ATI Pharmacology Proctored
Study online at https://quizlet.com/_bsficx
1. A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long
half-life of 4 days. How many times per day should the nurse expect to admin-
ister this medication?: One
(Medications with long half-lives remain at their therapeutic levels between doses for long periods of
time. The nurse should expect to administer this medication once a day.)
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation.
Which of the following factors should the educator include as a reason to
administer lower medication dosages? (Select all that apply.): Liver failure
Concurrent use of medication the same pathway metabolizes
(-Liver failure decreases metabolism and thus increases the concentration of a medication. This
requires decreasing the dosage.
- When the same pathway metabolizes two medications, they compete for metabolism, thereby
increasing the concentration of one or both medications. This requires decreasing the dosage of one or
both)
3. A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse
take? (Select all that apply.): Ask the client to look up at the ceiling.
Drop the medication into the center of the client's conjunctival sac.
Instruct the client to close her eye gently after instillation
(- The client should look upward to keep the drops from falling onto her cornea.
- The nurse should drop the medication into the center of the conjunctival sac to promote distribution.
- The client should close her eye gently to promote distribution of the medication)
4. A nurse is completing discharge teaching for a client who has a new prescrip-
tion for transdermal
, ATI Pharmacology Proctored
Study online at https://quizlet.com/_bsficx
patches. Which of the following statements should the nurse identify as an
indication that the client
understands the instructions?: I will apply the patch to an area of skin with no hair.
(The client should apply the patch to a hairless area of skin to promote absorption of the medication.)
5. A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the
client's medication. Which of the following actions should the nurse take?: Obtain
a blood specimen immediately prior to administering the next dose of medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen immediately before
administering the next dose of medication.)
6. A nurse is preparing a clients medications. Which of the following actions
should the nurse take in
following legal practice guidelines? (Select all that apply.): Maintain skill competency.
Monitor for adverse effects.
Safeguard medications.
(- maintaining skill competency and using appropriate administration techniques are legal
responsibilities of the nurse
- A nurse is legally responsible for monitoring for side and adverse effects of medication
- Safeguarding of medications, such as controlled substances, is a legal responsibility of the nurse)
7. A nurse reviewing a clients health record notes a new prescription for Lisino-
pril 10 mg PO once every
day. The nurse should identify this as which of the following types of prescrip-
tion?: Routine
(A routine or standard prescription identifies medications to give on a regular schedule with or without a termination
date or a specific number of doses. The nurse will administer this medication every day until the provider discontinues
it.)
, ATI Pharmacology Proctored
Study online at https://quizlet.com/_bsficx
8. A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for
nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse
should clarify which of the following parts of the
prescription with the provider?: Frequency
(This prescription does not include the time or frequency of medication administration. The nurse
must clarify this with the prescribing provide)
9. A nurse is admitting a client and completing a preassessment before admin-
istering medications. Which
of the following data should the nurse include in the preassessment? (Select all
that apply.): Use of herbal teas
Current health status
Food allergies
(- The nurse should inquire about the clients use of herbal products, which often contain caffeine,
prior to medication administration because caffeine can affect medication biotransformation
- The nurse should review the client's current health status because new prescriptions can cause
alterations in current health status
- The nurse should inquire about food allergies during the preassessment to identify any potential
reactions or interactions)
10. A nurse orienting a newly licensed nurse is reviewing the procedure for
taking a telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?: Another nurse
should listen to the phone call.
(A second nurse should listen to a telephone prescription to prevent errors in communication.)
11. A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g
in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor
of the manual IV tubing
, ATI Pharmacology Proctored
Study online at https://quizlet.com/_bsficx
is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how
many gtt/min? (Round the
answer to the nearest whole number. Do not use a trailing zero.: 22
12. A nurse is preparing to administer clindamycin 200 mg by intermittent IV
bolus. The amount available is
clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to
infuse over 30 min. The
nurse should set the IV pump to deliver how many mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.: 200
13. A nurse is preparing to administer furosemide 80 mg PO daily. The amount
available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the
answer to the nearest
whole number. Do not use a trailing zero.): 8
14. A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The
amount available is haloperidol
1 mg/tablet. how many tablets should the nurse administer? (Round the an-
swer to the nearest whole
number. Do not use a trailing zero.: 2
15. A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide
equally every 12 hr to a
preschooler who weighs 44 lb. The amount available is amoxicillin suspension
250 mg/5 mL. how many
mL should the nurse administer per dose? (Round the answer to the nearest
whole number. Do not use
a trailing zero.): 4
16. A nurse is preparing to administer heparin 15,000 units subcutaneously
every 12 hr. The amount
available is heparin injection 20,000 units/mL. How many mL should the nurse
administer per dose?
(Round the answer to the nearest tenth. Do not use a trailing zero.: 0.8
Study online at https://quizlet.com/_bsficx
1. A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long
half-life of 4 days. How many times per day should the nurse expect to admin-
ister this medication?: One
(Medications with long half-lives remain at their therapeutic levels between doses for long periods of
time. The nurse should expect to administer this medication once a day.)
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation.
Which of the following factors should the educator include as a reason to
administer lower medication dosages? (Select all that apply.): Liver failure
Concurrent use of medication the same pathway metabolizes
(-Liver failure decreases metabolism and thus increases the concentration of a medication. This
requires decreasing the dosage.
- When the same pathway metabolizes two medications, they compete for metabolism, thereby
increasing the concentration of one or both medications. This requires decreasing the dosage of one or
both)
3. A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse
take? (Select all that apply.): Ask the client to look up at the ceiling.
Drop the medication into the center of the client's conjunctival sac.
Instruct the client to close her eye gently after instillation
(- The client should look upward to keep the drops from falling onto her cornea.
- The nurse should drop the medication into the center of the conjunctival sac to promote distribution.
- The client should close her eye gently to promote distribution of the medication)
4. A nurse is completing discharge teaching for a client who has a new prescrip-
tion for transdermal
, ATI Pharmacology Proctored
Study online at https://quizlet.com/_bsficx
patches. Which of the following statements should the nurse identify as an
indication that the client
understands the instructions?: I will apply the patch to an area of skin with no hair.
(The client should apply the patch to a hairless area of skin to promote absorption of the medication.)
5. A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the
client's medication. Which of the following actions should the nurse take?: Obtain
a blood specimen immediately prior to administering the next dose of medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen immediately before
administering the next dose of medication.)
6. A nurse is preparing a clients medications. Which of the following actions
should the nurse take in
following legal practice guidelines? (Select all that apply.): Maintain skill competency.
Monitor for adverse effects.
Safeguard medications.
(- maintaining skill competency and using appropriate administration techniques are legal
responsibilities of the nurse
- A nurse is legally responsible for monitoring for side and adverse effects of medication
- Safeguarding of medications, such as controlled substances, is a legal responsibility of the nurse)
7. A nurse reviewing a clients health record notes a new prescription for Lisino-
pril 10 mg PO once every
day. The nurse should identify this as which of the following types of prescrip-
tion?: Routine
(A routine or standard prescription identifies medications to give on a regular schedule with or without a termination
date or a specific number of doses. The nurse will administer this medication every day until the provider discontinues
it.)
, ATI Pharmacology Proctored
Study online at https://quizlet.com/_bsficx
8. A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for
nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse
should clarify which of the following parts of the
prescription with the provider?: Frequency
(This prescription does not include the time or frequency of medication administration. The nurse
must clarify this with the prescribing provide)
9. A nurse is admitting a client and completing a preassessment before admin-
istering medications. Which
of the following data should the nurse include in the preassessment? (Select all
that apply.): Use of herbal teas
Current health status
Food allergies
(- The nurse should inquire about the clients use of herbal products, which often contain caffeine,
prior to medication administration because caffeine can affect medication biotransformation
- The nurse should review the client's current health status because new prescriptions can cause
alterations in current health status
- The nurse should inquire about food allergies during the preassessment to identify any potential
reactions or interactions)
10. A nurse orienting a newly licensed nurse is reviewing the procedure for
taking a telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?: Another nurse
should listen to the phone call.
(A second nurse should listen to a telephone prescription to prevent errors in communication.)
11. A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g
in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor
of the manual IV tubing
, ATI Pharmacology Proctored
Study online at https://quizlet.com/_bsficx
is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how
many gtt/min? (Round the
answer to the nearest whole number. Do not use a trailing zero.: 22
12. A nurse is preparing to administer clindamycin 200 mg by intermittent IV
bolus. The amount available is
clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to
infuse over 30 min. The
nurse should set the IV pump to deliver how many mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.: 200
13. A nurse is preparing to administer furosemide 80 mg PO daily. The amount
available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the
answer to the nearest
whole number. Do not use a trailing zero.): 8
14. A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The
amount available is haloperidol
1 mg/tablet. how many tablets should the nurse administer? (Round the an-
swer to the nearest whole
number. Do not use a trailing zero.: 2
15. A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide
equally every 12 hr to a
preschooler who weighs 44 lb. The amount available is amoxicillin suspension
250 mg/5 mL. how many
mL should the nurse administer per dose? (Round the answer to the nearest
whole number. Do not use
a trailing zero.): 4
16. A nurse is preparing to administer heparin 15,000 units subcutaneously
every 12 hr. The amount
available is heparin injection 20,000 units/mL. How many mL should the nurse
administer per dose?
(Round the answer to the nearest tenth. Do not use a trailing zero.: 0.8
