PHARM VIRTUAL ATI QUESTIONS WITH ACCURATE
ANSWERS
A client experiences postural hypotension during initial drug therapy with
diltiazem. Which of the following would be most important for the nurse to
recommend to this client? correct answer Rise slowly from a sitting or lying
position. This will allow them to adjust to the upright position; slowly rising allows
the heart to adjust the cardiac output to pump harder to maintain adequate BP to
offset any orthostatic hypotension from occurring.
A client experiencing pain has been prescribed meperidine 30mg IM every three
hours, PRN pain. The vial available is meperidine 75mg/1 mL. How much
meperidine should the nurse administer? correct answer 30/75 x 1= 0.4
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of
potassium/L to infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse
calculates the flow rate to be: ______ gtt/min. correct answer 40/60 x 15= 10
drops/min
A client is prescribed linsinopril. Which of the following findings indicates to the
nurse that the client is experiencing an adverse effect of this medication? correct
answer elevated potassium - ACE inhibitors can effect this
A client is prescribed lisinopril. Which of the following is most important for the
nurse to assess before administering this medication to the client correct answer
Serum electrolytes.
A side effect of lisinopril is hyperkalemia. Hyperkalemia can lead to life
threatening dysrhythmias. The nurse should monitor the client's serum K+ level
closely and notify the provider of a critical level before administering an ACE
inhibitor.
, A client is prescribed phenytoin 5 mg/kg/day in 3 divided doses. The client weighs
36 lb. The drug is available at 50mg/mL. What is the total daily dosage in milliliters
for this client? correct answer 36/ 2.2 = 16.4
5 x 16.4 = 82mg/day
82/50 = 1.6 ml/day
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care
provider prescribes atropine sulfate. Which of the following best describes the
intended action of atropine for this client? correct answer To accelerate the heart
rate by interfering with vagal impulses
A client with a recent myocardial infarction is prescribed digoxin. Which of the
following findings indicate to the nurse that a therapeutic response to this
medication has been attained? correct answer A decrease in pulmonary crackles
A client with Type 1 diabetes has the following values from the morning
laboratory testing: fasting plasma glucose = 115 mg/dL and HgA1C = 7.5%. How
would a nurse interpret these values with regard to the client's glucose control?
correct answer Short term values normal, long-term values elevated
-Normal fasting plasma glucose range for the diabetic client is 90-130 mg/d
-HgA1C normal level range is less than 7% with the optimal range being 4-6% in
the diabetic.
A nurse is reinforcing teaching with a client diagnosed with gout who is starting
allopurinol. Which of the following should the nurse include in the client
teaching? correct answer he client should be encouraged to drink 2-3 liters of
fluid per day to prevent kidney injury, an adverse effect of this medication
therapy.
ANSWERS
A client experiences postural hypotension during initial drug therapy with
diltiazem. Which of the following would be most important for the nurse to
recommend to this client? correct answer Rise slowly from a sitting or lying
position. This will allow them to adjust to the upright position; slowly rising allows
the heart to adjust the cardiac output to pump harder to maintain adequate BP to
offset any orthostatic hypotension from occurring.
A client experiencing pain has been prescribed meperidine 30mg IM every three
hours, PRN pain. The vial available is meperidine 75mg/1 mL. How much
meperidine should the nurse administer? correct answer 30/75 x 1= 0.4
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of
potassium/L to infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse
calculates the flow rate to be: ______ gtt/min. correct answer 40/60 x 15= 10
drops/min
A client is prescribed linsinopril. Which of the following findings indicates to the
nurse that the client is experiencing an adverse effect of this medication? correct
answer elevated potassium - ACE inhibitors can effect this
A client is prescribed lisinopril. Which of the following is most important for the
nurse to assess before administering this medication to the client correct answer
Serum electrolytes.
A side effect of lisinopril is hyperkalemia. Hyperkalemia can lead to life
threatening dysrhythmias. The nurse should monitor the client's serum K+ level
closely and notify the provider of a critical level before administering an ACE
inhibitor.
, A client is prescribed phenytoin 5 mg/kg/day in 3 divided doses. The client weighs
36 lb. The drug is available at 50mg/mL. What is the total daily dosage in milliliters
for this client? correct answer 36/ 2.2 = 16.4
5 x 16.4 = 82mg/day
82/50 = 1.6 ml/day
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care
provider prescribes atropine sulfate. Which of the following best describes the
intended action of atropine for this client? correct answer To accelerate the heart
rate by interfering with vagal impulses
A client with a recent myocardial infarction is prescribed digoxin. Which of the
following findings indicate to the nurse that a therapeutic response to this
medication has been attained? correct answer A decrease in pulmonary crackles
A client with Type 1 diabetes has the following values from the morning
laboratory testing: fasting plasma glucose = 115 mg/dL and HgA1C = 7.5%. How
would a nurse interpret these values with regard to the client's glucose control?
correct answer Short term values normal, long-term values elevated
-Normal fasting plasma glucose range for the diabetic client is 90-130 mg/d
-HgA1C normal level range is less than 7% with the optimal range being 4-6% in
the diabetic.
A nurse is reinforcing teaching with a client diagnosed with gout who is starting
allopurinol. Which of the following should the nurse include in the client
teaching? correct answer he client should be encouraged to drink 2-3 liters of
fluid per day to prevent kidney injury, an adverse effect of this medication
therapy.
