ATI Pharmacology Final Quiz (from ATI website quizzes/practice exams)

A nurse is caring for an infant who is fed expressed breast milk. The infant drank 2 oz of breast milk at 0800, 3 oz at 1100, and 2.5 oz 1300. Which of the following should the nurse record on this client’s intake record for the shift?
225 ml

A client has been taking theophylline (Theo-Dur) for relief of chronic bronchitis. Which of the following findings may indicate toxicity?
Tremors

A client is being treated for congestive heart failure (CHF). Included in the client’s orders is a prescription for furosemide (Lasix) 20 mg PO daily. The nurse should assess the client for which of the following?
Hypokalemia

An older adult client is admitted to the mental health unit for a diagnostic work-up because he is experiencing increased forgetfulness and disorientation at home. The client has been taking lorazepam (Ativan) 0.5 mg PO PRN to control restlessness. For which of the following should the nurse monitor the client?
Profound sedation

A female client has been hospitalized for major depression and treated with amitriptyline (Elavil). While preparing for discharge, which of the following statements by the client should indicate to the nurse a need for further instruction?
“I’m glad this medicine helps me. My husband and I would like to start our family as soon as possible.”

A nurse is caring for a client with peptic ulcer disease who is prescribed bismuth subsalicylate (Pepto Bismol). Bismuth subsalicylate is used in the treatment of peptic ulcer disease because of its?
Antimicrobial action

A nurse is providing teaching to a client who is prescribed clonidine (Catapres). Which of the following instructions should the nurse include?
Change positions slowly

The primary care provider prescribes digoxin (Lanoxin) 0.2 mg IVP for a client. The amount available is digoxin 0.5 mg/2 ml. How many ml should the nurse administer?
0.8 ml

The primary care provider prescribes codeine elixir 5 mg PO q4h PRN for pain. Available is codeine 7.5 mg/15 ml. The nurse should administer which of the following doses?
10 ml

A client has had emergency surgery for a ruptured appendix. Medications the client has been taking prior to surgery include dexamethasone (Decadron) 4 mg BID. Because the client was on this medication before surgery, the nurse should recognize that the client will be which of the following?
Be more prone to developing infection

A nurse is caring for a client who has dehydration secondary to diuretic therapy. Which of the following assessments should the nurse expect to find?
Dry mucous membranes

A 4-year-old child is admitted to the hospital with periorbital cellulitis. The child weighs 15 kg and the health care provider prescribes cefazolin (Kefzol) 600 mg IVPB q8h. The medication manual states that Kefzol can be given 50-100 mg/kg/day. Which of the following should the nurse do?
Discuss the dose with the primary care provider

A nurse administers procainamide (Pronestyl) 100 mg intravenous push to a client who has developed paroxysmal atrial tachycardia. For which of the following should the nurse monitor the client?
Hypotension

The nurse should recognize that nifedipine (Adalat) suppresses uterine contractions by doing which of the following?
Inhibiting uterine contractions by blocking calcium channels

A client is prescribed digoxin (Lanoxin) 0.125 mg PO daily and furosemide (Lasix) 20 mg PO daily. Which of the following statements by the client should demonstrate to the nurse that the client has an accurate understanding regarding these medications?
“I will eat fruits and vegetables every day that have a high-potassium content in them.”

A nurse is providing teaching to a client being discharged with a prescription for warfarin (Coumadin). Which of the following should the nurse include in the teaching?
Carry a medic alert ID card at all times

A client with a history of anxiety disorder presents at the mental health clinic experiencing a panic attack. The client is not currently on any medications, and the primary care provider prescribes a diazepam (Valium). The client asks the nurse, “Why can’t I just take BuSpar like I used to?” The nurse should know that a disadvantage of buspirone (BuSpar) for this client is which of the following?
Delayed onset of action

A nurse is planning care for a school-age child with asthma. Which of the following medications should the nurse anticipate will be prescribed as a rescue medication?
Albuterol (Proventil)

Prior to administering Total Parenteral Nutrition (TPN) the nurse notices a marked separation of oil droplets from the rest of the solution. Which of the following actions should the nurse take?
Return the solution to the pharmacy

A nurse is caring for a dehydrated patient. The primary care provider has prescribed an IV fluid bolus of 1 liter 0.9% sodium chloride over 2 hr. The nurse should set the IV to deliver at which of the following rates?
500 ml/hr

A nurse is preparing to administer IM iron dextran (Infed) to a client. Which of the following is the appropriate site for administration?
Vastus lateralis

A nurse is preparing a discharge teaching plan for a client on long-term oral glucocorticoid therapy for asthma. Which of the following should the nurse include in the plan?
Schedule the medication on alternate days to decrease side effects

To administer a Mantoux skin test for tuberculosis (TB), the appropriate nursing action is to?
Insert the needle with the bevel up

A client is prescribed nitroglycerin (Nitrostat) tablets to be taken sublingual for angina pain. Identify the sequence of instructions that the nurse should give to the client if he experiences chest pain.
Stop activity
Place tablet under tongue
Wait 5 min
Call 911 if pain is not relieved

A child is to receive 400 ml of IV fluid in an 8 hr shift. The nurse should set the IV pump to deliver how many ml/hr?
50 ml/hr

A client tells a nurse, “I don’t get the same relief as I used to with this pain medicine.” The nurse should recognize that the client is experiencing which of the following?
Drug tolerance

A nurse is caring for a client with congestive heart failure who is being treated with digoxin (Lanoxin). When the nurse brings in the client’s breakfast tray, the client reports nausea. Which of the following is the first action the nurse should take?
Check the client’s apical pulse

A client was prescribed ciprofloxacin hydrochloride (Cipro) and phenazopyridine (Pyridium) to treat a urinary tract infection. The client asks the nurse why both medications are needed. Which of the following is an appropriate response by the nurse?
“Ciprofloxacin hydrochloride is an effective antibiotic for UTI’s and phenazopyridine relieves urinary tract pain and discomfort.”

A client who has congestive heart failure (CHF) is taking spironolactone (Aldactone). Which of the following statements by the client requires further teaching by the nurse?
“I like to use a salt substitute since I am on a sodium restriction.”

A nurse is to administer ampicillin/sulbactam (Unasyn) 250 mg in 50 ml of D5W IVPB to be infused over 20 min. The drop factor on the infusion set will deliver 60 gtt/ml. The nurse should set the IV to deliver how many gtt/min?
150 gtt/min

The primary care provider prescribes Ampicillin (Omnipen) 100 mg/kg/day PO to be given in 4 divided doses. The client weighs 33 lb. Availabel is amoxicillin 125 mg/5 ml. How many ml should the nurse administer for each dose?
15 ml

Shortly after administering the 0900 medications, a nurse realizes that digoxin (Lanoxin) 0.125 mg was administered to the client instead of the prescribed furosemide (Lasix) 2.5 mg. Which of the the following actions should the nurse take first?
Assess the client’s apical pulse

A health care provider prescribes verapamil (Calan) 100 mg PO TID for a client with angina pectoris. The client states, “My brother takes verapamil for high blood pressure. Do you think the doctor made a mistake?” Which of the following would be an appropriate response from the nurse?
“Verapamil has more than one action and is used to treat anginal pain.”

The health care provider has changed a client’s antihypertensive medication from hydralazine (Apresoline) to metroprolol (Lopressor). The nurse should recognize that this change would mean the client is less likely to experience which of the following?
Tachycardia

A nurse is providing discharge teaching to a patient taking lithium (Eskalith). Which of the following behaviors should the nurse caution the client against to prevent lithium toxicity?
Fasting

A nurse is teaching a client who is recovering from a renal transplant about the discharge medication regimen. The nurse should evaluate that the client understands the purpose of cyclosporin (Sandimmune) when the client states, “I will need to take the Sandimmune?
for the rest of my life.”

The primary care provider prescribes chlorothiazide (Diuril) 25 mg/kg/day PO BID for an infant weighing 6.5 kg. Available is chlorothiazide 100 mg per 5 ml. How many ml should the nurse give to the child for each dose?
4.1 ml

A client is to receive Regular insulin (Humulin R) 10 units and NPH insulin (Humulin N) 30 units subcutaneously at 0730. The nurse anticipates the onset of insulin action to occur at which of the following?
0800

A client is admitted who has deep vein thrombosis. To produce the fastest anticoagulation effect, the nurse should anticipate the administration of which medication?
Heparin sodium IV

A nurse should know that a client taking Isoniazid (INH) will need frequent monitoring of which of the following?
Aspartate aminotransferase (AST)

Fifteen minutes after beginning a transfusion of packed red blood cells, a nurse obtains the first set of vital signs and notes the client is febrile, tachycardic, flushed, and reporting chills. Which of the following actions should the nurse take first?
Stop the infusion

A client is admitted to the labor unit who has a premature rupture of membranes and is given betamethasone (Celestone). The nurse should recognize that this drug is used for which of the following?
Development of fetal lung maturity

A nurse is caring for a client who is prescribed 5-FU (Fluorouracil), an antineoplastic drug. When the client asks the nurse the classification of the drug, the appropriate response by the nurse should be which of the following?
Antimetabolite

A nurse is administering hydroxyzine (Vistaril) to a client. Which of the following should the nurse instruct the client to expect?
Dry mouth

A nurse is providing teaching to a client who is prescribed hydrochlorothiazide (Oretic) for hypertension. The nurse instructs the client to eat foods rich in potassium. Which of the following comments by the client should indicate to the nurse that he understands the rationale for the potassium rich diet?
“This medication may cause a loss of potassium.”

When a nurse is performing an admission history, a client reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a popular herd used by clients primarily to do which of the following?
Promote urinary health

The primary care provider prescribes heparin sodium (Heparin) IV 25,000 units in 500 ml D5W to infuse at 900 units/hr. The nurse should set the IV pump at which of the following hourly rates?
18 ml/hr

A nurse is preparing a discharge teaching plan for a client who is prescribed albuterol (Proventil) MDI for asthma. Which of the following should the nurse recognize as the priority assessment?
Fine motor control

A client is discharged from the hospital with a prescription for diazepam (Valium). The nurse should instruct the client to avoid ingesting which of the following?
Alcoholic beverages

A nurse is planning to administer an osmotic laxative to a client. The nurse should recognize that these types of laxatives work by doing which of the following?
Pulling water into the colon and feces

A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? Drink 8 to 10 glasses of water daily A nurse at an urgent care …

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? Client states chest pain is relieved. Following heparin treatment for a pulmonary …

An emergency department triage nurse is interviewing a female client who has a history of epilepsy with tonic-clonic seizures controlled by penguin (Dilantin). Which information is most significant in planning this client’s care? C. she ran out of her medication …

A registered nurse is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the unit staff that includes 2 RNs, 2 LPNs, and 1 CNA. A. Distance …

Which of the following illustrates the integration of informatics into a health care system to support cost containment? A. Offering free wireless internet access to visitors. B. Installing barcodes on medications with alerts for low supplies. C. Integrating an electronic …

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 medications? Oxytocin (Pitocin) Oxytocin is administered to stimulate contractions during a CST. Nifedipine …

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