ATI PHARMACOLOGY FINAL EXAM 180 QUESTIONS AND DETAILED ANSWERS 2024
LATEST GRADED A+
A nurse caring for a patient who is undergoing a third round of chemotherapy is preparing to administer
ondansetron (Zofran) 30 minutes before initiation of the chemotherapy. The patient tells the nurse that
the ondansetron did not work as well the last time as It had the first time. What will the nurse do?til) be
given with the ondansetron. - answer-C) Request an order to administer dexamethasone with the
ondansetron.
A pregnant patient who is taking ondansetron (Zofran) for morning sickness tells the nurse she is
experiencing headache and dizziness. What will the nurse tell her? - answer-B) These are common side
effects of ondansetron.
A patient is being treated for chemotherapy-induced nausea and vomiting (CINV) with ondansetron
(Zofran) and dexamethasone. The patient reports getting relief during and immediatefy after
chemotherapy but has significant nausea and vomiting several days after each chemotherapy treatment.
What will the nurse do? - answer-C) Suggest adding aprepitant (Emend) to the medication regimen.
A patient is receiving intravenous promethazine (Phenergan) 25 mg for postoperative nausea and
vomiting. What is an important nursing action when giving this drug? - answer-C) Observing the IV
insertion site frequently for patency
A nursing student is discussing with a nurse the plan of care for a patient about to undergo a third round
of chemotherapy with cisplatin. Which statement by the nursing student about the treatment of CINV is
correct? - answer-A) "Aprepitant (Emend) will be necessary to treat CINV caused by cisplatin."
A patient who is in her first trimester of pregnancy asks the nurse to recommend nonpharmaceuticai
therapies for morning sickness. What will the nurse suggest? - answer-A) Avoiding fatty and spicy foods
A patient who experiences motion sickness is about to go on a cruise. The prescriber orders transdermal
scopolamine (Transderm Scop). The patient asks the nurse why an oral agent is not ordered. The nurse
will explain that the transdermal preparation: - answer-B) has less intense anticholinergic effects than
the oral form.
A nurse explains to a nursing student why opiod antidiarrheal medications are classified as drugs with
little or no abuse potential. Which statement by the student indicates that teaching is effective? -
answer-B) "Opioid antidiarrheal drugs contain other drugs with unpleasant side effects at higher doses."
, C) "Some opioid antidiarrheal drugs do not cross the blood-brain barrier."
D) "Some opioid antidiarrheal medications are not water soluble and cannot be given parenterally."
A patient is taking bismuth subsalicylate (Pepto-Bismol) to prevent diarrhea. The nurse performing an
assessment notes that the patient's tongue is black. What will the nurse do? - answer-B) Reassure the
patient that this is an expected side effect of this drug.
A patient is preparing to travel to perform missionary work in a region with poor drinking water. The
provider gives the patient a prescription for ciprofioxacin (Cipro) to take on the trip. What will the nurse
instruct this patient to do? - answer-D) Use the drug If symptoms are severe or do not improve in a few
days.
A nurse is admitting a patient to the hospital who reports having recurrent, crampy abdominal pain
followed by diarrhea. The patient tells the nurse that the diarrhea usually relieves the pain and that
these symptoms have occurred daily for the past 6 months. The patient undergoes a colonoscopy, for
which the findings are normal. The nurse will plan to teach this patient to: - answer-C) keep a food,
stress, and symptom diary.
A nurse fs providing teaching to a nursing student about to care for a woman with irritable bowel
syndrome with diarrhea (IBS-D) who is receiving alosetron (Lotronex). Which statement by the student
indicates that teaching is effective? - answer-A) "I should evaluate the patient's abdomen for distension
and bowel sounds."
C) "There are no known serious drug interactions with alosetron."
D) "This drug is given only to women with severe IBS-D."
The nurse is providing education to a patient with ulcerative colitis who is being treated with
sulfasalazine (Azulfidine). What statement by the patient best demonstrates understanding of the action
of sulfasalazine? - answer-B) "It reduces the inflammation."
A patient presents to the emergency department with complaints of chills, severe flank pain, dysuria,
and urinary frequency. The vital signs are temperature of 102.9° F, pulse of 92 beats per minute,
respirations of 24 breaths per minute, and blood pressure of 119/58 mm Hg. The nurse would be correct
to suspect that the patient shows signs and symptoms of: - answer-C) pyelonephritis.
LATEST GRADED A+
A nurse caring for a patient who is undergoing a third round of chemotherapy is preparing to administer
ondansetron (Zofran) 30 minutes before initiation of the chemotherapy. The patient tells the nurse that
the ondansetron did not work as well the last time as It had the first time. What will the nurse do?til) be
given with the ondansetron. - answer-C) Request an order to administer dexamethasone with the
ondansetron.
A pregnant patient who is taking ondansetron (Zofran) for morning sickness tells the nurse she is
experiencing headache and dizziness. What will the nurse tell her? - answer-B) These are common side
effects of ondansetron.
A patient is being treated for chemotherapy-induced nausea and vomiting (CINV) with ondansetron
(Zofran) and dexamethasone. The patient reports getting relief during and immediatefy after
chemotherapy but has significant nausea and vomiting several days after each chemotherapy treatment.
What will the nurse do? - answer-C) Suggest adding aprepitant (Emend) to the medication regimen.
A patient is receiving intravenous promethazine (Phenergan) 25 mg for postoperative nausea and
vomiting. What is an important nursing action when giving this drug? - answer-C) Observing the IV
insertion site frequently for patency
A nursing student is discussing with a nurse the plan of care for a patient about to undergo a third round
of chemotherapy with cisplatin. Which statement by the nursing student about the treatment of CINV is
correct? - answer-A) "Aprepitant (Emend) will be necessary to treat CINV caused by cisplatin."
A patient who is in her first trimester of pregnancy asks the nurse to recommend nonpharmaceuticai
therapies for morning sickness. What will the nurse suggest? - answer-A) Avoiding fatty and spicy foods
A patient who experiences motion sickness is about to go on a cruise. The prescriber orders transdermal
scopolamine (Transderm Scop). The patient asks the nurse why an oral agent is not ordered. The nurse
will explain that the transdermal preparation: - answer-B) has less intense anticholinergic effects than
the oral form.
A nurse explains to a nursing student why opiod antidiarrheal medications are classified as drugs with
little or no abuse potential. Which statement by the student indicates that teaching is effective? -
answer-B) "Opioid antidiarrheal drugs contain other drugs with unpleasant side effects at higher doses."
, C) "Some opioid antidiarrheal drugs do not cross the blood-brain barrier."
D) "Some opioid antidiarrheal medications are not water soluble and cannot be given parenterally."
A patient is taking bismuth subsalicylate (Pepto-Bismol) to prevent diarrhea. The nurse performing an
assessment notes that the patient's tongue is black. What will the nurse do? - answer-B) Reassure the
patient that this is an expected side effect of this drug.
A patient is preparing to travel to perform missionary work in a region with poor drinking water. The
provider gives the patient a prescription for ciprofioxacin (Cipro) to take on the trip. What will the nurse
instruct this patient to do? - answer-D) Use the drug If symptoms are severe or do not improve in a few
days.
A nurse is admitting a patient to the hospital who reports having recurrent, crampy abdominal pain
followed by diarrhea. The patient tells the nurse that the diarrhea usually relieves the pain and that
these symptoms have occurred daily for the past 6 months. The patient undergoes a colonoscopy, for
which the findings are normal. The nurse will plan to teach this patient to: - answer-C) keep a food,
stress, and symptom diary.
A nurse fs providing teaching to a nursing student about to care for a woman with irritable bowel
syndrome with diarrhea (IBS-D) who is receiving alosetron (Lotronex). Which statement by the student
indicates that teaching is effective? - answer-A) "I should evaluate the patient's abdomen for distension
and bowel sounds."
C) "There are no known serious drug interactions with alosetron."
D) "This drug is given only to women with severe IBS-D."
The nurse is providing education to a patient with ulcerative colitis who is being treated with
sulfasalazine (Azulfidine). What statement by the patient best demonstrates understanding of the action
of sulfasalazine? - answer-B) "It reduces the inflammation."
A patient presents to the emergency department with complaints of chills, severe flank pain, dysuria,
and urinary frequency. The vital signs are temperature of 102.9° F, pulse of 92 beats per minute,
respirations of 24 breaths per minute, and blood pressure of 119/58 mm Hg. The nurse would be correct
to suspect that the patient shows signs and symptoms of: - answer-C) pyelonephritis.
