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ATI PN Pharmacology Test Bank
A client comes to an urgent care clinic and announces with great enthusiasm, " i am an expert at all
things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an
elevated heart rate and blood pressure level. the nurse should suspect intoxication with which of the
following substance?
Answer: Cocaine
cocaine toxicity typically tachycardia, elevated BP, dilated pupils, and displays delusions.
A client who has terminal cancer reports pain as 5 n a scale of 0 to 10. The client has a prescription for
morphine 15 mg orally every 4 hr. The client's adult children express concern that the client is receiving
too much of the medication. Which of the following responses should the nurse make?
Answer: The dose should remain constant to prevent breakthrough pain
fixed or scheduled dosing around the clock offers the best pain control for clients who have severe and
persistent pain.
A nurse in community health clinic is preparing to administer the varicella vaccine to a young adult
female client who has not previously had chickenpox or its vaccine. The nurse should withhold the
vaccine and collect additional data when the client makes which of the following statements?
Answer: I am allergic. to neomycin
hypersensitivity to neomycin is a contraindication for receiving the varicella vaccine
A nurse is assisting in the care of a client who has a history of psychosis and is taking chlorpromazine.
which of the following actions should the nurse take to contract the adverse effects of this medication?
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Answer: Inform the client to apply sunblock before going outside
counter act photosensitivity. Chlorpromazine increases skin's sensitivity to UV light = temporary
pigmentation changes and increase risk of sunburn
A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. which
of the following laboratory tests should the nurse plan to obtain prior to administering the first dose?
Answer: Fasting blood glucose level
development of hyperglycemia can be an adverse effect of risperidone. The nurse should obtain a
fasting blood glucose level prior to administration of the first dose and periodically during treatment
A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The
client asks why the injection must be given IM instead of IV line. Which of the following responses
should the nurse make?
Answer: your medication can't be given IV because it is not water- soluble
nurse should inform the client they type of penicillin has poor water solubility and is never administered
intravenously
A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following
is a therapeutic effect of this medication?
Answer: increased HgB
use to elevated the erythrocyte count for clients who have kidney failure. An increased Hgb is the
desired therapeutic effect of this medication.
A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. which of the
following findings indicates to the nurse that the medication is having a therapeutic effects?
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Answer: Decreased muscle spasticity
baclofen is a antispasmodic that decrease muscle spasticity in a client who has MS
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8 hr. Drop
factor on the manual IV tubing is 15 gtt/mL. - Answer: 31 gtt/mL
A nurse is caring for a client who is reeceiving methylprednisolone. which of the following laboratory
values should the nurse plan to monitor? (SATA)
Answer: WBC
Serum K
blood glucose
increase risk for infection = leukocytosis
causes hypokalemia as well as fluid and sodium retention
increase blood glucose levels
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hrs ago. which of the
following adverse reaction is the priority finding to report to the provider?
Answer: Respiratory depression
using urgent vs non urgent approach to client care, the nurse should determine the priority findings is
resp depression = experiencing acetaldehyde syndrome= life threatening event
A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for
which of the following manifestations as an adverse effect of this medication?
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Answer: Increase Heart rate
due to cardiac effects, can cause tachycardia and other cardiac dysrhythmias
A nurse is collecting data from a client who has been taking levodopa/carbidopa. which of the following
findings should indicate to the nurse that the medication is effective?
Answer: The client is able to wash their face
These therapeutic effects assist the client with moving freely and resuming ADLs
A nurse is collecting data from a client who has hyperthyroidism and a new prescription for
propylthiouracil. The nurse should monitor the client for which of the following manifestations as an
adverse effect of this medication?
Answer: Sore throat
nurse should monitor for sore throat and fever because these are early indications of agranulocytosis,
which is an adverse effect of propylthiouracil
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain.
The nurse should identify that which of the following findings is a contraindication to receiving
celeboxib?
Answer: History of myocardial infarction
increases the risk of MI caused by increase vasoconstriction and unimpeded platelet aggregation.
A nurse is collecting data from a client who recieved morphine IV for pain relief. Which of the following
findings is the nurse's priority to report to the provider?
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ATI PN Pharmacology Test Bank
A client comes to an urgent care clinic and announces with great enthusiasm, " i am an expert at all
things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an
elevated heart rate and blood pressure level. the nurse should suspect intoxication with which of the
following substance?
Answer: Cocaine
cocaine toxicity typically tachycardia, elevated BP, dilated pupils, and displays delusions.
A client who has terminal cancer reports pain as 5 n a scale of 0 to 10. The client has a prescription for
morphine 15 mg orally every 4 hr. The client's adult children express concern that the client is receiving
too much of the medication. Which of the following responses should the nurse make?
Answer: The dose should remain constant to prevent breakthrough pain
fixed or scheduled dosing around the clock offers the best pain control for clients who have severe and
persistent pain.
A nurse in community health clinic is preparing to administer the varicella vaccine to a young adult
female client who has not previously had chickenpox or its vaccine. The nurse should withhold the
vaccine and collect additional data when the client makes which of the following statements?
Answer: I am allergic. to neomycin
hypersensitivity to neomycin is a contraindication for receiving the varicella vaccine
A nurse is assisting in the care of a client who has a history of psychosis and is taking chlorpromazine.
which of the following actions should the nurse take to contract the adverse effects of this medication?
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Answer: Inform the client to apply sunblock before going outside
counter act photosensitivity. Chlorpromazine increases skin's sensitivity to UV light = temporary
pigmentation changes and increase risk of sunburn
A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. which
of the following laboratory tests should the nurse plan to obtain prior to administering the first dose?
Answer: Fasting blood glucose level
development of hyperglycemia can be an adverse effect of risperidone. The nurse should obtain a
fasting blood glucose level prior to administration of the first dose and periodically during treatment
A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The
client asks why the injection must be given IM instead of IV line. Which of the following responses
should the nurse make?
Answer: your medication can't be given IV because it is not water- soluble
nurse should inform the client they type of penicillin has poor water solubility and is never administered
intravenously
A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following
is a therapeutic effect of this medication?
Answer: increased HgB
use to elevated the erythrocyte count for clients who have kidney failure. An increased Hgb is the
desired therapeutic effect of this medication.
A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. which of the
following findings indicates to the nurse that the medication is having a therapeutic effects?
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Answer: Decreased muscle spasticity
baclofen is a antispasmodic that decrease muscle spasticity in a client who has MS
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8 hr. Drop
factor on the manual IV tubing is 15 gtt/mL. - Answer: 31 gtt/mL
A nurse is caring for a client who is reeceiving methylprednisolone. which of the following laboratory
values should the nurse plan to monitor? (SATA)
Answer: WBC
Serum K
blood glucose
increase risk for infection = leukocytosis
causes hypokalemia as well as fluid and sodium retention
increase blood glucose levels
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hrs ago. which of the
following adverse reaction is the priority finding to report to the provider?
Answer: Respiratory depression
using urgent vs non urgent approach to client care, the nurse should determine the priority findings is
resp depression = experiencing acetaldehyde syndrome= life threatening event
A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for
which of the following manifestations as an adverse effect of this medication?
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Answer: Increase Heart rate
due to cardiac effects, can cause tachycardia and other cardiac dysrhythmias
A nurse is collecting data from a client who has been taking levodopa/carbidopa. which of the following
findings should indicate to the nurse that the medication is effective?
Answer: The client is able to wash their face
These therapeutic effects assist the client with moving freely and resuming ADLs
A nurse is collecting data from a client who has hyperthyroidism and a new prescription for
propylthiouracil. The nurse should monitor the client for which of the following manifestations as an
adverse effect of this medication?
Answer: Sore throat
nurse should monitor for sore throat and fever because these are early indications of agranulocytosis,
which is an adverse effect of propylthiouracil
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain.
The nurse should identify that which of the following findings is a contraindication to receiving
celeboxib?
Answer: History of myocardial infarction
increases the risk of MI caused by increase vasoconstriction and unimpeded platelet aggregation.
A nurse is collecting data from a client who recieved morphine IV for pain relief. Which of the following
findings is the nurse's priority to report to the provider?
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