PHARMACOLOGY MIDTERM STUDY SET FROM ATI
QUESTIONS WITH ACCURATE ANSWERS
A nurse administers pramlintide at 0800 to a client who had type 1 diabetes
mellitus. At which of the following times should the nurse expect the drug to
exert its peak action? correct answer 0820
A nurse at a providers office is assessing a client who has been taking
HydroCortisone for adrenal insufficiency. The client reports fatigue and feeling
overwhelmed by personal responsibilities. Which of the following findings should
the nurse identify as an indication the provider might need to increase the clients
dosage? correct answer Hypotension
A nurse in an emergency department is assessing a client who has been taking
warfarin and is experiencing rectal bleeding. Which of the following drugs should
the nurse expect to minister to the client? correct answer Vitamin K
A nurse is administering epoetin intravenously to a client who has Renal failure.
Which of the following actions should the nurse take? correct answer
Administered via IV bolus over 1-3minutes
A nurse is administering hydrochlorothiazide to a client who has gouty arthritis.
The nurse should monitor the client for which of the following findings that
indicates an adverse effects of the drug? correct answer Hyperuremia
A nurse is administering sulfasalazine to a client. Which of the following data
should the nurse collect to help identify an adverse drug reaction? (select all that
apply) correct answer Skin integrity
Temperature
,CBC
A nurse is assessing a client who has a new presciption of oxybutynin to treat
neurogenic bladder. Which of the following assessment findings should the nurse
identify as an adverse effect of the drug? (S.A.T.A) correct answer Dilated pupils
Dizziness
Distended bladder
Fever
A nurse is assessing a client who has a new prescription for levothyroxine. The
nurse should identify which of the following findings as a contraindication for this
drug? correct answer Recent myocardial infarction
A nurse is assessing a client who has a new prescription for the combination oral
contraceptive ethinyl estradiol and drospirenone. Which of the following findings
should the nurse identify as a contraindication to use of this medication? correct
answer Smokes half a pack of cigarettes a day
A nurse is assessing a client who has administered ondansetron IV one hour ago.
Which of the following findings should the nurse recognize as an adverse effect of
the drug? correct answer Dizziness
A nurse is caring for a client who arrived at an emergency department following a
bee sting. Which of the following findings indicates an anaphylactic reaction?
(select all that apply)
[] low blood pressure
[] wheezing
[] bradycardia
,[] peripheral edema
[] difficulty swallowing correct answer Low blood pressure is correct. *Anaphylaxis
is an immediate and life-threatening allergic response, manifesting as
bronchospasm, laryngeal edema, and a rapid drop in blood pressure. Immediate
treatment with epinephrine and IV fluids is imperative.
Wheezing is correct.
*Anaphylaxis is an immediate and life-threatening allergic response, manifesting
as bronchospasm, laryngeal edema, and a rapid drop in blood pressure. Wheezing
is an indication of bronchospasm and is treated using bronchodilators.
Difficulty swallowing is correct. *Anaphylaxis is an immediate and life-threatening
allergic response, manifesting as bronchospasm, laryngeal edema, and a rapid
drop in blood pressure. Difficulty swallowing is an indication of laryngeal edema
and, therefore, anaphylaxis.
A nurse is caring for a client who has a benign prostatic hypertrophy and is taking
tamsulosin. The nurse should question the use of the drug if the client also has
which of the following? correct answer Erectile dysfunction for which he takes
sildenafil
A nurse is caring for a client who has a depressive disorder and requires a
prescription drug to treat hypertension. The nurse should recognize that which of
the following hypertensive drugs are contraindicated for the client? correct
answer Reserpine
A nurse is caring for a client who has a history of renal insufficiency and is taking
lithium. The nurse should monitor the client for which of the following?
[] tolerance to the drug
, [] drug interaction
[] drug toxicity
[] dependence on the drug correct answer Drug toxicity
Drug toxicity develops when the amount of a drug that is taken is greater than its
rate of excretion, and it results in the drug accumulating in the body. A client who
has renal insufficiency might have delayed or impaired excretion of the drug. The
drug dosage should be reduced if toxicity occurs.
A nurse is caring for a client who has a new prescription for a drug. After receiving
the first dose of the drug, the client experiences anaphylaxis. The nurse should
identify that anaphylaxis represents which of the following results of the drug?
[] adverse effect
[] paradoxical effect
[] therapeutic effect
[] toxicity correct answer Adverse effect is correct
Adverse effects are the unintended and unexpected effects of a drug, which can
range from mildly annoying to life-threatening, such as an anaphylactic reaction.
Paradoxical effect
Paradoxical effects are the opposite of the intended or desired effect of a drug,
such as a drug intended to aid with sedation causing increased excitability in
certain clients.
Therapeutic effect
A therapeutic effect is the intended benefit of the drug for the client.
QUESTIONS WITH ACCURATE ANSWERS
A nurse administers pramlintide at 0800 to a client who had type 1 diabetes
mellitus. At which of the following times should the nurse expect the drug to
exert its peak action? correct answer 0820
A nurse at a providers office is assessing a client who has been taking
HydroCortisone for adrenal insufficiency. The client reports fatigue and feeling
overwhelmed by personal responsibilities. Which of the following findings should
the nurse identify as an indication the provider might need to increase the clients
dosage? correct answer Hypotension
A nurse in an emergency department is assessing a client who has been taking
warfarin and is experiencing rectal bleeding. Which of the following drugs should
the nurse expect to minister to the client? correct answer Vitamin K
A nurse is administering epoetin intravenously to a client who has Renal failure.
Which of the following actions should the nurse take? correct answer
Administered via IV bolus over 1-3minutes
A nurse is administering hydrochlorothiazide to a client who has gouty arthritis.
The nurse should monitor the client for which of the following findings that
indicates an adverse effects of the drug? correct answer Hyperuremia
A nurse is administering sulfasalazine to a client. Which of the following data
should the nurse collect to help identify an adverse drug reaction? (select all that
apply) correct answer Skin integrity
Temperature
,CBC
A nurse is assessing a client who has a new presciption of oxybutynin to treat
neurogenic bladder. Which of the following assessment findings should the nurse
identify as an adverse effect of the drug? (S.A.T.A) correct answer Dilated pupils
Dizziness
Distended bladder
Fever
A nurse is assessing a client who has a new prescription for levothyroxine. The
nurse should identify which of the following findings as a contraindication for this
drug? correct answer Recent myocardial infarction
A nurse is assessing a client who has a new prescription for the combination oral
contraceptive ethinyl estradiol and drospirenone. Which of the following findings
should the nurse identify as a contraindication to use of this medication? correct
answer Smokes half a pack of cigarettes a day
A nurse is assessing a client who has administered ondansetron IV one hour ago.
Which of the following findings should the nurse recognize as an adverse effect of
the drug? correct answer Dizziness
A nurse is caring for a client who arrived at an emergency department following a
bee sting. Which of the following findings indicates an anaphylactic reaction?
(select all that apply)
[] low blood pressure
[] wheezing
[] bradycardia
,[] peripheral edema
[] difficulty swallowing correct answer Low blood pressure is correct. *Anaphylaxis
is an immediate and life-threatening allergic response, manifesting as
bronchospasm, laryngeal edema, and a rapid drop in blood pressure. Immediate
treatment with epinephrine and IV fluids is imperative.
Wheezing is correct.
*Anaphylaxis is an immediate and life-threatening allergic response, manifesting
as bronchospasm, laryngeal edema, and a rapid drop in blood pressure. Wheezing
is an indication of bronchospasm and is treated using bronchodilators.
Difficulty swallowing is correct. *Anaphylaxis is an immediate and life-threatening
allergic response, manifesting as bronchospasm, laryngeal edema, and a rapid
drop in blood pressure. Difficulty swallowing is an indication of laryngeal edema
and, therefore, anaphylaxis.
A nurse is caring for a client who has a benign prostatic hypertrophy and is taking
tamsulosin. The nurse should question the use of the drug if the client also has
which of the following? correct answer Erectile dysfunction for which he takes
sildenafil
A nurse is caring for a client who has a depressive disorder and requires a
prescription drug to treat hypertension. The nurse should recognize that which of
the following hypertensive drugs are contraindicated for the client? correct
answer Reserpine
A nurse is caring for a client who has a history of renal insufficiency and is taking
lithium. The nurse should monitor the client for which of the following?
[] tolerance to the drug
, [] drug interaction
[] drug toxicity
[] dependence on the drug correct answer Drug toxicity
Drug toxicity develops when the amount of a drug that is taken is greater than its
rate of excretion, and it results in the drug accumulating in the body. A client who
has renal insufficiency might have delayed or impaired excretion of the drug. The
drug dosage should be reduced if toxicity occurs.
A nurse is caring for a client who has a new prescription for a drug. After receiving
the first dose of the drug, the client experiences anaphylaxis. The nurse should
identify that anaphylaxis represents which of the following results of the drug?
[] adverse effect
[] paradoxical effect
[] therapeutic effect
[] toxicity correct answer Adverse effect is correct
Adverse effects are the unintended and unexpected effects of a drug, which can
range from mildly annoying to life-threatening, such as an anaphylactic reaction.
Paradoxical effect
Paradoxical effects are the opposite of the intended or desired effect of a drug,
such as a drug intended to aid with sedation causing increased excitability in
certain clients.
Therapeutic effect
A therapeutic effect is the intended benefit of the drug for the client.
