Pharmacology Proctored ATI Exam Guide Questions and Answers with Verified Solutions 2024

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?
The client states, "My heart is pounding out of my chest."
A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?
At the client's bedside before administration
A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects should the nurse include in the teaching?
Tinnitus
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Tongue thrusting and lip smacking,
Facial grimacing and eye blinking, Involuntary pelvic rocking and hip thrusting movements
A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?
Isosorbide
A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?
Check the client's vital signs.
A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse?
Bologna sandwich
A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer?
Methadone
A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?
"I'm glad you called, and I want to send an ambulance to help you."
A nurse is caring for a newborn who has respiratory depression. Which of the following medications should the nurse anticipate administering?
Naloxone
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?
Check the results of the client's most recent CBC.
A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?
"I'll call my doctor if I notice any unusual menstrual bleeding."
A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?
Fatigue
A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Systolic blood pressure is increased
A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?
Avoid driving until effects are known.
A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client. Which of the following is the priority assessment the nurse should complete?
Respiratory rate
A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?
hypotension
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?
"You might have to stop taking this medication 5 days before any planned surgeries."