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ATI PN PHARMACOLOGY PROCTORED EXAM TEST BANK 2024/2025 (best answers)

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ATI PN PHARMACOLOGY PROCTORED EXAM TEST BANK 2024/2025 (best answers)

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  • June 10, 2024
  • December 16, 2024
  • 26
  • 2023/2024
  • Exam (elaborations)
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  • ati pn pharmacology proctored exam test bank 2024

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ATI PN PHARMACOLOGY PROCTORED EXAM
TEST BANK 2024/2025

1. A nurse is administering furosemide (Lasix) to a client with heart
failure. What should the nurse monitor for as a common side effect of
this medication?
• A) Hypokalemia
• B) Hyperkalemia
• C) Hyponatremia
• D) Hypercalcemia
Answer: A) Hypokalemia
Rationale: Furosemide is a loop diuretic that increases urine output and
may lead to the loss of electrolytes, including potassium. This can result
in hypokalemia, so the nurse should monitor potassium levels regularly
and educate the patient on signs and symptoms of low potassium (e.g.,
muscle cramps, weakness).


2. A nurse is teaching a client about the use of warfarin (Coumadin).
Which of the following foods should the nurse instruct the client to
avoid?
• A) Leafy green vegetables
• B) Dairy products
• C) Citrus fruits
• D) Whole grains

,Answer: A) Leafy green vegetables
Rationale: Warfarin is an anticoagulant, and leafy green vegetables are
high in vitamin K, which can interfere with the effectiveness of warfarin.
The nurse should instruct the patient to avoid large fluctuations in
vitamin K intake and to maintain a consistent diet.


3. A nurse is caring for a patient receiving digoxin (Lanoxin) for atrial
fibrillation. Which of the following findings would be a priority for the
nurse to report to the healthcare provider?
• A) Heart rate of 58 beats per minute
• B) Serum potassium level of 3.0 mEq/L
• C) Serum sodium level of 140 mEq/L
• D) Blood pressure of 110/70 mmHg
Answer: B) Serum potassium level of 3.0 mEq/L
Rationale: Hypokalemia can increase the risk of digoxin toxicity. A
potassium level of 3.0 mEq/L is low, and the nurse should notify the
healthcare provider. The other findings are not as critical as a low
potassium level when the patient is on digoxin.


4. A nurse is administering metoprolol (Lopressor) to a client with
hypertension. What is the most important assessment the nurse
should perform prior to administering this medication?
• A) Blood pressure
• B) Oxygen saturation
• C) Heart rate

, • D) Respiratory rate
Answer: C) Heart rate
Rationale: Metoprolol is a beta-blocker that slows heart rate. The nurse
should assess the heart rate before administering the medication, as a
heart rate lower than 60 beats per minute may indicate the need to
hold the dose and notify the healthcare provider.


5. A nurse is providing education to a client prescribed a selective
serotonin reuptake inhibitor (SSRI) for depression. Which of the
following side effects should the nurse discuss with the client?
• A) Decreased appetite
• B) Insomnia
• C) Sexual dysfunction
• D) Weight loss
Answer: C) Sexual dysfunction
Rationale: SSRIs, such as fluoxetine (Prozac), commonly cause sexual
dysfunction, including decreased libido, delayed orgasm, and erectile
dysfunction. The nurse should inform the client about this potential side
effect and encourage open communication if it becomes an issue.


6. A client who is taking hydrocodone/acetaminophen (Vicodin) for
pain is being discharged. The nurse provides discharge teaching.
Which of the following instructions should the nurse include?
• A) "Avoid drinking alcohol while taking this medication."
• B) "You can stop taking the medication once you feel better."

, • C) "Take this medication with an antacid to prevent stomach
upset."
• D) "You can drive once you are used to the medication."
Answer: A) "Avoid drinking alcohol while taking this medication."
Rationale: Hydrocodone is an opioid, and alcohol can increase the risk
of central nervous system (CNS) depression, leading to respiratory
depression, sedation, and potential overdose. The nurse should instruct
the client to avoid alcohol while on this medication.


7. A nurse is administering ciprofloxacin (Cipro) to a client with a
urinary tract infection. The nurse should advise the client to take
which of the following actions?
• A) Drink plenty of fluids while taking this medication
• B) Take the medication with dairy products
• C) Limit sun exposure during treatment
• D) Discontinue the medication if diarrhea occurs
Answer: A) Drink plenty of fluids while taking this medication
Rationale: Ciprofloxacin can increase the risk of crystalluria, so it is
important for the client to stay well-hydrated to prevent the formation
of crystals in the urine. The nurse should also advise the client to avoid
excessive sun exposure, as ciprofloxacin can increase the risk of
sunburn.

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