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ATI Pharmacology assignment
A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes urticarial, dyspnea, anxiety, and
hypotension. Which of the following should the nurse anticipate administering?
A) Oral diphenhydramine
B) Parenteral diazepam
C) Parenteral epinephrine
D) Oral hydroxyzine
C) Parenteral epinephrine A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for
which of the following?
A) Bradycardia
B) Hyperkalemia
C) Blurred vision
D) Hypoglycemia
B) Hyperkalemia A nurse is planning to teach a client about taking methotrexate. For which of the following should the nurse instruct
the client to monitor and report to the provider?
A) Tinnitus
B) Palpitations
C) Fever
D) Insomnia
C) Fever A nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports
urticarial. Which of the following interventions should the nurse take?
A) Request a change in the type of antibiotic
B) Ask for a change in the route of the administration
C) Auscultate the client's heart sounds
D) Check the client's WBC count
A) Request a change in the tyipe of the antibiotic A client is taking trimethoprim/sulfamethoxazole. Which of the following findings should the nurse report to the
provider?
A) Dry cough
B) Involuntary wrist contraction
C) Photosensitivity
D) Vesicular, crusty rash
D) Vesicular, crusty rash A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following documented findings
should the nurse report to the provider immediately?
A) Dyspepsia
B) Diarrhea
C) Dizziness
D) Dyspnea
D) Dyspnea A nurse is preparing to administer amoxicillin 250 mg PO to a school age child. Available is amoxicillin oral suspension
200mg/5 mL. How many mL should the nurse administer? Round the answer to the nearest tenth.
6.3 mL A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following should the
nurse instruct the client to monitor and report?
A) Dry cough
B) Pedal edema
C) Bruising
D) Yellow-tinged vision
D) Yellow-tinged vision- sign of digoxin toxicitys A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily. After 6 weeks of treatment,
the nurse determines that the medication was effective if the
A) Thyroid-stimulating hormone (TSH) level is 2 microunits/mL
B) total T4 level is 3mcg/dL
C) total T3 level is 65 ng/dL
D) thyroxine-binding globulin (TBG) is 1.0 mg/dL
A) thyroid-stimulating hormone (TSH) level is 2 microunits/mL 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? (Select all that apply.) Dry mouth
Diarrhea
Blurred vision
Bradycardia
Photophobia
Dry mouth
Blurred vision
Photophobia A nurse is caring for a client who has candidiasis. Which of the following medications should the nurse expect to
administer?
A) Fluconazole
B) Metronidazole
C) Linezolid
D) Nitrofurantion
A) Fluconazole is an antifungal medication effective for treating oropharyngeal and systemic caandidiasis At 0900 a nurse is preparing a client's medication. based on the chart findings, which of the following medications
should the nurse administer first?
A) Sodium polystyrene sulfate
B) Atenolol
C) Furosemide
D) Ketorolac
A) Sodium polystyrene sulfate A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate.
The nurse explains to the client that the medication
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
C) forms a protective barrier over ulcers A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings
should alert the nurse the client is experiencing an adverse reaction?
A) Tachycardia
B) Confusion
C) Nausea
D) Dry mouth
C) Nausea A nurse is providing teaching to a client regarding the administration of ferrous sulfate. Which of the following
instructions should the nurse include in the teaching?
A) "Take an antacid with this medication."
B) "Call your provider if your stools are black."
C) "Take the tablet on an empty stomach."
D) "Call your provider if you begin to bruise easily."
C) "Take the tablet on an empty stomach." because absorbs iron better. they can take it with food initially to minimize
gastrointestinal distress but should be tapered A nurse is caring for a client who is starting a new prescription for warfarin. Which of the following medications should
the nurse plan to administer if the client experiences bleeding?
A) Vitamin K
B) Protamine sulfate
C) Calcium gluconate
D) Acetylcysteine
A) Vitamin K A nurse is caring for a client who is 24 hr postoperative following abdominal surgery and has been taking morphine
sulfate PRN for incisional pain. The nurse should assess the client for which of the following adverse effects?
A) Urinary retention
B) Tachycardia
C) Hyperthermia
D) Dilated pupils
A) Urinary retention A nurse is providing teaching to a client who is diagnosed with migraine headaches. The client is prescribed
ergotamine sublingual. Which of the following should the nurse include in her instructions?
A) Take one tablet three times a day before meals
B) Take on tablet at onset of migraine
C) Take up to eight tablets as needed within a 24-hr period
D) Take one tablet every 15 min until migraine subsides
B) take on tablet at onset of migraine A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following
should the nurse include in the instructions?
A) Observe for hypoglycemia when the insulin peaks
B) Administer the insulin immediately before meals
C) Do not mix this medication in a syringe with other insulins
D) Rotate the bottle gently prior to drawing up the insulin
C) Do not mix this medication in a syringe with other insulins a nurse administers ceftazidime to a client who has a severe penicillin allergy. Which of the following client findings
requires an incident report?
A) the client is also taking lisinopril
B) the client reports shortness of breath
C) the client's pulse rate is 60 bpm
D) the client's WBC count is 14,000 mm3
B) the client reports shortness of breath A nurse is caring for a client who has a new diagnosis of Type 1 diabetes mellitus. The nurse administers regular insulin
6 units subcutaneously at 0700. At 1000, the client reports feeling nauseous and lightheaded. Which of the following
actions should the nurse take first?
A) Request an antiemetic prescription for the client
B) Initiate a dietary consult
C) Check the client's blood glucose level
D) Give the client 15 g of carbohydrates
C) Check the client's blood glucose level A nurse is providing teaching to a client who is taking tetracycline PO and reports gastrointestinal distress. Which of
the following should the nurse include in the teaching?
A) Take the medication with an antacid
B) Take the medication at bedtime
C) Take the medication with applesauce
D) Take the medication on an empty stomach
C) Take the medication with applesauce A nurse is preparing to administer hydromorphone for a postoperative client. Which of the following indicates that the
nurse should withhold the next dose of the medication?
A) The client reports feeling nauseous
B) The client's respiratory rate is 8/min
C) The client reports a pain level of 4 on a scale from 0-10
D) Bowel sounds are absent in all four quadrants
B) The client's respiratory rate is 8/min A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the
following findings should the nurse notify the provider immediately?
A) Hyperventilation
B) Heartburn
C) Anorexia
D) Swollen ankles
A) Hyperventilation A nurse is caring for a client who is receiving haloperidol. For which of the following adverse effects should the nurse
be observing?
A) Vomiting
B) Akathisia
C) Jaundice
D) Anxiety
B) Akathisia A nurse is caring for a client in the emergency department following a diazepam overdose. The nurse should
administer which of the following medications?
A) Naloxone
B) Atropine sulfate
C) Neostigmine
D) Flumazenil
D) Flumazenil A nurse is assessing laboratory results for a client who is prescribed oprelvekin for management of adverse effects of
chemotherapy. Which of the following findings by the nurse indicates a therapeutic effect of the medication?
A) Erythrocyte count is 4.7 million/mm3
B) Leukocyte count is 9,000 mm3
C) Platelet count is 350,000/mm3
D) Hematocrite is 45% C) Platelet count is 350,000/mm3
Oprelvekin is a throbopoietic growth factor and therefore a platelet count withink the expected reference range indicates
the medication is effective. A nurse in a clinic is talking to a client on the phone who tells the nurse he has not taken any of his morning
medications and reports tinnitus. The nurse instructs the client to come to the clinic and withhold which of the
following medications?
A) Nitroglycerin
B) Asprin
C) Metoprolol
D) Clopidogrel
B) Asprin A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements
by the client indicates an understanding of the teaching?
A) "I should take my medication with milk to minimize gastric upset."
B) "I should not have adverse effects if my medication level is 30 mcg/ML."
C) "I should let my dentist know I'm taking this medication."
D) "I should expect to experience some unusual eye movement when taking."
C) "I should let my dentist know I'm taking this medication." A nurse is assessing a client who is taking salmeterol. Which of the following reports from the client indicates
effectiveness of the medication?
A) Decreased edema
B) Improved mood
C) Improved breathing
D) Decreased pain
C) Improved Breathing A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for histoplasmosis. For which of the
following adverse effects should the nurse notify the provider?
A) Bradycardia
B) Fever
C) Hyperkalemia
D) Urinary retention
B) Fever A nurse is assessing a client who is receiving epoetin alfa to treat anemia. For which of the following finds should the
nurse monitor related to this medication?
A) Paresthesia
B) Increased blood pressure
C) Fever
D) Respiratory depression
B) Increased blood pressure A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse
document as a therapeutic outcome
A) Increase in seizure threshold
B) Decrease in flexor and extensor spasticity
C) Increase in cognitive function
D) Decrease in paralysis of the extremities
B) Decrease in flexor and extensor spasticity A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following
findings indicates to the nurse that the client is experiencing magnesium toxicity?
A) Clonus
B) Raised blood pressure
C) Decreased level of consciousness
D) Agitation
C) Decreased level of consciousness A nurse is caring for a client taking atorvastatin. Which of the following should the nurse monitor for the client?
A) CK
B) ESR
C) INR
D) K+
A) CK A client is just diagnosed with tuberculosis (TB) and is prescribed a four-medication regimen of isoniazid, rifampin,
pyrazinamide, and ethambutol. The client asks the nurse why he has to take so many pills. Which of the following is an
appropriate response by the nurse? A) This regimen will reduce the length of therapy to 3 to 4 weeks
B) this combination of medication will decrease the side effects that you might experience.
C) this regimen will eliminate various combinations of resistant strains of TB
D) this combination will prevent latent disease from becoming active
C) this regimen will eliminate various combinations of resistant trains of TB
TB mycobacterium commoonly become resistant to medication. it is important to start with multiple medication because
it can take up to 6 weeks to determine the sensitivity of the organism to each medication............. A nurse is caring for a client who has just been transferred from the PACU to the medical-surgical unit following a colon
resection. The client reports pain of an 8 on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV
bolus PRN pain every 2 hr. Which of the following actions should the nurse take first?
A) administer the morphine sulfate
B) check the client's PACU medication record
C) notify the provider
D) change the client's position
B) check the client's PACU medication record A nurse is taching a client who is to start a new prescription for verapamil. Which of the following instructions should
the nurse plan to include?
A) take on an empty stomach
B) avoid crowds
C) discontinue if palpitations occur
D) change positions slowly
D) change positions slowly A nurse is assessing a client who is taking indomethacin. For which of the following should the nurse monitor to
evaluate the medication's effectiveness?
A) reduced pain
B) improved balance
C) relaxed muscles
D) weight loss
reduced pain A nurse is caring for a client who is taking acetazolamide for chronic open angle claucoma. For which of the following
adverse effects should the nurse instruct the client to monitor and report?
A) blurring of vision
B) tinnitus
C) tingling of fingers
D) hypoglycemia
C) tingling of finers A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following
findings indicates effectiveness of the medication?
A) decrease in WBC count
B) decrease in amount of time sleeping
C) increase in appetite
D) increase in ability to focus
D) increase in ability to focus A nurse is planning to provide medication education for a client who will begin a course of therapy with metronidazole.
Which of the following should the nurse instruct the client to avoid during the course of therapy?
A) grilled meats
B) uncooked greens
C) coffee
D) beer
D) beer A nurse is planning teaching for a child who has been prescribed fluticasone propionate for treatment of chronic
asthma. The nurse plans to teach the child to use a spacer to minimize the risk for which of the following?
A) adrenal suppression
B) dental caries
C) tachycardia
D) candidiasis of them mouth
D) candidiasis of the mouth A nurse is providing teaching about clindamycin to a client. Which of the following is an adverse effect of this
medication that the nurse should instruct the client to report to the provider?
A) orange urine
B) watery diarrhea
C) weight gain
D) headache
B) watery diarrhea A nurse is caring for a client who has heart failure and is discharged with a prescription for furosemide. The nurse
should plan to instruct the client that which of the following are potential adverse effects of this medication? (Select all
that apply)
dizziness
hypokalemia
seizures
urinary frequency
hypoglycemia
dizziness
hypokalemia
urinary frequency A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following is the client
prescribed chlordiazepoxide?
A) minimize diaphoresis
B) maintain abstinence
C) lessen craving
D) prevent delirium tremens
D) prevent delirium tremens A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of
mannitol 25% for 1 hr. Which of the following adverse effects should the nurse report to the provider immediately?
A) vomiting
B) increased thirst
C) peripheral edema
D) muscle cramps
C) peripheral edema A nurse is caring for a client who has pneumonia.. The clinet tells the nurse she is pregnant, but has not told her
provider. Which of the following medication orders should the nurse question?
A) acetaminophen
B) doxycycline
C) docusate sodium
D) regular insulin
B) doxycycline A client is receiving a heparin infusion for deep vein thrombosis. The nurse should discontinue the medication infusion
for which of the following client findings?
A) serum potassium 5.1 mEq/L
B) aPTT 2 times the control
C) Hemoglobin 15 g/dL
D) platelets 96,000/mm3
D) platelets 96,000/mm3 A nurse is caring for a clinet who is receiving long-term treatment for systemic lupus erythematosus with prednisone.
The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term
complications?
A) pulmonary function tests
B) electrocardiograms
C) liver function studies
D) bone density scans
D) bone density scans A nurse is caring for a client who is to receive 0.9% sodium chloride at the rate of 1 L every 8 hr. The fdrip factor
shown on the package of IV tubing is 15gtt/mL. The nurse should regulate the IV to deliver how many gtt/mL
31 A nurse is caring for a client who is to start therapy with benztropine. For which of the following findings should the
nurse monitor?
A) urinary frequency
B) hyperglycemia
C) diarrhea
D) tachycardia
D) tachycardia A nurse is providing teaching for a client who is to begin pharmacological therapy for a new diagnosis of asthma. which
of the following medications should the nurse instruct the client to use during an acute asthma attack?
A) montelukast
B) albuterol
C) beclomethasone
D) nedocromil
B) albuterol A nurse is planning caref or a client hwo is prescribed metoclopramide following bowl surgery. For which of the
following adverse effects should the nurse monitor?
A) muscle weakness
B) sedation
C) tinnitus
D) peripheral edema
B) sedation A nurse is providing teaching to a client who takes valprioc acid. For which of the following should the nurse instruct
the client to monitor and report to the provider?
A) jaundice
B) muscle pain
C) dry mouth
D) blurred vision
A) jaundice A client who has a history of HTN tells the nurse that he ises OTC oral decongestants for nasal congestion. The nurse
should advise the client that decongestants
A) can decrease heart rate
B) should be limited to no more than 3 days
C) can constrict blood vessels
D) are less effective than antihistamines
C) can constrict blood vessels a nurse is assessing a client who is taking oral contraceptives. Which of the following medications will interfere with
the effectivness of the oral contraceptives?
A) warfarin
B) carbamazepine
C) atenolol
D) lorazepam
B) carbamazepine . Because of its action on hepatic medication-metabolizing enzymes, carbamazepine causes an
accelerated inactivation of oral contraceptives. a nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer. The nurse should inform the
client that which of the following side effects can develop? (Select all that apply)
A) bradycardia
B) menstrual irregularities
C) jaundice
D) hot flashes
E) bruising
B) menstrual irregularities
D) hot flashes
E) bruising a nurse is caring for an older adult client. The client recieved 0.9% sodium chloride 1 L over 4 hours instead of over the
8 hours as prescribed. Which of the following enteries is the appropriate documentation of this occurrence in the
client's medical record?
A) IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well.
B) 0.9% sodium chloride 1 L IV infused over 4 hours. Vital signs stable
C) 1 L of 0.9% sodium chloride completed at 0900. client denies shortness of breath.
D) IV fluid initiated at 0500. Lungs clear to auscultation
B) 0.9% sodium chloride 1 L IV infused over 4 hours. Vital signs stable. a nurse in assessing a client who is receiving epoetin alfa to treat anemia. For which of the following findings should
the nurse monitor related to this medication?
Increase BP a nurse is planning care for a client who is prescribed metoclopramide following bower surgery. For which of the
following adverse effects should the nurse monitor?
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