ATI PHARMACOLOGY PROCTORED EXAM TESTBAN K 2024/NE WEST UPDATE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS AND RATIONALES/100% VERIFIED/ALREADY GRADED A+ A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following parts of the prescription with the provider? A. Name B. Dosag C. Route D. Frequency - CORRECT ANSWER -D. Frequency Rationale : ( This prescription does not include the time or frequency of medication administration. The nurse must clarify this with the prescribing provide) A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select all that apply.) A. Use of herbal teas B. Daily fluid intake C. Current health status D. Previous surgical history E. Food allergies - CORRECT ANSWER -A. Use of herbal teas C. Current health status E. Food allergies Rationale : (A. The nurse should inquire about the client's use of herbal products, which often contain caffeine, prior to medication administration because caffeine can affect medication biotransformation C. The nurse should review the client's current health status because new prescriptions can cause alterations in current health status E. The nurse should inquire about food allergies during the pre-assessment to identify any potential reactions or interactions) A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? A. "A second nurse enters the prescription into the client's medical record." B. "Another nurse should listen to the phone call." C. "The provider can clarify the prescription when he signs the health record." D. "I should omit the 'read back' if this is a one-time prescription - CORRECT ANSWER - B. "Another nurse should listen to the phone call." Rationale : (A second nurse should listen to a telephone prescription to prevent errors in communication.) A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C.Thre D. Four - CORRECT ANSWER -A. One Rationale : (Medications with long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this medication once a day.) A staf f educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.) A. Increased renal secretion B. Increased medication -metabolizing enzymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes - CORRECT ANSWER -C. Liver failure E. Concurrent use of medication the same pathway metabolizes Rationale: C . Liver failure decreases metabolism and thus increases the concentration of a medication. This requires decreasing the dosage. E. When the same pathway metabolizes two medications, they compete for metabolism, thereby increasing the concentration of one or both medications. This requires decreasing the dosage of one or both A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A. Have the client lie on her side. B. Ask the client to look up at the ceiling. C. Tell the client to blink when the drops enter her eye. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation - CORRECT ANSWER -B. Ask the client to look up at the ceiling. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation Rationale : (B. The client should look upward to keep the drops from falling
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