ATI Pharmacology 2019 B Exam
Questions With Complete Solutions
/. A nurse contacts a client's provider on the telephone to obtain prescription for pain
medication. Which of following actions should nurse take?
A. Write the order on a prescription pad designated for the client's provider
B. Have the provider spell out the unfamiliar medication names
C. Read the prescription back to the provider using abbreviations
D. Consult with a second nurse for any questions regarding dosage - Answer-✅Have
the provider spell out the unfamiliar medication names.
Rationale: The nurse should ask the provider to spell out the name of the medication if
the stated name is one the nurse is not familiar with.
/.Nurse in clinic is caring who is taking aspirin for the treatment of arthritis. The nurse
should identify which of following findings as indication that the client is beginning to
exhibit salicylism?
A. Gastric distress
B. Oliguria
C. Excessive bruising
D. Tinnitus - Answer-✅Tinnitus
Rationale: Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other
manifestations include sweating, headache, and dizziness.
/.Circulating nurse is planning care for a client who is scheduled for surgery and has
latex allergy. Which of following actions should nurse include in plan of care?
A. Schedule the client for the last surgery of the day
B. Place monitoring cords and tubes in a stockinet
C. Choose rubber injection ports for fluid administration
D. Ensure phenytoin IV is readily available - Answer-✅Place monitoring cords and
tubes in a stockinet.
Rationale: The nurse should place monitoring devices in a stockinet to prevent direct
contact with the client's skin.
/.Nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of
following findings should nurse monitor?
,A. Paresthesia
B. Increased blood pressure
C. Fever
D. Respiratory depression - Answer-✅Increased blood pressure
Rationale: The therapeutic effect of epoetin alfa is an increase in hematocrit levels,
which can result in an increase in a client's blood pressure. If the client's hematocrit
level rises too rapidly, hypertension and seizures can result. The nurse should monitor
the client's blood pressure and ensure hypertension is controlled prior to administering
the medication.
/.Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of
following actions should nurse take prior to administering the medication?
A. Ask the client to drink 8oz of water
B. Review the client's most recent Hgb level
C. Obtain the client's blood pressure
D. Determine if the client is allergic to NSAIDs - Answer-✅Obtain the client's blood
pressure.
Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce
blood pressure and edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
/.A nurse is caring for a client who is to receive treatment for opioid use disorder. Which
of following medications should nurse expect to administer?
A. Bupropion
B. Disulfiram
C. Methadone
D. Modafinil - Answer-✅Methadone
Rationale: The nurse should expect to administer methadone for treatment of opioid use
disorder. Methadone can be administered for withdrawal and to assist with maintenance
and suppressive therapy.
The nurse should administer bupropion to assist the client with smoking cessation.
The nurse should administer disulfiram as an aversion therapy to assist with maintaining
abstinence from alcohol.
The nurse should administer modafinil to assist with the fatigue and prolonged sleep
from methamphetamine withdrawal.
, /.A nurse is reviewing medical record of a client who has hypertension. The nurse
should identify which of following findings as a contraindication for receiving
propranolol?
A. Cholelithiasis
B. Asthma
C. Angina pectoris
D. Tachycardia - Answer-✅Asthma
Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an
adrenergic antagonist which blocks the beta2 receptors in the lungs, causing
bronchoconstriction and leading to serious airway resistance and possibly respiratory
arrest.
/.A nurse is caring for a client who has pneumonia. The client tells the nurse she is
pregnant and that she hasn't told provider yet. The nurse should identify that pregnancy
is a contraindication for receiving which of following medications?
A. Acetaminophen
B. Ipatropium
C. Benzonatate
D. Doxycycline - Answer-✅Doxycycline
Rationale: Doxycycline is a tetracycline antibiotic. The nurse should identify that
doxycycline can cause teratogenic effects such as staining of the infant's teeth when
exposed to this medication. Therefore, this medication is contraindicated for the client.
/.A nurse is teaching about self-administration of transdermal medication with a male
client who has a new prescription for nitroglycerin. The nurse should identify that which
of following statements by the client indicates an understanding of the teaching?
A. "I can apply the patch to a chest area that has hair."
B. "I can take this medication while using an erectile dysfunction product."
C. "I will remove the patch after 14 hours."
D. "I need to apply a new patch to the same area every day." - Answer-✅"I will remove
the patch after 14 hours."
Rationale: The client should remove the patch after 12 to 14 hours to prevent tolerance
of the medication.
/.Nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
develops dyspnea and widespread hives. Which of following actions should nurse take
first?
A. Administer epinephrine 0.5 mL via IV bolus
B. Discontinue the medication IV infusion
Questions With Complete Solutions
/. A nurse contacts a client's provider on the telephone to obtain prescription for pain
medication. Which of following actions should nurse take?
A. Write the order on a prescription pad designated for the client's provider
B. Have the provider spell out the unfamiliar medication names
C. Read the prescription back to the provider using abbreviations
D. Consult with a second nurse for any questions regarding dosage - Answer-✅Have
the provider spell out the unfamiliar medication names.
Rationale: The nurse should ask the provider to spell out the name of the medication if
the stated name is one the nurse is not familiar with.
/.Nurse in clinic is caring who is taking aspirin for the treatment of arthritis. The nurse
should identify which of following findings as indication that the client is beginning to
exhibit salicylism?
A. Gastric distress
B. Oliguria
C. Excessive bruising
D. Tinnitus - Answer-✅Tinnitus
Rationale: Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other
manifestations include sweating, headache, and dizziness.
/.Circulating nurse is planning care for a client who is scheduled for surgery and has
latex allergy. Which of following actions should nurse include in plan of care?
A. Schedule the client for the last surgery of the day
B. Place monitoring cords and tubes in a stockinet
C. Choose rubber injection ports for fluid administration
D. Ensure phenytoin IV is readily available - Answer-✅Place monitoring cords and
tubes in a stockinet.
Rationale: The nurse should place monitoring devices in a stockinet to prevent direct
contact with the client's skin.
/.Nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of
following findings should nurse monitor?
,A. Paresthesia
B. Increased blood pressure
C. Fever
D. Respiratory depression - Answer-✅Increased blood pressure
Rationale: The therapeutic effect of epoetin alfa is an increase in hematocrit levels,
which can result in an increase in a client's blood pressure. If the client's hematocrit
level rises too rapidly, hypertension and seizures can result. The nurse should monitor
the client's blood pressure and ensure hypertension is controlled prior to administering
the medication.
/.Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of
following actions should nurse take prior to administering the medication?
A. Ask the client to drink 8oz of water
B. Review the client's most recent Hgb level
C. Obtain the client's blood pressure
D. Determine if the client is allergic to NSAIDs - Answer-✅Obtain the client's blood
pressure.
Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce
blood pressure and edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
/.A nurse is caring for a client who is to receive treatment for opioid use disorder. Which
of following medications should nurse expect to administer?
A. Bupropion
B. Disulfiram
C. Methadone
D. Modafinil - Answer-✅Methadone
Rationale: The nurse should expect to administer methadone for treatment of opioid use
disorder. Methadone can be administered for withdrawal and to assist with maintenance
and suppressive therapy.
The nurse should administer bupropion to assist the client with smoking cessation.
The nurse should administer disulfiram as an aversion therapy to assist with maintaining
abstinence from alcohol.
The nurse should administer modafinil to assist with the fatigue and prolonged sleep
from methamphetamine withdrawal.
, /.A nurse is reviewing medical record of a client who has hypertension. The nurse
should identify which of following findings as a contraindication for receiving
propranolol?
A. Cholelithiasis
B. Asthma
C. Angina pectoris
D. Tachycardia - Answer-✅Asthma
Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an
adrenergic antagonist which blocks the beta2 receptors in the lungs, causing
bronchoconstriction and leading to serious airway resistance and possibly respiratory
arrest.
/.A nurse is caring for a client who has pneumonia. The client tells the nurse she is
pregnant and that she hasn't told provider yet. The nurse should identify that pregnancy
is a contraindication for receiving which of following medications?
A. Acetaminophen
B. Ipatropium
C. Benzonatate
D. Doxycycline - Answer-✅Doxycycline
Rationale: Doxycycline is a tetracycline antibiotic. The nurse should identify that
doxycycline can cause teratogenic effects such as staining of the infant's teeth when
exposed to this medication. Therefore, this medication is contraindicated for the client.
/.A nurse is teaching about self-administration of transdermal medication with a male
client who has a new prescription for nitroglycerin. The nurse should identify that which
of following statements by the client indicates an understanding of the teaching?
A. "I can apply the patch to a chest area that has hair."
B. "I can take this medication while using an erectile dysfunction product."
C. "I will remove the patch after 14 hours."
D. "I need to apply a new patch to the same area every day." - Answer-✅"I will remove
the patch after 14 hours."
Rationale: The client should remove the patch after 12 to 14 hours to prevent tolerance
of the medication.
/.Nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
develops dyspnea and widespread hives. Which of following actions should nurse take
first?
A. Administer epinephrine 0.5 mL via IV bolus
B. Discontinue the medication IV infusion
