Pathophysiology and Pharmacology Final Exam –
Comprehensive Practice Questions, ATI-Style
Review, and Test Preparation Guide.
A nurse in a clinic is caring for a group of the
b,c,e
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 weeks of gestation who
asks for an influenza immunization
b).a client who takes prednisone and has
a possible fungal infections
c).a client who has chronic liver disease
and is taking
hydrocodone/acetaminophen
d).a client who has peptic ulcer
disease, takes sucralfate, and tells the
nurse she has started taking OTC
aluminum hydroxide
e).a client who has a prosthetic heart
valve, take warfarin, and reports a
suspected
pregnancy
,a nurse is preparing to administer an IM b
does of penicillin to a client who has a new
prescription. The client states she took
penicillin 3 years ago and developed a rash.
Which of the following actions should the
nurse take?
a.administer the prescribed does
b. withhold the med
c. ask the provider to change
the prescription to an oral
form
d. administer an oral antihistamine at the
same time
a nurse is providing discharge d
instructions for a client who has a new
prescription for an antihypertenisve
med. Which of the
following statements should the nurse give?
a."be sure to limit your K+ intake while
taking the med"
b. "you should check your blood pressure
every 8 hours while taking this med"
c. "your med dosage will be increased if you
develop tachycardia"
d. "change positions slowly when you
move from sitting to standing"
a nurse is reviewing a client's health record c.
and notes that the client experience
permanent extrapyramidal effects caused
by a previous med. The nurse should
recognize that the med affected which of
the following systems in the client?
a.cardiovascular
b. immune
c. central nervous
d. gastrointestinal
,a nurse is caring for a client who is taking c.
oral oxycodone. the client states he is also
taking ibuprofen in three recommended
doses daily. The nurse should identify that an
interaction between these two meds will
cause which of the following findings?
a.a decrease in serum levels of
ibuprofen, possibly leading to a need
for increased doses of this med
b. a decrease in serum levels of oxycodone,
possibly leading to a need for increased
doses of this med
c. an increase in the expected
therapeutic effect of both meds
d. an increase in expected adverse effects
for both meds
a nurse is preparing to administer meds to b,c,e
a 4 month old infant. which of the
following
pharmacokinetic principles should the nurse
consider when administering meds to
this
client?
a.infants have a rapid gastric emptying time
b. infants have immature liver function
c. infants blood brain barrier is poorly
developed
d. infants have an increased ability to
absorb topical meds
e. infants have an increased number
of protein-binding sites
a nurse in a provider's office is reviewing c
the medical record of a client who is
pregnant
and is at her first prenatal visit. Which of the
following immunizations may the nurse
administer safely to the client
a.varicella vaccine
b. rubella vaccine
c. inactivated influenza vaccine
d. measles vaccine
, a nurse on a med surge unit administers a c
hypnotic med to an older adult client at
2100. The next morning, the client is drowsy
and wants to sleep instead of eating
breakfast. Which of the following factors
should the nurse identify as a possible
reason for the client's drowsiness?
a. reduced cardiac function
b. first pass effect
c. reduced hepatic function
d. increased gastric motility
a provider prescribes phenobarbital for a
a client who has a seizure disorder. The
med has a long half life of 4 days. How
many times per day should the nurse
expect to administer this med?
a. one
b. two
c. three
d. four
a staff educator is reviewing med dosages c, e
and factors that influence med
metabolism with a group of nurses at an
in-service
presentation. Which of the following factors
should the educator include as a reason
to administer lower med dosages?
(select all
that apply)
a.increased renal excretion
b. increased med metabolizing enzymes
c. liver failure
d. peripheral vascular disease
e.concurrent use of med the same
pathway metabolizes
a nurse is preparing to administer eye drops b,c,d,e
to a client. Which of the following actions
should the nurse take? (select all that apply)
a.have the client lie on her side
b. ask the client to look up at the ceiling
c. tell the client to blink when the
drops enter her eye
d. drop the med into the center of the
clients conjunctival sac
e. instruct the client to close her eye
gently after instillation
Comprehensive Practice Questions, ATI-Style
Review, and Test Preparation Guide.
A nurse in a clinic is caring for a group of the
b,c,e
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 weeks of gestation who
asks for an influenza immunization
b).a client who takes prednisone and has
a possible fungal infections
c).a client who has chronic liver disease
and is taking
hydrocodone/acetaminophen
d).a client who has peptic ulcer
disease, takes sucralfate, and tells the
nurse she has started taking OTC
aluminum hydroxide
e).a client who has a prosthetic heart
valve, take warfarin, and reports a
suspected
pregnancy
,a nurse is preparing to administer an IM b
does of penicillin to a client who has a new
prescription. The client states she took
penicillin 3 years ago and developed a rash.
Which of the following actions should the
nurse take?
a.administer the prescribed does
b. withhold the med
c. ask the provider to change
the prescription to an oral
form
d. administer an oral antihistamine at the
same time
a nurse is providing discharge d
instructions for a client who has a new
prescription for an antihypertenisve
med. Which of the
following statements should the nurse give?
a."be sure to limit your K+ intake while
taking the med"
b. "you should check your blood pressure
every 8 hours while taking this med"
c. "your med dosage will be increased if you
develop tachycardia"
d. "change positions slowly when you
move from sitting to standing"
a nurse is reviewing a client's health record c.
and notes that the client experience
permanent extrapyramidal effects caused
by a previous med. The nurse should
recognize that the med affected which of
the following systems in the client?
a.cardiovascular
b. immune
c. central nervous
d. gastrointestinal
,a nurse is caring for a client who is taking c.
oral oxycodone. the client states he is also
taking ibuprofen in three recommended
doses daily. The nurse should identify that an
interaction between these two meds will
cause which of the following findings?
a.a decrease in serum levels of
ibuprofen, possibly leading to a need
for increased doses of this med
b. a decrease in serum levels of oxycodone,
possibly leading to a need for increased
doses of this med
c. an increase in the expected
therapeutic effect of both meds
d. an increase in expected adverse effects
for both meds
a nurse is preparing to administer meds to b,c,e
a 4 month old infant. which of the
following
pharmacokinetic principles should the nurse
consider when administering meds to
this
client?
a.infants have a rapid gastric emptying time
b. infants have immature liver function
c. infants blood brain barrier is poorly
developed
d. infants have an increased ability to
absorb topical meds
e. infants have an increased number
of protein-binding sites
a nurse in a provider's office is reviewing c
the medical record of a client who is
pregnant
and is at her first prenatal visit. Which of the
following immunizations may the nurse
administer safely to the client
a.varicella vaccine
b. rubella vaccine
c. inactivated influenza vaccine
d. measles vaccine
, a nurse on a med surge unit administers a c
hypnotic med to an older adult client at
2100. The next morning, the client is drowsy
and wants to sleep instead of eating
breakfast. Which of the following factors
should the nurse identify as a possible
reason for the client's drowsiness?
a. reduced cardiac function
b. first pass effect
c. reduced hepatic function
d. increased gastric motility
a provider prescribes phenobarbital for a
a client who has a seizure disorder. The
med has a long half life of 4 days. How
many times per day should the nurse
expect to administer this med?
a. one
b. two
c. three
d. four
a staff educator is reviewing med dosages c, e
and factors that influence med
metabolism with a group of nurses at an
in-service
presentation. Which of the following factors
should the educator include as a reason
to administer lower med dosages?
(select all
that apply)
a.increased renal excretion
b. increased med metabolizing enzymes
c. liver failure
d. peripheral vascular disease
e.concurrent use of med the same
pathway metabolizes
a nurse is preparing to administer eye drops b,c,d,e
to a client. Which of the following actions
should the nurse take? (select all that apply)
a.have the client lie on her side
b. ask the client to look up at the ceiling
c. tell the client to blink when the
drops enter her eye
d. drop the med into the center of the
clients conjunctival sac
e. instruct the client to close her eye
gently after instillation
