2023 ATI CMS PHARMACOLOGY RETAKE EXAM 2 EXAM LATEST VERSION 2023 -2024 QUESTION AND CORRECT ANSWERS WITH RATIONALES RATED A GRADE. A nurse is obtaining a medication history from a client who is to start a new prescription for warfarin (Coumadin). Which of the following over -the-counter medications should the nurse instruct the client to avoid? a. Ranitidine (Zantac) b. Docusate sodium (Colace) c. Acetaminophen d. Aspirin - ANSWER -d. Aspirin A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch (Nitro -Dur) once daily. Which of the following are true regarding the administration of transdermal nitroglycerin? (SATA) a. Apply the patch at the same time each morning b. Leave the patch in place for 24 hr before replacing. c. Put patch on a hairless area of skin. d. Rotate the sites of administration with each application. e. Cut patches in half to allow for smaller doses of prescribed medication. - ANSWER -a. Apply the patch at the same time each morning c. Put patch on a hairless area of skin. e. Cut patches in half to allow for smaller doses of prescribed medication. After instilling an eye drop that has a systematic effect, the nurse should press on which of the following to prevent absorption into the circulation? a. The bony orbit b. The nasolacrimal duct c. The conjunctival sac d. The outer cantus of the eye - ANSWER -b. The nasolacrimal duct A nurse is caring for a client who has just been diagnosed with primary open -angle glaucoma (POAG) during a screening examination. Which of the following data collection finding should the nurse expect? a. Sudden loss of central vision b. Intraocular pressure 19 mm Hg c. No reports of pain d. Intact peripheral vision - ANSWER -c. No reports of pain A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who has glaucoma. For which of the following adverse effects should this client be monitored? a. Hypertension b. Bradycardia c. Seizures d. Jaundice - ANSWER -b. Bradycardia A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication? a. Serum creatinine b. Liver enzymes c. WBC count d. RBC count - ANSWER -b. Liver enzymes A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching? (Select all that apply) a. Take the medication 15 min before exercising. b. Follow a fixed -dosage schedule for long -term control of asthma. c. Expect to lose weight while taking the medication. d. Observe for adverse effects such as tremors, restlessness, and palpitations. e. Do not crush or chew tablets. - ANSWER -a. Take the medication 15 min before exercising. b. Follow a fixed -dosage schedule for long -term control of asthma. A nurse is reinforcing teaching for a client with a prescription for a beclomethasone (QVAR) inhaler to be used for the long -term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler? a. Iron and Protein b. Calcium and Vitamin D c. Vitamin B¹² and folic acid d. Vitamin E and K - ANSWER -b. Calcium and Vitamin D A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following findings? a. Weight loss
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