the medication is promptly

discontinued.

2.A nurse is providing teaching to a client who has peptic ulcer disease andis to start a new prescription for sucralfate. Which of the following actionsof sucralfate should the nurse include in the teaching?

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a. Decreases stomach acid and secretion

b. Neutralizes acid in the stomach

c. Forms a protective barrier

d.Treats ulcers by eradicating H. pylori

 ANS C. For a a protective barrier over ulcers

Secretions by the parietal chief cells, hydrochloric acid and pepsin, canfurther irri- tate the ulcerated areas. Sucralfate, a mucosal protectant,forms a gel-like substance that coats the ulcer, creating a barrier tohydrochloric acid and pepsin.

3.A nurse is providing teaching to a client who has multiple sclerosis and a

new prescription for methylprednisolone. Which of the following

instructions should the nurse include? (SATA)

a. Blood glucose levels will be monitored during therapy

b. Avoid contact with people who have known infections

c.Take the medication 1 hr before breakfast

d. Decrease dietary intake of foods containing potassium

e. Grapefruit juice can increase the effects of the medication

 ANS a. Blood glucose levels will be monitored during therapy

b. Avoid contact with people who have known infections

e. Grapefruit juice can increase the effects of the medication

a.The nurse should monitor the client for hyperglycemia while providing

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methylpred-

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nisolone to the client. Glucocorticoids, such as methylprednisolone,

increase serum glucose levels and can require management with insulinor antihyperglycemia.

b.The nurse should instruct the client to avoid exposures to infectious

agents, such as contact with those who have active infections or

illnesses. Glucocorticoids, which as methylprednisolone, depress the

immune system, placing the client at an increased risk for developing

an infection.

e. The nurse should in strict the client that grapefruit and grapefruit juicecan increase the level of methylprednisolone in the body.

4.The nurse is providing discharge teaching about handling medication to a

client who is to continue taking oral transmucosal fentanyl raspberryflavored lozenges on a stick. Which of the following information should the

nurse include in the teaching?

a. Chew on the medication stick to release the medication

b. Leave the medication stick in one location of the mouth until melted

c. Allow the medication 1 hr for the analgesia effects to begin

d. Store unused medication sticks in a storage container

 ANS d. Store unused medication sticks in a storage container

The nurse should instruct the client to store unused, or partially used,

medications sticks in the safe storage container that comes in the kit