EXAM: ATI Learning System 4.0 : Pharmacology
Final Exam with Certified Solutions
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?
A. Low-grade fever
B. Sedation
C. Diuresis
D. Tonic-clonic seizures Correct Answer-B. Sedation
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg three
times daily PO and gabapentin 1,800 mg three times daily PO 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?
A. Oral meperidine
B. Parenteral naloxone
C. Parenteral diazepam
D. Oral oxycodone Correct Answer-D. Oral oxycodone
, EXAM: ATI Learning System 4.0 : Pharmacology
Final Exam with Certified Solutions
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily,
but the client reports that 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?
A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18 mg/dL
D. Bounding radial pulses Correct Answer-A. 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 of Adenosine?
A.Seizures
B. Cinchonism
C. Dyspnea
D. Transient pallor of the face Correct Answer-C. Dyspnea
, EXAM: ATI Learning System 4.0 : Pharmacology
Final Exam with Certified Solutions
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?
A. "Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride."
B. "Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of
therapy."
C. "The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride."
D. "Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain."
Correct Answer-D. "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?
A. 0800
B. 0745
C. 0900
Final Exam with Certified Solutions
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?
A. Low-grade fever
B. Sedation
C. Diuresis
D. Tonic-clonic seizures Correct Answer-B. Sedation
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg three
times daily PO and gabapentin 1,800 mg three times daily PO 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?
A. Oral meperidine
B. Parenteral naloxone
C. Parenteral diazepam
D. Oral oxycodone Correct Answer-D. Oral oxycodone
, EXAM: ATI Learning System 4.0 : Pharmacology
Final Exam with Certified Solutions
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily,
but the client reports that 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?
A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18 mg/dL
D. Bounding radial pulses Correct Answer-A. 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 of Adenosine?
A.Seizures
B. Cinchonism
C. Dyspnea
D. Transient pallor of the face Correct Answer-C. Dyspnea
, EXAM: ATI Learning System 4.0 : Pharmacology
Final Exam with Certified Solutions
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?
A. "Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride."
B. "Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of
therapy."
C. "The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride."
D. "Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain."
Correct Answer-D. "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?
A. 0800
B. 0745
C. 0900
