ATI RN PHARMACOLOGY 8.0 TEST BANK Q&A
LATEST 2020/ 2021 (ALL 49 CHAPTERS)
ATI RN Pharmacology (8.0) New Q&A
Chapter 1
1. A provider prescribes
... [Show More] phenobarbital for a client wo has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
a. One
b. Two
c. Three
d. Four
2. A nurse educator is reviewing medication metabolism at an in-servicepresentation.
Which of the following factors should the educator include as a reason to administer
lower medication dosages? (Select all that apply.)
a. Increased renal excretion
b. Increased medication-metabolizing enzymes
c. Liver failure
d. Peripheral vascular disease
e. Concurrent use of medication the same pathway metabolizes
3. A nurse is preparing to administer eye drops to a client. Which of thefollowing
actions should the nurse take? (Select all that apply.)
a. Have the client lie on one side.
b. Ask the client to look up at the ceiling.
c. Tell the client to blink when the drops enter the eye.
d. Drop the medication into the client’s conjunctival sac.
e. Instruct the client to close the eye gently after instillation.
4. A nurse is teaching a client about transdermal patches. Which of thefollowing
statements should the nurse identify as an indication that the client understands?
a. “I will clean the site with an alcohol swab before I apply the patch.”
b. “I will rotate the application sites weekly.”
c. “I will apply the patch to an area of skin with no hair.”
d. “I will place the new patch on the site of the old patch.”
5. A nurse reviewing a client’s medical record notes a new prescriptionfor verifying the
trough level of the client’s medication. Which of the following actions should the
nurse take?
a. Obtain a blood specimen immediately prior to administeringthe next dose
of medication.
b. Verify that the client has been taking the medication for 24hr before
obtaining a blood specimen.
c. Ask the client to provide a urine specimen after the next dose of
medication.
d. Administer the medication, and obtain a blood specimen 30 min later.
Chapter 2
1. A nurse is preparing a client’s medications. Which of the following actions should
the nurse take I following legal practice guidelines?(Select all that apply.)
a. Teach the client about the medication.
b. Determine the dosage.
c. Monitor for adverse effects.
d. Lock compartments for controlled substances.
e. Determine the client’s insurance status.
2. A nurse is preparing to administer digoxin to a client who states, “Idon’t want to
take that medication. I do not want one more pill.” Which of the following
responses should the nurse make?
a. “Your physician prescribed it for you, so you really should take it.”
b. “Well, let’s just get it over quickly then.”
c. “Okay, I’ll just give you your other medications.”
d. “Tell me our concerns about taking this medication.”
3. A nurse is reviewing a client’s prescribed medications. Which of thefollowing
situations represents a contraindication to medication administration?
a. The client drank grapefruit juice, which could reduce a medication’s
effectiveness.
b. The medication has orthostatic hypotension as an adverse effect.
c. A medication is approved for ages 12 and older, and the client is8 years old.
d. An antianxiety medication that has an adverse effect of drowsiness is
prescribed as a preoperative sedative.
4. A nurse is assessing a client before administering medications. Whichof the following
data should the nurse obtain? (Select all that apply.)
a. Use of herbal products
b. Daily fluid intake
c. Ability to swallow
d. Previous surgical history
e. Allergies
5. A nurse is working with a newly licensed nurse who is administeringmedications to
clients. Which of the following actions should the nurse identify as an indication
that the newly hired nurse understands medication error prevention?
a. Taking all medications out of the unit-dose wrappers before entering the
client’s room.
b. Checking the prescription when a single dose requires
administration of multiple tablets.
c. Administering a medication, then looking the usual dosage range.
d. Relying on another nurse to clarify a medication prescription.
Chapter 3
1. A nurse is preparing to administer vancomycin 1g by intermittent IV bolus. Available
is vancomycin 1g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. the
drop factor of the manual IV tubingis 10gtt/mL. The nurse should adjust the manual
IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole
number. Do not use a trailing zero.)
22gtt/min
2. A nurse is preparing to administer clindamycin 200mg by intermittent IV bolus. The
amount available is clindamycin injection200mg in 100mL 0.9% NaCl to infuse over
30 min. The nurse shouldset the IV pump to deliver how many mL/hr? (Round to the
nearest whole number. Do not use a trailing zero.)
200mL/hr
3. A nurse is preparing to administer furosemide 80mg PO daily. The amount available
is furosemide oral solution 10mg/1mL. How manymL should the nurse administer?
(Round to the nearest whole number. Do not use a trailing zero.)
8 mL
4. A nurse is preparing to administer haloperidol 2mg PO every 12 hr.The amount
available is haloperidol 1mg/tablet. How many tablets should the nurse
administer? (Round to the nearest whole number.Do not use a trailing zero.)
2 tablets
5. A nurse is preparing to administer amoxicillin 20mg/kg/day PO to divide equally
every 12 hr to a preschooler who weighs 44lb. The amount available is amoxicillin
suspension 250mg/5mL. How manymL should the nurse administer per dose?
(Round to the nearest whole number. Do not use a trailing zero.)
4 mL
6. A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr.
The amount available is heparin injection20,000 units/mL. How many mL should the
nurse administer per dose? (Round to the nearest tenth. Do not use a trailing zero.)
0.8 mL
7. A nurse is preparing to administer acetaminophen 650mg PO every 6 hr PRN for pain.
The amount available is acetaminophen liquid 500 mg/5mL. how many mL should the
nurse administer per dose? (Round to the nearest tenth. Use a leading zero if applies.
Do not use atrailing zero.)
6.5mL
8. A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse
over 6 hr. The nurse should set the IV pump to deliverhow many mL/hr? (Round the
answer to the nearest whole number. Do not use a trailing zero.)
125 mL/hr
Chapter 4
1. A nurse is caring for a client experiencing IV extravasation. The facility requires the
administration of an antidote for the prescribedIV solution. After stropping the IV
infusion, which of the following actions should the nurse take first?
a. Remove the IV catheter.
b. Withdraw the solution from the IV access.
c. Administer the antidote to the vesicant.
d. Insert a new IV access in a different extremity.
2. A nurse is preparing to initiate IV therapy for an older adult client.Which of the
following actions should the nurse plan to take?
a. Use a disposable razor to remove excess hair on the extremity.
b. Select the back of the client’s hand to insert the IV catheter.
c. Distend the veins by using BP cuff.
d. Direct the client to raise their arm above the heart.
3. A nurse assessing the IV catheter insertion site for a client receiving anonvesicant
solution and notes swelling at the site with decreased skin temperature. Which of the
following actions should the nurse take? (Select all that apply.)
a. Stop the infusion.
b. Start a new IV access distal to this site.
c. Apply warm compresses to the insertion.
d. Elevate the client’s arm.
e. Obtain a specimen for culture at the insertion site.
Chapter 5
1. A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the
following clients? (Select all that apply.)
a. A client at 8 weeks of gestation who asks for an influenza immunization.
b. A client who takes prednisone and has a possible fungalinfection.
c. A client who has chronic liver disease and is taking
hydrocodone/acetaminophen.
d. A client who has peptic ulcer disease, takes sucralfate, and has started
taking OTC aluminum hydroxide.
e. A client who has a prosthetic heart valve, takes warfarin, andreports
suspected pregnancy.
2. A nurse is preparing to administer an IM dose of PCN to a client whohas a new
prescription. The client states when they took PCN 3 yearsago, the developed a
rash. Which of the following actions should the nurse take?
a. Administer the prescribed dose.
b. Withhold the medication.
c. Ask the provider to change the prescription to an oral form.
d. Administer an oral histamine at the same time.
3. A nurse is providing discharge instructions for a client who has a newprescription for
an antihypertensive medication. Which of the following statements should the nurse
give?
a. “Be sure to limit your potassium intake while taking this medication.”
b. “You should check your blood pressure every 8 hours while taking this
medication.”
c. “Your medication dosage will be increased if you develop tachycardia.”
d. “Change positions slowly when you move from sitting tostanding.”
4. A nurse is reviewing a client’s health record and notes that the client experienced
permanent extrapyramidal effects caused by a previous medication. The nurse
should recognize that the medication affectedwhich of the following systems in the
client?
a. Cardiovascular
b. Immune
c. Central nervous
d. Gastrointestinal
5. A nurse is caring for a client who is taking oral oxycodone. The client is also taking
ibuprofen in three recommended doses daily. The nurseshould identify that an
interaction between these two medications will cause which of the following
findings?
a. A decrease in blood levels of ibuprofen, possibly leading to a need for
increased doses of this medication.
b. A decrease in blood levels of oxycodone, possibly leading to a need for
increased doses of this medication.
c. An increase in the expected therapeutic effect of both
medications.
d. An increase in expected adverse effects for both medications. [Show Less]