ATI Pharmacology HESI Final Exam Prep 2024/
Complete 200 Actual Exam Questions with Correct
Verified Answers/ Rated A+
An HCP is reviewing the medical record of a patient who has a newly diagnosed
seizure disorder. The patient is to begin taking both valproic acid (Depakote) and
phenytoin (Dilantin). The HCP should recognize that which of the following can occur as
a result of a drug interaction between valproic acid and phenytoin?
a. hyperammonemia
b. phenytoin toxicity
c. hypertension
d. peptic ulcer disease - ANS - b.
Soon after beginning fluoxetine (Prozac), a patient is admitted to the emergency
department with agitation and confusion. The health care professional should suspect
which of the following?
a. Neuroleptic malignant syndrome
b. Stevens-Johnson syndrome
c. Extrapyramidal symptoms
d. Serotonin syndrome - ANS - d.
A health care professional should question the use of alprazolam (Xanax) for a patient
who
a. takes valproic acid (Depakote) for seizure disorder
b. drinks two 8-oz glasses of wine each evening
c. has a history of thromboembolism
, 2
d. takes prednisolone (Prepone) for rheumatoid arthritis - ANS - b.
When reviewing the indications for various antidepressants, a health care professional
should understand that bupropion hydrochloride (Wellbutrin) is an appropriate choice for
patients who have which of the following? (Select all that apply)
a. motion sickness
b. seasonal affective disorder
c. insomnia
d. nicotine addiction
e. depression - ANS - b, d, e
A health care professional is caring for a patient who has been taking alprazolam
(Xanax) for an extended period of time to treat anxiety. The health care professional
should recognize that stopping alprazolam therapy suddenly can result in which of the
following?
a. Anterograde amnesia
b. Respiratory depression
c. Paradoxical reaction
d. Withdrawal symptoms - ANS - d.
A health care professional is caring for a young adult patient who is taking fluoxetine
(Prozac) to treat depression. The health care professional should tell the patient and the
patient's family to report which of the following?
a. Suicidal thoughts
b. Excessive salvation
c. Double vision
d. Fever - ANS - a.
, 3
A health care professional should monitor an older adult patient who is taking
alprazolam (Xanax) for which of the following adverse effects? (Select all)
a. Tolerance
b. Anxiety
c. Sedation
d. Respiratory depression
e. Constipation - ANS - a, b, c, d
A health care professional is caring for a patient who is about to begin amitriptyline
therapy to treat major depression. The health care professional should include which of
the following instructions when talking with the patient about taking the drug? (Select all
that apply)
a. Change position slowly from sitting or lying to standing
b. Do not stop taking the drug abruptly
c. Wear sunscreen and protective clothing.
d. Take the drug at bedtime to prevent daytime drowsiness.
e. Increase fiber and fluid intake. - ANS - a,b,d,e
A nurse is teaching a client who takes warfarin daily. Which of the following statements
by the client indicates a need for further teaching?
a. I eat a green salad every night w/ dinner
b. I will take warfarin at the same time each day
c. I had my INR checked 3 weeks ago
d. I have started taking ginger root for my joint stiffness - ANS - d.
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous
heparin infusion. Which of the following medications should the nurse have available to
reverse heparin's effects?
, 4
a. Protamine sulfate
b. Captopril (Capote)
c. Vitamin K
d. Vasopressin - ANS - a.
A nurse is caring for a client who has deep vein thrombosis and has been on heparin
continuous infusion for 5 days. The provider prescribes warfarin PO w/out discontinuing
the heparin. The client asks the nurse why both anticoagulants are necessary. Which of
the following statements should the nurse make?
a. Warfarin takes several days to work, so the IV heparin will be used until the warfarin
reaches therapeutic level.
b. Both heparin and warfarin work together to dissolve the clot
c. The IV heparin increases the effectiveness of the warfarin and will decrease your stay.
d. I will call the provider to get a prescription for discontinuing the heparin today. - ANS -
a.
A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart
valve. Which of the following lab values should the nurse monitor for a therapeutic effect
of warfarin?
a. Prothrombin time
b. Bleeding time
c. Hemoglobin
d. Activated partial thromboplastin time - ANS - a.
A nurse is providing discharge teaching for a client who has a new prescription for
warfarin. Which of the following instructions should the nurse include in the teaching?
a. Mild nosebleeds are common during initial treatment
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