ATI Pharm Questions, Week 6 To 10

91 Questions | Total Attempts: 237

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ATI Pharm Questions, Week 6 To 10

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Questions and Answers
  • 1. 
    A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse’s priority?
    • A. 

      Administer flumazenil.

    • B. 

      Identify the client’s level of orientation.

    • C. 

      Infuse IV fluids.

    • D. 

      Prepare the client for gastric lavage.

  • 2. 
    A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching?
    • A. 

      “I should take the medication on an empty stomach.”

    • B. 

      “I will follow a low‐sodium diet while taking this medication.”

    • C. 

      “I need to discontinue this medication slowly.”

    • D. 

      “I should not crush this medication before swallowing.”

  • 3. 
    A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include?
    • A. 

      “Take this medication on an empty stomach“

    • B. 

      “Expect optimal therapeutic effects within 24 hr.”

    • C. 

      “Take this medication when needed for anxiety”

    • D. 

      “This medication has a low risk for dependency.”

  • 4. 
    A nurse is teaching a client who has obsessive‐compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include?
    • A. 

      “It can take several weeks before you feel like the medication is helping.”

    • B. 

      “Take the medication just before bedtime to promote sleep.”

    • C. 

      “You should take the medication when needed for obsessive urges.”

    • D. 

      “monitor for weight gain while taking this medication.”

  • 5. 
    A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage bruxism? (Select all that apply.)
    • A. 

      Concurrent administration of buspirone

    • B. 

      Administration of a different SSRI

    • C. 

      Use of a mouth guard

    • D. 

      Changing to a different class of antidepressant medication

    • E. 

      Increasing the dose of paroxetine

  • 6. 
    A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?
    • A. 

      Orthostatic hypotension

    • B. 

      hearing loss

    • C. 

      Gastrointestinal bleeding

    • D. 

      Weight loss

  • 7. 
    A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply.)
    • A. 

      Expect therapeutic effects in 24 to 48 hr.

    • B. 

      Discontinue the medication after a week of improved mood.

    • C. 

      Change positions slowly to minimize dizziness.

    • D. 

      Decrease dietary ber intake to control diarrhea.

    • E. 

      Chew sugarless gum to prevent dry mouth.

  • 8. 
    A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for posttraumatic stress disorder. Which of the following statements should the nurse include in the teaching?
    • A. 

      “You may have a decreased desire for intimacy while taking this medication.

    • B. 

      “You should take this medication at bedtime to help promote sleep.”

    • C. 

      “You will have fewer urinary adverse effects if you urinate just before taking this medication.”

    • D. 

      “You’ll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication.”

  • 9. 
    A nurse is caring for a client who has depression and a new prescription for venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select all that apply)
    • A. 

      Cough

    • B. 

      Dizziness

    • C. 

      Decreased libido

    • D. 

      Alopecia

    • E. 

      Hypotension

  • 10. 
    A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome?
    • A. 

      Bruising

    • B. 

      Fever

    • C. 

      Abdominal pain

    • D. 

      Rash

  • 11. 
    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

  • 12. 
    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

  • 13. 
    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

  • 14. 
    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

  • 15. 
    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.” “Take the medication 1 hr before you plan to go to sleep.” “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.”

  • 16. 
    A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects?
    • A. 

      Take the medication in the morning to prevent insomnia.

    • B. 

      Chew sugarless gum to moisten the mouth.

    • C. 

      Use cooling measures to decrease fever.

    • D. 

      Take an antacid to relieve nausea.

  • 17. 
    A nurse is assessing a male client who recently began taking haloperidol. Which of the following findings is the highest priority to report to the provider?
    • A. 

      Shuffling gait

    • B. 

      Neck spasms

    • C. 

      Drowsiness

    • D. 

      Impotence

  • 18. 
    A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?
    • A. 

      “You should have a high‐carbohydrate snack between meals and at bedtime.”

    • B. 

      “You are likely to develop hand tremors if you take this medication for a long period of time.”

    • C. 

      'You may experience temporary numbness of your mouth after each dose.”

    • D. 

      “You should have your white blood cell count monitored every week.”

  • 19. 
    A nurse is providing teaching for a male client who has schizophrenia and is taking risperidone. Which of the following instructions should the nurse include in the teaching?
    • A. 

      “Add extra snacks to your diet to prevent weight loss.”

    • B. 

      “Notify the provider if you develop breast enlargement.”

    • C. 

      “You may begin to have mild seizures while taking this medication.”

    • D. 

      “This medication is likely to increase your libido.”

  • 20. 
    A nurse is preparing to perform a follow‐up assessment on a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? (Select all that apply.)
    • A. 

      Disorganized speech

    • B. 

      Bizarre behavior

    • C. 

      Impaired social interactions

    • D. 

      Hallucinations

    • E. 

      Decreased motivation

  • 21. 
    A nurse is reviewing laboratory findings and notes that a client’s plasma lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse?
    • A. 

      Perform immediate gastric lavage.

    • B. 

      Prepare the client for hemodialysis.

    • C. 

      Administer an additional oral dose of lithium.

    • D. 

      Request a stat repeat of the laboratory test. Request a stat repeat of the laboratory test. Request a stat repeat of the laboratory test. Request a stat repeat of the laboratory test.

  • 22. 
    A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following?
    • A. 

      Avoid the use of acetaminophen for headaches

    • B. 

      Restrict intake of foods rich in sodium.

    • C. 

      Decrease fluid intake to less than 1,500 mL daily

    • D. 

      Limit aerobic activity in hot weather.

  • 23. 
    A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication?
    • A. 

      Severe hypertension

    • B. 

      Coarse tremors

    • C. 

      Constipation

    • D. 

      Muscle spasms

  • 24. 
    A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client that while taking this medication he will need to have which of the following laboratory tests completed periodically? (Select all that apply.)
    • A. 

      Thrombocyte count

    • B. 

      Hematocrit

    • C. 

      Amylase

    • D. 

      Liver function tests

    • E. 

      Potassium

  • 25. 
    A nurse is preparing a teaching plan for a female client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching?
    • A. 

      “This medication can safely be taken during pregnancy.”

    • B. 

      “Eliminate grapefruit juice from your diet."

    • C. 

      “You will need to have a complete blood count and carbamazepine levels drawn periodically.”

    • D. 

      “Notify your provider if you develop a rash.”

    • E. 

      “Avoid driving for the rst few days after starting this medication.”

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