ATI CAPSTONE PHARM 1 REVIEW STUDY SHEET
2026 ACCURATE RESPONSES FULL SOLUTION
◉ A nurse is teaching a client who has a new prescription for
levodopa- carbidopa. Which of the following instructions should the
nurse include in the teaching
A. Report muscle twitching to your provider
B. Reduce your daily fluid intake
C. Take the medication with a high protein meal
D. Discontinue the medication if your urine turns a dark color
Answer: A
Levodopa carbidopa can cause dyskinesias with toxicity and to
report muscle twitching, tremors, and spastic winking
--
B, reducing fluid intake can increase risk of orthostatic hypotension.
Drink at least 2-3 L of fluid daily
C, protein reduces the absorption of levodopa carbidopa
,D, urine and sweat can become dark in color, but this is harmless
◉ A nurse is caring for a client who has primary hypothyroidism and
has been taking levothyroxine for 8 weeks. The current thyroid
stimulating hormone (TSH) level is 5.2 microunits/mL. The nurse
should expect which of the following prescriptions regarding the
client's medication?
A. Decrease in the dosage
B. Discontinue the medication
C. Increase in the dosage
D. Maintain the current dosage Answer: C
A TSH of 5.2 is above the expected reference range, which indicates
the thyroid hormone level is not adequate (so the TSH is trying to
increase to compensate and release more thyroid hormone).
Increase the dosage to achieve a therapeutic TSH, undergo lab
testing in 6-8 weeks after dosage increase to reassess the TSH level
◉ A nurse is assessing a client who has chronic pain disorder and is
requesting pain medication. Which of the following findings should
the nurse identify as the most reliable indicator of the client's pain
A. The client's behavior
B. Changes in the client's vital signs
,C. The client's facial expression
D. The client's verbal report Answer: D
The nurse should ask the client about the location, quality, and
intensity of the pain
◉ A nurse is assessing a client who is dehydrated. Which of the
following findings is an indication of hypokalemia
A. Muscle weakness
B. Hyperactive bowel sounds
C. Positive Chvostek's sign
D. Red tongue Answer: A
Weakness, fatigue, and lethargy are manifestations of hypokalemia
--
B, decreased bowel motility is a manifestation of hypokalemia.
Hyperactive bowel sounds is a manifestation of hyperkalemia
C, positive Chvosteks sign is a manifestation of hypocalcemia and
hypomagnesemia
, D, dry, swollen red tongue is manifestation of hypernatremia
◉ A nurse is reviewing the medication administration records of
four clients. Which of the following situations should the nurse
identify as an indication of a medication administration error
A. A nurse administers aminoglycoside antibiotic via intermittent IV
bolus over 30 min
B. A nurse administers medications from a dry powder inhaler
without the use of a spacer
C. A nurse injects an IM medication into the vastus lateralis site of an
adult
D. A nurse crushes an extended release tablet and mixes it with
applesauce Answer: D
Extended or sustained release preparations release medication
levels over a long period of time to sustain therapeutic relief.
Crushing, breaking, or chewing releases the medication all at once
into the blood and alters the pharmacokinetics of the medication,
which can be life threatening
◉ A nurse is assessing a client who is taking esomeprazole. Which of
the following statements by the client should the nurse identify as
an indication that the medication is having an effective therapeutic
response?
2026 ACCURATE RESPONSES FULL SOLUTION
◉ A nurse is teaching a client who has a new prescription for
levodopa- carbidopa. Which of the following instructions should the
nurse include in the teaching
A. Report muscle twitching to your provider
B. Reduce your daily fluid intake
C. Take the medication with a high protein meal
D. Discontinue the medication if your urine turns a dark color
Answer: A
Levodopa carbidopa can cause dyskinesias with toxicity and to
report muscle twitching, tremors, and spastic winking
--
B, reducing fluid intake can increase risk of orthostatic hypotension.
Drink at least 2-3 L of fluid daily
C, protein reduces the absorption of levodopa carbidopa
,D, urine and sweat can become dark in color, but this is harmless
◉ A nurse is caring for a client who has primary hypothyroidism and
has been taking levothyroxine for 8 weeks. The current thyroid
stimulating hormone (TSH) level is 5.2 microunits/mL. The nurse
should expect which of the following prescriptions regarding the
client's medication?
A. Decrease in the dosage
B. Discontinue the medication
C. Increase in the dosage
D. Maintain the current dosage Answer: C
A TSH of 5.2 is above the expected reference range, which indicates
the thyroid hormone level is not adequate (so the TSH is trying to
increase to compensate and release more thyroid hormone).
Increase the dosage to achieve a therapeutic TSH, undergo lab
testing in 6-8 weeks after dosage increase to reassess the TSH level
◉ A nurse is assessing a client who has chronic pain disorder and is
requesting pain medication. Which of the following findings should
the nurse identify as the most reliable indicator of the client's pain
A. The client's behavior
B. Changes in the client's vital signs
,C. The client's facial expression
D. The client's verbal report Answer: D
The nurse should ask the client about the location, quality, and
intensity of the pain
◉ A nurse is assessing a client who is dehydrated. Which of the
following findings is an indication of hypokalemia
A. Muscle weakness
B. Hyperactive bowel sounds
C. Positive Chvostek's sign
D. Red tongue Answer: A
Weakness, fatigue, and lethargy are manifestations of hypokalemia
--
B, decreased bowel motility is a manifestation of hypokalemia.
Hyperactive bowel sounds is a manifestation of hyperkalemia
C, positive Chvosteks sign is a manifestation of hypocalcemia and
hypomagnesemia
, D, dry, swollen red tongue is manifestation of hypernatremia
◉ A nurse is reviewing the medication administration records of
four clients. Which of the following situations should the nurse
identify as an indication of a medication administration error
A. A nurse administers aminoglycoside antibiotic via intermittent IV
bolus over 30 min
B. A nurse administers medications from a dry powder inhaler
without the use of a spacer
C. A nurse injects an IM medication into the vastus lateralis site of an
adult
D. A nurse crushes an extended release tablet and mixes it with
applesauce Answer: D
Extended or sustained release preparations release medication
levels over a long period of time to sustain therapeutic relief.
Crushing, breaking, or chewing releases the medication all at once
into the blood and alters the pharmacokinetics of the medication,
which can be life threatening
◉ A nurse is assessing a client who is taking esomeprazole. Which of
the following statements by the client should the nurse identify as
an indication that the medication is having an effective therapeutic
response?
