ATI Pharmacology Practice A & B Exam Newest Updated 2024
A nurse is assessing a client who has myasthenia gravis and is taking
neostigmine. Which of the following findings should indicate to the nurse that the
client is experiencing an adverse effect?
A. Tachycardia
B. Oliguria
C. Xerostomia
D. Miosis - ANSWER-Answer: D
D. Miosis, which is pupillary constriction, is a common adverse effect of
neostigmine due to the excessive muscarinic stimulation that causes difficulty
with visual accommodation.
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse
should anticipate administering which of the following medications?
A. Vitamin K
B. Acetylcysteine
,C. Benztropine
D. Physostigmine - ANSWER-Answer: B
B. Acetylcysteine is a specific antidote for acetaminophen toxicity. It can prevent
severe injury when given orally or by IV infusion within 8 to 10 hr.
A nurse is providing teaching to a client who has a prescription for ergotamine
sublingual to treat migraine headaches. Which of the following information should
the nurse include in the instructions?
A. "Take one tablet three times a day before meals."
B. "Take one tablet at onset of migraine."
C. "Take up to eight tablets as needed within a 24-hour period."
D. "Take one tablet every 15 minutes until migraine subsides." - ANSWER-Answer:
B
B. The client should take one tablet immediately after the onset of aura or
headache.
,A nurse is reviewing the medication administration record of a client who has
hypocalcemia and a new prescription for IV calcium gluconate. The nurse should
identify that which of the following medications can interact with calcium
gluconate?
A. Felodipine
B. Guaifenesin
C. Digoxin
D. Regular insulin - ANSWER-Answer: C
C. The nurse should identify that calcium gluconate can cause hypercalcemia,
which increases the risk of digoxin toxicity.
A nurse is caring for a client who is taking acetazolamide for chronic open-angle
glaucoma. For which of the following adverse effects should the nurse instruct the
client to monitor and report?
A. Tingling of fingers
B. Constipation
C. Weight gain
, D. Oliguria - ANSWER-Answer: A
A. The nurse should instruct the client to report the adverse effect of paresthesia,
a tingling sensation in the extremities, when taking acetazolamide.
A nurse administers a dose of metformin to a client instead of the prescribed
dose of metoclopramide. Which of the following actions should the nurse take
first?
A. Report the incident to the charge nurse.
B. Notify the provider.
C. Check the client's blood glucose.
D. Fill out an incident report. - ANSWER-Answer: C
C. The first action the nurse should take using the nursing process is to assess
the client. The client is at risk for hypoglycemia. The nurse should monitor the
client's blood glucose and provide the client with a snack to reduce the risk for
hypoglycemia.
A nurse is assessing a client who has myasthenia gravis and is taking
neostigmine. Which of the following findings should indicate to the nurse that the
client is experiencing an adverse effect?
A. Tachycardia
B. Oliguria
C. Xerostomia
D. Miosis - ANSWER-Answer: D
D. Miosis, which is pupillary constriction, is a common adverse effect of
neostigmine due to the excessive muscarinic stimulation that causes difficulty
with visual accommodation.
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse
should anticipate administering which of the following medications?
A. Vitamin K
B. Acetylcysteine
,C. Benztropine
D. Physostigmine - ANSWER-Answer: B
B. Acetylcysteine is a specific antidote for acetaminophen toxicity. It can prevent
severe injury when given orally or by IV infusion within 8 to 10 hr.
A nurse is providing teaching to a client who has a prescription for ergotamine
sublingual to treat migraine headaches. Which of the following information should
the nurse include in the instructions?
A. "Take one tablet three times a day before meals."
B. "Take one tablet at onset of migraine."
C. "Take up to eight tablets as needed within a 24-hour period."
D. "Take one tablet every 15 minutes until migraine subsides." - ANSWER-Answer:
B
B. The client should take one tablet immediately after the onset of aura or
headache.
,A nurse is reviewing the medication administration record of a client who has
hypocalcemia and a new prescription for IV calcium gluconate. The nurse should
identify that which of the following medications can interact with calcium
gluconate?
A. Felodipine
B. Guaifenesin
C. Digoxin
D. Regular insulin - ANSWER-Answer: C
C. The nurse should identify that calcium gluconate can cause hypercalcemia,
which increases the risk of digoxin toxicity.
A nurse is caring for a client who is taking acetazolamide for chronic open-angle
glaucoma. For which of the following adverse effects should the nurse instruct the
client to monitor and report?
A. Tingling of fingers
B. Constipation
C. Weight gain
, D. Oliguria - ANSWER-Answer: A
A. The nurse should instruct the client to report the adverse effect of paresthesia,
a tingling sensation in the extremities, when taking acetazolamide.
A nurse administers a dose of metformin to a client instead of the prescribed
dose of metoclopramide. Which of the following actions should the nurse take
first?
A. Report the incident to the charge nurse.
B. Notify the provider.
C. Check the client's blood glucose.
D. Fill out an incident report. - ANSWER-Answer: C
C. The first action the nurse should take using the nursing process is to assess
the client. The client is at risk for hypoglycemia. The nurse should monitor the
client's blood glucose and provide the client with a snack to reduce the risk for
hypoglycemia.
