ATI Pharmacology 2016 Practice Exam A

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A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness?

  • A. Reduced cardiac function
  • B. First-pass effect
  • C. Reduced hepatic function
  • D. Increased gastric motility
Correct Answer: C

Rationale: In older adults, reduced hepatic function can lead to prolonged effects of medications metabolized by the liver. This situation can result in increased drug levels in the body, causing drowsiness and other side effects. Adjusting the dosage of the hypnotic medication may be necessary to prevent such adverse effects in older adult clients.

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A client is receiving treatment with capecitabine. Which of the following findings should the nurse monitor?

  • A. Hyperglycemia
  • B. Hypocalcemia
  • C. Neutropenia
  • D. Bradycardia
Correct Answer: C

Rationale: The nurse should monitor the client for neutropenia when receiving capecitabine, as it is a common adverse effect caused by bone marrow suppression. Neutropenia increases the risk of infection, making it essential for the nurse to closely monitor the client's white blood cell count and assess for signs of infection during treatment.

A client informs the nurse about taking Gingko Biloba. Which of the following medications is contraindicated for a client taking Gingko Biloba?

  • A. Acetaminophen
  • B. Warfarin
  • C. Digoxin
  • D. Lisinopril
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client with Peptic Ulcer Disease who is taking Sucralfate PO has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include?

  • A. Take an antacid with the sucralfate.
  • B. Take sucralfate with a glass of milk.
  • C. Allow a 2-hour interval between these medications.
  • D. Chew the sucralfate thoroughly before swallowing.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

When teaching a client with a new prescription for Amiodarone, which instruction should the nurse include?

  • A. Take this medication with meals.
  • B. Avoid drinking grapefruit juice.
  • C. Take this medication at bedtime.
  • D. Increase your intake of sodium-rich foods.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A healthcare professional is preparing to administer heparin 15,000 units subcutaneously every 12 hr. The amount available is heparin injection 20,000 units/mL. How many mL should the healthcare professional administer per dose?

  • A. 0.8 mL
  • B. 0.75 mL
  • C. 0.5 mL
  • D. 1 mL
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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