Pharmacology Proctored Exam QUESTIONS |LATEST VERSION |NEW UPDATE |GUARANTEED PASS, Exams of Nursing

Download Pharmacology Proctored Exam QUESTIONS |LATEST VERSION |NEW UPDATE |GUARANTEED PASS and more Exams Nursing in PDF only on Docsity! ATI Pharmacology Proctored, | ACCURATE AND VERIFIED FOR GUARANTEED PASS | GUARANTEED PASS| LATEST UPDATE|2024-2025 WITH 100 QUESTIONS A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for Propranolol. Which of the following information should the nurse to include in the teaching? A. Increases the risk for seizure activity B. Provides a form of aversion therapy C. Decreases cravings D. Results in mild hypertension - ANSWERS-C. Decreases cravings (Propranolol is an adjunct medication used during withdrawal to decrease the client's craving for alcohol) A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (Select all that apply.) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate - ANSWERS-A. Lorazepam B. Diazepam (A. Lorazepam is a benzodiazepine used during alcohol withdrawal to decrease anxiety and reduce the risk for seizures. B. Diazepam is a benzodiazepine used during alcohol withdrawal to decrease anxiety and reduce the risk for seizure) A nurse is providing teaching to a client who has a new prescription for Clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? A. Diarrhea B. Dry mouth C. Insomnia D. Hypertension - ANSWERS-B. Dry mouth (Dry mouth is a common adverse effect associated with clonidine use) A nurse is teaching a female client who has tobacco use disorder about Nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? A. "I should avoid eating right before I chew a piece of nicotine gum." B. "I will need to stop using the nicotine gum after 1 year." C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant." D. "I must chew the nicotine gum quickly for about 15 minutes. E. Valproic acid has a therapeutic effect when treating a client who has absence seizures and all other forms of seizures. F. Lamotrigine has a therapeutic effect when treating a client who has absence seizures and all other forms of seizure) A nurse is reviewing a new prescription for oxcarbazepine with a female client who has partial seizures. Which of the following instructions should the nurse include? (Select all that apply.) A."Use caution if given a prescription for a diuretic medication." B."Consider using an alternate form of contraception if you are using oral contraceptives." C."Chew gum to increase saliva production." D."Avoid driving until you see how the medication affects you." E."Notify your provider if you develop a skin rash - ANSWERS-a, b, d, e (A. Diuretic medications are administered with caution because of the high risk for hyponatremia when taking oxcarbazepine. B. An alternate form of contraception is recommended for clients taking oral contraceptives because oxcarbazepine decreases oral contraceptive levels D. The client should avoid driving if CNS effects of dizziness, drowsiness, and double vision develop. E. The client should notify the provider if a skin rash occurs because life-threatening skin disorders can develop.) A nurse is instructing a client who has a new prescription for Timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication? A. Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus - ANSWERS-B (Pressing on the nasolacrimal duct blocks the lacrimal punctum and prevents systemic absorption of the medication) A nurse is teaching a client who has a new prescription for Brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? A. "This medication can stain your contacts." B. "This medication can cause your pupils to constrict." C. "This medication can absorb into your contacts." D. "This medication can slow your heart rate. " - ANSWERS-C (Brimonidine can absorb into soft contact lenses. The client should remove his contacts then instill the medication and wait at least 15 min before putting in his contacts back in.) A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle-closure Glaucoma. Which of the following findings are indicative of this condition? A. Insidious onset of painless loss of vision B. Gradual reduction in peripheral vision C. Severe pain around eyes D. Intraocular pressure 12mm Hg - ANSWERS-C (Severe pain around eyes that radiates over the face is a manifestation of acute angle-closure glaucoma) A nurse is teaching a client about preventing Otitis Externa. Which of the following instructions should the nurse include? A. Clean the ear with a cotton-tipped swab daily B. Place earplugs in the ears when sleeping at night. C. Use a cool water irrigation solution to remove earwax. D. Tip the head to the side to remove water from the ears after showering - ANSWERS-D (The client should remove water from the ear after showering or swimming to reduce the risk for otitis externa) A nurse in a provider's office is instructing a parent of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select all that apply.) A."Place the child on his unaffected side when you are ready to administer the medication." B."Warm the medication by gently rolling it between your hands for a few minutes." C."Gently shake medication that is in suspension form." D."keep the child on his side for 5 minutes after instillation of the ear drops." E."Tightly pack the ear with cotton after instillation of the ear drops. - ANSWERS-a, b, c, d (A. The parent should have the child on his unaffected side to allow access to the affected ear and to promote drainage of the medication by gravity into the ear. B. The parent should warm the medication by rolling it between his hands. Administering the medication cold can cause dizziness. A. Bursitis B. Sinusitis C. Depression D. Glaucoma - ANSWERS-D (Oxybutynin is an anticholinergic and can increase intraocular pressure. It is contraindicated for clients who have glaucoma) A nurse is caring for a client who has a prescription for Bethanechol to treat urinary retention. The nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation? A. Dry mouth B. Hypertension C. Excessive perspiration D. Fecal impaction - ANSWERS-C (Bethanechol is a muscarinic agonist. muscarinic stimulation can result in sweating) A nurse is providing instructions to a client who has been experiencing Insomnia and has a new prescription for Temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select all that apply.) A. Incoordination B. Hypertension C. Pruritus D. Sleep driving E. Amnesia - ANSWERS-a, d, e (A. Due to CNS depression, incoordination is an adverse effect of temazepam D. Sleep driving (driving after taking the medication without memory of doing so) is an adverse effect of temazepam. E. Retrograde amnesia, the inability to remember the events that occurred after taking the medication, can occur as an adverse effect of temazepam) A nurse is caring for a client who is receiving moderate sedation with Diazepam IV. The client is oversedated. Which of the following medications should the nurse anticipate administering to this client? A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine - ANSWERS-C (Flumazenil is a competitive benzodiazepine antagonist used to reverse the sedation and other effects of benzodiazepines) A nurse is teaching a client who has a new prescription for Ramelteon. The nurse should instruct the client to avoid which of the following foods while taking this medication? A. Baked potato B. Fried chicken C. Whole-grain bread D. Citrus fruits - ANSWERS-B (high-fat foods, such as fried chicken prolong the absorption of ramelteon and should be avoided) A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of Ketamine as an intravenous anesthetic? A. Peptic ulcer disease B. Breast cancer C. Diabetes mellitus D. Schizophrenia - ANSWERS-D (Ketamine can produce psychological effects, such as hallucinations. Therefore, schizophrenia can be a contraindication for the use of Ketamine) A nurse is providing instructions to a female client who has a new prescription for Zolpidem. Which of the following instructions should the nurse include? A. "Notify the provider if you plan to become pregnant." B. "Take the medication 1 hr before you plan to go to sleep." C. "Allow at least 6 hr for sleep when taking zolpidem." D. "To increase the effectiveness of zolpidem, take it with a bedtime snack. - ANSWERS-A (Zolpidem is Pregnancy Risk Category C. The client should notify the provider if she plans to become pregnant) A nurse is teaching a client who has a new prescription for Beclomethasone. Which of the following instructions should the nurse include? A. "Rinse your mouth after each use of this medication." B. "Limit fluid intake while taking this medication." C. "Increase your intake of vitamin B12 while taking this medication." D. "You can take the medication as needed. - ANSWERS-A (The client should rinse her mouth after each use to reduce the risk of oral fungal infection) A nurse is providing instructions to a client who has a new prescription for Albuterol and Beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day. B. Administer the albuterol inhaler prior to using the beclomethasone inhaler. C. Use beclomethasone if experiencing an acute episode. D. Drowsiness E. Urinary hesitation - ANSWERS-a, d, e (A. Dry mouth is an anticholinergic manifestation that can occur when a client takes diphenhydramine D. Drowsiness is an adverse reaction of this medication. Diphenhydramine is administered to treat insomnia. E. Urinary retention is an anticholinergic manifestation that can occur when a client takes diphenhydramine.) A nurse is teaching a client about the use of Fluticasone to treat Perennial Rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while I am awake." B. "It can take as long as 3 weeks before the medication takes a maximum effect." C. "This medication can also be used to treat motion sickness." D. "I can use this medication when my nasal passages are blocked. - ANSWERS-B (The client can see some benefits of the medication within a few hours, but the maximum benefits can take up to 3 weeks.) A nursing is planning care for a client who is receiving Furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Assess for tinnitus. B. Report urine output 50 mL/hr. C. Monitor serum potassium levels. D. Elevate the head of bed slowly before ambulation. E. Recommend eating a banana daily - ANSWERS-a, c, d, e (A. An adverse effect of furosemide is ototoxicity. manifestations of tinnitus should be reported to the provider C. A decrease in serum potassium levels is an adverse effect of furosemide, and the nurse should notify the provider. D. Slowly elevating the head of the bed will prevent the client from developing orthostatic hypotension, which is a manifestation of hypovolemia. E. A banana is high in potassium. The nurse should encourage the client to eat foods high in potassium to prevent hypokalemia.) A nurse is providing information to a client who has a new prescription for Hydrochlorothiazide. Which of the following information should the nurse include? A. Take the medication with food. B. Plan to take the medication at bedtime. C. Expect increased swelling of the ankles. D. Fluid intake should be limited in the morning. - ANSWERS-A (The client should take hydrochlorothiazide with or after meals to prevent gastrointestinal upset) A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? A. Serum Sodium 144 mEq/L B. Urine output 120 mL in 4 hr C. Serum Potassium 5.2 mEq/L D. Blood Pressure 140/90 mm Hg - ANSWERS-C (Serum potassium of 5.2 mEq/L indicates hyperkalemia. Because spironolactone causes potassium retention, the nurse should withhold the medication and notify the provider) A nurse is caring for a client who has increased intracranial pressure and is receiving Mannitol. Which of the following findings should the nurse report to the provider? A. Blood glucose 150 mg/dL B. Urine output 40 mL/hr C. Dyspnea D. Bilateral equal pupil size - ANSWERS-C (Dyspnea is a manifestation of heart failure, an adverse effect of mannitol. The nurse should stop the medication and notify the provider.) A nurse is planning caring for a client who is has a new prescription for Torsemide. The nurse should plan to monitor for which of the following adverse reactions of this medications? (Select all that apply.) A. Respiratory acidosis B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias - ANSWERS-b, c, d, e (B. The nurse should plan to monitor for hypokalemia, which is an adverse effect of a loop diuretic. C. The nurse should plan to monitor for hypotension. D. The nurse should plan to monitor the client for ototoxicity. D. Clonidine, a centrally acting alpha2 agonist, is an antihypertensive medication that can interact with captopril to intensify first-dose orthostatic hypotension. The nurse should monitor clients carefully for hypotension, especially after the first dose of captopril, and keep the client safe from injury. E. Aliskiren, a direct renin inhibitor, is an antihypertensive medication that can interact with captopril to intensify its first-dose orthostatic hypotension. The nurse should monitor clients carefully for hypotension, especially after the first dose of captopril, and keep the client safe from injury) A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for Digoxin toxicity? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq/ - ANSWERS-C (Potassium 3.4 mEq/L is below the expected reference range and puts a client at risk for digoxin toxicity. Low Potassium can cause fatal dysrhythmias, especially in older clients who take Digoxin. The nurse should notify the provider, who might prescribe a potassium supplement or a potassium-sparing diuretic for the client) A nurse is caring for an older adult client who has a new prescription for Digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for Digoxin toxicity? A. Phenytoin B. Verapamil C. Warfarin D. Aluminum hydroxide - ANSWERS-B (Verapamil, a calcium-channel blocker, can increase digoxin levels. If these medications are given concurrently, the digoxin dosage might be decreased and the nurse should monitor digoxin levels carefully) A nurse is administering a Dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. Lowered heart rate B. Increased myocardial contractility C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessel - ANSWERS-B (The nurse should expect dopamine to cause increased myocardial contractility, which also increases cardiac output. This occurs with the stimulation of beta1 receptors and is a positive inotropic effect of dopamine when it is administered at a low dose) A nurse is providing teaching to a client who has a new prescription for Digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation Digoxin toxicity? (Select all that apply.) A. Fatigue B. Constipation C. Anorexia D. Rash E. Diplopia - ANSWERS-a, c, e (A. Fatigue and weakness are early CNS findings that can indicate digoxin toxicity. C. GI disturbances, such as anorexia, are manifestations of digoxin toxicity. E. Visual changes, such as diplopia and yellow-tinged vision, are manifestations of digoxin toxicity) A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? A. Contact provider if heart rate is less than 60/min. B. Check pulse rate for 30 seconds and multiply result by 2. C. Increase intake of sodium. D. Take with food if nausea occur - ANSWERS-A (The client should contact the provider for a heart rate less than 60/min)