ATI Pharmacology Practice A
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1. A nurse is instructing a client on the application of Answer: B
nitroglycerin transdermal patches. Which of the fol-
lowing statements by the client indicates an under- B. Clients should remove
standing of the teaching? the patch each evening for
a medication free time of
A. "I should apply a patch every 5 minutes if I develop 12 to 14 hr before apply-
chest pain." ing a new patch to avoid
B. "I will take the patch off right after my evening developing a tolerance to
meal." the medication's effects.
C. "I will leave the patch off at least 1 day each week."
D. "I should discard the used patch by flushing it down
the toilet."
2. A nurse receives a verbal order from the provider to Answer: B
administer morphine five milligrams every 4 hours
subcutaneously for severe pain as needed. The nurseB. The nurse should iden-
should identify which of the following entries as tify this entry as the cor-
rect format for the MAR.
the correct format for the medication administration
record (MAR)? The medication name is
spelled out and there
A. MSO4 5 mg subcut every 4 hr PRN severe pain are not any abbreviations
B. Morphine 5 mg subcut every 4 hr PRN severe pain from The Joint Commis-
C. MSO4 5 mg SQ every 4 hr PRN severe pain sion's "Do Not Use" list in-
D. Morphine 5.0 mg subcutaneously every 4 hr PRN cluded in the transcription.
severe pain
3. A nurse is caring for a client who is taking acetazo- Answer: A
lamide for chronic open-angle glaucoma. For which of
the following adverse effects should the nurse instruct A. The nurse should in-
the client to monitor and report? struct the client to re-
port the adverse effect
A. Tingling of fingers of paresthesia, a tingling
, ATI Pharmacology Practice A
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B. Constipation sensation in the extremi-
C. Weight gain ties, when taking acetazo-
D. Oliguria lamide.
4. A nurse administers a dose of metformin to a client Answer: C
instead of the prescribed dose of metoclopramide.
Which of the following actions should the nurse take C. The first action the
first? nurse should take using
the nursing process is to
A. Report the incident to the charge nurse. assess the client. The client
B. Notify the provider. is at risk for hypoglycemia.
C. Check the client's blood glucose. The nurse should monitor
D. Fill out an incident report. the client's blood glucose
and provide the client with
a snack to reduce the risk
for hypoglycemia.
5. A nurse is caring for a client who has cancer and is Answer: A
taking oral morphine and docusate sodium. The nurse
should instruct the client that taking the docusate sodi- A. Constipation is a com-
um daily can minimize which of the following adverse mon adverse effect of
effects of morphine? morphine that can be min-
imized by taking docusate
A. Constipation sodium, a stool softener
B. Drowsiness that promotes easier evac-
C. Facial flushing uation of stool by increas-
D. Itching ing water and fat in the in-
testine.
6. A nurse is assessing a client's vital signs prior to the Answer: C
administration of PO digoxin. The client's BP is 144/86
mm Hg, heart rate is 55/min, and respiratory rate is C. Digoxin slows the con-
20/min. The nurse should withhold the medication and duction rate through the
, ATI Pharmacology Practice A
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contact the provider for which of the following find- SA and AV nodes, thereby
ings? decreasing the heart rate.
The nurse should withhold
A. Diastolic BP the medication and noti-
B. Systolic BP fy the provider for a heart
C. Heart rate rate of 55/min because
D. Respiratory rate this is an early indication of
digoxin toxicity.
7. A nurse is caring for a client who received 0.9% sodium Answer: B
chloride 1 L over 4 hr instead of over 8 hr as prescribed.
Which of the following information should the nurse
B. The nurse should docu-
enter as a complete documentation of the incident?
ment the type and amount
A. IV fluid infused over 4 hr instead of the prescribed 8 of fluid, how long it took to
hr. Client tolerated fluids well, provider notified. infuse, provider notifica-
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital tion, and the client's phys-
signs stable, provider notified. ical status.
C. 1 L of 0.9% sodium chloride completed at 0900.
Client denies shortness of breath.
D. IV fluid initiated at 0500. Lungs clear to auscultation.
8. A nurse is providing teaching to a client who has peptic Answer: C
ulcer disease and is to start a new prescription for
sucralfate. Which of the following actions of sucralfate C. Secretions by the
should the nurse include in the teaching? parietal and chief cells,
hydrochloric acid and
A. Decreases stomach acid secretion pepsin, can further irritate
B. Neutralizes acids in the stomach the ulcerated areas. Su-
C. Forms a protective barrier over ulcers cralfate, a mucosal pro-
D. Treats ulcers by eradicating H. pylori tectant, forms a gel-like
substance that coats the
Study online at https://quizlet.com/_bnngdk
1. A nurse is instructing a client on the application of Answer: B
nitroglycerin transdermal patches. Which of the fol-
lowing statements by the client indicates an under- B. Clients should remove
standing of the teaching? the patch each evening for
a medication free time of
A. "I should apply a patch every 5 minutes if I develop 12 to 14 hr before apply-
chest pain." ing a new patch to avoid
B. "I will take the patch off right after my evening developing a tolerance to
meal." the medication's effects.
C. "I will leave the patch off at least 1 day each week."
D. "I should discard the used patch by flushing it down
the toilet."
2. A nurse receives a verbal order from the provider to Answer: B
administer morphine five milligrams every 4 hours
subcutaneously for severe pain as needed. The nurseB. The nurse should iden-
should identify which of the following entries as tify this entry as the cor-
rect format for the MAR.
the correct format for the medication administration
record (MAR)? The medication name is
spelled out and there
A. MSO4 5 mg subcut every 4 hr PRN severe pain are not any abbreviations
B. Morphine 5 mg subcut every 4 hr PRN severe pain from The Joint Commis-
C. MSO4 5 mg SQ every 4 hr PRN severe pain sion's "Do Not Use" list in-
D. Morphine 5.0 mg subcutaneously every 4 hr PRN cluded in the transcription.
severe pain
3. A nurse is caring for a client who is taking acetazo- Answer: A
lamide for chronic open-angle glaucoma. For which of
the following adverse effects should the nurse instruct A. The nurse should in-
the client to monitor and report? struct the client to re-
port the adverse effect
A. Tingling of fingers of paresthesia, a tingling
, ATI Pharmacology Practice A
Study online at https://quizlet.com/_bnngdk
B. Constipation sensation in the extremi-
C. Weight gain ties, when taking acetazo-
D. Oliguria lamide.
4. A nurse administers a dose of metformin to a client Answer: C
instead of the prescribed dose of metoclopramide.
Which of the following actions should the nurse take C. The first action the
first? nurse should take using
the nursing process is to
A. Report the incident to the charge nurse. assess the client. The client
B. Notify the provider. is at risk for hypoglycemia.
C. Check the client's blood glucose. The nurse should monitor
D. Fill out an incident report. the client's blood glucose
and provide the client with
a snack to reduce the risk
for hypoglycemia.
5. A nurse is caring for a client who has cancer and is Answer: A
taking oral morphine and docusate sodium. The nurse
should instruct the client that taking the docusate sodi- A. Constipation is a com-
um daily can minimize which of the following adverse mon adverse effect of
effects of morphine? morphine that can be min-
imized by taking docusate
A. Constipation sodium, a stool softener
B. Drowsiness that promotes easier evac-
C. Facial flushing uation of stool by increas-
D. Itching ing water and fat in the in-
testine.
6. A nurse is assessing a client's vital signs prior to the Answer: C
administration of PO digoxin. The client's BP is 144/86
mm Hg, heart rate is 55/min, and respiratory rate is C. Digoxin slows the con-
20/min. The nurse should withhold the medication and duction rate through the
, ATI Pharmacology Practice A
Study online at https://quizlet.com/_bnngdk
contact the provider for which of the following find- SA and AV nodes, thereby
ings? decreasing the heart rate.
The nurse should withhold
A. Diastolic BP the medication and noti-
B. Systolic BP fy the provider for a heart
C. Heart rate rate of 55/min because
D. Respiratory rate this is an early indication of
digoxin toxicity.
7. A nurse is caring for a client who received 0.9% sodium Answer: B
chloride 1 L over 4 hr instead of over 8 hr as prescribed.
Which of the following information should the nurse
B. The nurse should docu-
enter as a complete documentation of the incident?
ment the type and amount
A. IV fluid infused over 4 hr instead of the prescribed 8 of fluid, how long it took to
hr. Client tolerated fluids well, provider notified. infuse, provider notifica-
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital tion, and the client's phys-
signs stable, provider notified. ical status.
C. 1 L of 0.9% sodium chloride completed at 0900.
Client denies shortness of breath.
D. IV fluid initiated at 0500. Lungs clear to auscultation.
8. A nurse is providing teaching to a client who has peptic Answer: C
ulcer disease and is to start a new prescription for
sucralfate. Which of the following actions of sucralfate C. Secretions by the
should the nurse include in the teaching? parietal and chief cells,
hydrochloric acid and
A. Decreases stomach acid secretion pepsin, can further irritate
B. Neutralizes acids in the stomach the ulcerated areas. Su-
C. Forms a protective barrier over ulcers cralfate, a mucosal pro-
D. Treats ulcers by eradicating H. pylori tectant, forms a gel-like
substance that coats the
