ATI PN PHARMACOLOGY(26 LATEST VERSIONS) 2022-2023 PROCTORED EXAM TEST BANK 26 LATEST VERSIONS|AGRADE

ATI PN PHARMACOLOGY PROCTORED EXAM

VERSION 1

A nurse is providing teaching to a newly licensed nurse about metoclopramide.

The nurse should include in the teaching that which of the following conditions is

a contraindication to this medication?

1. Hyperthyroidism

2. Intestinal obstruction

3. Glaucoma

4. Low blood pressure

A nurse is teaching a newly licensed nurse about contraindications to

ceftriaxone. The nurse should include a severe allergy to which of the following


medications is a contraindication to ceftriaxone?

1. Gentamicin

2. Clindamycin

3. Piperacillin

4. Sulfamethoxazole-trimethoprim

A nurse is caring for a client who has a new diagnosis of oral candidiasis after

taking tetracycline for 7 days. The nurse should recognize that candidiasis is a

manifestation of which of the following adverse effects?

1. Allergic response

2. Superinfection

3. Renal toxicity

4. Hepatotoxicity

A nurse is reviewing the laboratory values for a client who is receiving a

continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the

following actions should the nurse prepare to take?

1. Administer vitamin K

2. Reduce the infusion rate

3. Give the client a low-dose aspirin

4. Request an INR

Final practice

a nurse is planning to administer diltiazem via IV bolus to a client who has atrial

fibrillation. When assessing the client, the nurse should recognize that which of

the following findings is a contraindication to administration of diltiazem?

hypotension

tachycardia

decreased level of consciousness

history of diuretic use

A nurse is administering subcutaneous heparin to a client who is at risk for deep

vein thrombosis. Which of the following actions should the nurse take?

1. Administer the medication into the client's abdomen.

2. Inject the medication into a muscle.

3. Massage the site after administering the medication.


4. Use a 22-gauge needle to administer the medication.

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 the need for further teaching?

1. "If the phenazopyridine upsets my stomach, I can take it with meals."

2. "The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of

the infection."

3. "I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin."

4. "I should notify my provider immediately if my urine turns an orange color."

A nurse is providing teaching to a group of new parents about medications. The

nurse should include that aspirin is contraindicated for children who have a viral

infection due to the risk of developing which of the following adverse effects?

1. Reye's syndrome

2. Visual disturbances

3. Diabetes mellitus

4. Wilms' tumor

A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse

over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The nurse should

set the manual IV infusion to deliver how may gtt/min? (Round the answer to the

nearest whole number).

1 hr/60 min = 8 hr/X min

X = 480 min

1,000 mL/480 min x 10 gtt/mL = X gtt/min

X = 20.833 21 gtt/ min

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? ?

1. Antiestrogenic

2. Antimicrobial

3. Androgenic

4. Anti-inflammatory

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? (Round the answer to the nearest whole number)

2.2 lb/1 kg = 22 lb/X kg

X = 10 kg

4 mg x 10 kg = 40 mg/day

20mg

A nurse is assessing a client who is receiving IV gentamicin three times daily.

Which of the following findings indicates that the client is experiencing an

adverse effect of this medication?

1. Hypoglycemia

2. Proteinuria

3. Nasal congestion


4. Visual disturbances

A nurse is providing teaching to a client who has cirrhosis and a new

prescription for lactulose. The nurse should instruct the client that lactulose has

which of the following therapeutic effects?

1. Increases blood pressure

2. Prevents esophageal bleeding

3. Decreases heart rate

4. Reduces ammonia levels

A nurse is providing teaching to a newly licensed nurse about metoclopramide.

The nurse should include in the teaching that which of the following conditions is

a contraindication to this medication?

1. Hyperthyroidism

2. Intestinal obstruction

3. Glaucoma

4. Low blood pressure

A nurse is teaching a newly licensed nurse about contraindications to

ceftriaxone. The nurse should include a severe allergy to which of the following

medications is a contraindication to ceftriaxone?

1. Gentamicin

2. Clindamycin

3. Piperacillin

4. Sulfamethoxazole-trimethoprim

A nurse is caring for a client who has a new diagnosis of oral candidiasis after

taking tetracycline for 7 days. The nurse should recognize that candidiasis is a

manifestation of which of the following adverse effects?

1. Allergic response

2. Superinfection

3. Renal toxicity

4. Hepatotoxicity

A nurse is reviewing the laboratory values for a client who is receiving a

continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the

following actions should the nurse prepare to take?

1. Administer vitamin K

2. Reduce the infusion rate

3. Give the client a low-dose aspirin

4. Request an INR

Final practice

a nurse is planning to administer diltiazem via IV bolus to a client who has atrial

fibrillation. When assessing the client, the nurse should recognize that which of

the following findings is a contraindication to administration of diltiazem?

hypotension

tachycardia

decreased level of consciousness

history of diuretic use



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