VATI PN PHARMACOLOGY ASSESSMENT EXAMS WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS ALREADY
GRADED A+ | GUARANTEED PASS | 250 QUESTIONS
Questions 1–250
1. A client has an order for "clindamycin 600 mg IV every 8 hours."
The pharmacy sends 900 mg vials. The nurse is preparing to dilute
the medication. How many mg of clindamycin should the nurse
withdraw from the vial?
A) 300 mg
B) 600 mg
C) 900 mg
D) 450 mg
Answer B: 600 mg
,Rationale: The ordered dose is 600 mg; the nurse must withdraw
exactly that amount regardless of the vial's total content.
2. Which of the following actions is correct when administering a
metered-dose inhaler (MDI) with a spacer to a client with asthma?
A) Actuate the inhaler at the beginning of a slow, deep inspiration
B) Inhale as rapidly as possible after actuation
C) Exhale into the spacer to clear it
D) Shake the inhaler only before the first dose of the day
Answer A: Actuate the inhaler at the beginning of a slow, deep
inspiration
Rationale: Client should exhale fully, begin slow deep inspiration,
then actuate the MDI, continuing to inhale slowly.
3. A client is receiving a continuous IV infusion of dopamine. Which
assessment finding requires immediate nursing action?
A) Blood pressure 110/70 mmHg
B) Heart rate 88 beats/min
C) Extravasation with tissue pallor and ischemia at the IV site
,D) Urine output 40 mL/hr
Answer C: Extravasation with tissue pallor and ischemia at the IV
site
Rationale: Dopamine is a vasopressor; extravasation can cause tissue
necrosis and requires immediate intervention.
4. A client has a digoxin level of 2.4 ng/ml and a heart rate of 39.
The provider prescribes atropine sulfate. Which best describes the
intended action of atropine for this client?
A) To reduce peristalsis and urinary bladder tone
B) To stimulate the SA node and sympathetic fibers
C) To accelerate the heart rate by interfering with vagal impulses
D) To dry oral and tracheobronchial secretions
Answer C: To accelerate the heart rate by interfering with vagal
impulses
Rationale: Atropine accelerates heart rate by blocking vagal
impulses; doses below 0.5 mg may paradoxically slow the heart.
, 5. A client prescribed digoxin 0.25 mg by mouth daily states objects
have a yellowish tinge and feels nauseated. What is the most
appropriate nursing action?
A) Administer the medication and observe for further nausea
B) Hold the drug and call the health care provider
C) Count the apical pulse; if regular and above 60, administer
D) Hold the medication and count the pulse before the next dose
Answer B: Hold the drug and call the health care provider
Rationale: Yellowish tinge and nausea indicate digitalis toxicity;
severe arrhythmias may develop if action is not taken.
6. A client diagnosed with preterm labor has been prescribed
nifedipine. The client asks why this medication was prescribed.
Which statement by the nurse is correct?
A) To lower your blood pressure
B) To promote development of your baby's lungs
C) To decrease the intensity of your pain
D) To relax the muscles of your uterus
Answer D: To relax the muscles of your uterus
CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS ALREADY
GRADED A+ | GUARANTEED PASS | 250 QUESTIONS
Questions 1–250
1. A client has an order for "clindamycin 600 mg IV every 8 hours."
The pharmacy sends 900 mg vials. The nurse is preparing to dilute
the medication. How many mg of clindamycin should the nurse
withdraw from the vial?
A) 300 mg
B) 600 mg
C) 900 mg
D) 450 mg
Answer B: 600 mg
,Rationale: The ordered dose is 600 mg; the nurse must withdraw
exactly that amount regardless of the vial's total content.
2. Which of the following actions is correct when administering a
metered-dose inhaler (MDI) with a spacer to a client with asthma?
A) Actuate the inhaler at the beginning of a slow, deep inspiration
B) Inhale as rapidly as possible after actuation
C) Exhale into the spacer to clear it
D) Shake the inhaler only before the first dose of the day
Answer A: Actuate the inhaler at the beginning of a slow, deep
inspiration
Rationale: Client should exhale fully, begin slow deep inspiration,
then actuate the MDI, continuing to inhale slowly.
3. A client is receiving a continuous IV infusion of dopamine. Which
assessment finding requires immediate nursing action?
A) Blood pressure 110/70 mmHg
B) Heart rate 88 beats/min
C) Extravasation with tissue pallor and ischemia at the IV site
,D) Urine output 40 mL/hr
Answer C: Extravasation with tissue pallor and ischemia at the IV
site
Rationale: Dopamine is a vasopressor; extravasation can cause tissue
necrosis and requires immediate intervention.
4. A client has a digoxin level of 2.4 ng/ml and a heart rate of 39.
The provider prescribes atropine sulfate. Which best describes the
intended action of atropine for this client?
A) To reduce peristalsis and urinary bladder tone
B) To stimulate the SA node and sympathetic fibers
C) To accelerate the heart rate by interfering with vagal impulses
D) To dry oral and tracheobronchial secretions
Answer C: To accelerate the heart rate by interfering with vagal
impulses
Rationale: Atropine accelerates heart rate by blocking vagal
impulses; doses below 0.5 mg may paradoxically slow the heart.
, 5. A client prescribed digoxin 0.25 mg by mouth daily states objects
have a yellowish tinge and feels nauseated. What is the most
appropriate nursing action?
A) Administer the medication and observe for further nausea
B) Hold the drug and call the health care provider
C) Count the apical pulse; if regular and above 60, administer
D) Hold the medication and count the pulse before the next dose
Answer B: Hold the drug and call the health care provider
Rationale: Yellowish tinge and nausea indicate digitalis toxicity;
severe arrhythmias may develop if action is not taken.
6. A client diagnosed with preterm labor has been prescribed
nifedipine. The client asks why this medication was prescribed.
Which statement by the nurse is correct?
A) To lower your blood pressure
B) To promote development of your baby's lungs
C) To decrease the intensity of your pain
D) To relax the muscles of your uterus
Answer D: To relax the muscles of your uterus
