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ATI GI System Pharm Made Easy 4.0 Pharm
Final Exam with Complete Solution
1. A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the
following statements should the nurse include?
a. Avoid driving or activities requiring alertness
b. If you miss a dose, double the next dose
c. Rinsing the mouth with alcohol-based mouthwash can reduce dryness
d. Having one glass of wine each night can improve medication effectiveness.: a.
2. A nurse should recognize that misoprostol is contraindicated for a client who has which of the following
conditions?
a. a seizure disorder
b. rheumatoid arthritis
c. a positive pregnancy test
d. heart failure: c.
3. A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels
when administering which of the follow- ing drugs?
a. omeprazole
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b. aluminum hydroxide
c. sucralfate
d. ranitidine: b.
4. A nurse is teaching a client who has a new rx for sulfasalazine. Which of the following statements should
the nurse make?
a. Use sunscreen & protective clothing while taking sulfasalazine to prevent sunburn.
b. The med can stain your contact lenses green
c. The med can color your urine dark brown
d. Take an iron supplement when you take sulfa to prevent anemia.a.: a. pg. 231
5. A nurse is teaching a client who recently had an MI and has a new prescription for docusate sodium. The nurse
should inform the client that docusate sodium has which of the following therapeutic effects?
a. reduces inflammation
b. reduces gastric acid
c. prevents diarrhea
d. prevents straining: d.
6. A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has
which of the following conditions?
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9. A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help
identify an adverse drug reaction? (select all...)
a. level of consciousness
b. skin integrity
c. temperature
d. urine output
e. CBC: b, c, e
Sulfasalazine treats IBD by decreasing inflammation by inhibiting prostaglandin synthesis
10. A nurse is caring for a client who is taking allopurinol to treat gout & has anew rx for sulfasalazine /
mesalamine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions w/ the provider?
a. allopurinol delays the conversion & can lead to toxicity
b. sulfa increases the effectiveness of allopurinol
c. alluprinol increases the metabolism of sulfa and can require an increased dosage
d. sulfa decreases the effectiveness of allopurinol: a.
11. A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings
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a. dizziness
b. bradycardia
c. tardive dyskinesia
d. dyspepsia: a.
12. A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation.
Which of the following instructions should the nurse include? (select all...)
a. expect results in 6-12 hrs
b. urinate every 4 hr
c. take the drug w/. at least 8 oz water
d. avoid activities that require alertness
e. increase fluid & fiber intake: c, e
13. A nurse is planning care for a client who is receiving chemotherapy & has a new prescription for
ondansetron. Which of the following actions should the nurse plan to take? (select all...) A. Infuse the drug 30 min prior to chemo
b. administer the drug when the client reports nausea
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16. A nurse is teaching a client who has a new rx for methotrexate. The nurse should instruct the client
to monitor for manifestations of which of the follow- ing conditions?
a. gout
b. constipation
c. insomnia
d. hirsutism: a
17. A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the
following conditions?
a. pancreatitis
b. aspirin sensitivity
c. bronchitis
d. GERD: b
18. A nurse is reviewing the medical record of a client who has a new rx for ran- itidine. The nurse should
recognize that which of the following drug interacts with ranitidine?
a. phenobarbital sodium
b. ketoconazole
c. lisinipril
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d. hydrochlorothiazide: b
19. A nurse is providing teaching to a client who has a new rx for dimenhydrinate to prevent motion sickness.
Which of the following instructions should the nurse include? (select all...)
a. sit upright for 30 min after taking the drug
b. avoid antacids
c. take the drug 30-60 min before activities that trigger nausea
d. avoid activities that require alertness
e. increase fluid & fiber intake: c, d, e
20. A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new rx for
sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drug at least 2 hr apart for which of the following reasons?
a. phenytoin increases the metabolism of sucralfate
b. phenytoin reduces the effectiveness of sucralfate
c. sucralfate increases the risk of phenytoin toxicity
d. sucralfate interferes w/ the absorption of phenytoin: d
21. A nurse is providing teaching to a client who has a new rx for omeprazole to treat the duodenal ulcer.
Which of the following should the nurse include?
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24. A nurse is caring for a client who has diabetes & is experiencing nausea due to gastroparesis. The
nurse should expect a rx for which of the following medications? Lubiprostone metoclopramide bisacodyl loperamide: metoclopramide 233
25. A nurse is caring for a pt who received prochlorperazine 4 hrs ago. The client reports spasms of the face.
The nurse should expect a rx for which of the following meds? fomepizole naloxone phytonadione diphenhhydramine: diphenhydramine 233
26. A nurse is teaching a pt who will begin taking aluminum hydroxide. Which of the following info
should the nurse include in the teaching?
a. "If constipation develops, switch to a calcium-based antacid"
b. "Take this med 2 hrs before or after other meds"
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c. "This med increases your risk for pneumonia"
d. "Have your mg level monitored while taking this med": b.
27. A nurse is teaching a pt who has a new rx for omeprazole. Which of the following info should
the nurse include in the teaching?
a. Take this med at bedtime
b. this med decreases the production of gastric acid
c. take this med 2 hr after eating
d. this med can cause hyperkalemia: b
28. A nurse is teaching a pt who takes phenytoin & has a new rx for sucralfate tablets. Which of the
following instructions should the nurse include?
a. Take an antacid with the sucralfate
b. Take sucralfate with a glass of milk
c. Allow a 2-hr interval between these meds
d. chew the sucralfate thoroughly before swallowing: c
sucralfate BINDS TO ULCER for protection!!!
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a. add foods that are high fiber
b. rinse your mouth after taking med
c. expect stools to be green or black
d. take med w/ glass of milk
e. add red meat to your diet: a b c e
32. A nurse is assessing a pt who is receiving magnesium sulfate & notes the pt has depressed deep
tendon reflexes, The nurse should expect to administer which of the following meds? a potassium chloride
b. folic acid
c. calcium gluconate
d.. cyanocobalamin: c
magnesium toxicity -> administer calcium
33. A nurse is preparing to administer potassium chloride IV to a pt who has hypokalemia. Which of
the following actions should the nurse take? (select all...)
a. infuse med through a large-bore needle
b. monitor urine output to ensure at least 20 ml/hour
c. administer med via direct IV bolus
d. implement cardiac monitoring
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e. administer the infusion using an IV pump: a d e
34. A nurse is caring for a pt who is receiving IV potassium. the nurse should monitor the pt for which
manifestation as an indication of hyperkalemia?
a. tachycardia
b. dyspnea
c. lethargy
d. increased thirst: b
you can die from too much potassium!!
