ATI PHARMACOLOGY FINAL TEST
.
1 A client is prescribed digoxin (Lanoxin) 0.125mg PO daily and furosemide (Lasix) 20mg
PO daily. Which of the following statements by the client should demonstrate to the
nurse that the client has an accurate understanding regarding these medications?
a) "I will take my Lasix with my supper meal"
b) "I will measure my urine output and document it in my diary"
c) "I will skip a dose of my Lanoxin if my resting HR is below 72bpm"
d) "I will eat fruits and vegetables every day that have high-potassium content
in them": d) "I will eat fruits and vegetables every day that have high-potassium content
in them"
2. Prior to administering Total Parenteral Nutrition (TPN) the nurse notices a marked
separation of oil droplets from the rest of the solution. Which of the following actions
should the nurse take?
a) Gently shake the solution until the oil is evenly dispersed.
b) Do nothing since this is the normal appearance of TPN.
c) Add a filter to the intravenous tubing line.
d) Return the solution to the pharmacy.: d) Return the solution to the pharmacy.
3. The primary care provider prescribes heparin sodium (Heparin) IV 25,000 units in
500ml D5W to infuse at 900 units/hr. The nurse should set the IV pump at what ml/hr
rate?: 18ml/hr
-25,000 units/500 = X units/1ml -> x=50 units/ml
-50 units/1ml = 900 units/X -> 50X=900 -> x=18
4. A nurse is caring for an infant who is fed expressed breast milk. The infant drank 2 oz
of breast milk at 0800, 3 oz at 1100, and 2.5 oz at 1300. Which of the following should
the nurse record on this client's intake record for the shift? a) 240ml
b) 150ml
c) 225ml
d) 375ml: c) 225ml
-Multiply the total ounces by 30ml/oz. 7.5 X 30 = 225ml
5 The health care provider has changed a client's antyhypertensice medication from
hydralazine (Apresoline) to metoprolol (Lopressor). The nurse should recognize that this
, ATI PHARMACOLOGY FINAL TEST
.
change would mean the client is less likely to experience which of the following? a)
Tachycardia
b) Hypotension
c) Sodium retention
d) Dizziness: a) Tachycardia
6. A client with a history of anxiety disorder presents at the mental health clinic
experiencing a panic attack. The client is not currently on any medications, and the primary
care provider prescribes a diazepam (Valium). The client asks the nurse, "Why can't I just
take BuSpar like I used to?" The nurse should know that a disadvantage of buspirone
(BuSpar) for this client is which of the following? a) Sedative properties
b) Abuse potential
c) Delayed onset of action
d) Relatively long half-life: d) Delayed onset of action
7. A client is prescribed nitroglycerine (Nitrostat) tablets to be taken sublingual for angina
pain. Identify the sequence of instructions that the nurse should give to the client is he
experiences chest pain.
1. Place tablet under tongue
2. Stop all activity
3. Call 911 if pain is not relieved
4. Wait 5 minutes: Stop, Place, wait, Call
8. When a nurse is performing an admission history, a client reports using several
herbal and vitamin supplements daily, including saw palmetto. The nurse should
recognize that saw palmetto is a popular herb used by clients primarily to do which of
the following? a) Promote urinary health
b) Stimulate the immune system
c) Enhance memory and cognition
d) Boost vitality and libido: a) Promote urinary health
9 A client tells a nurse, "I don't get the same relief as I used to with this pain medication."
The nurse should recognize that the client is experiencing which of the following?
a) Drug addiction
b) Physical dependence
.
1 A client is prescribed digoxin (Lanoxin) 0.125mg PO daily and furosemide (Lasix) 20mg
PO daily. Which of the following statements by the client should demonstrate to the
nurse that the client has an accurate understanding regarding these medications?
a) "I will take my Lasix with my supper meal"
b) "I will measure my urine output and document it in my diary"
c) "I will skip a dose of my Lanoxin if my resting HR is below 72bpm"
d) "I will eat fruits and vegetables every day that have high-potassium content
in them": d) "I will eat fruits and vegetables every day that have high-potassium content
in them"
2. Prior to administering Total Parenteral Nutrition (TPN) the nurse notices a marked
separation of oil droplets from the rest of the solution. Which of the following actions
should the nurse take?
a) Gently shake the solution until the oil is evenly dispersed.
b) Do nothing since this is the normal appearance of TPN.
c) Add a filter to the intravenous tubing line.
d) Return the solution to the pharmacy.: d) Return the solution to the pharmacy.
3. The primary care provider prescribes heparin sodium (Heparin) IV 25,000 units in
500ml D5W to infuse at 900 units/hr. The nurse should set the IV pump at what ml/hr
rate?: 18ml/hr
-25,000 units/500 = X units/1ml -> x=50 units/ml
-50 units/1ml = 900 units/X -> 50X=900 -> x=18
4. A nurse is caring for an infant who is fed expressed breast milk. The infant drank 2 oz
of breast milk at 0800, 3 oz at 1100, and 2.5 oz at 1300. Which of the following should
the nurse record on this client's intake record for the shift? a) 240ml
b) 150ml
c) 225ml
d) 375ml: c) 225ml
-Multiply the total ounces by 30ml/oz. 7.5 X 30 = 225ml
5 The health care provider has changed a client's antyhypertensice medication from
hydralazine (Apresoline) to metoprolol (Lopressor). The nurse should recognize that this
, ATI PHARMACOLOGY FINAL TEST
.
change would mean the client is less likely to experience which of the following? a)
Tachycardia
b) Hypotension
c) Sodium retention
d) Dizziness: a) Tachycardia
6. A client with a history of anxiety disorder presents at the mental health clinic
experiencing a panic attack. The client is not currently on any medications, and the primary
care provider prescribes a diazepam (Valium). The client asks the nurse, "Why can't I just
take BuSpar like I used to?" The nurse should know that a disadvantage of buspirone
(BuSpar) for this client is which of the following? a) Sedative properties
b) Abuse potential
c) Delayed onset of action
d) Relatively long half-life: d) Delayed onset of action
7. A client is prescribed nitroglycerine (Nitrostat) tablets to be taken sublingual for angina
pain. Identify the sequence of instructions that the nurse should give to the client is he
experiences chest pain.
1. Place tablet under tongue
2. Stop all activity
3. Call 911 if pain is not relieved
4. Wait 5 minutes: Stop, Place, wait, Call
8. When a nurse is performing an admission history, a client reports using several
herbal and vitamin supplements daily, including saw palmetto. The nurse should
recognize that saw palmetto is a popular herb used by clients primarily to do which of
the following? a) Promote urinary health
b) Stimulate the immune system
c) Enhance memory and cognition
d) Boost vitality and libido: a) Promote urinary health
9 A client tells a nurse, "I don't get the same relief as I used to with this pain medication."
The nurse should recognize that the client is experiencing which of the following?
a) Drug addiction
b) Physical dependence
