ATI-Pharm-2020

1) A nurse at an urgent care clinic is gathering information from… 1) A nurse at an urgent care clinic is gathering information from a patient who is prescribed Montelukast. What is an anticipated positive effect of this medication on the client? a) Reduced bronchial inflammation b) Neutralized gastric acid c) Enhanced peripheral vasodilation d) Increased WBC count 2) A nurse is following up with a patient who has been taking simvastatin for 3 months. What is the primary issue that the nurse should report? a) Rhinitis b) Muscle pain c) Cough d) Chronic constipation 3) A nurse is reviewing the medication history of a patient who complains of urinary retention. Which of the following drugs could potentially cause this side effect? a) Acetaminophen b) Donepezil c) Scopolamine d) Metoprolol 4) A nurse is tending to a patient who has been prescribed lorazepam. What adverse effects should the nurse watch for? a) Dizziness b) Hypertension c) Decreased appetite d) Urinary retention 5) A nurse is educating a patient who had an anaphylactic reaction to piperacillin/tazobactam. Which patient statement demonstrates comprehension of the instructions given? a) “I will wear an allergy bracelet indicating my intolerance to tetracyclines.” b) “If I am exposed to this medication again, my reaction will be less severe.” c) “I must avoid taking penicillin in the future.” d) “I will need to use cephalosporins for infections.” 6) A nurse is assisting in the care of a patient receiving a transfusion of packed RBC’s. What actions should the nurse take? a) Ensure that the unit of packed RBC is transfused within 6 hours. b) Use IV tubing without a filter for the transfusion. c) Obtain 0.9% sodium chloride solution for IV infusion. d) Remain by the patient’s side for the initial 5 minutes of the transfusion. 7) A nurse administered almotriptan to a patient 30 minutes ago. Which statement by the patient signals the effectiveness of the medication? a) “I am no longer agitated.” b) “My headache pain has decreased.” c) “My hand tremors are slower now.” d) “I am not coughing as much as before.” 8) A nurse is providing guidance to a patient taking oral prednisone for chronic asthma management. What information should the nurse share during the session? a) “You must rinse your mouth after each dose.” b) “You may experience some weight loss with this medication.” c) “You should supplement with calcium while on this medication.” d) “You should take this medication on an empty stomach.” 9) A nurse is caring for a patient receiving acetaminophen for mild pain. What adverse effects of this medication should the nurse monitor for? a) Tinnitus b) Fever c) Diarrhea d) Jaundice 10) A nurse is looking after an adolescent with sickle cell anemia experiencing a vasco-occlusive crisis. What is the nurse’s top priority intervention? a) Educate the parents on immunizations. b) Administer analgesics regularly. c) Schedule an interprofessional team meeting. d) Arrange completion of school assignments. 11) A nurse is assisting a patient requesting help with smoking cessation. Which medication should the nurse plan to administer? a) Disulfiram b) Bupropion c) Alprazolam d) Naltrexone 12) A nurse is administering regular insulin 10 units and NPH insulin 15 units in one syringe to a patient. What action should the nurse take? a) Draw the regular insulin into the syringe first. b) Insert the needle at a 15-degree angle to the skin. c) Use a 3ml syringe. d) Administer the medication into the vastus lateralis muscle. 13) A nurse is providing discharge instructions to a patient with a new prescription for rifampin. What information should be included in the briefing? a) Take this medication 2 hours after a meal. b) Be aware that this medication might cause insomnia. c) Report any unusual hair growth. d) Know that this medication might cause urine discoloration. 14) A nurse is preparing to administer an IM injection to a patient with gonorrhea. What steps should the nurse take? a) Administer the medication with a 27-gauge ½ inch needle. b) Inject the medication at least 5 cm (2in) from the umbilicus. c) Use the Z-track technique for administration. d) Administer the medication without aspirating before injection. 15) A nurse is explaining the iPLEDGE program to a female patient with a new prescription for isotretinoin. What is a requirement of the program? a) Sexually active female patients must use two forms of birth control during treatment. b) Patients must undergo a Papanicolaou test every 6 months during treatment. c) Patients must start a daily vitamin A supplement a month before therapy. d) Female patients must get a negative mammogram before starting therapy. 16) A nurse is gathering data from a patient taking aspirin. Which finding should the nurse report to the provider? a) Rhinitis b) Hct 43% c) Headache d) BP 120/70 mm HG 17) A nurse is caring for a patient who began taking amitriptyline 6 days ago. The patient informs the nurse that the medication is not helping. What response should the nurse provide? a) “I will request an increased dose of the medication from your provider.” b) “I will inform your provider so they can prescribe a different medication.” c) “You need to take this medication on an empty stomach for better effectiveness.” d) “You must wait a couple of weeks to feel the therapeutic effects of the medication.” 18) A nurse is providing guidance to a patient with a new prescription for furosemide. What adverse effect of the medication should the nurse emphasize that the patient needs to report to the provider? a) Increase in blood pressure b) Visual disturbances c) Leg cramps d) Anxiety 19) A patient with type 1 diabetes mellitus is prescribed 8 units of insulin glargine and 4 units of NPH insulin simultaneously. The patient asks why the insulins are given in separate injections. Which response is accurate? a) The combined volume of the insulins exceeds the recommended amount per injection. b) The two insulins cannot be mixed in one syringe due to incompatibility. c) Separate injections enable better control of blood glucose levels. d) There is an increased risk of lipodystrophy if the two insulins are mixed. 20) A nurse is obtaining information from a patient who has been on methimazole for 2 months for thyroid imbalance treatment. What finding indicates the effectiveness of the medication? a) Weight gain b) Increased libido c) Clear breathing sounds d) Decreased menstrual flow 21) A nurse is collecting data from a patient receiving vancomycin for a clostridium difficile infection. Which finding should the nurse prioritize in reporting to the provider? a) Two loose stools in the past 24 hours b) Creatinine 3.1mg/dl c) WBC 11,000/mm3 d) Heart rate 104/min 22) A nurse is educating a patient with a new prescription for prednisone to manage rheumatoid arthritis. Which statement from the patient indicates understanding of the teaching? a) “I should increase the sodium in my diet.” b) “I will take this medication on an empty stomach.” c) “I will report a sore throat to my provider.” d) “I should be alert for weight loss.” 23) A nurse is caring for a postoperative patient who reports pain at the incision site. What action should the nurse take? a) Have the patient use the incentive spirometer. b) Change the patient’s incisional dressing. c) Instruct the patient to try to sleep. d) Reposition the patient. 24) A nurse is managing a patient prescribed cephalexin 1g PO daily to be administered in divided doses every 6 hours. Available are cephalexin xx mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leadlin……. Do not use a trailing zero.) 25) A nurse is caring for a patient prescribed isoniazid. For which condition is this medication suitable? a) Fungal infection b) Influenza c) Tuberculosis d) HIV 26) A nurse in an urgent care clinic is obtaining information from a patient reporting itching for the past 5 days. Which medication should the nurse anticipate the provider prescribing? Lorazepam, Ondansetron, Cimetidine, Diphenhydramine 27) A nurse is collecting data from a patient who has been taking diazepam several times daily but recently ran out of the medication. What findings should the nurse recognize as signs of withdrawal from diazepam? Anorexia, Drowsiness, Tremors, Hypotension 28) A nurse is collecting data from a patient following medication administration. Which finding should the nurse identify as an allergic reaction? a) Hypertension b) Jaundice c) Bradycardia d) Urticaria 29) A nurse is educating a newly licensed nurse about age-related changes affecting medication administration in older adult patients. What information should be included in the training? a) Gastric emptying rate increases. b) Hepatic enzymes process medications more rapidly. c) Brain receptors become less sensitive to medications. d) Renal excretion time slows for medications. 30) A nurse is examining the forearm of a patient who received a tuberculin skin test 48 hours ago. Which finding at the injection site indicates a positive result? a) Ulceration b) Firmness c) Bleeding d) Excoriation 31) A nurse is obtaining data from a patient with hypertension. Which over-the-counter medication is contraindicated for this patient? a) Guaifenesin b) Pseudoephedrine c) Omeprazole d) Docusate sodium 32) A nurse is assisting in planning care for a patient reporting pain at an 8 on a scale of 0-10. Which medication should the nurse plan to administer? a) Pregabalin b) Cyclobenzaprine c) Ibuprofen d) Oxycodone 33) A nurse is preparing to administer a patient’s daily dose of alendronate. What action should the nurse plan to take? a) Check the patient’s blood pressure 30 minutes after administration. b) Administer the medication with food. c) Administer the medication in the evening. d) Keep the patient upright for 30 minutes after administration. 34) A nurse is educating a patient with a new prescription for nystatin oral suspension. What instruction should be included in the training? a) “Use a straw when taking this medication.” b) “Take the medication with meals.” c) “Swish the medication in your mouth.” d) “Drink at least 8 ounces of water after taking the medication.” 35) A nurse is preparing to administer acetaminophen 650 mg rectally. What action should the nurse take? a) Hold the suppository for 1 minute to warm it before insertion. b) Insert the suppository 5 cm (2 in) into the patient’s rectum. c) Have the patient lie on their left side for 5 minutes after insertion. d) Lubricate the flat end of the suppository before administration.