PN ATI LEARNING SYSTEM PHARMACOLOGY FINAL QUIZ
SOLVED #3
A nurse is preparing a discharge teaching plan for a 6 year old client who has asthma
and several prescription medications using metered dose inhalers (mdis). Which of the
following interventions should the nurse include in the plan?
A. Add a spacer to each MDI.
B. Instruct the child to inhale more rapidly than usual when using an mdi.
C. Request that the provider change the child's medications from inhaled to oral
formulations.
D. Administer oxygen by facemask along with the MDI. - correct answer A. Add a
spacer to each MDI.
A nurse is administering oral hydroxyzine to a client. Which of the following adverse
effects should the nurse instruct the client to expect?
A. Diarrhea
B. Anxiety
C. Nausea and vomiting
D. Dry mouth - correct answer D. Dry mouth
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40
mg daily, but the client reports that she has been taking extra doses to promote weight
loss. Which of the following findings should indicate to the nurse that the client is
dehydrated?
A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18 mg/dl
D. Bounding radial pulses - correct answer A. Urine specific gravity 1.035
A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral
prednisone for asthma. Which of the following instructions should the nurse include in
the plan?
A. Stop taking the medication if a rash occurs.
B. Take the medication on an empty stomach to enhance absorption.
C. Schedule the medication on alternate days to decrease adverse effects.
D. Treat shortness of breath with an extra dose of the medication. - correct answer C.
Schedule the medication on alternate days to decrease adverse effects.
A nurse is providing teaching to a client who has hypertension and type 1 diabetes
mellitus and a new prescription for metoprolol. Which of the following statements by the
client indicates an understanding of the teaching?
, A. "I might have difficulty recognizing when my blood sugar is low."
B. "I will have less risk for developing an infection while I take this medication."
C. "I should be concerned about losing excess weight while I take this medication."
D. "I could have more problems with high blood sugars while taking this medication." -
correct answer A. "I might have difficulty recognizing when my blood sugar is low."
A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water
[D5W] to infuse over 15 minutes. The drop factor of the manual IV tubing is 10 gtt./ml.
The nurse should set the manual IV infusion to deliver how many gtt./min? - correct
answer 33 gtt/min
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure.
Which of the following data should the nurse plan to review prior to administration of this
medication?
A. Blood pressure
B. Temperature
C. Blood glucose levels
D. Total protein level - correct answer A. Blood pressure
A nurse is planning care for a female client who has severe irritable bowel syndrome
with diarrhea [IBS-D] and a new prescription for Alosetron. Which of the following
interventions should the nurse include in the plan of care?
The client must sign an agreement with the provider before beginning alosetron.
The client must stop taking alosetron if diarrhea continues 1 week after beginning the
medication.
The client should expect to have a slower heart rate while taking alosetron.
The client should use a barrier birth control method because alosetron interacts with
oral contraceptives. - correct answer The client must sign an agreement with the
provider before beginning alosetron
A nurse is caring for a client and realizes after administering the 0900 medications that
she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin
0.125 mg PO. Which of the following actions should the nurse take first?
A. Notify the provider.
B. Contact the nursing supervisor.
C. Assess the client's apical pulse.
D. Complete an incident report. - correct answer C. Assess the client's apical pulse.
A nurse is providing discharge teaching to a client who has angina pectoris and a new
prescription for verapamil. The client tells the nurse, "My brother takes verapamil for
high blood pressure. Do you think the provider made a mistake?" Which of the following
responses should the nurse make?
A. "Verapamil is used to treat both high blood pressure and angina."
SOLVED #3
A nurse is preparing a discharge teaching plan for a 6 year old client who has asthma
and several prescription medications using metered dose inhalers (mdis). Which of the
following interventions should the nurse include in the plan?
A. Add a spacer to each MDI.
B. Instruct the child to inhale more rapidly than usual when using an mdi.
C. Request that the provider change the child's medications from inhaled to oral
formulations.
D. Administer oxygen by facemask along with the MDI. - correct answer A. Add a
spacer to each MDI.
A nurse is administering oral hydroxyzine to a client. Which of the following adverse
effects should the nurse instruct the client to expect?
A. Diarrhea
B. Anxiety
C. Nausea and vomiting
D. Dry mouth - correct answer D. Dry mouth
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40
mg daily, but the client reports that she has been taking extra doses to promote weight
loss. Which of the following findings should indicate to the nurse that the client is
dehydrated?
A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18 mg/dl
D. Bounding radial pulses - correct answer A. Urine specific gravity 1.035
A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral
prednisone for asthma. Which of the following instructions should the nurse include in
the plan?
A. Stop taking the medication if a rash occurs.
B. Take the medication on an empty stomach to enhance absorption.
C. Schedule the medication on alternate days to decrease adverse effects.
D. Treat shortness of breath with an extra dose of the medication. - correct answer C.
Schedule the medication on alternate days to decrease adverse effects.
A nurse is providing teaching to a client who has hypertension and type 1 diabetes
mellitus and a new prescription for metoprolol. Which of the following statements by the
client indicates an understanding of the teaching?
, A. "I might have difficulty recognizing when my blood sugar is low."
B. "I will have less risk for developing an infection while I take this medication."
C. "I should be concerned about losing excess weight while I take this medication."
D. "I could have more problems with high blood sugars while taking this medication." -
correct answer A. "I might have difficulty recognizing when my blood sugar is low."
A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water
[D5W] to infuse over 15 minutes. The drop factor of the manual IV tubing is 10 gtt./ml.
The nurse should set the manual IV infusion to deliver how many gtt./min? - correct
answer 33 gtt/min
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure.
Which of the following data should the nurse plan to review prior to administration of this
medication?
A. Blood pressure
B. Temperature
C. Blood glucose levels
D. Total protein level - correct answer A. Blood pressure
A nurse is planning care for a female client who has severe irritable bowel syndrome
with diarrhea [IBS-D] and a new prescription for Alosetron. Which of the following
interventions should the nurse include in the plan of care?
The client must sign an agreement with the provider before beginning alosetron.
The client must stop taking alosetron if diarrhea continues 1 week after beginning the
medication.
The client should expect to have a slower heart rate while taking alosetron.
The client should use a barrier birth control method because alosetron interacts with
oral contraceptives. - correct answer The client must sign an agreement with the
provider before beginning alosetron
A nurse is caring for a client and realizes after administering the 0900 medications that
she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin
0.125 mg PO. Which of the following actions should the nurse take first?
A. Notify the provider.
B. Contact the nursing supervisor.
C. Assess the client's apical pulse.
D. Complete an incident report. - correct answer C. Assess the client's apical pulse.
A nurse is providing discharge teaching to a client who has angina pectoris and a new
prescription for verapamil. The client tells the nurse, "My brother takes verapamil for
high blood pressure. Do you think the provider made a mistake?" Which of the following
responses should the nurse make?
A. "Verapamil is used to treat both high blood pressure and angina."
