VATI PN Pharmacology Assessment –
Actual Questions & Answers 100%
Guarantee Pass
A nurse is administering a varicella immunization to a young adult client
who did not receive the immunization as a child. The client asks the
nurse if they will need additional doses of the vaccine. Which of the
following responses should the nurse make?
"You will require a total of three doses about 6 months apart."
"You should return for a second dose in 4 to 8 weeks."
"You can get a booster dose every 10 years."
"You should get another dose in 2 weeks." - ------------ANS: "You should
return for a second dose in 4 to 8 weeks."
A nurse is administering ear drops into an adult client's right ear. Which
of the following actions should the nurse take?
Straighten the ear canal by pulling the auricle down and back.
Assist the client into Fowler's position.
Place a cotton ball in the ear canal for 30 min after instilling the drops.
Instill drops holding the dropper 1 cm (0.4 in.) above the ear canal. -
------------ANS: Instill drops holding the dropper 1 cm (0.4 in.) above the
ear canal.
A nurse is assisting with the care of a client who has a myasthenia
gravis and is experiencing a cholinergic crisis. Which of the following
medications should the nurse expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine - ------------ANS: Atropine
,A nurse is assisting with the care of a client who has oral
benzodiazepine toxicity. The client has an IV infusing and is
nonresponsive. Which of the following interventions should the nurse
anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation - ------------ANS:
Administering IV flumazenil
A nurse is caring for a client who has bipolar disorder and a new
prescription for lithium. Which of the following laboratory values should
the nurse plan to monitor for potential adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium - ------------ANS: Sodium
A nurse is caring for a client who has diabetes mellitus. The client
received a dose of regular insulin prior to an episode of vomiting and is
now unable to eat. For which of the following manifestations should the
nurse monitor?
Deep respirations
Polyuria
Increased thirst
Confusion - ------------ANS: Confusion
A nurse is caring for a client who is 2 days post-operative and is
receiving morphine for acute pain. The nurse should monitor the client
for which of the following manifestations as an adverse effect of this
medication?
Urinary frequency
Constipation
, Muscle rigidity
Physical dependency - ------------ANS: Constipation
A nurse is collecting data about herbal supplement use from a client who
has a new prescription for fluoxetine. The nurse should identify that
which of the following supplements is contraindicated with this
medication?
St. John's Wort
Saw Palmetto
Echinacea
Ginkgo biloba - ------------ANS: ST. JOHN'S WORT.
Rationale: The nurse should instruct the client to avoid taking St. John's
Wort with SSRI's such as fluoxetine because this can increase the risk
for serotonin syndrome. Manifestations of serotonin syndrome can
include hallucinations, tachycardia, and vomiting.
A nurse is collecting data from a client who has heart failure and is
scheduled to receive a dose of digoxin. For which of the following
findings should the nurse withhold the dose and notify the provider?
Heart Rate 50/min
Digoxin level 0.8 ng/mL
Respiratory rate 18/min
Potassium 4.6 mEq/L - ------------ANS: Heart Rate 50/min
A nurse is collecting data from a client who has intestinal amebiasis and
is taking metronidazole. For which of the following findings should the
nurse withhold the metronidazole?
Dry mouth
Metallic taste
Motor ataxia
Dark-colored urine - ------------ANS: Motor Ataxia.
Actual Questions & Answers 100%
Guarantee Pass
A nurse is administering a varicella immunization to a young adult client
who did not receive the immunization as a child. The client asks the
nurse if they will need additional doses of the vaccine. Which of the
following responses should the nurse make?
"You will require a total of three doses about 6 months apart."
"You should return for a second dose in 4 to 8 weeks."
"You can get a booster dose every 10 years."
"You should get another dose in 2 weeks." - ------------ANS: "You should
return for a second dose in 4 to 8 weeks."
A nurse is administering ear drops into an adult client's right ear. Which
of the following actions should the nurse take?
Straighten the ear canal by pulling the auricle down and back.
Assist the client into Fowler's position.
Place a cotton ball in the ear canal for 30 min after instilling the drops.
Instill drops holding the dropper 1 cm (0.4 in.) above the ear canal. -
------------ANS: Instill drops holding the dropper 1 cm (0.4 in.) above the
ear canal.
A nurse is assisting with the care of a client who has a myasthenia
gravis and is experiencing a cholinergic crisis. Which of the following
medications should the nurse expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine - ------------ANS: Atropine
,A nurse is assisting with the care of a client who has oral
benzodiazepine toxicity. The client has an IV infusing and is
nonresponsive. Which of the following interventions should the nurse
anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation - ------------ANS:
Administering IV flumazenil
A nurse is caring for a client who has bipolar disorder and a new
prescription for lithium. Which of the following laboratory values should
the nurse plan to monitor for potential adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium - ------------ANS: Sodium
A nurse is caring for a client who has diabetes mellitus. The client
received a dose of regular insulin prior to an episode of vomiting and is
now unable to eat. For which of the following manifestations should the
nurse monitor?
Deep respirations
Polyuria
Increased thirst
Confusion - ------------ANS: Confusion
A nurse is caring for a client who is 2 days post-operative and is
receiving morphine for acute pain. The nurse should monitor the client
for which of the following manifestations as an adverse effect of this
medication?
Urinary frequency
Constipation
, Muscle rigidity
Physical dependency - ------------ANS: Constipation
A nurse is collecting data about herbal supplement use from a client who
has a new prescription for fluoxetine. The nurse should identify that
which of the following supplements is contraindicated with this
medication?
St. John's Wort
Saw Palmetto
Echinacea
Ginkgo biloba - ------------ANS: ST. JOHN'S WORT.
Rationale: The nurse should instruct the client to avoid taking St. John's
Wort with SSRI's such as fluoxetine because this can increase the risk
for serotonin syndrome. Manifestations of serotonin syndrome can
include hallucinations, tachycardia, and vomiting.
A nurse is collecting data from a client who has heart failure and is
scheduled to receive a dose of digoxin. For which of the following
findings should the nurse withhold the dose and notify the provider?
Heart Rate 50/min
Digoxin level 0.8 ng/mL
Respiratory rate 18/min
Potassium 4.6 mEq/L - ------------ANS: Heart Rate 50/min
A nurse is collecting data from a client who has intestinal amebiasis and
is taking metronidazole. For which of the following findings should the
nurse withhold the metronidazole?
Dry mouth
Metallic taste
Motor ataxia
Dark-colored urine - ------------ANS: Motor Ataxia.
