ATI PHARM: practice B
A nurse contacts a client's provider on the telephone to obtain a prescription for pain
medication. Which of thee following actions should the nurse take? - ANSHave the provider
spell out the unfamiliar medication names
The nurse should ask the provider to spell out the name of the medication if the stated name
is one the nurse is not familiar with.
A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The
nurse should id which of the following findings as an indication that the client is beginning to
exhibit salicylism? - ANSTinnitus (ringing in ears)
Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations
include sweating, headache, and dizziness.
A circulatory nurse is planning care for a client who is scheduled for a surgery and has a
latex allergy. Which of the following actions should the nurse include in the plan? - ANSPlace
monitoring cords and tubes in a stockinet.
The nurse should place monitoring devices in a stockinet to prevent direct contact with the
client's skin.
A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the
following findings should the nurse monitor? - ANSIncreased blood pressure
The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in
an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly,
hypertension and seizures can result. The nurse should monitor the client's blood pressure
and ensure hypertension is controlled prior to administering the medication.
A nurse is preparing to administer HCTZ to a client. Which of the following actions should
the nurse take prior to administering the medication? - ANSObtain clients blood pressure.
HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure
and edema. The nurse should obtain the client's blood pressure prior to administration of the
medication.
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of teh
following medications should the nurse expect to administer. - ANSMethadone
The nurse should expect to administer methadone for treatment of opioid use disorder.
Methadone can be administered for withdrawal and to assist with maintenance and
suppressive therapy.
, A nurse is reviewing the medical record of a client who has hypertension. The nurse should
id which of teh following findings as a contraindication for receiving propranolol. -
ANSAsthma
Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic
antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and
leading to serious airway resistance and possibly respiratory arrest.
A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant
and that she has not told her provider yet. The nurse should id that the pregnancy is a
contraindication for receiving which of the following medications? - ANSDoxycycline
Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline can cause
teratogenic effects such as staining of the infant's teeth when exposed to this medication.
Therefore, this medication is contraindicated for the client.
A nurse is teaching about self administration of transdermal medication with a male client
who has a new prescription for nitroglycerin. The nurse should id that which of the following
statments by the client indicates an understanding of the teaching? - ANSI will remove the
patch after 14 hr
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
developed dyspnea and widespread hives. Which of the following actions should the nurse
take first? - ANSDiscontinue the medication IV infusion.
The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first
action the nurse should take is to discontinue the medication IV infusion to prevent the client
from receiving more medication. However, the nurse should not remove the IV catheter.
Instead, the nurse should change the tubing and administer 0.9% sodium chloride by
continuous IV infusion.
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse
should id which of the following client findings as an indication that she should complete an
incident report? - ANSThe client has shortness of breath
A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin
antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client
is developing anaphylaxis.
A nurse is precepting a newly licensed nurse who is caring for four clients. the nurse should
complete an incident report for which of the following actions by the newly licensed nurse? -
ANSAdministers isosorbide mononitrate to a client who has BP 82/60 mm Hg
Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide
mononitrate leads to vasodilation, which can result in hypotension. The nurse should
withhold the medication and notify the provider if the client's systolic blood pressure is below
the expected reference range of 120/80.
A nurse contacts a client's provider on the telephone to obtain a prescription for pain
medication. Which of thee following actions should the nurse take? - ANSHave the provider
spell out the unfamiliar medication names
The nurse should ask the provider to spell out the name of the medication if the stated name
is one the nurse is not familiar with.
A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The
nurse should id which of the following findings as an indication that the client is beginning to
exhibit salicylism? - ANSTinnitus (ringing in ears)
Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations
include sweating, headache, and dizziness.
A circulatory nurse is planning care for a client who is scheduled for a surgery and has a
latex allergy. Which of the following actions should the nurse include in the plan? - ANSPlace
monitoring cords and tubes in a stockinet.
The nurse should place monitoring devices in a stockinet to prevent direct contact with the
client's skin.
A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the
following findings should the nurse monitor? - ANSIncreased blood pressure
The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in
an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly,
hypertension and seizures can result. The nurse should monitor the client's blood pressure
and ensure hypertension is controlled prior to administering the medication.
A nurse is preparing to administer HCTZ to a client. Which of the following actions should
the nurse take prior to administering the medication? - ANSObtain clients blood pressure.
HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure
and edema. The nurse should obtain the client's blood pressure prior to administration of the
medication.
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of teh
following medications should the nurse expect to administer. - ANSMethadone
The nurse should expect to administer methadone for treatment of opioid use disorder.
Methadone can be administered for withdrawal and to assist with maintenance and
suppressive therapy.
, A nurse is reviewing the medical record of a client who has hypertension. The nurse should
id which of teh following findings as a contraindication for receiving propranolol. -
ANSAsthma
Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic
antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and
leading to serious airway resistance and possibly respiratory arrest.
A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant
and that she has not told her provider yet. The nurse should id that the pregnancy is a
contraindication for receiving which of the following medications? - ANSDoxycycline
Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline can cause
teratogenic effects such as staining of the infant's teeth when exposed to this medication.
Therefore, this medication is contraindicated for the client.
A nurse is teaching about self administration of transdermal medication with a male client
who has a new prescription for nitroglycerin. The nurse should id that which of the following
statments by the client indicates an understanding of the teaching? - ANSI will remove the
patch after 14 hr
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
developed dyspnea and widespread hives. Which of the following actions should the nurse
take first? - ANSDiscontinue the medication IV infusion.
The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first
action the nurse should take is to discontinue the medication IV infusion to prevent the client
from receiving more medication. However, the nurse should not remove the IV catheter.
Instead, the nurse should change the tubing and administer 0.9% sodium chloride by
continuous IV infusion.
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse
should id which of the following client findings as an indication that she should complete an
incident report? - ANSThe client has shortness of breath
A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin
antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client
is developing anaphylaxis.
A nurse is precepting a newly licensed nurse who is caring for four clients. the nurse should
complete an incident report for which of the following actions by the newly licensed nurse? -
ANSAdministers isosorbide mononitrate to a client who has BP 82/60 mm Hg
Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide
mononitrate leads to vasodilation, which can result in hypotension. The nurse should
withhold the medication and notify the provider if the client's systolic blood pressure is below
the expected reference range of 120/80.
