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Pharm EXAM 3 > ATI Chapter Questions > Flashcards

ATI Chapter Questions Flashcards

0
Q 
A nurse is teaching a group of parents about immunization a. Which of the following vaccines should the nurse tell the parents is administered to children younger than 1 year of age & not to older children or adults?
A. Pneumococcal vaccine
B. Meningococcal vaccine
C. Varicella vaccine
D. Rotavirus vaccine
A

D. Rotavirus vaccine

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1
Q

A nurse is caring for several clients who came to the clinic for a seasonal influenza vaccination. Which of the following clients could receive the vaccine via nasal spray rather than an injection?
A. A 1-year-old with no health problems
B. A 17-year-old who has a hypersensitivity to penicillin
C. A 25-year-old who is pregnant
D. A 52-year-old who takes a multivitamin supplement

A

B. A 17-year-old who has a hypersensitivity to penicillin

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2
Q

A nurse is caring for a group of clients who are not protected against varicella. Which of the following clients should receive a varicella vaccination at this time?
A. A 24-year-old woman in the third trimester of pregnancy
B. A 3-year-old child who has Wilms’ tumor & is receiving chemotherapy
C. A 2-month-old infant who has no health problems
D. A 32-year-old man who has essential hypertension

A

D. A 32-year-old man who has essential hypertension

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3
Q 
A nurse is implementing a plan of care for a client who has an infected wound of the arm. Which of the following actions should the nurse perform first?
A. Administer antibiotic medication
B. Obtain a culture of the wound
C. Review of WBC laboratory findings
D. Apply a dressing to the wound
A

B. Obtain a culture of the wound

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4
Q 
A nurse is reviewing a client's laboratory findings to identify the antibiotic that may be prescribed by the provider to treat the client's urinary tract infection. Which of the following tests of the client's urine would provide this information.
A. Gram stain
B. Culture
C. Sensitivity
D. Specific gravity
A

C. Sensitivity

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5
Q

A nurse is caring for a group of clients who are receiving anti microbial therapy. Which of the following clients should the nurse plan to monitor for manifestations of antibiotic toxicity?
A. Adolescent client who has a sinus infection
B. Older adult client who has prostatic
C. New mother who has mastitis
D. Middle adult client who has a urinary tract infection

A

B. Older adult client who has prostatic

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6
Q 
A nurse is caring for a client in an acute care setting who was admitted with a cerebral spinal fluid (CSF) infection caused by a highly gram-negative bacteria. Which of the following cephalosporin IV antibiotics should the nurse expect to be effective in treating this infection?
A. Cefaclor (Ceclor)
B. Cefazolin (Ancef)
C. Cefepime (Maxipime)
D. Cephalexine (Keflex)
A

C. Cefepime (Maxipime)

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7
Q 
A nurse is preparing to administer cefotaxime (Clarforan) IV to a client who has a severe infection & has been receiving cefotaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this medication & should be reported to the provider?
A. Dial horses
B. Epistaxis
C. Diarrhea
D. Slope is
A

C. Diarrhea

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8
Q

A nurse is providing teaching to a client prescribed tetracycline (Sumycin) to treat a GI infection caused by Helicobacter pylori. Which of the following statements by the client indicates understanding of the teaching?
A. “I will take this medication with a full glass of milk.”
B. “I will let my doctor know if I start thawing diarrhea.”
C. “I can stop taking this medication when I feel completely well.”
D. “I can take this medication just before bedtime.”

A

B. “I will let my doctor know if I start thawing diarrhea.”

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9
Q 
A nurse is taking a medication history for a hospitalized client who is to receive imipenem-cilastatin IV to treat an infection. Which of the following medications taken by the client places the client at risk for medication interaction?
A. Regular insulin (Humulin R)
B. Furosemide (Lasix)
C. Valproic acid (Depakote)
D. Ferrous sulfate (Feosol)
A

C. Valproic acid (Depakote)

Maybe on exam 3?

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10
Q 
A nurse is administering gentamicin by IV infusion at 0900. The gentamicin will take 1 hr to infuse. When should the nurse plan for a peak serum level of gentamicin to be drawn?
A. 1000
B. 1030
C. 1100
D. 1130
A

B. 1030

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11
Q 
A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory infection. For which of the following adverse effects should the nurse monitor? (Select all that apply)
A. Drowsiness
B. Hematuria
C. Muscle weakness
D. Difficulty swallowing
E. Vertigo
A

B. Hematuria
C. Muscle weakness
E. Vertigo

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12
Q 
A nurse is caring for a client who has subacute bacterial endocarditis & is being treated with several antibiotics, including IM streptomycin. For which of the following adverse effects of streptomycin should the nurse monitor this client?
A. Extremity parenthesis
B. Urinary retention
C. Severe constipation
D. Complex partial seizures
A

A. Extremity parenthesis

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13
Q 
A nurse is caring for a client who is being prepared for extensive colorectal surgery. Which of the following oral antibiotics should the nurse expect to be prescribed for this client in order to suppress normal flora in the GI tract?
A. Amikacin (Amikin)
B. Gentamicin (Garamycin)
C. Neomycin (Mycifradin)
D. Erythromycin (E-Mycin)
A

C. Neomycin (Mycifradin)

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14
Q 
A nurse is reviewing a client's medication history & notes an allergy to sulfonamides. Which of the following medications are contraindicated due to this allergy? (Select all that apply)
A. Hydrochlorothiazide (Microzide)
B. Metoprolol (Lopressor)
C. Acetaminophen (Tylenol)
D. Tolbutamide (Orinase)
E. Furosemide (Lasix)
A

A. Hydrochlorothiazide (Microzide)
D. Tolbutamide (Orinase)
E. Furosemide (Lasix)

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15
Q

A nurse is planning discharge teaching for a female client who has a new prescription for sulfamethoxazole-trimethoprim (Septra). Which of the following information should the nurse include in the teaching?
A. May take if pregnant
B. Drink 1 L of water each day
C. Take the medication on an empty stomach
D. Discontinue medication when symptoms subside

A

C. Take the medication on an empty stomach

16
Q

A nurse is providing teaching to a client who has a new prescription for nitrofurantoin (Furadantin). Which of he following information should the nurse include in the teaching? (Select all that apply)
A. Observe for bruising on the skin
B. Take the medication with milk or meals
C. Expect brownish discoloration of urine.
D. Crush the medication if difficult to swallow
E. Expect headaches and drowsiness

A

A. Observe for bruising on the skin
B. Take the medication with milk or meals
C. Expect brownish discoloration of urine.

17
Q

A nurse is planning to administer ciprofloxacin (Ciprofloxacin) IV to a client who has cystitis. Which of the following is an appropriate action by the nurse?
A. Administer a concentrated solution
B. Infuse medication over 60 min.
C. Piggyback the solution onto existing IV medication tubing
D. Choose a small peripheral vein for administration

A

B. Infuse medication over 60 min.

18
Q

A nurse is teaching about ciprofloxacin (Cipro) to a female client who has a severe urinary tract infection. Which of the following information about adverse reactions should the nurse include in the teaching? (Select all that apply)
A. Observe for pain & swelling of the Achilles tendon.
B. Monitor for vaginal yeast infection
C. Check for excessive nighttime perspiration
D. Inspect the mouth for cottage cheese-like lesions
E. Take medication with a dairy product

A

A. Observe for pain & swelling of the Achilles tendon.
B. Monitor for vaginal yeast infection
D. Inspect the mouth for cottage cheese-like lesions

19
Q 
A nurse is caring for a client who has diabetes mellitus and pulmonary tuberculosis & has a new prescription for isoniazid (INH). Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH?
A. As orbit acid
B. Pyridoxine
C. Folic acid
D. Cyanocobalamin
A

B. Pyridoxine

20
Q 
A nurse is infusing IV amphotericin B for a client who has a severe fungal infection. The nurse starts the infusion at 0800. When should the nurse begin to monitor the client for indications of an infusion reaction?
A. 0805
B. 0830
C. 0900
D. 1200
A

C. 0900

21
Q 
A nurse is administering IV amphotericin B to a client who has a systemic fungal infection. The nurse should monitor which of the following laboratory values? (select all that apply)
A. Blood glucose
B. Serum amylase
C. Serum potassium
D. Hematocrit
E. Serum creatinine
A

C. Serum potassium
D. Hematocrit
E. Serum creatinine

22
Q 
A nurse is teaching a client who is beginning a course of metronidazole (Flagyl) to treat an infection. For which of the following adverse effects should the nurse teach the client to stop taking metronidazole & notify the provider?
A. Metallic taste
B. Nausea
C. Ataxia
D. Dark-colored urine
A

C. Ataxia

23
Q

A nurse is caring for a client who has a new diagnosis of HIV infection & is beginning combination oral NRTIs (abacavir, lamivudine, & zidovudine [Trizivir]). The client asks how medications work to treat HIV. Which of the following responses by the nurse is appropriate?
A. “These medications work by blocking HIV entry into cells.”
B. “These medications work by weakening the cell wall of the HIV virus.”
C. “These medications work by inhibiting enzymes to prevent HIV replication.”
D. “These medications work by preventing protein synthesis within the HIV cell.”

A

C. “These medications work by inhibiting enzymes to prevent HIV replication.”

24
Q

A nurse is teaching a client who has active tuberculosis about his treatment regimen. The client asks why he must take four different medications. Which of the following replies by the nurse is appropriate? “Taking multiple anti tuberculosis medications…
A. Decreases the chance for a severe allergic reaction to any of the medications.”
B. Reduces the chance that the TB bacteria will become resistant to the medications.”
C. Minimizes the chance of adverse effects caused by any of the medications.”
D. Lessens the chance that you will have a positive tuberculin test indefinitely.”

A

B. Reduces the chance that the TB bacteria will become resistant to the medications.”

maybe on exam 3?

25
Q

A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV infection about ways to prevent medication resistance. Which of the following should the nurse teach the client about resistance?
A. Taking low dosages of antiretroviral medication minimizes resistance.
B. Taking one antiretroviral medication at a time minimizes resistance
C. Taking medication at the same times daily without skipping doses minimizes resistance
D. Changing the medication regimen when adverse effects occur minimizes resistance

A

C. Taking medication at the same times daily without skipping doses minimizes resistance

26
Q 
A nurse is caring for a client who is taking ritonavir (Norvir), a protease inhibitor, to treat HIV infection. For which of the following abnormalities in laboratory values should the nurse monitor?
A. Increased TSH & T4 levels
B. Decreased ALT & AST levels
C. Hypoglycemia
D. Hyperlipidemia
A

D. Hyperlipidemia

27
Q 
A nurse is caring for a client who takes several antiretroviral medications, including the NRTI zidovudine, to treat HIV infection. For which of the following adverse effects of zidovudine should the nurse monitor? (Select all that apply)
A. Fatigue
B. Visual disturbances
C. Ataxia
D. Hyperventilation
E. Vomiting
A

A. Fatigue
D. Hyperventilation
E. Vomiting

28
Q

A nurse is administering IV acyclovir (Zovirax) to a client who has varicella & is immunocompromised. Which of the following nursing actions is appropriate?
A. Administer a test dose of 0.1 mg acyclovir before starting the regular infusion.
B. Decrease fluid intake during & for 2 hr following acyclovir infusion to prevent fluid overload.
C. Administer acyclovir infusion over at least 1 hr.
D. Monitor for a severe infusion reaction within 15 min after acyclovir infusion is started.

A

C. Administer acyclovir infusion over at least 1 hr.

Pharm EXAM 3 (2 decks)

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