Author:
dshamilton
ID:
50340
Filename:
pharm ati practice test.txt
Updated:
2010-11-17 22:35:03
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pharm ati practice test
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Description:
pharm ati practice test
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  1. a nurse is providing teaching to the parents of a child who is prescribed depakene for seizures. The nurse instructs the parents that will be necessary for the child to return to the clinic in 2 weeks to have which of the following diagnostic tests performed
    ASLT and ALT
  2. a nurse is caring for a client receiving heparin for DVT prophylaxix. the nurse correctly delivers the heparin by?
    using the subcut sites in the abdomen
  3. a nurse is caring for a pregnant client who is scheduled to have a contraction stress test (CST). the nurse should anticipate administering which of the following meds?
    oxytocin
  4. the nurse is caring for a client with peptic ulcer disease. which of the following medications should the nurse expect to administer for a headache?
    acetaminophen (tylenol)
  5. a nurse is caring for a client who is receiving heparin iv therapy. the mronig APTT is 90 seconds (control of 26).which of the following actions should the nurse take first?
    turn off the infusion
  6. the primary care provider has been prescribed a continous enternal feeding of half strength ensure, which comes in 8 oz cans, to begin i fusing at 75ml/hr. How much water should the nurse add to the can of ensure to complete the health care providers prescrption?
    240ml of water
  7. a nurse should be aware that metoclopramide (reglan) is contraindicated for a client who?
    has an intestional abstruction
  8. a primary care provider has prescribed 250mg po q6h of a medication for a client . the label reads 50mg/ml. how many ml should the client receive in a 24h period?
    20 ml in 24h/ 5ml qid
  9. after taking erythromycin po for 7 days, a client develops oral candidiasis. the nurse recognize that this is most likely due to which of the following?
    superinfection
  10. a client who is admitted with cirrhosis is prescribed lactulose (cephulac) PO. For which of the following actions should the nurse administer lactulose?
    to reduce serum amonia levels
  11. a nurse is caring for a client who is prescribed ergotamine (ergomar). The nurse should recognize that ergomar is indicated for which of the following?
    migraine headaches
  12. a nurse is caring for a client taking filgrastim (neupogen) and is reviewing the clients morning CBC w/diff. In evaluating the clients response to filgrastim, the nurse should review the?
    neutrophil count
  13. heparin sodium 20,000 Units in 1000 mL 0.9% sodium chloride IV to infuse at 1,000 units/hr via IV pump. How many ml per hr should be administered?
    20x=1,000 x=50ml/hr
  14. a nurse is caring for a client prescribed amphotericin b ( fungizone). Which of the following should the nurse recognize as the best indicator of renal function?
    serum creatinine levels
  15. a nurse is caring for an older adult client who has been diagnosed with depression and is prescribes tricyclics antidepressants (elavil). which of the following diagnostic tests should the nurse anticipate will be ordered prior to starting the client on this medication?
    ECG
  16. a nurse is providing teaching to the parent of a child with asthma who is prescribed cromolyn sodium (intal) via metered dose inhaler. which of the following statements by the childs parent should indicate to the nurse the need for further instruction?
    "i will give my child a dose as soon as wheezing strats."
  17. a nurse is assessing a client in the clinic who is on tamoxifen (nolvadex). the nurse should recognize that tamoxifen has which of the following actions?
    anti-estrogenic
  18. a nurse is providing teaching to a client who is prescribed hydrochlorothiazide (oretic) for hypertension. the nurse should instruct the client to take the medication:
    in the morning
  19. when administering diphenoxylate and atropine (lomotil) to a client with ulcerative colitis, the nurse should monitor the client for the developement of:
    toxic megacolon
  20. when preparing the discharge plan for a client who has been on long-term prednisone (deltasone) therapy, the nurse should be aware that such clients are at risk for which of the following?
    stress fractures
  21. a nurse is providing teaching to a client who is to start allopurinol (zyloprin). for which of the following side effects should the nurse instruct the client to discontinue taking the medication?
    fever
  22. a nurse is providing teaching to a client receiving gemfibrozil )lopid). The nurse evaluates effectiveness of the teaching when the client states he will have which of the following evaluated periodically?
    liver function
  23. a nurse is caring for a client with pregnancy-induced hypertension who is started on a magnesium sulfate IV. Which of the following should the nurse recognize as the priority assessment finding?
    respiratory rate: 10 breaths/min
  24. a nurse is taking a medication history on a client who is to receive a first dose of ceftriaxone (rocephin). Which of the following allergies should the nurse report to the primary care provider?
    piperacillin sodium
  25. When administering the first dose of enalapril maleate (vasotec) to a client, which of the following should the nurse recognize as the priority assessment?
    blood pressure
  26. The client is to receive 1L of ringers lactate (LR) IV over 8hr. The drip factor on the IV tubing is 10gtt/mL. What rate should the nurse set the IV to deliver the fluid as prescribed?
    20.83 = 21gtt/min
  27. A nurse is reviewing the admission prescriptions for a client who has jsut been admitted form the emergency room with a prescription for clopidogrel (plavix). Which of the following precautions should the nurse plan to implement?
    Bleeding
  28. a nurse is caring for na older adult client who is prescribed zolpidem (ambien) at bedtime to help promote sleep. The nurse should plan to monitor the client for which of the following?
    confusion
  29. a client who is taking chlorpromazine hydrochloride (thorazine) is experiencing extreme restlessness and involuntary movements. To treat these SE, the nurse should anticipate administering which of the following medications?
    amatadine (symmetrel)
  30. a client is being treated with a 10 day course of gentamicin sulfate. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication?
    proteinuria
  31. A nurse receives a prescription to increase a procainmide (pronestyl) IV infusion to 4mg/min. The IV bag is labeled pronestyl 2g in 500ml D5W. The nurse will adjust the IV pump to what rate?
    60ml/hr
  32. a client has been taking isoniazid (INH) and rifampin (rifadin) for 3 weeks after being diagnosed with active pulmonary tuberculosis. The client calls the clinic to report that his urine is a reddish-orange color. Which of the following is an appropritate response by the nurse?
    "Rifampin may turn all blody fluids orange-red. This is a harmless effect"
  33. the nurse is caring for a client who has had an acute myocardial infarction. The client is taking chorothiazide (diuril) 500mg anf digoxin (lanoxin) 0.25mg daily. The nurse should plan to monitor the client for which of the following?
    Muscle weakness
  34. a nurse should recognize that asprin therapy is contrindicated for children with viral illness due to the increased risk of which of the following?
    reyes syndrome
  35. a client with a UTI is being discharged on phenazopyridine (pyridium) and ciproflaxacin hydrochloride (cipro). Which of the following statements by the client should indicate to the nurse a need for further teaching?
    I should notify the health care provider immediately if my urine turns a red or orange color
  36. a nurse is caring for a client who is to start epoetin alfa (epogen) for chronic renal failure. The nurse shouldrecognize that the epoetin alfa is used to do which of the following?
    treat anemia
  37. a nurse is caring for a preschool-age child in the emergency department who has dyspnea, wheezing, and a history of severe asthma. The health care provider prescribes epinephrine hydrochloride (adrenalin) subcut stat. After the drug is administered, the nurse should assess for?
    tachycardia
  38. the nurse must calculate the daily dosage of a new medication for a child weighing 69lbs. The pcp had prescribed 10mcg/kg per day PO in three divded doses, the nurse has on hand 0.1mg tabs. Which of the following should the nurse calculate to be the dau=ily dosage in mg?
    0.314mg = 0.31mg
  39. a primary care provider prescribes an infusion of a hypertonic solution. Which of the following intravenous solutions should the nurse anticipate administering?
    dextrose 5% in LR (D5LR)
  40. a nurse is preparing to administer a morphine sulfate IV to a client for pain. THe nurse should expect the onset of pain relief for the client to take place in?
    10-15 min