ATI PHARMACOLOGY ASSESSMENT
(B) 2019
A nurse is reviewing laboratory results for a client who is receiving heparin via
continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the
medication infusion for which of the following client findings?
A) Potassium mEq/L
B) aPTT times the control
C) Hemoglobin g/dL
D) Platelets 96,000/mm^3
D) Platelets 96,000/mm^3
A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to
infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse
should set the manual IV infusion to deliver how many gtt/min? (Round the answer
to the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
100gtt/min
A nurse is providing teaching to a client who is to begin taking oxybutynin for
urinary incontinence. The nurse should instruct the client to report which of the
following findings as an adverse effect of the medication? (Select all that apply.)
A) Dry mouth
B) Tinnitus
C) Blurred vision
D) Bradycardia
E) Dry eyes
A) Dry mouth
C) Blurred vision
E) Dry eyes
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For
which of the following client outcomes should the nurse administer
chlordiazepoxide?
A) Minimizes diaphoresis
,B) Maintain abstinence
C) Lessen craving
D) Prevent delirium tremens
D) Prevent delirium tremens
A nurse is assessing a client who is taking amitriptyline for depression. Which of
the following findings should the nurse identify as an adverse effect of the
medication?
A) Tinnitus
B) Urinary frequency
C) Dry mouth
D) Diarrhea
C) Dry mouth
A nurse is providing follow-up care to a client who is taking lisinopril. Which of
the following manifestations should the nurse instruct the client to report as an
adverse effect of lisinopril?
A) Drowsiness
B) Hallucinations
C) Persistent cough
D) Weight gain
C) Persistent cough
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV.
The nurse should report which of the following findings to the provider as an
adverse effect of the medication?
A) Constipation
B) Tinnitus
C) Hypoglycemia
D) Joint pain
B) Tinnitus
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching?
A) The med should be taken prior to 1hr prior to eating
B) It takes 48hr for therapeutic effects to occur
,C) Tablets should not be crushed or chewed
D) Decreased respiration might occur
D) Decreased respiration might occur
A nurse is teaching about a new prescription for ciprofloxacin to an older adult
client who has a urinary tract infection. The nurse should identify which of the
following statements as an indication that the client understands the teaching?
A) I will take this med with an antacid to prevent GI upset
B) I will stop taking this med when I no longer have pain upon urination
C) I will report any signs of tendon pain/swelling
D) I will take this med with milk
C) I will report any signs of tendon pain or swelling
A nurse is providing teaching to a client who has a gastric ulcer and a new
prescription for ranitidine. Which of the following instructions should the nurse
include?
A) Take med on empty stomach for full effect
B) You may discontinue this med when stomach discomfort subsides
C) Report skin yellowing
D) Store med in fridge
C) Report skin yellowing
A nurse is caring for a client who is receiving cefazolin IV. The nurse should
identify that which of the following medications can potentiate nephrotoxicity if
administered concurrently?
A) Famotidine
B) Levofloxacin
C) Metoclopramide
D) Gentamicin
D) Gentamicin
A nurse is providing discharge teaching to a client who has a new prescription for
furosemide twice daily. The nurse should include which of the following
instructions in the teaching? (Select all that apply.)
A) take 2nd dose at bed time
B) Inc intake of potassium rich food
C) Obtain weight weekly
, D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
B) Inc intake of potassium rich food
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
A nurse in the emergency department is caring for a client who has myasthenia
gravis and is in a cholinergic crisis. Which of the following medications should the
nurse plan to administer?
A) Potassium iodide
B) Glucagon
C) Atropine
D) Protamine
C) Atropine
A nurse is teaching a client who is taking allopurinol for the treatment of gout.
Which of the following information should the nurse include in the teaching?
A) Plan to inc dosage each weak by 200mg increments
B) Prolonged use of med can cause glaucoma
C) Drink 2L of water daily
D) Fine red rash is transient and can be treated with antihistamines
C) Drink 2L of water daily
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an understanding
of the teaching?
A) I should apply a patch every 5min if I develop chest pain
B) I will take the patch off right after my evening meal
C) I will leave the patch off at least 1 day each week
D) I should discard the used patch by flushing it down the toilet
B) I will take the patch off right after my evening meal
A nurse is providing teaching to a client who has peptic ulcer disease and is to start
a new prescription for sucralfate. Which of the following actions of sucralfate
should the nurse include in the teaching?
A) Dec stomach acid secretion
B) Neutralizes acids in the stomach
(B) 2019
A nurse is reviewing laboratory results for a client who is receiving heparin via
continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the
medication infusion for which of the following client findings?
A) Potassium mEq/L
B) aPTT times the control
C) Hemoglobin g/dL
D) Platelets 96,000/mm^3
D) Platelets 96,000/mm^3
A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to
infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse
should set the manual IV infusion to deliver how many gtt/min? (Round the answer
to the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
100gtt/min
A nurse is providing teaching to a client who is to begin taking oxybutynin for
urinary incontinence. The nurse should instruct the client to report which of the
following findings as an adverse effect of the medication? (Select all that apply.)
A) Dry mouth
B) Tinnitus
C) Blurred vision
D) Bradycardia
E) Dry eyes
A) Dry mouth
C) Blurred vision
E) Dry eyes
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For
which of the following client outcomes should the nurse administer
chlordiazepoxide?
A) Minimizes diaphoresis
,B) Maintain abstinence
C) Lessen craving
D) Prevent delirium tremens
D) Prevent delirium tremens
A nurse is assessing a client who is taking amitriptyline for depression. Which of
the following findings should the nurse identify as an adverse effect of the
medication?
A) Tinnitus
B) Urinary frequency
C) Dry mouth
D) Diarrhea
C) Dry mouth
A nurse is providing follow-up care to a client who is taking lisinopril. Which of
the following manifestations should the nurse instruct the client to report as an
adverse effect of lisinopril?
A) Drowsiness
B) Hallucinations
C) Persistent cough
D) Weight gain
C) Persistent cough
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV.
The nurse should report which of the following findings to the provider as an
adverse effect of the medication?
A) Constipation
B) Tinnitus
C) Hypoglycemia
D) Joint pain
B) Tinnitus
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching?
A) The med should be taken prior to 1hr prior to eating
B) It takes 48hr for therapeutic effects to occur
,C) Tablets should not be crushed or chewed
D) Decreased respiration might occur
D) Decreased respiration might occur
A nurse is teaching about a new prescription for ciprofloxacin to an older adult
client who has a urinary tract infection. The nurse should identify which of the
following statements as an indication that the client understands the teaching?
A) I will take this med with an antacid to prevent GI upset
B) I will stop taking this med when I no longer have pain upon urination
C) I will report any signs of tendon pain/swelling
D) I will take this med with milk
C) I will report any signs of tendon pain or swelling
A nurse is providing teaching to a client who has a gastric ulcer and a new
prescription for ranitidine. Which of the following instructions should the nurse
include?
A) Take med on empty stomach for full effect
B) You may discontinue this med when stomach discomfort subsides
C) Report skin yellowing
D) Store med in fridge
C) Report skin yellowing
A nurse is caring for a client who is receiving cefazolin IV. The nurse should
identify that which of the following medications can potentiate nephrotoxicity if
administered concurrently?
A) Famotidine
B) Levofloxacin
C) Metoclopramide
D) Gentamicin
D) Gentamicin
A nurse is providing discharge teaching to a client who has a new prescription for
furosemide twice daily. The nurse should include which of the following
instructions in the teaching? (Select all that apply.)
A) take 2nd dose at bed time
B) Inc intake of potassium rich food
C) Obtain weight weekly
, D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
B) Inc intake of potassium rich food
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
A nurse in the emergency department is caring for a client who has myasthenia
gravis and is in a cholinergic crisis. Which of the following medications should the
nurse plan to administer?
A) Potassium iodide
B) Glucagon
C) Atropine
D) Protamine
C) Atropine
A nurse is teaching a client who is taking allopurinol for the treatment of gout.
Which of the following information should the nurse include in the teaching?
A) Plan to inc dosage each weak by 200mg increments
B) Prolonged use of med can cause glaucoma
C) Drink 2L of water daily
D) Fine red rash is transient and can be treated with antihistamines
C) Drink 2L of water daily
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an understanding
of the teaching?
A) I should apply a patch every 5min if I develop chest pain
B) I will take the patch off right after my evening meal
C) I will leave the patch off at least 1 day each week
D) I should discard the used patch by flushing it down the toilet
B) I will take the patch off right after my evening meal
A nurse is providing teaching to a client who has peptic ulcer disease and is to start
a new prescription for sucralfate. Which of the following actions of sucralfate
should the nurse include in the teaching?
A) Dec stomach acid secretion
B) Neutralizes acids in the stomach
