ATI Pharmacology Proctored Assessment 1
1.The first action the nurse should take is to assess the client for injury due to medication error.
Assess the client
2.A nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medication?
Albuterol Furosemide
Digoxin Atenolol
3.A nurse is providing teaching to a client who has a new prescription for ranitidine
for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions?
It decreases stomach motility
It reduces gastric acid production
It forms a protective barrier in the stomach lining.
It neutralizes gastric acid.
4.A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose, the nurse should ask the client if they have allergy to which of the following medication classifications?
Nitrates
Sulfa-based medications
Antilipemic agents Proton pump inhibitors
5.A nurse is caring for a client who has HIV and is starting therapy with ritonavir and
zidovudine. The client asks why they must take both medications. Which of the following response should the nurse make?
If you take the two medications together, it will shorten the duration of you….
Taking the two medications together keeps you from becoming resistant to either of them. Taking the two medication together keeps you from developing toxicity from either of them Zidovudine will help protect you from the possible adverse effects of ritonavir
6.A nurse is providing teaching to a client who has type 2 diabetes mellitus and is
starting to take immediate release exenatide. Which of the following client statements indicates an understanding of the teaching? I will discard the open injector pen after two months
I will inject the medication into the muscle of my thigh
I will store open injector pens at room temperature
I will take this medication one hour before morning and evening meals.
7.A nurse is providing teaching to a client who has a new prescription for folic acid.
The client states I thought that was only given during pregnancy. Which of the following statements should the nurse make?
Folic acid is important for stimulating the immune system Folic acid is given to increase the absorption of the medication
Folic acid is administered to minimize the manifestations of benign prostatic hyperplasia Folic acid important for the building of blood cells.
8.A nurse in the PACU is caring for a client who has received general anesthesia and
has manifestation of malignant hyperthermia. Which of the following medications
should the nurse expect to administer?
Diazepam Dantrolene Cyclobenzaprine
Metaxalone
9.A nurse is caring for a client who refuses a prescribed influenza immunization.
Which of the following actions should the nurse take first?
Contact the provider who prescribed the immunization
Ask the client to describe their concerns
Provide the client with education about the immunization
Document the client refusal of the immunization
10.A nurse is caring for a client who has a prescription for a hypotonic Iv fluid. Which
of the following solution the nurse expects to administer?
0.45% sodium chloride
0.9% sodium chloride
3% sodium chloride
Lactated ringers
11.A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following condition should the nurse expect to administer this medication?
Gastrointestinal bleed Acute bronchospasm Morphine toxicity Acetaminophen toxicity
12.A nurse is obtaining vital signs for a client who has been taking propranolol. Which
of the following finding should the nurse identify as an adverse effect of the medication? Respiratory rate 20/min Oral temperature 37.8 Blood pressure 118/78 mm Apical pulse 50 /min
13.A nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day. Which of the following information should the nurse include in the teaching?
Increase fluids while taking the medication
Expect an elevation in blood pressure with initial doses of the medication Stop the medication immediately if urine becomes orange in color
Take the medication in the morning
14.A nurse is providing teaching to a client who has a new prescription for oral extended-release potassium chloride tablets. Which of the following instructions should the nurse include in the teaching?
Do not crush this medication Dissolve the tablet in your mouth
Take this medication on an empty stomach Take this medication every other day
15.A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements by the client indications an understanding of the teaching?
I should take this medication with food
I will take three doses each day
I might not realize the full effect of the medication for several weeks
I might gain weight while taking this medication if I do not exercise
16.While assessing a client at the beginning of the shift a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error?
After the end of the current shift After contacting risk management
As soon as the assessment is complete
As soon as the nurse from the previous shift has been informed
17.A nurse is preparing to administer a second unit of packed RBCs to a client who is
experiencing hemorrhagic shock. The nurse should monitor the client for which
of the following manifestation as an indication of circulatory overload?
Chills Wheezing
1.The first action the nurse should take is to assess the client for injury due to medication error.
Assess the client
2.A nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medication?
Albuterol Furosemide
Digoxin Atenolol
3.A nurse is providing teaching to a client who has a new prescription for ranitidine
for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions?
It decreases stomach motility
It reduces gastric acid production
It forms a protective barrier in the stomach lining.
It neutralizes gastric acid.
4.A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose, the nurse should ask the client if they have allergy to which of the following medication classifications?
Nitrates
Sulfa-based medications
Antilipemic agents Proton pump inhibitors
5.A nurse is caring for a client who has HIV and is starting therapy with ritonavir and
zidovudine. The client asks why they must take both medications. Which of the following response should the nurse make?
If you take the two medications together, it will shorten the duration of you….
Taking the two medications together keeps you from becoming resistant to either of them. Taking the two medication together keeps you from developing toxicity from either of them Zidovudine will help protect you from the possible adverse effects of ritonavir
6.A nurse is providing teaching to a client who has type 2 diabetes mellitus and is
starting to take immediate release exenatide. Which of the following client statements indicates an understanding of the teaching? I will discard the open injector pen after two months
I will inject the medication into the muscle of my thigh
I will store open injector pens at room temperature
I will take this medication one hour before morning and evening meals.
7.A nurse is providing teaching to a client who has a new prescription for folic acid.
The client states I thought that was only given during pregnancy. Which of the following statements should the nurse make?
Folic acid is important for stimulating the immune system Folic acid is given to increase the absorption of the medication
Folic acid is administered to minimize the manifestations of benign prostatic hyperplasia Folic acid important for the building of blood cells.
8.A nurse in the PACU is caring for a client who has received general anesthesia and
has manifestation of malignant hyperthermia. Which of the following medications
should the nurse expect to administer?
Diazepam Dantrolene Cyclobenzaprine
Metaxalone
9.A nurse is caring for a client who refuses a prescribed influenza immunization.
Which of the following actions should the nurse take first?
Contact the provider who prescribed the immunization
Ask the client to describe their concerns
Provide the client with education about the immunization
Document the client refusal of the immunization
10.A nurse is caring for a client who has a prescription for a hypotonic Iv fluid. Which
of the following solution the nurse expects to administer?
0.45% sodium chloride
0.9% sodium chloride
3% sodium chloride
Lactated ringers
11.A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following condition should the nurse expect to administer this medication?
Gastrointestinal bleed Acute bronchospasm Morphine toxicity Acetaminophen toxicity
12.A nurse is obtaining vital signs for a client who has been taking propranolol. Which
of the following finding should the nurse identify as an adverse effect of the medication? Respiratory rate 20/min Oral temperature 37.8 Blood pressure 118/78 mm Apical pulse 50 /min
13.A nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day. Which of the following information should the nurse include in the teaching?
Increase fluids while taking the medication
Expect an elevation in blood pressure with initial doses of the medication Stop the medication immediately if urine becomes orange in color
Take the medication in the morning
14.A nurse is providing teaching to a client who has a new prescription for oral extended-release potassium chloride tablets. Which of the following instructions should the nurse include in the teaching?
Do not crush this medication Dissolve the tablet in your mouth
Take this medication on an empty stomach Take this medication every other day
15.A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements by the client indications an understanding of the teaching?
I should take this medication with food
I will take three doses each day
I might not realize the full effect of the medication for several weeks
I might gain weight while taking this medication if I do not exercise
16.While assessing a client at the beginning of the shift a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error?
After the end of the current shift After contacting risk management
As soon as the assessment is complete
As soon as the nurse from the previous shift has been informed
17.A nurse is preparing to administer a second unit of packed RBCs to a client who is
experiencing hemorrhagic shock. The nurse should monitor the client for which
of the following manifestation as an indication of circulatory overload?
Chills Wheezing
