Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022 tested and verified by expert tutors
Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022 tested and verified by expert tutors
Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022 tested and verified by expert tutors
Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022 tested and ve...
Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022
Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022
Version 1 2019
1. A nurse is caring for a client who is taking phenytoin, for which of the following adverse effects should the nurse
monitor and report to the provider
a. Cognitive impairment
b. Tachycardia
c. Elevated blood pressure (HYPOTENSION and DYSRHYTHMIAS)
d. Tinnitus
Phenytoin (Dilantin) - Anticonvulsant. monitor for any manifestations of CNS effects (such as cognitive
impairment), notify the provider if they occur. (p. 96 ATI PHARM)
2. MISSING
3 MISSING
4. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat
angina. Which of the following instructions should the nurse include? Page 158
a. Stop taking the medication if you become dizzy (NEVER discontinue abruptly)
b. Check your pulse rate daily (Bradycardia, withhold if pulse under 50)
c. Expect to see an increase in your urinary output
d. Call you provider if you lose more than 1 pound per week (complication of decreased CO - weight gain - call
provider)
metropolol (Lopressor) - Beta Blockers. Beta1 - affects only the heart. Decreases HR - decreases myocardial
contractility
5. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing
the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse
take next?
A. Elevate the client’s legs and feet (Raises BP & pulse, maybe just supplementary though)
B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line treatment)
C. Replace the solution with with 0.9 % sodium chloride
D. Give diphenhydramine IM
Rationale: If manifestations occur, stop transfusion (ATI’s specific to BLOOD TRANSFUSION, but wouldn’t you still give
epi?), notify provider, and then keep IV line open with NS (in this case, replace the bag with NS?) Then, Have epi ready
,Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022
for IM or IV injection. Or do you elevate the legs? LOL
,Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022
6. A nurse is assessing a client who is receiving OXYTOCIN via continuous IV infusion for labor augmentation. The
nurse notes six contractions in a 10 minute period with a nonreassuring FHR. Which of the following actions should
the nurse take first ?
a. Administer Terbutaline 0.25 mg subcutaneously
b. Discontinue the oxycontin IV infusion (INC flow to fetus, control contractions, but not priority)
c. Turn the client on the left side (greatest risk is injury from uteroplacental insufficiency, priority!)
d. Apply oxygen at 10 L / min via face mask
Rationale: Idk. I hate maternity. Someone else rationalize this shit.
Looking through Padgham’s OB notes, reposition goes first apparently. And then I have a note on the bottom, per TB,
O2 first.
7. A nurse is administer lactated ringer's solution at 100ml/hr. The drop factor of the manual IV tubing is 15 gtt/ml.
The nurse should set the manual IV infusion to deliver how many drops per minute? Round the answer to the nearest
whole number? mL / min x gtts
100 x 15/60 = 25 gtt/min
8. A client who has active Tuberculosis and is taking rifampin reports that this urine and sweat have developed a red
orange tinge. Which of the following actions should the nurse take ? page 376
a. Prepare the client for dialysis
b. Instruct the client to increase the fluid intake
c. Check the the clients liver function tests results
d. Document this as an expected finding
Broad Spectrum Antimycobacterial (antituberculosis) - inform clients of expected orange color of urine, sweat,
saliva, and tears.
9. A nurse is teaching a client about self administration of enoxaparin. Which of the following instructions should the
nurse include? (Select all that apply)
a. Grasp the skin between the thumb and forefinger, while injecting the medication - i don’t think
“grasping” and “pinching” is the same thing. But idk. Actually wait….maybe on this sentence they are
b. Alternate the injection sites between the side of the abdomen - rotate and record injection sites
c. Expel the air bubble from the prefilled syringe - do not expel the air from prefilled syringe unless adjustments
must be made with the dose
d. Massage the insertion site after injecting the medication - do not rub the injection site for 1-2 min after
injection
e. Insert the entire length of the needle into the skin during injection - insert needle completely
enoxoparin (Lovenox) - anticoagulant
, Nur 1141 PHARM PROC MAIN 2019 UPDATED 2022
10. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the following
laboratory lab values should the nurse identify as the outside the expected range for this client?
A. aPTT 36 seconds 35 - 45 seconds
B. Hgb 15.2 g/dl ( 12- 16)
C. Hct 43 % (35- 45)
D. INR 4.5 (2-3 seconds)
PT/INR - for Warfarin; PTT/aPTT - for Heparin
11. A nurse is caring for a client who is receiving ondansetron IV. Which of the following is an indication that the
ondansetron is effective?
a. Increased urinary output
b. Decreased Nausea Antiemetic
c. Absence of peripheral neuropathy
d. Reduced dizziness
Ondansetron - antiemetic: prevents emesis by blocking serotonin receptors; PO, IM, or IV
12. A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the
following adverse effects should the nurse report to the provider? page 49
SSRI - DEPRESSION
A. Confusion (Serotonin Syndrome)
B. Insomnia
C. Bruxism (Grinding of teeth during sleep, treated with buspirone)
D. Weight Loss (Weight gain)
13. A nurses caring for a client who has acute cocaine toxicity. The nurse should plan to provide which of the
following treatments?
⇧HR & BP⇧
a. Gastric Lavage
b. Saline cathartic (laxative)
c. Nalaxone (worsen toxicity, Opioid reversal)
d. Diazepam (Benzodiazepine, Alcohol withdrawal)
I think it’s D for symptoms of agitation and possible seizure due to cocaine toxicity. They can get combative, aggressive,
etc.
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