RN ATI PHARMACOLOGY 2019 EXAM WITH NGN

RN ATI PHARMACOLOGY 2019 EXAM WITH NGN

A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?

ANSWER-a. The client has a negative sputum culture

A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?

-d. Administer epinephrine IM

A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid?

- ANSWER-a. St. John's Wort

A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?

- ANSWER-d. Hypotension

A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs?

d. Increased blood pressure - ANSWER-d. Increased blood pressure

A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?

ANSWER-b. Distended neck veins

A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?

- ANSWER-b. Improved cognition

A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?

- ANSWER-d. "Remove the patch prior to going to bed."

A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider?

- ANSWER-d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level so the PN should monitor the client's serum potassium level

A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

- ANSWER-b. The nurse who identifies the error

A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following?

- ANSWER-a. Pruritus - Sign of allergic reaction to morphine

A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right placing them in the order of performance. Use all the steps.) - ANSWER-a. Obtain the client's apical heart rate

A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication?

- ANSWER-a. Alcohol use disorder

A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first?

- ANSWER-c. Determine medication adherence by the client