ATI PHARMACOLOGY STUDY SET QUESTIONS WITH
ACCURATE ANSWERS
A 12-month-old child just received her first measles, mumps, and rubella (MMR)
vaccine. For which of the following possible reactions to this vaccine should the
nurse teach the parents to monitor? correct answer: Rash; Redness and
discomfort at injection site; and Bruising on multiple areas of body.
A client asks a nurse why she is taking propranolol (Inderal) along with her
therapy for hyperthyroidism. Which of the following replies by the nurse is
appropriate? correct answer: "propranolol will decrease your tremors and fast
heart beat."
A client has a new script for brimonidine (Alphagan) ophthalmic, one drop three
times a day. He tells the nurse he also wears soft contact lenses and wants to
know whether he can put the drops in his eyes with the lenses in place. Which of
the following should the nurse tell this client? correct answer: "Take the contact
lens out of your eye, then instill the eye drop, and wait at least 15 minutes before
putting the contact lens back in place."
A client has a script for a long-term use of oral prednisone for treatment of
chronic asthma. The nurse should instruct the client to watch for which of the
following? correct Answer: Weight gain and fluid retention
A client is admitted to undergo a surgical procedure. The nurse should be aware
that which of the following preexisting conditions can be a contraindication for
the use of ketamine (Ketalar) as an intravenous anesthetic for this client? correct
Answer: Schizophrenia
,A client requests information from a nurse on the use of the herbal supplement
feverfew. Which of the following is an appropriate response by the nurse? correct
Answer: It decreases the frequency of migraine headaches
A client taking sucralfate (Carafate) PO for PUD has been started on phenytoin
(Dilantin) to control seizures. Which of the following should be included when
reinforcing teaching for the client? correct Answer: Allow a 2-hr interval between
these medications
A newly hired nurse asks another nurse about how to accept a telephone
prescription. Which of the following statements by the newly hired nurse
indicates understanding of the discussion? correct Answer: Another nurse should
listen to the phone call.
A nurse educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses. Medication dosages can need to
be decreased for which of the following reasons? correct Answer: Liver Failure
And Concurrent use of medication metabolized by the same pathway.
A nurse in a primary care clinic is collecting data from a client who takes lithium
carbonate (Lithobid) for the treatment of bipolar disorder. The nurse should
recognize which of the following findings as a possible indication of toxicity from
this medication? correct Answer: Coarse tremors
A nurse in a provider's office is monitoring serum electrolytes for four older adult
client's who take digoxin (Lanoxin) and furosemide (Lasix). Which of the following
electrolyte values puts a client at risk for digoxin toxicity? correct Answer:
Potassium 3.4 mEq/L
,A nurse in a provider's office is reinforcing teaching to a client who has a new
script for lorazepam (Ativan). The nurse should inform the client that which of the
following are adverse effects of lorazepam? correct Answer: Incoordination;
Euphoria; and Amnesia.
A nurse in a provider's office is reinforcing teaching to a parent how to administer
ear drops. Which of the following instructions should the nurse include? correct
Answer: "Place the child on his unaffected side when you are ready to administer
the medication;" "Warm the medication by gently rolling it between your hands
for a few minutes;" "Gently shake medication that is in suspension form;" and
"Keep the child on his side for 5 minutes after instillation of the ear drops."
A nurse in a provider's office is reviewing the health care record of a client who
reported urinary incontinence and asked about a prescription for oxybutynin
(Ditropan). The nurse should recognize that oxybutynin is contraindicated in the
presence of which of the following conditions? correct Answer: Glaucoma
A nurse in an acute care facility is assisting with the infusion of IV nitroprusside for
a client who is in hypertensive crisis? For which of the following adverse reactions
should the nurse monitor this client? correct Answer: Delirium
A nurse in an acute mental health facility is caring for a client who is withdrawing
from opioid use and has a new script for clonidine (Catapres). Which of the
following is the priority nursing action? correct Answer: Measure the client's
baseline vital signs.
A nurse in an emergency unit is reviewing the medical record of a client who is
being evaluated for angle-closure glaucoma. Which of the following findings are
indicative of this condition? correct Answer: Report of seeing halos around lights
, A nurse in an outpatient facility is caring for a client who has been taking acarbose
(Precose) for type 2 diabetes mellitus. Which of the following laboratory tests
should the nurse plan to monitor? correct Answer: Liver function tests
A nurse in an outpatient facility is preparing to administer nafcillin (Nallpen) IM to
an adult client who has an infection. Which of the following actions should the
nurse plan to take? correct Answer: Administer the medication deeply into the
ventrogluteal muscle; Ask the client about allergy to penicillin before
administering the medication; and Monitor the client for 30 min following the
injection.
A nurse is administering amitriptyline to a client who has pain caused by a
malignant tumor. Which of the following is an adverse effect of amitriptyline that
should be monitored by the nurse? correct Answer: Orthostatic hypotension
A nurse is administering gentamicin by IV infusion at 0900. The gentamicin will
take 1 hr to infuse. When should the nurse plan for a peak serum level of
gentamicin to be drawn? correct Answer: 1030.
A nurse is administering IV acyclovir (Zovirax) to a client who has varicella and is
immunocompromised. Which of the following nursing actions is appropriate?
correct Answer: Administer acyclovir infusion over at least 1 hr.
A nurse is administering IV amphotericin B to a client who has a systemic fungal
infection. The nurse should monitor which of the following laboratory values?
correct Answer: Serum potassium; Hematocrit; and Serum creatinine.
A nurse is administering RV, DTaP, Hib, PCV, and IPV vaccinations to a 4-month-
old infant in an outpatient facility. Which of the following actions should the
ACCURATE ANSWERS
A 12-month-old child just received her first measles, mumps, and rubella (MMR)
vaccine. For which of the following possible reactions to this vaccine should the
nurse teach the parents to monitor? correct answer: Rash; Redness and
discomfort at injection site; and Bruising on multiple areas of body.
A client asks a nurse why she is taking propranolol (Inderal) along with her
therapy for hyperthyroidism. Which of the following replies by the nurse is
appropriate? correct answer: "propranolol will decrease your tremors and fast
heart beat."
A client has a new script for brimonidine (Alphagan) ophthalmic, one drop three
times a day. He tells the nurse he also wears soft contact lenses and wants to
know whether he can put the drops in his eyes with the lenses in place. Which of
the following should the nurse tell this client? correct answer: "Take the contact
lens out of your eye, then instill the eye drop, and wait at least 15 minutes before
putting the contact lens back in place."
A client has a script for a long-term use of oral prednisone for treatment of
chronic asthma. The nurse should instruct the client to watch for which of the
following? correct Answer: Weight gain and fluid retention
A client is admitted to undergo a surgical procedure. The nurse should be aware
that which of the following preexisting conditions can be a contraindication for
the use of ketamine (Ketalar) as an intravenous anesthetic for this client? correct
Answer: Schizophrenia
,A client requests information from a nurse on the use of the herbal supplement
feverfew. Which of the following is an appropriate response by the nurse? correct
Answer: It decreases the frequency of migraine headaches
A client taking sucralfate (Carafate) PO for PUD has been started on phenytoin
(Dilantin) to control seizures. Which of the following should be included when
reinforcing teaching for the client? correct Answer: Allow a 2-hr interval between
these medications
A newly hired nurse asks another nurse about how to accept a telephone
prescription. Which of the following statements by the newly hired nurse
indicates understanding of the discussion? correct Answer: Another nurse should
listen to the phone call.
A nurse educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses. Medication dosages can need to
be decreased for which of the following reasons? correct Answer: Liver Failure
And Concurrent use of medication metabolized by the same pathway.
A nurse in a primary care clinic is collecting data from a client who takes lithium
carbonate (Lithobid) for the treatment of bipolar disorder. The nurse should
recognize which of the following findings as a possible indication of toxicity from
this medication? correct Answer: Coarse tremors
A nurse in a provider's office is monitoring serum electrolytes for four older adult
client's who take digoxin (Lanoxin) and furosemide (Lasix). Which of the following
electrolyte values puts a client at risk for digoxin toxicity? correct Answer:
Potassium 3.4 mEq/L
,A nurse in a provider's office is reinforcing teaching to a client who has a new
script for lorazepam (Ativan). The nurse should inform the client that which of the
following are adverse effects of lorazepam? correct Answer: Incoordination;
Euphoria; and Amnesia.
A nurse in a provider's office is reinforcing teaching to a parent how to administer
ear drops. Which of the following instructions should the nurse include? correct
Answer: "Place the child on his unaffected side when you are ready to administer
the medication;" "Warm the medication by gently rolling it between your hands
for a few minutes;" "Gently shake medication that is in suspension form;" and
"Keep the child on his side for 5 minutes after instillation of the ear drops."
A nurse in a provider's office is reviewing the health care record of a client who
reported urinary incontinence and asked about a prescription for oxybutynin
(Ditropan). The nurse should recognize that oxybutynin is contraindicated in the
presence of which of the following conditions? correct Answer: Glaucoma
A nurse in an acute care facility is assisting with the infusion of IV nitroprusside for
a client who is in hypertensive crisis? For which of the following adverse reactions
should the nurse monitor this client? correct Answer: Delirium
A nurse in an acute mental health facility is caring for a client who is withdrawing
from opioid use and has a new script for clonidine (Catapres). Which of the
following is the priority nursing action? correct Answer: Measure the client's
baseline vital signs.
A nurse in an emergency unit is reviewing the medical record of a client who is
being evaluated for angle-closure glaucoma. Which of the following findings are
indicative of this condition? correct Answer: Report of seeing halos around lights
, A nurse in an outpatient facility is caring for a client who has been taking acarbose
(Precose) for type 2 diabetes mellitus. Which of the following laboratory tests
should the nurse plan to monitor? correct Answer: Liver function tests
A nurse in an outpatient facility is preparing to administer nafcillin (Nallpen) IM to
an adult client who has an infection. Which of the following actions should the
nurse plan to take? correct Answer: Administer the medication deeply into the
ventrogluteal muscle; Ask the client about allergy to penicillin before
administering the medication; and Monitor the client for 30 min following the
injection.
A nurse is administering amitriptyline to a client who has pain caused by a
malignant tumor. Which of the following is an adverse effect of amitriptyline that
should be monitored by the nurse? correct Answer: Orthostatic hypotension
A nurse is administering gentamicin by IV infusion at 0900. The gentamicin will
take 1 hr to infuse. When should the nurse plan for a peak serum level of
gentamicin to be drawn? correct Answer: 1030.
A nurse is administering IV acyclovir (Zovirax) to a client who has varicella and is
immunocompromised. Which of the following nursing actions is appropriate?
correct Answer: Administer acyclovir infusion over at least 1 hr.
A nurse is administering IV amphotericin B to a client who has a systemic fungal
infection. The nurse should monitor which of the following laboratory values?
correct Answer: Serum potassium; Hematocrit; and Serum creatinine.
A nurse is administering RV, DTaP, Hib, PCV, and IPV vaccinations to a 4-month-
old infant in an outpatient facility. Which of the following actions should the
