ATI PHARMACOLOGY PROCTORED EXAM 2019 – STUDY GUIDE / RASMUSSEN COLLEGE

ATI PHARMACOLOGY PROCTORED EXAM 2019 – STUDY GUIDE / RASMUSSEN COLLEGE

ATI PHARMACOLOGY PROCTORED EXAM 2019 – STUDY GUIDE

1.A client with renal impairment who has been taking nitrofurantoin

(Macrodantin) for a urinary tract infection telephones a nurse and describes the

recent onset of "numbness and tingling" in the fingers and toes. What should the

nurse instruct the client to do?

A) Discontinue the drug and come in for further evaluation.

B) Continue the drug and keep the hands and feet elevated when possible.

C) Check the color of the extremities every 4 hours.

D) Collect a urine sample and bring it to the clinic.

2.A client is taking trimethoprim/sulfamethoxazole (TMP-SMZ). To help the client

avoid the side effects associated with this drug, the nurse should encourage the

client to

A) Shower twice a day

B) Drink ample amounts of water

C) Avoid the use of Tylenol.

D) Limit citrus.

B) Drink ample amounts of water

3.A client being followed for latent tuberculosis has been on isoniazid therapy

for 2 months. The nurse notes that the liver function test results have become

grossly abnormal during that interval. What should the nurse do?

A) Continue the drug unless jaundice, nausea, or itching develops.

B) Continue the drug and have liver function tests repeated weekly.

C) Hold the medication, and seek an alternative medication from the

prescriber.

D) Stop the drug and restart it when liver function returns to normal.

C) Hold the medication, and seek an alternative medication from the

prescriber.

4.The nurse assesses a PPD on the forearm of a client being screened for

employment in an outpatient clinic. The induration is 4 mm. How should this

finding be interpreted?

A) Negative, insignificant

B) Moderately significant, requiring chest radiograph

C) Moderately significant, requiring sputum culture

D) Significant, requiring treatment

A) Negative, insignificant

5.The nurse is caring for a client who received an order for PO levofloxacin

(Levaquin). The client is anxious to get out of the hospital, because he is a

runner and wants to compete in an upcoming marathon. Which client education

would be essential for this client?

A) Report ringing in the ears.

B) Report nausea.

C) Report tendon pain.<video controls="" src="https://blog.learnexams.com/wp-content/uploads/2023/03/2022-RN-HESI-EXIT-EXAM-Version-1-V1-All-160-Qs-As-Included-Guaranteed-Pass-A-All-Brand-New-QA-Pics-Included-2.mp4" width="640" height="360" class="note-video-clip"></video>

D) Report visual disturbances.

C) Report tendon pain.

6.The nurse is caring for a client who has been experiencing fever of unknown

origin. The prescriber has ordered a broad-spectrum antibiotic. Which

intervention is the priority?

A)Administer the antibiotic immediately.

B)Administer antipyretics as soon as possible.

C) Obtain all cultures before the antibiotic is administered.

D) Delay administration of the antibiotic until the culture results are available.

7.A pregnant adolescent asks the nurse whether it would be all right to continue to

take her prescription for tetracycline to clear up her acne. What response by the

nurse provides the best information?

A) "Tetracycline is effective in clearing up acne, but you should also use

topical agents too."

B) "Tetracycline may cause Chrohn's disease in pregnant women

C) "Tetracyclines help the baby develop immunity to Lyme disease."

D) "Tetracyclines could be harmful to the unborn baby's teeth. You shouldn't

take them."

8.A client has just received a prescription for a 10-day course of penicillin for the

treatment of strep throat. What client education is essential for the nurse to

provide?

A) Family members and close contacts should also receive treatment.

B) The agent should be discontinued when symptoms resolve to prevent

emerging allergies.

C) The entire course of the drug must be taken to prevent the reemergence of a resistant strain.

D) The medication should be discontinued if diarrhea occurs

9.Which of these clients would be most at risk for an allergic reaction to a

penicillin injection?

A)A client who had a hypotensive episode following a stress treadmill study

with

contrast

B)A client who has a history of asthma triggered by food allergies

C) A client who reports an episode of hives after taking grape flavored

acetaminophen D) A client who reports a history of a mild rash from

penicillin taken 7 years ago

10.A client, who is taking rifampin, telephones the nurse to say, "My urine and

saliva have looked orange-red for the past 2 days." Select the nurse's best

response.

A) "This is consistent with an allergic response, and the drug should be

stopped."

B) "Continue the drug for another week to see if the color returns to normal."

C) "Stop the drug, because it is likely that hepatitis has

developed." D) "This is a normal effect of the drug and is

harmless."

11.A client is receiving their first intravenous infusion of vancomycin. The nurse

know to watch for what unique complication of vancomycin if it infuses too

rapidly?

A) Pleural effusion

B) Deep vein thrombosis

C) Hypotension with flushing

D) Constipation

12.A client who has been receiving clindamycin for 10 days develops profuse

diarrhea and abdominal pain. The nurse suspects that the client has an infection

caused by C. difficile and knows to consult the prescriber about the possibility of

prescribing which of these antibiotics?

A) penicillin G. and

trimethoprim B) vancomycin

and metronidazole

C) tetracycline and erythromycin

D) azithromycin and nystatin

13.The nurse administers cefotetan (Cefotan) to a client who also is taking

warfarin (Coumadin). The nurse should monitor the carefully for what potential

consequence?

A) Increased WBCs.

B) Elevated cefotetan

levels. C) Bruising or

bleeding gums.

D) Hyperkalemia

14.An outbreak of the flu has occurred in a long term care facility, so oseltamivir

(Tamiflu) is being given to the residents on a dementia care wing? What side

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