PN PHARMACOLOGY ATI RETAKE EXAM QUESTIONS AND ANSWERS #16
1. A client's unexpected response has been attributed to characteristics of the client's genetic
makeup. What area of study best explains this client's medication response?: pharmacogenomics
2. The nurse is writing a plan of care for a client receiving drug therapy. What nursing diagnosis
would be appropriate if the client developed common adverse effects?: disturbed sensory
perception (visual) related to central nervous system effects
3. A client is prescribed chloroquine, an antimalarial, and asks the nurse how it works. What process
should the nurse describe?: changes the metabolic pathways necessary for the reproduction of
the plasmodium
4. A nurse practitioner provides primary care in a rural setting. The nurse should perform what
actions in order to minimize the emergence of drug-re- sistant microbials?: avoid the use of broad-
spectrum antibacterial drugs when treating trivial or viral infections
Use narrow-spectrum agents if they are thought to be effective do not
use vancomycin
5. A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a
follow-up appointment. What adverse effects should the nurse assess the client for?: peripheral
edema and bradycardia
6. What is the nurse's priority assessment before giving a female client her prescription for an
angiotensin II-receptor blocker (ARB)?: "When was your last menstrual period (LMP)?
7. A client taking a calcium channel blocker is seen in the clinic and receives a diagnosis of drug
toxicity. When collecting the nursing history, consumption of what product would indicate the likely
cause of this drug toxicity?: grapefruit juice
8. An older adult client is taking a sustained-release antihypertensive drug. What is the nurse's
priority teaching point about this medication?: "Swallow the drug whole and do not cut, crush, or
chew it."
9. The nurse assesses a client before administering digoxin, a cardiac glyco- side. What finding
would cause the nurse to withhold the drug and notify the health care provider?: pulse 44 beats/min
10.The nurse provides teaching about digoxin, a cardiac glycoside, to a client who will be self-
administering the drug at home. Which statement by the client indicates to the nurse that further
teaching is needed?: "i'll take the medications with food so I don't get nauseous."
11. A 91-year-old client is being discharged on the diuretic spironolactone, a potassium-sparing
diuretic. What assessment finding would the nurse at-
Tribute to adverse effects of this medication?: confusion and irregular heart rate
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, PN PHARMACOLOGY ATI RETAKE EXAM QUESTIONS AND ANSWERS #16
12.The nurse is writing a plan of care for a client who is taking a diuretic. What nursing diagnoses is
most likely applicable?: impaired urinary elimination
13.What goal should a nurse set when beginning a course on pharmacology for nurses?: at the
completion of the course, the student will know general drug information because the student
can consult a drug guide for specific drug informa- tion.
14.The nurse should consider teratogenic effects when caring for what clients?: a 29-year-old
client receiving prenatal care in her first trimester of preg- nancy
A 37-year-old female client who is taking fertility drugs
15.A nurse is caring for a client who is exhibiting adverse medication effects. The nurse should
recognize that adverse effects can be extensions of:: the primary action of a drug
16.Why does the nurse need to be alert for any indication of an allergic reaction in clients?:
to maintain the client's safety during drug therapy
17.The nurse is preparing to administer a medication to an older adult. The nurse should consider
what factor that could affect therapeutic dosing in an older adult?: changes in the gastrointestinal
(GI) system can reduce drug absorption
18.The nurse is performing the intervention stage of the nursing process related to drug therapy.
What actions should the nurse perform?: administer the medication
Document the medication
19.The client calls the clinic nurse and states, "I looked up my new prescrip- tion online and there is
nothing mentioned about it being used to treat my disorder. Should I still take it?" What is the nurse's
best response?: "i'll confirm with your healthcare provider, but it is quite common for drugs to
help with a condition for which it wasn't originally intended."
20.The client calls the clinic and talks to the nurse saying, "I found the same drug the provider
prescribed on the internet and it is much cheaper. Is it safe for me to order my drug from this
site?" What is the nurse's best response?: "The Food and Drug Administration (FDA) has
issued warnings to consumers about buying these drugs."
21.The nurse practitioner is explaining how prescription drugs can some- times become
recategorized as over-the-counter (OTC) drugs. What fac- tor would prevent a prescription drug
from being made available over the counter?: most clients cannot reliably self-diagnose the
condition the drug is in- tended to treat.
2/5
1. A client's unexpected response has been attributed to characteristics of the client's genetic
makeup. What area of study best explains this client's medication response?: pharmacogenomics
2. The nurse is writing a plan of care for a client receiving drug therapy. What nursing diagnosis
would be appropriate if the client developed common adverse effects?: disturbed sensory
perception (visual) related to central nervous system effects
3. A client is prescribed chloroquine, an antimalarial, and asks the nurse how it works. What process
should the nurse describe?: changes the metabolic pathways necessary for the reproduction of
the plasmodium
4. A nurse practitioner provides primary care in a rural setting. The nurse should perform what
actions in order to minimize the emergence of drug-re- sistant microbials?: avoid the use of broad-
spectrum antibacterial drugs when treating trivial or viral infections
Use narrow-spectrum agents if they are thought to be effective do not
use vancomycin
5. A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a
follow-up appointment. What adverse effects should the nurse assess the client for?: peripheral
edema and bradycardia
6. What is the nurse's priority assessment before giving a female client her prescription for an
angiotensin II-receptor blocker (ARB)?: "When was your last menstrual period (LMP)?
7. A client taking a calcium channel blocker is seen in the clinic and receives a diagnosis of drug
toxicity. When collecting the nursing history, consumption of what product would indicate the likely
cause of this drug toxicity?: grapefruit juice
8. An older adult client is taking a sustained-release antihypertensive drug. What is the nurse's
priority teaching point about this medication?: "Swallow the drug whole and do not cut, crush, or
chew it."
9. The nurse assesses a client before administering digoxin, a cardiac glyco- side. What finding
would cause the nurse to withhold the drug and notify the health care provider?: pulse 44 beats/min
10.The nurse provides teaching about digoxin, a cardiac glycoside, to a client who will be self-
administering the drug at home. Which statement by the client indicates to the nurse that further
teaching is needed?: "i'll take the medications with food so I don't get nauseous."
11. A 91-year-old client is being discharged on the diuretic spironolactone, a potassium-sparing
diuretic. What assessment finding would the nurse at-
Tribute to adverse effects of this medication?: confusion and irregular heart rate
1/5
, PN PHARMACOLOGY ATI RETAKE EXAM QUESTIONS AND ANSWERS #16
12.The nurse is writing a plan of care for a client who is taking a diuretic. What nursing diagnoses is
most likely applicable?: impaired urinary elimination
13.What goal should a nurse set when beginning a course on pharmacology for nurses?: at the
completion of the course, the student will know general drug information because the student
can consult a drug guide for specific drug informa- tion.
14.The nurse should consider teratogenic effects when caring for what clients?: a 29-year-old
client receiving prenatal care in her first trimester of preg- nancy
A 37-year-old female client who is taking fertility drugs
15.A nurse is caring for a client who is exhibiting adverse medication effects. The nurse should
recognize that adverse effects can be extensions of:: the primary action of a drug
16.Why does the nurse need to be alert for any indication of an allergic reaction in clients?:
to maintain the client's safety during drug therapy
17.The nurse is preparing to administer a medication to an older adult. The nurse should consider
what factor that could affect therapeutic dosing in an older adult?: changes in the gastrointestinal
(GI) system can reduce drug absorption
18.The nurse is performing the intervention stage of the nursing process related to drug therapy.
What actions should the nurse perform?: administer the medication
Document the medication
19.The client calls the clinic nurse and states, "I looked up my new prescrip- tion online and there is
nothing mentioned about it being used to treat my disorder. Should I still take it?" What is the nurse's
best response?: "i'll confirm with your healthcare provider, but it is quite common for drugs to
help with a condition for which it wasn't originally intended."
20.The client calls the clinic and talks to the nurse saying, "I found the same drug the provider
prescribed on the internet and it is much cheaper. Is it safe for me to order my drug from this
site?" What is the nurse's best response?: "The Food and Drug Administration (FDA) has
issued warnings to consumers about buying these drugs."
21.The nurse practitioner is explaining how prescription drugs can some- times become
recategorized as over-the-counter (OTC) drugs. What fac- tor would prevent a prescription drug
from being made available over the counter?: most clients cannot reliably self-diagnose the
condition the drug is in- tended to treat.
2/5
