ATI Pharm Midterm Exam Questions with correct answers
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four Correct Answer - A
A staff educator is reviewing medication dosages and factors that influence medication 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
medication dosages? (select all that apply)
A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes Correct Answer - C
E
A nurse is preparing to administer eye drops 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 medication into the center of the client's conjunctival sac E. Instruct the client to close her eye gently after instillation. Correct Answer - B
D
E
A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
A. "I will clean the site wit an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch." Correct Answer - C
A nurse is reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions
should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
B. Verify that the client has been taking the medication for 24hr before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication and obtain a blood specimen 30 min later. Correct Answer - A
A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (select all that apply)
A. Maintain skill competency
B. Determine the dosage
C. Monitor for adverse effects D. Safeguard medications E. Identify the client's diagnosis Correct Answer - A
C
D
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription?
A. Single
B. Stat
C. Routine
D. Standing Correct Answer - C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting for a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency Correct Answer - D
A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (select all that apply)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status D. Previous surgical history
E. Food allergies Correct Answer - A C E
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify
as an indication that the newly licensed nurse understands the process?
A. "A second nurse enters the prescription into the client's medical record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription." Correct Answer - B
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 weeks 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
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, takes Warfarin, and reports a suspected pregnancy Correct Answer - B
C
E
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four Correct Answer - A
A staff educator is reviewing medication dosages and factors that influence medication 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
medication dosages? (select all that apply)
A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes Correct Answer - C
E
A nurse is preparing to administer eye drops 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 medication into the center of the client's conjunctival sac E. Instruct the client to close her eye gently after instillation. Correct Answer - B
D
E
A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
A. "I will clean the site wit an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch." Correct Answer - C
A nurse is reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions
should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
B. Verify that the client has been taking the medication for 24hr before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication and obtain a blood specimen 30 min later. Correct Answer - A
A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (select all that apply)
A. Maintain skill competency
B. Determine the dosage
C. Monitor for adverse effects D. Safeguard medications E. Identify the client's diagnosis Correct Answer - A
C
D
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription?
A. Single
B. Stat
C. Routine
D. Standing Correct Answer - C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting for a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency Correct Answer - D
A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (select all that apply)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status D. Previous surgical history
E. Food allergies Correct Answer - A C E
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify
as an indication that the newly licensed nurse understands the process?
A. "A second nurse enters the prescription into the client's medical record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription." Correct Answer - B
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 weeks 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
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, takes Warfarin, and reports a suspected pregnancy Correct Answer - B
C
E
