CMS ATI PHARMACOLOGY PROCTORED 202 4 FORM A, B & C PROCTORED EXAM LATEST 2024 EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+ A nurse is caring for a young adult client whose serum Calcium is 8.8 mg/dL. Which of the following medications should the nurse anticipate administering to this client? A. Calcitonin -salmon B. Calcium carbonate C. Zoledronic acid D. Ibandronate - ANSWER✅✅ B (The client's serum calcium level is below the expected reference range. Calcium carbonate is an oral form of calcium used to increase serum calcium to the expected refer ence range.) A nurse is providing instruction to a client who has a new prescription for Calcitonin -salmon for postmenopausal Osteoporosis. Which of the following instructions should the nurse include in the teaching? A. Swallow tablets on an empty stomac h with plenty of water. B. Watch for skin rash and redness when applying calcitonin -salmon topically. C. Mix the liquid medication with juice and take it after meals. D. Alternate nostrils each time calcitonin -salmon is inhale - ANSWER✅✅ D (Calcitonin -salmo n can be administered Im or subcutaneously, but is commonly administered intranasally for postmenopausal osteoporosis. The client should alternate nostrils daily.) A nurse is assessing a client who has salicylism. Which of the following findings should the nurse expect? (Select all that apply.) A. Dizziness B. Diarrhea C. Jaundice D. Tinnitus E. Headache - ANSWER✅✅ A, d, e (A. The client who has salicylism can have dizziness, which is an expected finding. D. The client who has salicylism can have tinnitus, which is an expected finding. E. The client who has salicylism can have a headache, which is an expected finding) A nurse is admitting a toddler to the hospital after an Acetaminophen overdose. Which of the following medications should the nurse anticipate administering to this client? A. Acetylcysteine B. Pegfilgrastim C. Misoprostol D. Naltrexone - ANSWER✅✅ A (The nurse should administer acetylcysteine, which is the antidote for acetaminophen overdose. ) A nurse is teaching a client about the a new prescription for Celecoxib. Which of the following information should the nurse include in the teaching? A. Increases the risk for a myocardial infarction B. Decreases the risk of stroke C. Inhibits COX -1 D. Increases platelet aggregation - ANSWER✅✅ A (The client who takes celecoxib has an increased risk for a myocardial infarction secondary to suppressing vasodilation) A nurse is taking a history for a client who reports that he is taking Aspirin about four ti mes daily for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin? A. Digoxin B. Metformin C. Warfarin D. Nitroglycerin - ANSWER✅✅ C (The effect of warfarin and other anticoagulants is increased by aspirin, which inhibits platelet aggregation. This client would have an increased risk for bleeding. Use of aspirin generally is contraindicated for clients who t ake warfarin.) A nurse in an emergency department is performing an admission assessment for a client who has severe Aspirin toxicity. Which of the following findings should the nurse expect? A. Body temperature 35° C (95° F) B. Lung crackles C. Cool, dry skin D. Respiratory depression - ANSWER✅✅ D (Respiratory depression due to increasing respiratory acidosis is an expected manifestation of severe aspirin toxicity.) A nurse is preparing to administer an Opioid agonist to a client who has acute pain. Which o f the following complications should the nurse monitor? A. Urinary retention B. Tachypnea C. Hypertension D. Irritating cough - ANSWER✅✅ A (The nurse should monitor for urinary retention because morphine can suppress awareness that the bladder is full.) A nurse is caring for a client who has end -stage cancer and is receiving Morphine. The client's daughter asks why the provider prescribed Methylnaltrexone. Which of the following responses should the nurse make?
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