ATI RN Pharmacology Final
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells
the nurse she has been administering prescribed lorazepam, 1 mg three times per day, to the client
for restlessness and anxiety during the past few days. For which of the following adverse effects
should the nurse assess the client? - ANSWER Sedation
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 times daily PO
and gabapentin 1,800 mg three times daily to manage pain. The client tells the nurse, "I'm having
pain that keeps me from doing what I'd like most of the time." Which of the following additions
should the nurse anticipate to the client's medication regimen? - ANSWER Oral oxycodone
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily but the
client reports she has been taking extra doses to promote weight loss. Which of the following
findings should indicate to the nurse that the client is dehydrated? - ANSWER Urine specific
gravity 1.035
A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial
tachycardia. For which of the following findings should the nurse assess the client during
administration adenosine? - ANSWER Dyspnea
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract
infection (UTI). The client asks why both medications are needed. Which of the following responses
should the nurse make? - ANSWER "Ciprofloxacin hydrochloride treats the infection, and
the phenazopyridine treats pain."
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who
has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of
the following times? - ANSWER 0745
A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should
the nurse instruct the client to expect? - ANSWER Dry mouth
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following
findings should alert the nurse that the client is experiencing acute levothyroxine overdose? -
ANSWER Tremor
A nurse is assessing a client who reports using several herbal and vitamin supplements daily,
including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by
clients to elicit which of the following therapeutic effects? - ANSWER Urinary health
promotion
A nurse is assessing a client who takes oral theophylline for relief of chronic bronchitis. The nurse
should recognize that which of the following findings indicates toxicity to theophylline? -
ANSWER Tremors
A nurse is caring for a client and realizes after administering the 0900 medications that she
administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which
of the following actions should the nurse take first? - ANSWER Assess the client's apical
pulse.
, ATI RN Pharmacology Final
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for
isoniazid. The nurse should teach the client that which of the following laboratory values should be
monitored while taking isoniazid? - ANSWER Aspartate aminotransferase (AST)
A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity
fractures following a motor-vehicle crash. A few hours after admission, the client develops
restlessness and tremors. Which of the following medications should the nurse anticipate
administering to the client first? - ANSWER Chlordiazepoxide
A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports
nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? -
ANSWER Check the client's apical pulse.
A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For
which of the following adverse effects should the client be taught to monitor and notify the provider
if it occurs? - ANSWER Tinnitus
A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. The
client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse
should explain to the client that nifedipine works for clients who are pregnant by which of the
following mechanisms? - ANSWER It inhibits uterine contractions by blocking entry of
calcium into uterine cells.
A nurse is caring for a client who was brought to the emergency department by friends who report
the client has overdosed on heroin. Which of the following findings should the nurse expect to
assess? - ANSWER Pinpoint pupils
A nurse is monitoring laboratory values for a male client who has leukemia and is receiving weekly
chemotherapy with methotrexate via IV infusion. Which of the following laboratory values should
the nurse report to the provider? - ANSWER Platelets 78,000/mm3
A nurse is planning care for a female client who has severe irritable bowl syndrome with diarrhea
(IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse
include in the plan of care? - ANSWER The client must sign an agreement with the provider
before beginning alosetron.
A nurse is planning discharge teaching for a client who has major depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe
for the client to consume while taking phenelzine? - ANSWER Broiled beef steak
A nurse is planning to administer chlorothiazide 20 mg/kg/day PO divided equally and administered
twice daily for a toddler who weighs 28.6 lb. The amount available is chlorothiazide oral suspension
250 mg/5 mL. How many mL should the nurse administer per dose/ (Round to the nearest tenth) -
ANSWER 2.6 mL
A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When
assessing the client, the nurse should recognize that which of the following findings is a
contraindication to administration of diltiazem? - ANSWER Hypotension
A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an
allergic reaction. The client has an IV infusion containing a medication that is incompatible with
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells
the nurse she has been administering prescribed lorazepam, 1 mg three times per day, to the client
for restlessness and anxiety during the past few days. For which of the following adverse effects
should the nurse assess the client? - ANSWER Sedation
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 times daily PO
and gabapentin 1,800 mg three times daily to manage pain. The client tells the nurse, "I'm having
pain that keeps me from doing what I'd like most of the time." Which of the following additions
should the nurse anticipate to the client's medication regimen? - ANSWER Oral oxycodone
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily but the
client reports she has been taking extra doses to promote weight loss. Which of the following
findings should indicate to the nurse that the client is dehydrated? - ANSWER Urine specific
gravity 1.035
A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial
tachycardia. For which of the following findings should the nurse assess the client during
administration adenosine? - ANSWER Dyspnea
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract
infection (UTI). The client asks why both medications are needed. Which of the following responses
should the nurse make? - ANSWER "Ciprofloxacin hydrochloride treats the infection, and
the phenazopyridine treats pain."
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who
has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of
the following times? - ANSWER 0745
A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should
the nurse instruct the client to expect? - ANSWER Dry mouth
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following
findings should alert the nurse that the client is experiencing acute levothyroxine overdose? -
ANSWER Tremor
A nurse is assessing a client who reports using several herbal and vitamin supplements daily,
including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by
clients to elicit which of the following therapeutic effects? - ANSWER Urinary health
promotion
A nurse is assessing a client who takes oral theophylline for relief of chronic bronchitis. The nurse
should recognize that which of the following findings indicates toxicity to theophylline? -
ANSWER Tremors
A nurse is caring for a client and realizes after administering the 0900 medications that she
administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which
of the following actions should the nurse take first? - ANSWER Assess the client's apical
pulse.
, ATI RN Pharmacology Final
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for
isoniazid. The nurse should teach the client that which of the following laboratory values should be
monitored while taking isoniazid? - ANSWER Aspartate aminotransferase (AST)
A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity
fractures following a motor-vehicle crash. A few hours after admission, the client develops
restlessness and tremors. Which of the following medications should the nurse anticipate
administering to the client first? - ANSWER Chlordiazepoxide
A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports
nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? -
ANSWER Check the client's apical pulse.
A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For
which of the following adverse effects should the client be taught to monitor and notify the provider
if it occurs? - ANSWER Tinnitus
A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. The
client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse
should explain to the client that nifedipine works for clients who are pregnant by which of the
following mechanisms? - ANSWER It inhibits uterine contractions by blocking entry of
calcium into uterine cells.
A nurse is caring for a client who was brought to the emergency department by friends who report
the client has overdosed on heroin. Which of the following findings should the nurse expect to
assess? - ANSWER Pinpoint pupils
A nurse is monitoring laboratory values for a male client who has leukemia and is receiving weekly
chemotherapy with methotrexate via IV infusion. Which of the following laboratory values should
the nurse report to the provider? - ANSWER Platelets 78,000/mm3
A nurse is planning care for a female client who has severe irritable bowl syndrome with diarrhea
(IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse
include in the plan of care? - ANSWER The client must sign an agreement with the provider
before beginning alosetron.
A nurse is planning discharge teaching for a client who has major depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe
for the client to consume while taking phenelzine? - ANSWER Broiled beef steak
A nurse is planning to administer chlorothiazide 20 mg/kg/day PO divided equally and administered
twice daily for a toddler who weighs 28.6 lb. The amount available is chlorothiazide oral suspension
250 mg/5 mL. How many mL should the nurse administer per dose/ (Round to the nearest tenth) -
ANSWER 2.6 mL
A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When
assessing the client, the nurse should recognize that which of the following findings is a
contraindication to administration of diltiazem? - ANSWER Hypotension
A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an
allergic reaction. The client has an IV infusion containing a medication that is incompatible with
