Exam (elaborations)
ATI PN Pharmacology CMS Form A Exam
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- ATI PN Pharmacology CMS
- Institution
- Unitek
ATI PN Pharmacology CMS Form A Exam
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ATI PN Pharmacology CMS Form A ExamCourse Title and Number: ATI PN Pharmacology CMS Exam
Exam Title: [Insert Exam Title]
Exam Date: [Insert Exam Date]
Instructor: [Insert Instructor’s Name]
Student Name: [Insert Student’s Name]
Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
Good Luck!
,1. A nurse is reinforcing teaching w/ a client who has HTN and a new
prescrip- tion for spironolactone. Which of the following instructions should
the nurse include in the teaching?
-Increase foods high in Zinc.
-Restrict foods high in potassium.
-Restrict foods high in vitamin K.
-Increase foods high in magnesium.: Answer: Restrict foods high in
potassium.
The nurse should instruct the client that spironolactone is a potassium-
sparing diuretic, which can cause hyperkalemia. Therefore, the client
should restrict foods that are high in potassium and salt substitutes that
contain potassium.
2. A nurse is reinforcing teaching w/ a client following placement of a cast
for a fractured ankle. The client is to take oxycodone for pain management.
The nurse should instruct the client that which of the following over-the-
counter medications is contraindicated while taking oxycodone?
-Docusate sodium
-Famotidine
-Diphenhydramine
-Ibuprofen: Answer: Diphenhydramine
Both diphenhydramine, an antihistamine, and oxycodone, an opioid
analgesic, can cause CNS depression. Therefore, when a client uses the
two medications together, the client is at an increased risk for sedation,
respiratory depression, and injury.
3. A nurse is collecting data from the parent of a toddler who is about to
receive the varicella immunization. The nurse should idenitfy that an
anaphylactic re- action to which of the following substances is a
contraindication for receiving this immunization?
-Gelatin
-Pennicillin
-Sulfa
-Eggs: Answer: Gelatin
The nurse should identify that a hypersensitivity reaction to either gelatin
or neomycin is a contraindication for receiving the varicella vaccine
,because it contains both of these substances.
, 4. A nurse is reinforcing teaching w/ a client who has HIV and a new
prescrip- tion for zidovudine. Which of the following client statements
should indicate to the nurse an understanding of the teaching?
-"I can have unprotected sex after 6 months of taking this medication."
-"I can expect to have constipation while taking this medication."
-"I will be sure to have my blood tested for anemia."
-"My fingers might feel numb after I start therapy.": Answer: "I will be
sure to have my blood tested for anemia."
Zidovudine can cause severe anemia and neutropenia. The client should
have blood tests performed before treatment begins and have continued
monitoring during the course of treatment.
5. A nurse is caring for a client who is taking phenylephrine. The nurse
should plan to monitor the client for which of the following manifestations
as an adverse effect of this medication?
-Increased drowsiness
-Increased heart rate
-Decreased BP
-Decreased WBC count: Answer: Increased heart rate
Due to cardiac effects, phenylephrine can cause tachycardia and
other cardiac dysrythmias.
6. At 0800 a nurse assists w/ initiating a 1,000 mL IV infusion for a client,
which is running at 125 mL/hr. How much fluid is left in the IV bag at 1300?
(Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.): Answer: 375 mL
7. A nurse is collecting data from a client who is receiving digoxin for
treatment of heart failure. The nurse should identify which of the following
findings as adverse effects of this medication? (Select all that apply.)
-Blurred vision
-Nausea
-Hyperactivity
-Increased appetite
-Dysrhythmia: Answer:
-Blurred vision
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