ATI Pharmacology Practice B
A nurse is monitoring a client after administering their prescribed medications
2000:Client is alert to person, place, time, and situation. Client reports headache
and occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel sounds
are normoactive in all 4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate
20/minBlood pressure 134/64 mm HgOxygen Saturation 96% on room
air2000:Temperature 38.4° C (101.2° F)Heart rate 106/minRespiratory rate
20/minBlood pressure 140/64 mm HgOxygen Saturation 97% on room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that indicates a
potential adverse reaction to their prescribed medication and requires the nurse to -
✓✓ANSWER: the client's report of headache, nausea, and small pinpoint petechiae
is present on bilateral extremities
• A nurse is caring for a client in a clinic and is reviewing their electronic medical
record (EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was educated
to continue eating a diet low in saturated fats and to participate in regular exercise.
Client is to return to the office in 3 months for a follow-up visit.Today:Client here
for a follow-up visit. Client reports last bowel movement was 1 day ago, increased
appetite, and dark urine upon urination. Client reports having some muscle
weakness when working outside. Skin is warm, dry, and intact. Color consistent
with genetic background. Client states, "I am sleeping so much better and seem to
, have increased energy, but I sometimes get lightheaded." Client denies headache.
Will report assessment findings to the provider.
3 months ago:Atorvastatin 40 mg once daily by mouth
For each body system below, click to specify the client's assessment find -
✓✓ANSWER: the nurse should identify that the findings of the client's urine
characteristics, muscle weakness, and dizziness
• The nurse is caring for a client in a mental health clinic.
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150
mg twice daily.
1200:
Client here for scheduled visit to discuss mood. Client reports they were previously
prescribed sertraline for depression, however tapered off that medication 6 months
ago. Client states "It made me gain weight and it completely took away my sex
drive, so I stopped taking it." The client reports "My depression has just gotten so
bad. I have been seeing a counselor and they encouraged me to see a provider
about trying a different medication."1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the
newly prescribed medication. Client has a follow-up visit with provider in 3 weeks
and continues with weekly counseling.
For each body system below, click to specify the adverse effect that the nurse
should include when p -✓✓ANSWER: Common adverse effects of this medication
include changes in libido, constipation, and weight loss
• A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have taken
ibuprofen 800 mg up to four times per day as needed for the last year. It is no
longer effective for pain. Reports pain today as 7 on a 0 to 10 scale.
A nurse is monitoring a client after administering their prescribed medications
2000:Client is alert to person, place, time, and situation. Client reports headache
and occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel sounds
are normoactive in all 4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate
20/minBlood pressure 134/64 mm HgOxygen Saturation 96% on room
air2000:Temperature 38.4° C (101.2° F)Heart rate 106/minRespiratory rate
20/minBlood pressure 140/64 mm HgOxygen Saturation 97% on room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that indicates a
potential adverse reaction to their prescribed medication and requires the nurse to -
✓✓ANSWER: the client's report of headache, nausea, and small pinpoint petechiae
is present on bilateral extremities
• A nurse is caring for a client in a clinic and is reviewing their electronic medical
record (EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was educated
to continue eating a diet low in saturated fats and to participate in regular exercise.
Client is to return to the office in 3 months for a follow-up visit.Today:Client here
for a follow-up visit. Client reports last bowel movement was 1 day ago, increased
appetite, and dark urine upon urination. Client reports having some muscle
weakness when working outside. Skin is warm, dry, and intact. Color consistent
with genetic background. Client states, "I am sleeping so much better and seem to
, have increased energy, but I sometimes get lightheaded." Client denies headache.
Will report assessment findings to the provider.
3 months ago:Atorvastatin 40 mg once daily by mouth
For each body system below, click to specify the client's assessment find -
✓✓ANSWER: the nurse should identify that the findings of the client's urine
characteristics, muscle weakness, and dizziness
• The nurse is caring for a client in a mental health clinic.
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150
mg twice daily.
1200:
Client here for scheduled visit to discuss mood. Client reports they were previously
prescribed sertraline for depression, however tapered off that medication 6 months
ago. Client states "It made me gain weight and it completely took away my sex
drive, so I stopped taking it." The client reports "My depression has just gotten so
bad. I have been seeing a counselor and they encouraged me to see a provider
about trying a different medication."1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the
newly prescribed medication. Client has a follow-up visit with provider in 3 weeks
and continues with weekly counseling.
For each body system below, click to specify the adverse effect that the nurse
should include when p -✓✓ANSWER: Common adverse effects of this medication
include changes in libido, constipation, and weight loss
• A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have taken
ibuprofen 800 mg up to four times per day as needed for the last year. It is no
longer effective for pain. Reports pain today as 7 on a 0 to 10 scale.
