Pharmacology ATI Questions
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate.
... [Show More] Which of the following actions of sucralfate should the nurse include in the teaching? A. Decreases stomach acid secretion B. Neutralizes acids in the stomach C. Forms a protective barrier over ulcers D. Treats ulcers by eradicating H. pylori
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (SATA) A. Blood glucose levels will be monitored during therapy. B. Avoid contact with people who have known infections. C. Take the medication 1 hr before breakfast. D. Decrease dietary intake of foods containing potassium. E. Grapefruit juice can increase the effects of this medication.
A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? A. Chew on the medication stick to release the medication. B. Leave the medication stick in on location of the mouth until melted. C. Allow the medication 1 hr for analgesia effects to begin. D. Store unused medication sticks in a storage container.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following as an indication of hypokalemia? A. Tall, tented T-waves B. Presence of U-waves C. Widened QRS complex D. ST elevation
The nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that takin the docusate sodium daily can minimize which of the following adverse effects of morphine? A. Constipation B. Drowsiness C. Facial flushing D. Itching
A nurse is planning care for a client who is receiving mannitol via IV continuous infusion. The nurse should monitor the client for which of the following adverse effects? A. Weight loss B. Increase intraocular pressure C. Auditory hallucinations D. Bibasilar crackles *
A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? A. "Take the medication on an empty stomach for full effectiveness."B. "You may discontinue this medication when stomach discomfort subsides."
C. "Report yellowing of the skin."
D. "Store the medication in the refrigerator."
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the
client has anxiety, hypotension, and dyspnea. Which of the following medications should the
nurse administer first?
A. Diphenhydramine
B. ALbuterol inhaler
C. Epinephrine
D. Prednisone
A nurse is planning care for a client who has hypertension and is to start taking metoprolol.
Which of the following interventions should the nurse include in the plan of care?
A. Weigh the client weekly
B. Determine apical pulse prior to administering
C. Administer the medication 30 min prior to breakfast.
D. Monitor the client for jaundice
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs
44 lb. How many mg should the nurse administer per dose?
300 mg
A nurse in an emergency department is caring for a client whose family reports the client has
taken large amounts of diazepam. Which of the following medications should the nurse
anticipate administering?
A. Ondansetron
B. Magnesium sulfate
C. Flumazenil
D. Protamine sulfate
A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV
infusion for DVT. The nurse should discontinue the medication infusion for which of the following
client findings?
A. Potassium 5.0
B. aPTT 2x the control
C. Hemoglobin 15
D. Platelets 96,000
A nurse is reviewing the medication administration record of a client who has hypocalcemia and
a new prescription for IV calcium gluconate. The nurse should identify that which of the following
medications can interact with calcium gluconate?
A. Felodipine
B. Guaifenesin
C. Digoxin
D. Regular insulin
A Nurse administers a dose of metformin to a client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first?A. Report the incident to the charge nurse
B. Notify the provider
C. Check the client's blood glucose
D. Fill out an incident report
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for
pain. Which of the following information should the nurse include in the teaching?
A. The medication should be taken 1 hr prior to eating
B. It takes 48 hr for therapeutic effects to occur.
C. Tablets should not be crushed or chewed.
D. Decreased respirations might occur.
A nurse in an emergency department is caring for a client who has heroin toxicity. The client is
unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following
medications should the nurse plan to administer?
A. Methadone
B. Naloxone
C. Diazepam
D. Bupropion
A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives.
The nurse should identify that which of the following client medications will interfere with the
effectiveness of oral contraceptives?
A. Carbamazepine
B. Sumatriptan
C. Atenolol
D. Glipizide
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP
is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The nurse should withhold
the medication and contact the provider for which of the following findings?
A. Diastolic BP
B. Systolic BP
C. Heart Rate
D. Respiratory Rate
A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression.
Which of the following findings should the nurse identify as an adverse effect of the medication?
A. Tingling toes
B. Sexual dysfunction
C. Absence of dreams
D. Pica
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking
the warfarin. Which of the following responses should the nurse make?
A. "It is safe to take an enteric coated aspirin."
B. "Aspirin will increase the risk of bleeding."
C. "Acetaminophen may be substituted for aspirin."
D "The INR lab work must be monitored more frequently if aspirin is taken."A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure
using midazolam. The nurse should monitor for which of the following findings as an indication
that the client is ready for discharge?
A. The client's capnography has returned to baseline
B. The client can respond to their name when called.
C. The client is passing flatus.
D. The client is requesting oral intake
A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn
should receive the first diptheria, tetanus, and pertussis vaccine (DTaP). The nurse should
instruct the parent that their newborn should receive the immunization at which of the following
ages?
A. At birth
B. 2 months
C. 6 months
D. 15 months
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr
as prescribed. Which of the following information should the nurse enter as a complete
documentation of the incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider
notified
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
C. 1 L of 0.9% sodium chloride completed at 09:00. Client denies shortness of breath.
D. IV fluid initiated at 05:00. Lungs clear to auscultation.
A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease.
Which of the following findings should the nurse identify as an indication that the medication has
been effective?
A. Decrease in WBC count
B. Decrease in amount of time sleeping.
C. Increase in appetite
D. Increase in ability to focus
A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to
take my fluid pill until I get home today." Which of the following actions should the nurse take?
A. Document the refusal and inform he client’s provider
B. File an incident report with the risk manager
C. Contact the pharmacist to pick up the medication
D. Give the client the medication to take home and document it was administered
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the
following findings should the nurse report to the provider immediately?
A. Dyspepsia
B. Diarrhea
C. Dizziness
D. DyspneaA nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the
following findings should indicate to the nurse that the client is experiencing an adverse effect?
A. Tachycardia
B. Oliguria
C. Xerostomia
D. Miosis
A nurse is teaching a client about cyclobenzaprine. Which of the following client statements
should indicate to the nurse that the teaching is effective?
A. "I will have increased saliva production."
B. "I will continue taking the medication until the rash disappears."
C. "I will taper off the medication before discontinuing it."
D. "I will report any urinary incontinence."
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary
incontinence which of the following symptoms should the nurse tell the client to expect. ( all that
apply)
Dry mouth
Tinnitus
Blurred vision
Bradycardia
Dry eyes
A nurse is preparing to administer dextrose 5 in water 400ml iv to infuse over 1 hr. The drop
factor of the manual IV tubing is 15 gtts/ml. The nurse should set the manual IV infusion to
deliver how many gtt/min?
100
A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which
of the following findings should the nurse identify as an adverse effect of the medication?
A. Cough
B. Joint pain
C. Alopecia
D. Insomnia
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should
report which of the following findings to the provider as a manifestation of neuroleptic malignant
syndrome (NMS)?
A. Temp of 39.7 C (103.5 F)
B. Urinary retention
C. HR 56/min
D. Muscle flaccidity
A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV
infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations.
Which of the following actions should the nurse take first?
A. Turn the client to a side-lying position.
B. Disconnect the client's oxytocin from the maintenance IV.
C. Apply oxygen to the client by face mask.
D. Increase the client's maintenance IV infusion rate.A nurse is teaching a group of unit nurses about medication reconciliation. Which of the
following information should the nurse include in the teaching?
A. The client's provider is required to complete medication reconciliation.
B. Medication reconciliation at discharge is limited to the medication ordered at the time of
discharge.
C. A transition in care requires the nurse to conduct medication reconciliation.
D. Medical reconciliation is limited to the name of the medications that the client is currently
taking.
A nurse in an emergency department is caring for a client who has myasthenia gravis and is in a
cholinergic crisis. Which of the following medications should the nurse plan to administer?
A. Potassium iodide
B. Glucagon
C. Atropine
D. Protamine
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse
should report which of the following findings to the provider as an adverse effect of the
medication?
A. Constipation
B. Tinnitus
C. Hypoglycemia
D. Joint Pain
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer.
Which of the following adverse effects should the nurse include in the teaching?
A. Hot flashes
B. Urinary retention
C. Constipation
D. Bradycardia
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the
following client outcomes should the nurse administer chlordiazepoxide?
A. Minimize diaphoresis
B. Maintain abstinence
C. Lessen craving
D. Prevent delirium tremens
A nurse in an urgent care clinic is collecting data from a female client who has a urinary tract
infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that
which of the following client statements indicates a contraindication for administering this
medication?
A. "I have tendonitis, so I haven't been able to exercise."
B. "I take a stool softener for chronic constipation."
C. "I take medicine for my thyroid."
D. "I am allergic to sulfa."
A nurse is collecting a medication history from a client who has a new prescription for lithium.
The nurse should identify that the client should discontinue which of the following over-the-counter medications? A. Aspirin B. Ibuprofen C. Rantitinde D. Bisacodyl
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? A. 1000 B. 0900 C. 0830 D. 1200
A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? A.
I will drink a glass of milk when I take the risedronate
B. I will take the risedronate 15 minutes after my evening meal C. I should take an antacid with the risedronate to avoid nausea D. I should sit up for 30 min after taking the risedronate *
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A. Vomiting B. Blood in the urine [Show Less]