ATI CAPSTONE PHARMACOLOGY ASSESSMENT 2
A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of
the following are correct administration guidelines for the nurse to implement? (Select
all that apply.) - Answers- - Lubricate index finger
- Insert suppository just beyond internal sphincter
A nurse is caring for a client who has anemia and has difficulty swallowing pills. The
client's provider has prescribed a liquid oral iron supplement. The client should be
instructed by the nurse to take the iron - Answers- with orange juice to enhance
absorption.
Which of the following are appropriate references for the nurse to use to ensure safe
medication administration? (Select all that apply.) - Answers- - Published journals
- Pharmacists
- Physicians' Desk Reference
A nurse is developing home instructions for a client who is prescribed phenytoin
(Dilantin) via the tube. Which of the following should the nurse include in the
instructions? - Answers- Alcohol increases the chance of phenytoin toxicity.
A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma.
Which of the following client statements should indicate that the client understood the
nurse's instructions? - Answers- "I'll take this medication once a day in the evening."
A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the
following best determines therapeutic client response to this medication? - Answers- 0
rating on pain scale
A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has
emphysema. Which of the following client findings should cause the nurse to consult the
provider before administering the next dose? - Answers- Visual changes
A nurse is reviewing medications for a client who has a diagnosis of a small bowel
obstruction. The nurse should withhold senna (Senoket) prescribed orally based on
understanding of which of the following? - Answers- Laxatives are contraindicated in
clients who have a small bowel obstruction.
A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse
should explain that the most common side effect of this medication is - Answers-
sedation
A nurse is teaching a client who has asthma the appropriate use of inhaled
beclomethasone (Beclovent). To avoid complications related to the use of
beclomethasone, the nurse should encourage the client to - Answers- rinse the mouth
after administration.
, A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the
client that, to minimize gastric mucosal irritation, she should take this medication at
which of the following times? - Answers- Immediately after a meal
A nurse is monitoring a client's IV site. Which of the following findings are associated
with phlebitis and should be reported to the RN? (Select all that apply.) - Answers- -
Erythema
- Throbbing
- Warmth at insertion site
- Streak formation
A nurse is teaching medication safety to a group of healthy older adults at a community
center. The nurse explains that due to the high frequency of food-drug interactions, the
clients should avoid taking their medications with which of the following? - Answers-
Grapefruit juice
A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing.
Which of the following should the nurse include in the response? (Select all that apply.) -
Answers- - The medication will prevent wheezing
- The medication will open the airways.
- The medication will decrease coughing episodes.
A client diagnosed with oral candidiasis has received instructions from the nurse about
the use of nystatin (Mycostatin) suspension. Which of the following statements made by
the client should indicate to the nurse that the teaching has been effective? - Answers-
"I will hold the medication in my mouth for as long as possible."
A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse
should do which of the following? - Answers- Move the decimal point 3 places to the
right.
A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse.
Which of the following should the nurse include in the teaching? (Select all that apply.) -
Answers- - Count each dose of narcotics in inventory.
- Match number of available doses to record.
- Sign acceptance of narcotic count if correct.
A nurse is caring for a client who is taking naproxen (Naprosyn) following an
exacerbation of rheumatoid arthritis. Which of the following comments by the client
requires further discussion by the nurse? - Answers- "I've been buying Tagamet to help
with the indigestion I've had."
A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to
relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he
A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of
the following are correct administration guidelines for the nurse to implement? (Select
all that apply.) - Answers- - Lubricate index finger
- Insert suppository just beyond internal sphincter
A nurse is caring for a client who has anemia and has difficulty swallowing pills. The
client's provider has prescribed a liquid oral iron supplement. The client should be
instructed by the nurse to take the iron - Answers- with orange juice to enhance
absorption.
Which of the following are appropriate references for the nurse to use to ensure safe
medication administration? (Select all that apply.) - Answers- - Published journals
- Pharmacists
- Physicians' Desk Reference
A nurse is developing home instructions for a client who is prescribed phenytoin
(Dilantin) via the tube. Which of the following should the nurse include in the
instructions? - Answers- Alcohol increases the chance of phenytoin toxicity.
A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma.
Which of the following client statements should indicate that the client understood the
nurse's instructions? - Answers- "I'll take this medication once a day in the evening."
A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the
following best determines therapeutic client response to this medication? - Answers- 0
rating on pain scale
A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has
emphysema. Which of the following client findings should cause the nurse to consult the
provider before administering the next dose? - Answers- Visual changes
A nurse is reviewing medications for a client who has a diagnosis of a small bowel
obstruction. The nurse should withhold senna (Senoket) prescribed orally based on
understanding of which of the following? - Answers- Laxatives are contraindicated in
clients who have a small bowel obstruction.
A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse
should explain that the most common side effect of this medication is - Answers-
sedation
A nurse is teaching a client who has asthma the appropriate use of inhaled
beclomethasone (Beclovent). To avoid complications related to the use of
beclomethasone, the nurse should encourage the client to - Answers- rinse the mouth
after administration.
, A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the
client that, to minimize gastric mucosal irritation, she should take this medication at
which of the following times? - Answers- Immediately after a meal
A nurse is monitoring a client's IV site. Which of the following findings are associated
with phlebitis and should be reported to the RN? (Select all that apply.) - Answers- -
Erythema
- Throbbing
- Warmth at insertion site
- Streak formation
A nurse is teaching medication safety to a group of healthy older adults at a community
center. The nurse explains that due to the high frequency of food-drug interactions, the
clients should avoid taking their medications with which of the following? - Answers-
Grapefruit juice
A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing.
Which of the following should the nurse include in the response? (Select all that apply.) -
Answers- - The medication will prevent wheezing
- The medication will open the airways.
- The medication will decrease coughing episodes.
A client diagnosed with oral candidiasis has received instructions from the nurse about
the use of nystatin (Mycostatin) suspension. Which of the following statements made by
the client should indicate to the nurse that the teaching has been effective? - Answers-
"I will hold the medication in my mouth for as long as possible."
A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse
should do which of the following? - Answers- Move the decimal point 3 places to the
right.
A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse.
Which of the following should the nurse include in the teaching? (Select all that apply.) -
Answers- - Count each dose of narcotics in inventory.
- Match number of available doses to record.
- Sign acceptance of narcotic count if correct.
A nurse is caring for a client who is taking naproxen (Naprosyn) following an
exacerbation of rheumatoid arthritis. Which of the following comments by the client
requires further discussion by the nurse? - Answers- "I've been buying Tagamet to help
with the indigestion I've had."
A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to
relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he
