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ATI Pharmacology Proctored Exam
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ATI Pharmacology Proctored Exam Pharma proctored HESI RN EXIT Exam
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A nurse is assessing a client b. Distended neck veins
who is receiving intravenous
therapy. The nurse should
identify which of the following
findings as a manifestation of
fluid volume excess?
a.Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d.Thread pulse
A nurse is caring for a client b. Improved cognition
who has hyponatremia and is
receiving an infusion of a
prescribed hypertonic
solution. Which of the
following findings should
indicate to the nurse that the
treatment is effective?
a.Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
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A nurse is teaching a client who d. "Remove the patch prior to going to bed."
has a new prescription for a
nitroglycerin transdermal patch.
Which of the following
instructions should the nurse
include?
a."Discontinue the patch if
you experience a
headache."
b. "Apply a new patch if
you have chest pain."
c. "Cover the patch with
dry gauze when taking a
shower."
d. "Remove the patch prior to
going to bed."
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A nurse is reviewing he d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level
laboratory results of a client greater than 5.0 mEq/L) increases the client risk for fatal cardiac
who has a prescription for dysrhythmias. Kayexalate is used to decrease the serum
sodium polystyrene sulfonate potassium level so the PN should monitor the client's serum
(Kayexalate) every 6 hr. which of potassium level
the following should the nurse
report to the provider?
a.Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
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A nurse is caring for a client a. The client has a negative sputum culture
who has tuberculosis and is
taking isoniazid and rifampin.
Which of the following
outcomes indicates that the
client is adhering to the
medication regimen?
a.The client has a
negative sputum culture
b.The client tests negative
for HIV
c.The client has a positive
purified protein derivative
test
d.The client's liver function test
results are within the expected
reference range
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A client is caring for a client who d. Administer epinephrine IM
develops an anaphylactic
reaction to IV administration.
After assessing the client's
respiratory status and
stopping the medication
infusion. Which of the
following actions should the
nurse take next?
a.Replace the infusion with 0.9%
sodium chloride
b.Give diphenhydramine IM
c. Elevate the client's legs
and feet
d.Administer epinephrine IM
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A nurse is caring for a client a. St. John's Wort
who is taking sertraline and
reports a desire to begin
taking supplements. Which
of the following supplements
should the nurse advise the
client to avoid?
a.St. John's Wort
b.Ginger root
c. Black cohosh
d. Coenzyme Q10
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A nurse is caring for a client d. Hypotension
who has heart failure and a
new prescription for
lisinopril. For which of the
following adverse effects
should the nurse monitor when
administering lisinopril?
a.Bradycardia
b. Hypokalemia
c.Tinnitus
d. Hypotension
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A nurse is assessing a client d. Increased blood pressure
who is receiving heparin IV
continuous IV. The client has an
PPT of 90 seconds. They
should monitor the client for
which of the following
changes in their vital signs?
a.Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
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A nurse is preparing to b. The nurse who identifies the error
administer medication to a
client and discovers a
medication error. The nurse
should recognize that which
of the following staff
members is responsible for
completing an incident
report?
a.The quality improvement
committee
b.The nurse who identifies
the error
c.The nurse who caused
the error
d.The charge nurse
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A nurse is planning care for a a.Pruritus - Sign of allergic reaction to morphine
client who is receiving morphine
via continuous epidural infusion.
The nurse should monitor the
client for which of the
following?
a.Pruritus
b.Cough
c.Tachypnea
d. Gastric bleeding
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A nurse is preparing to a.Obtain the client's apical heart rate
administer digoxin orally to a b. Remove the medication from the dispensing system
client. Identify the sequence c. Open the medication package
of steps the nurse should d. Compare the client's wristband to the
take. (Move the steps into the medication administration record
box on the right placing them e. Document administration of the medication
in the order of performance.
Use all the steps.)
A nurse is reviewing the medical a.Alcohol use disorder
record of an adult client who
has a fever and a b.Chronic kidney disease
prescription for
acetaminophen. Which of the
following findings should the
nurse identify as a
contraindication for receiving
this medication?
a.Alcohol use disorder
b.Chronic kidney disease
c. Hepatitis B vaccine within the
last week
d. Diabetes mellitus
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A home health nurse is visiting c. Determine medication adherence by the client
a client who has heart failure
and a prescription for
furosemide. The nurse
identifies that the client has
gained 2.5 kg (5 lb.) since
the last visit 2 days ago.
Which of the following actions
should the nurse take first?
a.Encourage the client to
dangle the legs while sitting in
a chair
b.Teach the client about foods
low in sodium
c. Determine medication
adherence by the
client
d. Notify the provider of the
client's weight gain
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A nurse is preparing to a. Urticaria
administer the initial dose of
penicillin G IM to a client. The
nurse should monitor for which
of the following as an indication
of an allergic reaction
following the injection?
a.Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
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A nurse is teaching a client c. "Keep the tablets at room temperature in their original
who has angina a new glass bottle."
prescription for sublingual
nitroglycerin tablets. Which
of the following instructions
should the nurse include in
the teaching?
a."Discard any tablets you
do not use every 6
months."
b. "Take one tablet each
morning 30 minutes prior
to eating."
c. "Keep the tablets at
room temperature in their
original glass bottle."
d. "Place the tablet between
your cheek and gum
to dissolve."
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A nurse is providing teaching a. "I can take my medication in the morning with my coffee."
to a client who has a new
prescription for theophylline
a sustained-released
capsule.
Which of the following
statements by the client
indicates an understanding of
the teaching?
a."I can take my medication in
the morning with my
coffee."
b. "I may sprinkle the
medication in applesauce."
c. "I should limit my fluid intake
while on this medication."
d. "I will need to have blood
levels drawn."
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A nurse is mixing regular insulin c. Inject air into the NPH vial
and NPH insulin in the same
syringe prior to administering
it to client who has diabetes
mellitus following actions should
the nurse take first?
a.Withdraw the regular insulin
from the viral
b.Withdraw the NPH insulin
form the vial
c. Inject air into the NPH vial
d. Inject air into the regular
insulin vial
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A nurse is preparing to d. Insert the needle at least 5 cm (2 in) from the umbilicus
administer subcutaneous
heparin to a client. Which of the
following should the nurse take?
a.Massage the site after
administering the medication
b. Use a 21-gauge needle for
the injection
c.Aspirate before injecting the
medication
d. Insert the needle at least 5 cm
(2 in) from the umbilicus
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A nurse is caring for a client c. Laryngeal edema
who has a prescription for
amoxicillin. Which of the b. Cardiac dysrhythmia
following findings indicates
the client is experiencing an Amoxicillin side effects include: Renal impairment, hyperkalemia,
allergic reaction? dysrhythmias, hypernatremia
a.Nausea
b.Cardiac dysrhythmia Allergic reaction: Urticaria, rash, hypotension, dyspnea, swelling
c. Laryngeal edema of face/lips/tongue
d. Insomnia
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A nurse is teaching a newly c. A client who is transferal to a step-down unit
licensed nurse about medication
reconciliation. The nurse
should instruct the newly
licensed nurse to perform
medication reconciliation for
which of the following?
a.A client who has a referral
for social services
b.A client who is transdermal
to radiology
c.A client who is transferal to
a step-down unit
d.A client who has a
consultation for physical therapy
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A nurse is reviewing the d. LDL 120 mg/dL
laboratory values of a client who
is taking atorvastatin. Which
of the following laboratory
values indicates the treatment
has been effective?
a.BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL
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A nurse is receiving a a. Morphine 6 mg IV push every 3 hr PRN acute pain
medication prescription by
telephone from a provider.
The provider states
"Administer 6 milligrams of
morphine IV push every 3
hours as needed for acute
pain." How should the nurse
transcribe the prescription in
the client's medical record?
a.Morphine 6 mg IV push every
3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr
PRN acute pain
c. MS 6 mg IV push every 3
hr PRN acute pain
d. Morphine 6.0 mg IV push
every 3 hr PRN acute pain
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A nurse is assessing a client's IV d. Apply a warm moist compress
infusion site and notes that the
site is cool and edematous.
Which of the following actions
should the nurse take?
a.Show the IV solution rate
b. Initiate a new IV distal to
the initial site
c. Maintain the extremity
below the level of the heart
d.Apply a warm moist compress
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A nurse is providing teaching to c. "Notify your provider if you develop a fever while taking this
a client who has a new medication."
prescription for clozapine.
Which of the following
statements should the nurse
include in the teaching?
a."Diarrhea is a common
adverse effect of this
medication."
b. "Ringing in the ears is an
expected adverse effect of
this medication."
c. "Notify your provider if
you develop a fever while
taking this medication."
d. "You might experience
weight loss while taking this
medication."
A nurse is teaching a client b. It can take up to 1 year to become pregnant after stopping
about oral contraceptive. Which an oral contraceptive
of the following information
should the nurse include in
the teaching?
a.Abdominal pain is an
expected adverse effect of
oral contraceptives
b. It can take up to 1 year to
become pregnant after
stopping an oral
contraceptive
c. Some herbal supplements can
decrease the effectiveness of an
oral contraceptive
d.A pelvic examination is
needed prior to starting an oral
contraceptive
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A nurse is planning to b. Mix the medications with a semisolid food for the client
administer medication to an
older adult client who has
dysphagia. Which of the
following actions should the
nurse plan to take?
a.Tilt the client's head
back when administering
the medications
b. Mix the medications with
a semisolid food for the
client
c.Administer more than one pill
to the client at a time
d. Place the medications on the
back of the client's tongue
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A nurse is providing teaching to a. "You cannot take this medication with an antacid."
a client about the administration
of omeprazole. Which of the
following should the nurse
include?
a."You cannot take this
medication with an
antacid."
b. "You should reduce
your intake of calcium while
taking this medication."
c. "You should take this
medication before
meals."
d. "You can take a second dose
if symptoms persist up to 2
hours after the first dose."
A nurse is assessing for allergies a. Eggs
with a client who is scheduled to
receive the influenza vaccine.
Which of the following
allergies should the nurse
report to the provider as a
possible contraindication to
receiving the vaccine?
a.Eggs
b. Shellfish
c. Peanuts
d. Milk
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A nurse is caring for a client d. Saw palmetto
who has a new diagnosis of
benign prostate hypertrophy
and a prescription for
doxazosin. The client tells the
nurse. "I do not take this
medication. I would prefer a
natural therapy." Which of the
following supplements
should the nurse suggest the
client discuss with the provider?
a.Black cohosh
b.Garlic
c. Feverfew
d. Saw palmetto
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A nurse is caring for a client a. Taking a high ceiling diuretic
who is taking digoxin to treat
heart failure. Which of the
following predisposes this
client to developing digoxin
toxicity?
a.Taking a high ceiling diuretic
b. Having a 10-year history
of COPD
c. Having a prolapsed mitral
valve
d.Taking an HMG CoA
reductase inhibitor
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A nurse is administering d. Increased respiratory rate
naloxone to a client who has
developed an adverse reaction
to morphine. The nurse should
identify which of the
following findings as a
therapeutic effect of
naloxone?
a.Decreased nausea
b. Increased pain relief
c. Decreased blood pressure
d. Increased respiratory rate
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A nurse is reviewing the medical c. The client has a history of a severe penicillin allergy
record of a client who has
sinusitis and a new prescription
for cefuroxime. Which of the
following client information is
the priority for the nurse to
report to the provider?
a.The client has a BUN of
18 mg/dL
b.The client takes an
aspirin daily
c.The client has a history of
a severe penicillin allergy
d.The client reports a history of
nausea with cefuroxime
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A nurse is assessing a client c. Calcium gluconate
who has hypermagnesemia.
Which of the following
medications should the
nurse prepare to administer?
a.Protamine sulfate
b.Acetylcysteine
c. Calcium gluconate
d. Flumazenil
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A nurse is assessing a client b. Client reports a decrease in nausea
following the administration of
ondansetron (Zofran). Which of
the following findings should
indicate to the nurse that the
ondansetron has been
effective?
a.Client reports a decrease in
pain
b.Client reports a decrease in
nausea
c. Client reports a decrease in
coughing
d. Client reports a decrease in
diarrhea
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A nurse manager is planning a. IM administration is recommended if PO opioids are
an in-service about pain ineffective
management with opioids for
client who has cancer. Which
of the following information
should the nurse manager
include?
a.IM administration is
recommended if PO opioids
are ineffective
b. Respiratory depression
decreases as opioid
tolerance develops
c. Meperidine is the opioid
of choice for treating chronic
pain
d. Withhold PRN pain
medication for the client who
is
receiving opioids every 6 hr
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A nurse is reviewing the list c. Estrogen-progestin combination (Non-hormonal forms of
of current medication for a contraception)
client who is to start
prescription for
carbamazepine. The nurse
should identify that which of
the following medications
interacts with
carbamazepine?
a.Nicotine transdermal system
b. Diphenhydramine
c. Estrogen-progestin
combination
d. Beclomethasone
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A nurse is caring for a client d. Gentamicin
who has a respiratory infection
and is receiving an antibiotic.
Which of the following
medications puts the client at
risk for developing hearing
loss?
a.Rifampin
b.Ciprofloxacin
c. Penicillin G
d. Gentamicin
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A nurse is teaching a guardian c. "Shake the device prior to administration."
of a school-age child who has d. "A spacer will make it easier to use the device."
a new prescription for a e. "Rinse your child's mouth following administration."
fluticasone metered-dose
inhaler. Which of the
following information should
the nurse include in the
teaching? (SATA)
a."Soak the inhaler in water
after use."
b. "Have your child take
one inhalation as needed
for shortness of breath."
c. "Shake the device prior
to administration."
d. "A spacer will make it easier
to use the device."
e. "Rinse your child's mouth
following administration."
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A nurse is preparing to 7.5 mL
administer potassium
chloride elixir 20 mEq/day PO
to divide equally 12 hr.
available is 6.7 mEq/5 mL. How
many mL should the nurse
administer per dose? (Round
the answer to the nearest
tenth. Use a leading zero if it
applies. Do not use a trialing
zero.)
A nurse is instructing a client a. "You will need liver function tests before beginning therapy."
who has a new prescription for a
daily dose of lovastatin
extended release. Which of
the following information should
the nurse include in the
teaching?
a."You will need liver
function tests before
beginning therapy."
b. "Avoid consuming dairy
products while taking this
medication."
c. "You may crush the
medication and mix it
with applesauce."
d. "You should take the
medication in the morning."
A nurse is assessing a client c. Elevate the extremity
who is receiving a peripheral
IV infusion and notes infiltration
of fluid into the tissue
surrounding the insertion site.
Which of the following
actions should the nurse
take?
a.Flush the IV catheter
b.Apply pressure to the IV site
c. Elevate the extremity
d. Slow the infusion rate
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A nurse is preparing to 0.4 mL
administer 4000 units of heparin
subcutaneously to a client
who has deep-vein
thrombosis.
Available is heparin 10,000 units.
How many mL of heparin should
the nurse administer? (Round to
the nearest tenth. Use a leading
zero if it applies. Do not use
a trailing zero.)
a. 0.4 mL
A nurse us caring for a client c. Increase in BP
who is in shock and is
receiving an infusion of
albumin. Which of the following
findings should the nurse
expect?
a.Oxygen saturation 96%
b. PaCO2 30 mm Hg
c. Increase in BP
d. Decrease in protein
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A nurse is discussing adverse a. Polypharmacy
reactions to pain medications in c. Decreased percentage of body fat
older adult clients with a d. Multiple health problems
newly licensed nurse. Which e. Decreased renal function
of the following findings
should the nurse include as
risk factors for an adverse
drug reaction? (SATA)
a.Polypharmacy
b. Increased rate of absorption
c. Decreased percentage
of body fat
d. Multiple health problems
e. Decreased renal function
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A nurse is reviewing the d. Creatinine 2.5 mg/dL
laboratory data of a client prior
to administering IV tobramycin.
Which of the following
laboratory values should the
nurse report to the provider?
a.Sodium 137 mEq/L
b. Hct 4.3%
c. Hgb 15 g/dL
d. Creatinine 2.5 mg/dL
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A nurse is preparing to a. Apply firm pressure to the injection site following
administer enoxaparin to a administration
client. Which of the
following actions should the
nurse take?
a.Apply firm pressure to the
injection site following
administration
b.Administer the
medication into the
client's muscle
c. Expel the air bubble from the
syringe prior to injection
d. Insert the syringe needle
halfway into the client's skin
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A nurse is reviewing a client's a. ePTT 90 seconds
0800 laboratory values at 1100.
The nurse notes that the client
received heparin at 1000. Which
of the following laboratory
values warrants an incident
report?
000/mm3
a.ePTT 90 seconds
b. Hgb 16 g/dL
c. INR 1.6
d. WBC 6000/mm3
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A nurse is caring for a client d. Fentanyl transmucosal
who has breast cancer and
reports pain. 1 hr after c. Lidocaine patch
administration of prescribed
morphine 10 mg IV. Which of
the following medications
should the nurse expect to
administer?
a.Naloxone IV
b. Morphine tablet
c. Lidocaine patch
d. Fentanyl transmucosal
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A nurse is assessing a client c. Positive Trousseau's sign
who reports taking over-the-
counter antacids. Which of the
following findings should the
nurse identify as a
manifestation of
hypercalcemia?
a.Constipation
b. Decreased urine output
c. Positive Trousseau's sign
d. Headache
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A nurse is caring for a client b. The potassium infusion rate is too rapid
who is to receive potassium
replacement. The provider's
prescription reads. "Potassium
chloride 30 mEq in 0.9% sodium
chloride 100 mL IV over 30
min." which of the following
reasons should the nurse
clarify this prescription with
the provider.
a.Potassium chloride should be
diluted in dextrose 5% in
water.
b.The potassium infusion rate
is too rapid
c.Another formulation of
potassium should be given IV
d.The client should be treated
by giving potassium by IV bolus
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A nurse is monitoring laboratory d. Potassium 2.9 mEq/L
values for a client who has
chronic heart failure and is
receiving digoxin. Which of
the following values should
the nurse report to the
provider?
a.Sodium 1.38 mEq/dL
b. Magnesium 1.5 mEq/L
c. BUN level 10 mg/dL
d. Potassium 2.9 mEq/L
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A client who has active c. Document this as an expected finding
tuberculosis and is taking
rifampin reports that his urine
and sweat have developed a
red tinge. Which of the
following actions should the
nurse take?
a.Check the client's
liver function test
results
b. Instruct the client to
increase his fluid intake
c. Document this as an
expected finding
d. Prepare the client for dialysis
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A nurse accidently d. Check the client's glucose level
administers the medication
metformin instead of
metoprolol to a client. Which of
the following actions should
the nurse take?
a.Monitor the client's
thyroid function levels
b.Collect the client's uric acid
level
c. Obtain the client's HDL level
d. Check the client's glucose
level
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A nurse is administering 4 mg of d. Dispose of the remaining medication while another nurse
hydromorphone to a client by observes
mouth every 4 hr. the
medication is provided as
hydromorphone 8 mg per
tablets. Which of the following
actions is appropriate for the
nurse to take?
a.Return the remaining
medication to the facility's
pharmacy
b. Store the remaining half of the
pill in the automated medication
dispensing system
c. Place the remaining half of
the pill in the unit dose
package
d. Dispose of the remaining
medication while another nurse
observes
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A nurse is caring for 4-year-old a. FACES
child following an orthopedic
procedure. When assessing the
child for pain. Which of the
following pain scales should the
nurse use?
a.FACES
b. Numeric
c. CRIES
d. Word graphic
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A nurse is planning care for a c. Colerain - Colesevelam (Welchol)
client who requires treatment
for high cholesterol. Which of
the following prescriptions
should the nurse expect to
administer?
a.Colchicine
b.Cimetidine
c. Colerain
d. Chlorpromazine
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A nurse is caring for a client c. The client reports difficulty hearing
who has heart failure. The
nurse administered furosemide
60 mg IV bolus 30 min earlier.
For which of the following
findings should the nurse
notify the provider?
a.Potassium 3.8 mEq/L
b.The client reports dizziness
upon standing
c.The client reports difficulty
hearing
d. BUN 15 mg/dL
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A nurse is planning teaching for b. Do not drink beverages while sucking on a nicotine lozenge
a client who is trying to quit
smoking. Which of the following
instructions about nicotine
replacement options should the
nurse include?
a.Change the nicotine patch
every other day
b. Do not drink beverages while
sucking on a nicotine
lozenge
c. Chew nicotine gum for 10
min before spitting it out
d.Administer 2 sprays of
nicotine nasal spray in
each
nostril with each dose
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A nurse is caring for a client b. Intraosseous/intravenous
who has a prescription for
total parental nutrition (TPN).
Which of the following routes
of administration should the
nurse use?
a.Subcutaneous
b. Intraosseous/intravenous
c. Central venous access device
d. Midline catheter
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A nurse is preparing to a. 325 mcg
administer filgrastim
5mcg/kg/day subcutaneous to a
client who weighs 143 lb.
How many mcg should the
nurse administer per day?
(Round the answer to the
nearest whole number. Use a
leading zero if it applies. Do
not use a trailing
zero.)
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A nurse is preparing to initiate a. Nondominant dorsal venous arch
IV therapy for a client. Which of
the following sites should the
nurse use to place the
peripheral IV catheter?
a.Nondominant dorsal venous
arch
b. Dominant distal dorsal vein
c. Nondominant forearm basilic
vein
d. Dominant antecubital vein
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A nurse is assessing a client d. Oliguria
who is taking an osmotic
laxative which of the
following findings should the
nurse identify as an
indication of fluid volume
deficit?
a.Nausea
b.Weight gain
c. Headache
d. Oliguria
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A nurse is reviewing the a. Total bilirubin 1.5 mg/dL
laboratory results of a client
who is taking amitriptyline which
of the following laboratory
values should the nurse
report to the provider?
a.Total bilirubin 1.5 mg/dL
b. Potassium 4.2 mEq/L
c. Hct 0.44%
d. WBC count 5000/mm3
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A nurse is caring for a client c. Hyponatremia
who is taking lithium and
reports starting a new exercise
program. The nurse should
assess the client for which of
the following electrolyte
imbalances?
a.Hypocalcemia
b. Hypokalemia
c. Hyponatremia
d. Hypomagnesemia
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A nurse is assessing a client b. Bradycardia
after administering phenytoin
IV bolus for a seizure. Which of CNS effects: drowsiness sedation, depression ,confusion, anxiety,
the following should the double vision, ataxia, cognitive impairment, nystagmus
nurse identify as an adverse ii. Gingival hyperplasia, skin rash, dysrhythmias, hypotension
effect of this medication?
a.Hypoglycemia
b. Bradycardia
c. Red man syndrome
d. Hypotension
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A nurse is consulting a a. Osteoporosis
formulary about a client's new
prescription for raloxifene. The
nurse should identify that this
medication is used to treat
which of the following
conditions?
a.Osteoporosis
b. Hypothyroidism
c. Urinary tract infection
d. Deep vein thrombosis
A nurse is providing discharge a. Avoid caffeinated beverages
dietary teaching to a client who
has a something and is taking
medication theophylline and to
provide general instructions the
nurse should include?
a.Avoid caffeinated beverages
b.Take the medication with
meals
c. Restrict milk products
d. Limit sodium intake
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the nurse is mixing regular b. Inject air into the NPH vial
insulin and NPH into a
syringe for a client who has
diabetes mellitus. Which of
the following actions should
the nurse take first?
a.Withdrawal NPH from the vial
b. Inject air into the NPH vial
c. Inject air into the regular vial
d. Withdrawal regular insulin
from the vial
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a nurse is teaching a client who c. Sit upright for at least 30 mins after taking the medication
has a new prescription of
Alendronate for osteoporosis.
What instructions should the
nurse include?
a.Take the medication
immediately after
breakfast
b.Take the medication with
an antacid
c. Sit upright for at least 30
mins after taking the
medication
d. Drink orange juice with the
medication
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a nurse is caring for a client a. Bladder distention
who is postoperative
following a thyroidectomy
and is receiving morphine for
pain. Which of the following
findings should the nurse
recognize as an adverse
effect of morphine?
a.Bladder distention
b. Productive cough
c. Gastrointestinal bleeding
d. Decrease deep
tending reflexes
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A nurse is teaching a client who c. Administer the medication into one nostril once per week
has pernicious anemia to self-
administer cyanocobalamin.
Which of the following
information should the nurse
include in the teaching?
a.Use nasal decongestion 15
mins before the medication
if you have a stuffy nose
b. Lie down for 1 hour after
administering the medication
c.Administer the medication
into one nostril once per
week
d. Plan to self-administer this
medication for the next 6
months
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A nurse is teaching a newly d. A client who has been transferred to a step-down unit
license nurse about
medication reconciliation. The
nurse should instruct the newly
license nurse for medication
reconciliation for which of the
following clients?
a.Client who is transported to
radiology
b.A client who has
a consultation for
....
c.A client who has a referral
for social services
d.A client who has been
transferred to a step-down unit
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A nurse is assessing a client d. Uterine tachysystole
how received a dinoprostone
gel to stimulate the cervical
ripening. Which of the
following is the nurse's
priority?
a.Back pain
b. Flushing
c. nausea
d. Uterine tachysystole
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A nurse is performing a c. Administers the medication into the abdomen
return demonstration of an
enoxaparin administration.
Which of the following client
actions indicates an
understanding of the
teaching?
a.Messages the site to
enhance absorption
b. Injections the medication into
a muscle
c.Administers the
medication into the
abdomen
d.Aspirates the medication after
injection
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A nurse is assessing a client c. Blurred vision
how has been taking digoxin
and ...... which of the following
findings to the nurse indicates
this client has developed
digoxin toxicity?
a.Ringing in the ears
b. Hyperkalemia
c. Blurred vision
d. hypertension
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A nurse is caring for a client b. Excessive salivation
who received neostigmine 1
hour ago and is experiencing
muscarinic response. Which if
the following manifestations
should the nurse expect?
a.Headache
b. Excessive salivation
c. Fever
d. Myoclonic seizure
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Anurse in the emergency b. Clopidogrel
department is reviewing a
medication record for client
who reports vomiting blood. The
nurse should anticipate the
provider will discontinue which
of the following medications?
a.NPH insulin
b.Clopidogrel
c. Furosemide
d. Pantoprazole
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Anurse is assessing a who is d. Watery diarrhea
receiving clindamycin. Which of
the following findings should the
nurse identify as an adverse
effect of this medication?
a.Agitation
b. Report of blurred vision
c. Hypertension
d. Watery diarrhea
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A nurse is teaching a client who d. Cromolyn is a long-term management medication
is to start taking Cromolyn.
Which of the following
information should the nurse
include in the teaching?
a.Cromolyn should take effect
within 5 mins
b.Cromolyn should dilate the
bronchioles
c. Cromolyn can be used
after exercise
d. Cromolyn is a long-term
management medication
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a nurse is reviewing the a. Imipramine
medications of a client is
experiencing orthostatic
hypotension. The nurse
should identify this finding
as an adverse effect of
which of the following
medications?
a.Imipramine
b. Levothyroxine
c. Montelukast
d. Omeprazole
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A nurse is reviewing a client's Glaucoma
medical history before
administering a new prescription
of atropine. Which of the
following client conditions is
contraindicated?
a. Glaucoma
b. Diverticulitis
c. Diarrhea
d. Bronchospasm
a nurse is providing teaching b. Blurred vision
to a client who has a new
prescription for
carbamazepine for the
treatment of seizures. The nurse
should instruct the client to
monitor for which of the
following adverse effects?
a.insomnia
b. Blurred vision
c.Tachypnea
d. Metallic taste
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Math problem: a nurse is 0.4
preparing to administer 4000
units of heparin available is
10,000 units
A nurse is caring for a client who Fentanyl
reports that his current pain
medication is no longer relieving
her pain. Which of the
following medications requires
the nurse to obtain a written
rather than a verbal
prescription from the
provider?
a.Fentanyl
b. Butorphanol
c. Lorazepam
d. Pentazocine
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A charge nurse is observing A client who has a lithium level of 1.8 receives her morning dose
a newly licensed nurse
provide care to a group of
clients. Which of the following
action by the newly licensed
nurse requires the charge
nurse to complete an incident
report?
a.The nurse requests a
higher dose of morphine for
a client who reports severe
pain 30 min after receiving
morphine 2 mg IV bolus
b.The nurse administers
ondansetron to a client who has
two episodes of vomiting
after receiving
meperidine 75 mg IM.
c.A client who has a blood
glucose level of 120
mg/dL receives her morning
dose of insulin
d.A client who has a
lithium level of 1.8 mEq/L
receives her
morning dose of lithium.
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A nurse is caring for a client who Implement seizure precautions
has a alcohol use disorder and is
experiencing withdrawals.
Which of the following
interventions is a priority at
this time?
a.Assist the client to
identify triggers for
alcohol use
b. Encourage participation in a
12-step program
c. Implement seizure
precautions
d.Administer naltrexone -
abstinence
maintenance
A nurse is planning care for Furosemide and Amikacin
a group of clients. which of
the following client's
medications should be
monitored by the nurse for
hearing loss related to a
medication interaction?
a.Losartan and atorvastatin
b. Propranolol and raloxifene
c. Digoxin and levothyroxine
d. Furosemide and amikacin
A nurse is caring for a client c. Confusion
who has major depression and a
new prescription for Bruxism - Bruxism occurs in < 1 % of patient with citalopram. This
citalopram. which of the should be addressed but is no an immediate health concern.
following adverse effects is
the priority for the nurse to
report to the provider?
a.Insomnia
b. Bruxism
c. confusion
d. weight loaa
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A nurse is caring for a client A vein on the client's wrist
who requires a re-insertion of a
short peripheral venous
catheter. in which of the
following locations should the
nurse place the catheter?
a.A vein proximal to
the previous site
b.A vein in the client's
dominant arm
c.A vein that feels hard to touch
d.A vein on the client's wrist
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A nurse is assessing a client Hypotension
who is in labor and is
receiving epidural anesthesia.
which of the following findings
should the nurse identify as
the priority?
a.Hypotension
b. Leg weakness
c.Temperature 39℃ (102 ℉)
d. Urinary retention
A nurse is providing teaching Long term use increases risk of fractures
to a client who has a
prescription for omeprazole.
which of the following
instructions should the nurse
include in the teaching?
a.Take the medication
with evening meals
b. Long-term use of the
medication increases the risk
of fractures
c.This medication might cause
drowsiness.
d. Crush the medication for
easier swallowing
A nurse is reviewing a client's Potassium 2.5 mEq/L
laboratory results before
administering furosemide 40
mg IV bolus. For which of the
following values should the
nurse withhold the
medication and contact the
provider?
a.Potassium 2.5 mEq/L
b. INR 1.0
c. Sodium 141 mEq/L
d. WBC Count 8,000/mm
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The nurse is assessing a client Hgba1c 6.5%
who takes glipizide for the
treatment of type 2 diabetes
mellitus. Which of the following
findings indicates effectiveness
of the medication?
a.Fasting blood glucose 160
mg/dL
b.An increase in appetite
c. Stable weight
d. HgbA1c 6.5%
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A nurse in the emergency Nitroprusside
department is caring for a client
who reports a severe headache.
the client's blood pressure is
280/160 mm hg. the nurse
should plan to administer which
of the following medications?
a.Nitroprusside
b. Dobutamine
c. Epinephrine
d. Dexamethasone
A nurse is teaching the parent I will rinse my child's mouth with water after she takes the
of a toddler who is to begin medicine
taking ferrous fumarate.
which of the following
statements by the parent
indicates an understanding of
the teaching?
a."I will dilute my
child's medication in
milk."
b. "I will give my child the
medication in a baby
bottle."
c. "I will rinse my child's mouth
A nurse is caring for a client Liver function test
who is to start therapy with
lovastatin. the nurse should
prepare the client for which of
the following diagnostic
assessments?
a.Western blot analysis
b. Liver function tests
c. Pancreatic enzymes
d. Exercise electrocardiography
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A new prescription for insulin The client will wear his reading glasses when drawing insulin
glargine. which of the following glargine
expected outcomes should the
nurse include in the plan?
a.The client will take
an additional dose of
insulin glargine prior to
exercise
b.The client will use the deltoid
muscle as an injection site
c.The client will
administer insulin glargine
before each meal
d.The client will wear his
reading glasses when
drawing
up a dose of insulin glargine
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A nurse is caring for a client Absence of deep-tendon reflexes
who is receiving a continuous Urine output 80 mL/hr
IV infusion of magnesium Decreased LOC
sulfate for preterm labor. the
nurse should discontinue the
infusion and prepare to
administer calcium
gluconate if the client
demonstrates which of the
following findings? (Select all
that apply)
a.Decreased level
of consciousness
b. Systolic blood pressure 130
mmHg
c. Urine output 80 mL in 4 hr
d.Absence of deep
tendon reflexes
e. Report of chills
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A nurse is teaching a client who I will rotate application site to avoid skin irritation
has a new prescription for
nitroglycerin patches. the nurse
should identify which of the
following statements as an
indication that the client
understands the teaching?
a."I cannot take a sublingual
tablet of nitroglycerin
after applying the patch."
b. "I will move the patch to my
leg if I get a headache."
c. "I will rotate the
application site to avoid skin
irritation."
d. "I will apply a new patch if
I have chest pain
