Exam Mode Assessment

No.

1 : A nurse is caring for a female client in a provider's office.

0900:

The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year. Upon assessment, the client’s conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn. 2 Days Later:

Provider reviewed laboratory results and prescription written.

The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.

0930:

Ferritin 7 ng/ml (1 Oto 150 ng/mL)

Iron 45 mcg/dL (60 to 160 mcg/dL)

Hemoglobin 8.5 g/dL (12 to 16 g/dl)

2 Days Later:

Ferrous Sulfate 325 mg PO every other day.

Indicate from the below if Client Education shows Understanding or No Understanding.

Option	Understanding	No Understanding
"l should take my medication on an empty stomach."
"l should avoid taking antacids while on this medication,"
"If I experience black stools, I should notify my provider."
"l should rinse my mouth after taking this medication."
"l should take this medication with orange juice"

Hint : none

Correct Answers

"l should take my medication on an empty stomach." [ Understanding ]
"l should avoid taking antacids while on this medication," [ Understanding ]
"If I experience black stools, I should notify my provider." [ No Understanding ]
"l should rinse my mouth after taking this medication." [ Understanding ]
"l should take this medication with orange juice" [ Understanding ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse in a provider's office is caring for a client.
Nurses' Notes
3 months ago:
Client seen in provider's office for routine physical.
Today:
Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void.
Vital signs
Months ago:
Weight 80 kg (176 lb)
Temperature 36.7° C (98° F)
Blood pressure 162/94 mm Hg
Heart rate 98/min
Respiratory rate 18/min
Pulse oximetry 95% on room air
Today
Weight 78 kg (172 lb)
Temperature 37° C (98.6° F)
Blood pressure 132/78 mm Hg
Heart rate 88/min
Respiratory rate 16/min
Pulse oximetry 96% on room air
Laboratory results
3 months ago:
Sodium 142 mEq/L (136 to 145 mEq/L)
Potassium 3.8 mEq/L (3.5 to 5 mEq/L)
Today:
Sodium 136 mEq/L (136 to 145 mEq/L).
Potassium 1.4 mEq/L (3.5 to 5 mEq/L)
What actions should the nurse take? Select all that apply.

Monitor the client for dysrhythmias.

Advise the client to restrict potassium intake.

Advise the client to take the medication before bedtime.

Check the client for orthostatic hypotension.

Advise the client to change positions slowly.

Hint : 🧭Focus on actions that reduce cardiac danger and prevent orthostatic symptoms from causing falls.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 :
A nurse is caring for a client in the clinic.
Vital signs
1 week ago:
Temperature 37° C (98.6° F)
Heart rate 64/min
Respiratory rate 12/min
Blood pressure 118/72 mm Hg
Today.
Temperature 37.2° C (98.9° F)
Heart rate 82/min
Respiratory rate 16/min
Blood pressure 1 10/68 mm Hg
Nurses notes
1 week ago:
Client presents to the clinic for an infusion of methotrexate for Non-Hodgkin lymphoma. Client premeditated with ondansetron prior to administration. Client tolerated infusion well. Client educated on adverse effects of medication.
Today:
Client returns to the clinic with reports of mouth pain. Oral mucosa is dry with lesions noted in buccal mucosa. Client educated on interventions for stomatitis.
Which of the following client statements indicates to the nurse the teaching was effective?Select all that apply.

"l will avoid consuming alcoholic beverages"

"l will consume foods that are soft or semisolid.'

"l will rinse with saline every 2 hours while awake."

"l will avoid taking folic acid supplements while taking this medication."

"I will perform oral hygiene using a firm-bristle toothbrush."

Hint : 🪶Choose behaviors that protect the mouth and spare the liver while chemotherapy is ongoing.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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4 :
A nurse is caring for a client in a provider's office.
Vital Signs
Day 1
Temperature 36.2° C (97.2° F)
Respiratory rate 18/min
Heart rate 74/min
Blood pressure 118/68 mm Hg
Sp02 96% on room air
Day 7
Temperature 36.9° C (98.4° F)
Respiratory rate 18/min
Heart rate 86/min
Blood pressure 98/66 mm Hg
Sp02 97% on room air
Nurses notes
Day 1
Client presents for evaluation of neurological changes, including stiffness of lower extremities, and shaking of hands.
Client is married, has no known allergies, and no surgical history. Client is a retired airline pilot and the parent of five adult children.
Day 7:
Client reports having trouble sleeping due to nightmares and states, "l'm not sure this medication is doing what it's supposed to do." Client reports daily nausea.
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

"You may initially notice an increase in involuntary movements."

"The medication can cause nausea, so take with a meal."

"You may notice your urine becomes lighter in color."

"You can experience vivid nightmares."

"This medication can make you light-headed if you stand up too quickly from a seated or lying position"

"consumption of a high protein meal can reduce the effectiveness of the medication."

Hint : 🤔Think about side effects tied to dopamine activity and how meal composition changes drug benefit.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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5 :
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Temperature

Heart rate

Respiratory rate

Pain level

Hint : 💓Think about the vital sign most directly lowered by a β-blocker.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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6 :
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

Withdraw the NPH insulin from the vial.

Withdraw the regular insulin from the vial.

Inject air into the regular insulin vial.

Inject air into the NPH vial.

Hint : 🧪Recall the mantra: prepare the cloudy vial first so you can safely draw from the clear vial afterward.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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7 :
A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?

Increased salivation

Hyperactive bowel sounds

Heart rate 90/min

Blood pressure 90/50 mm Hg

Hint : ⏱️Look for the sign that shows parasympathetic overdrive has eased in the cardiovascular system.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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8 :
A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Decreased blood pressure

Excessive thirst

Moist oral mucous membranes

Increased heart rate

Hint : 👅Check the easiest bedside marker of improved tissue hydration.

Correct Answers:

No Correct Answers Available !

Rationale :

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9 :
A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

Prior episode of kidney stones

Has a systemic fungal infection

History of asthma

Taking levothyroxine orally

Hint : 🤔Think about conditions where lowering immunity can dangerously amplify the underlying disease.

Correct Answers:

No Correct Answers Available !

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10 :
A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

"l will notify your provider of your decision.

"If you do not take your medications, you will not recover."

"Most people feel better after they have taken these medications."

"Why are you refusing your medications?"

Hint : 📣Choose the response that respects autonomy and ensures the care team can follow up appropriately.

Correct Answers:

No Correct Answers Available !

Rationale :

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Total Questions: 10

Choose Different Exam !

ATI RN Pharmacology 2024 Exam-1

No.

1 : A nurse is caring for a female client in a provider's office.

Correct Answers

5 : A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

6 : A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

7 : A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?

8 : A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

9 : A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

10 : A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

5 :
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

6 :
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

7 :
A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?

8 :
A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

9 :
A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

10 :
A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?