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A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? A. I should apply a patch every 5 minutes if I develop chest pain. B. I will take the patch off right after my eveni...

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  • 22. august 2024
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ATI - RN Pharmacology Online Practice
2019 A Best Exam Questions & Answers
100% Verified By Experts

A nurse is instructing a client on the application of nitroglycerin transdermal patches.
Which of the following statements by the client indicates an understanding of the
teaching?

A. I should apply a patch every 5 minutes if I develop chest pain.

B. I will take the patch off right after my evening meal.

C. I will leave the patch off at least 1 day each week.

D. I should discard the used patch by flushing it down the toilet. - CORRECT ANSWER-
B. I will take the patch off right after my evening meal.



Gives a medication-free time of 12-14 hours before applying a new patch to avoid
building a tolerance.



A nurse receives a verbal order from the provider to administer morphine five milligrams
every 4 hours subcutaneously for severe pain as needed. The nurse should identify
which of the following entries as the correct format for the medication administration
record (MAR)?

A. MSO4 5 mg subcut every 4 hr PRN severe pain

B. Morphine 5 mg subcut every 4 hr PRN severe pain

C. MSO4 5 mg SQ every 4 hr PRN severe pain

D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain - CORRECT
ANSWER-B.Morphine 5 mg subcut every 4 hr PRN severe pain



A nurse is caring for a client who is taking acetazolamide for chronic open-angle
glaucoma. For which of the following adverse effects should the nurse instruct the client
to monitor and report?

A. Tingling of fingers

B. Constipation

,C. Weight gain

D. OLiguria - CORRECT ANSWER-A. Tingling of fingers

(Parasthesia)



A nurse administers a dose of metformin to a client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first?

A. Report the incident to the charge nurse.

B. Notify the provider

C. Check the client's blood glucose

D. Fill out an incident report. - CORRECT ANSWER-C. Check the client's blood glucose

Take action to assess the client first. Client is at risk for hypoglycemia, so glucose
should be monitored and client should be provided a snack.



A nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium. The nurse should instruct the client that taking the docusate sodium daily can
minimize which of the following adverse effects of morphine?

A. Constipation

B. Drowsiness

C. Facial flushing

D. Itching - CORRECT ANSWER-A. Constipation

Docusate sodium is a stool softener



A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The
client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is 20/min. The
nurse should withhold the medication and contact the provider for which of the following
findings?

A. Diastolic BP

B. Systolic BP

C. Heart rate

D. Respiratory Rate - CORRECT ANSWER-C. Heart rate

Early indicator of digoxin toxicity

, A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of
over 8 hr as prescribed. Which of the following information should the nurse enter as a
complete documentation of the incident?

A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well,
provider notified.

B. 0.9% sodium chloride 1 L infused over 4 hr. Vital signs stable, provider notified.

C. 1 L of 0.9% sodium completed at 0900. Client denies shortness of breath.

D. IV fluid initiated at 0500. Lungs clear to auscultation. - CORRECT ANSWER-B. 0.9%
sodium chloride 1 L infused over 4 hr. Vital signs stable, provider notified.

Document what was given, how long, provider notification, and client's status. Do not
indicate in a record that there was an error or write non-factual information.



A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following actions of sucralfate should the
nurse include in the teaching?

A. Decreases stomach acid secretion

B. Neutralizes acids in the stomach

C. Forms a protective barrier over ulcers

D. Treats ulcers by eradicating H. pylori - CORRECT ANSWER-C. Forms a protective
barrier over ulcers

Sucralfate is a mucosal protectant, forming a gel-like substance that coats the ulcer,
creating a barrier to hydrochloric acid and pepsin.



A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure.
The nurse should identify which of the following findings as an indication of
hypokalemia?

A. Tall, tented T-waves

B. Presence of U-waves

C. Widened QRS complex

D. ST elevation - CORRECT ANSWER-B. Presence of U-waves

U-waves are a manifestation of hypokalemia, an adverse effect of furosemide

Tented T and widened QRS indicate hyperkalemia

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