ATI PHARM BOOK PRACTICE QUESTIONS WITH
ACCURATE ANSWERS
A charge nurse is teaching a group of nurses about the importance of prophylactic
antimicrobial therapy. Which of the following information should the charge
nurse include in the teaching? (select all that apply)
A. administer prophylactic antimicrobial therapy to clients who report exposure
to a STI
B. administer prophylactic antimicrobial therapy to clients who are having
orthopedic surgery
C. instruct clients who have a prosthetic heart valve about the need for
prophylactic antimicrobial therapy before dental work.
D. consult the provider for prophylactic antimicrobial therapy for clients who have
recurrent UTIs
E. instruct clients to request prophylactic antimicrobial therapy immediately when
they have an URI. correct answer administer prophylactic antimicrobial therapy to
clients who report exposure to a STI; administer prophylactic antimicrobial
therapy to clients who are having orthopedic surgery; instruct client who have a
prosthetic heart valve about the need for prophylactic antimicrobial therapy
before dental work; consult the provider for prophylactic antimicrobial therapy
for clients who have recurrent UTIs
A circulating nurse is planning care for a client who is scheduled for surgery and
has a latex allergy. which of the following actions should the nurse include in the
plan of care?
A. schedule the client for the last surgery of the day
B. place monitoring cords and tubes in a stockinet
C. choose rubber injection ports for fluid administration
D. ensure phenytoin IV is readily available correct answer B. place monitoring
cords and tubes in a stockinet
,a home health nurse is visiting an older adult client who has alzheimer's disease.
his caregiver tells the nurse she has been administering prescribed lorazepam, 1
mg 3x per day, to the client for restlessness and anxiety during the past few days.
for which of the following a/e shoud the nurse assess the client?
A. low-grade fever
b. sedation
C. diuresis
D. tonic-clonic seizures correct answer b. sedation
A hospice nurse is caring for a client who has cancer and is taking naproxen 250
mg 3x daily PO and gabapentin 1,800 mg 3x daily PO to manage pain. the client
tells the nurse, "I'm having pain that keeps me from doing what I'd like most of
the time." which of the following additions should the nurse anticipate to the
client's medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone correct answer D. oral oxycodone
A nurse administers ceftazidime to a client who has a severe PCN allergy. the
nurse should identify which of the following client findings as an indication that
she should complete an incident report?
A. the client reports SOB
B. the client is also taking lisinopril
C. the client's pulse rate is 60/min
D. the client's WBC count is 14,000/mm3 correct answer A. the client reports SOB
,A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of
the following actions should the nurse take? (select all that apply)
A. stop the infusion
B. apply alcohol to the insertion site
C. apply warm compresses to the insertion site
D. elevate client's arm
E. obtain a specimen for culture at the insertion site correct answer C and D, apply
warm compress, elevate the client's arm
don't need to stop the infusion b/c the line is still patent, it's just a bruise from
the puncture of the needle
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 A/E
of the med?
A. tingling toes
B. sexual dysfunction
C. absence of dreams
D. pica correct answer B. sexual dysfunction
A nurse at an urgent care clinic is collecting a hx from a female client who has UTI.
The nurse anticipates a rx for ciprofloxacin. the nurse should identify that which
of the following client statements indicates a contraindication for administering
this med?
A. I have tendonitis, so I havent been able to exercise
B. I take a stool softener for chronic constipation
C. I take medicine for my throat
, D. I'm allergic to sulfa correct answer A. I have tendonitis so I havent been able to
exercise
A nurse has administered 2 doses of betamethasone to a client in preterm labor.
after delivery of the newborn, the nurse understands the med was effective whne
she observes which of the following?
A. the newborn is free of infection
B. the newborn has normal respiratory patterns
C. mother's BP is within the expected reference range
D. mother's postpartum bleeding is minimal correct answer B. the newborn has
normal respiratory patterns
A nurse in a clinic is caring for a client who is taking aspirin for the tx of arthritis.
the nurse should identify which of the following findings as an indication that the
client is beginning to exhibit salicylism?
A. gastric distress
B. oliguria
C. excessive bruising
D. tinnitus correct answer D. tinnitus
A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the
following clients? (Select all that apply)
A. A client at 8 wks of gestation who asks for an influenza immunization
B. A client who takes prednisone and has a possible fungal infection
C. A client who has chronic liver disease and is taking hydrocodone
ACCURATE ANSWERS
A charge nurse is teaching a group of nurses about the importance of prophylactic
antimicrobial therapy. Which of the following information should the charge
nurse include in the teaching? (select all that apply)
A. administer prophylactic antimicrobial therapy to clients who report exposure
to a STI
B. administer prophylactic antimicrobial therapy to clients who are having
orthopedic surgery
C. instruct clients who have a prosthetic heart valve about the need for
prophylactic antimicrobial therapy before dental work.
D. consult the provider for prophylactic antimicrobial therapy for clients who have
recurrent UTIs
E. instruct clients to request prophylactic antimicrobial therapy immediately when
they have an URI. correct answer administer prophylactic antimicrobial therapy to
clients who report exposure to a STI; administer prophylactic antimicrobial
therapy to clients who are having orthopedic surgery; instruct client who have a
prosthetic heart valve about the need for prophylactic antimicrobial therapy
before dental work; consult the provider for prophylactic antimicrobial therapy
for clients who have recurrent UTIs
A circulating nurse is planning care for a client who is scheduled for surgery and
has a latex allergy. which of the following actions should the nurse include in the
plan of care?
A. schedule the client for the last surgery of the day
B. place monitoring cords and tubes in a stockinet
C. choose rubber injection ports for fluid administration
D. ensure phenytoin IV is readily available correct answer B. place monitoring
cords and tubes in a stockinet
,a home health nurse is visiting an older adult client who has alzheimer's disease.
his caregiver tells the nurse she has been administering prescribed lorazepam, 1
mg 3x per day, to the client for restlessness and anxiety during the past few days.
for which of the following a/e shoud the nurse assess the client?
A. low-grade fever
b. sedation
C. diuresis
D. tonic-clonic seizures correct answer b. sedation
A hospice nurse is caring for a client who has cancer and is taking naproxen 250
mg 3x daily PO and gabapentin 1,800 mg 3x daily PO to manage pain. the client
tells the nurse, "I'm having pain that keeps me from doing what I'd like most of
the time." which of the following additions should the nurse anticipate to the
client's medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone correct answer D. oral oxycodone
A nurse administers ceftazidime to a client who has a severe PCN allergy. the
nurse should identify which of the following client findings as an indication that
she should complete an incident report?
A. the client reports SOB
B. the client is also taking lisinopril
C. the client's pulse rate is 60/min
D. the client's WBC count is 14,000/mm3 correct answer A. the client reports SOB
,A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of
the following actions should the nurse take? (select all that apply)
A. stop the infusion
B. apply alcohol to the insertion site
C. apply warm compresses to the insertion site
D. elevate client's arm
E. obtain a specimen for culture at the insertion site correct answer C and D, apply
warm compress, elevate the client's arm
don't need to stop the infusion b/c the line is still patent, it's just a bruise from
the puncture of the needle
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 A/E
of the med?
A. tingling toes
B. sexual dysfunction
C. absence of dreams
D. pica correct answer B. sexual dysfunction
A nurse at an urgent care clinic is collecting a hx from a female client who has UTI.
The nurse anticipates a rx for ciprofloxacin. the nurse should identify that which
of the following client statements indicates a contraindication for administering
this med?
A. I have tendonitis, so I havent been able to exercise
B. I take a stool softener for chronic constipation
C. I take medicine for my throat
, D. I'm allergic to sulfa correct answer A. I have tendonitis so I havent been able to
exercise
A nurse has administered 2 doses of betamethasone to a client in preterm labor.
after delivery of the newborn, the nurse understands the med was effective whne
she observes which of the following?
A. the newborn is free of infection
B. the newborn has normal respiratory patterns
C. mother's BP is within the expected reference range
D. mother's postpartum bleeding is minimal correct answer B. the newborn has
normal respiratory patterns
A nurse in a clinic is caring for a client who is taking aspirin for the tx of arthritis.
the nurse should identify which of the following findings as an indication that the
client is beginning to exhibit salicylism?
A. gastric distress
B. oliguria
C. excessive bruising
D. tinnitus correct answer D. tinnitus
A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the
following clients? (Select all that apply)
A. A client at 8 wks of gestation who asks for an influenza immunization
B. A client who takes prednisone and has a possible fungal infection
C. A client who has chronic liver disease and is taking hydrocodone
