ATI Pharmacological and Parenteral Therapies Quiz
2 Versions Answered 2021/2022.
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?
Select one:
a. To reduce peristalsis and urinary bladder tone.
b. To stimulate the SA node and sympathetic fibers to increase the rate.
c. To accelerate the heart rate by interfering with vagal impulses.
d. To dry oral and tracheobronchial secretions. - c. To accelerate the heart rate by interfering
with vagal impulses.
Atropine does not have a direct effect on the SA node.
A client is prescribed digoxin 1mg by mouth QID. The client states that the objects in his room
have a yellowish tinge and he is nauseated. Select the most appropriate nursing action at this
time.
Select one:
a. Count the apical pulse; if it is regular and above 60, administer the drug as ordered.
b. Hold the medication and count the apical pulse before the next dose is to be given.
c. Administer the medication and observe the client for further nausea.
d. Hold the drug and call the health care provider. - d. Hold the drug and call the health care
provider.
This client is showing signs of digitalis toxicity. The most appropriate action is to hold the drug
and call the health care provider. Severe arrhythmia may develop if action is not taken.
A client diagnosed with preterm labor has been prescribed nifedipine. The client asks the nurse
why this particular medication has been prescribed. Which of the following statements by the
nurse is correct?
Select one:
a. To relax your muscles of your uterus
b. To lower your blood pressure
c. To promote development of your baby's lungs
d. To decrease the intensity of your pain - a. To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an unlabeled use of the drug.
Nifedipine, a calcium channel blocker, is more commonly used to treat high blood pressure and
heart disease. Smooth muscle tissue, like the uterus, needs calcium to contract. Nifedipine blocks
,the passage of calcium into certain tissues, relaxing the uterine muscles and smooth muscles of
blood vessels throughout the body.
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA). An
intravenous infusion of regular insulin has been started. Which of the following nursing
interventions is most appropriate for this client?
Select one:
a. Obtain an arterial blood gas every 2 hours
b. Monitor blood glucose levels every 4 hours
c. Add the prescribed dose of NPH insulin to the IV infusion
d. Ensure glucagon is readily available - d. Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which can occur when insulin is
administered intravenously
A nurse is evaluating a client's understanding of lithium. Which statement by the client indicates
a need for further education?
Select one:
a. "I will contact my provider if I develop diarrhea."
b. "I should have my blood level drawn as directed."
c. "I will drink 8-12 glasses of water a day."
d. "I should take the medication on an empty stomach." - d. "I should take the medication on an
empty stomach."
Lithium has a narrow therapeutic window which should be monitored closely (Lithium
therapeutic level: 0.4-1 mEq/L for maintenance therapy). Clients should be taught about signs
and symptoms of toxicity, and instructed to withhold medication and notify provider if they
develop.
A nurse is caring for a client taking captopril. Which finding would require immediate attention
for this client?
Select one:
a. Blood pressure 96/48
b. Pulse 56
c. Potassium 5.8
d. Sodium 133 - c. Potassium 5.8
These findings are outside normal values. The B/P and pulse are both a bit low and would
warrant looking at patient baselines, plus assessing for symptoms related to low B/P and pulse
, A nurse is caring for a client taking captopril who has started experiencing a frequent dry cough.
What action should the nurse take?
Select one:
a. Notify the provider of the client's symptom.
b. Instruct the client to decrease the dosage of the medication.
c. Encourage the client to use over the counter cough syrup for the cough.
d. Encourage the client to continue taking the medication as prescribed. - a. Notify the provider
of the client's symptom.
An adverse effect of ACE inhibitors is a cough related to inhibition of kinase II which results in
an increase in bradykinin. The provider should be notified if a dry cough occurs so that the
medication can be discontinued.
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following
outcomes best demonstrates that TPN therapy is effective?
Select one:
a. The client gains one kilogram per day.
b. The client's urinary output increases by 800 mL per day.
c. The client maintains an albumin level of 5.0 g/100mL.
d. The client reports less frequent bowel movements. - c. The client maintains an albumin level
of 5.0 g/100mL.
When clients are on TPN therapy, laboratory values such as electrolytes, CBC, BUN, and plasma
glucose should be monitored closely. All laboratory values should be within normal range.
Normal range for albumin is 4.5-5.0 g/100ml.
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?
Select one:
a. Short term values normal, long-term values elevated
b. Short term values elevated, long term values elevated
c. Short term values normal, long term values normal
d. Short term values elevated, long-term values normal - a. Short term values normal, long-term
values elevated
Fasting plasma glucose is normal. Normal fasting plasma glucose range for the diabetic client is
90-130 mg/dl.
2 Versions Answered 2021/2022.
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?
Select one:
a. To reduce peristalsis and urinary bladder tone.
b. To stimulate the SA node and sympathetic fibers to increase the rate.
c. To accelerate the heart rate by interfering with vagal impulses.
d. To dry oral and tracheobronchial secretions. - c. To accelerate the heart rate by interfering
with vagal impulses.
Atropine does not have a direct effect on the SA node.
A client is prescribed digoxin 1mg by mouth QID. The client states that the objects in his room
have a yellowish tinge and he is nauseated. Select the most appropriate nursing action at this
time.
Select one:
a. Count the apical pulse; if it is regular and above 60, administer the drug as ordered.
b. Hold the medication and count the apical pulse before the next dose is to be given.
c. Administer the medication and observe the client for further nausea.
d. Hold the drug and call the health care provider. - d. Hold the drug and call the health care
provider.
This client is showing signs of digitalis toxicity. The most appropriate action is to hold the drug
and call the health care provider. Severe arrhythmia may develop if action is not taken.
A client diagnosed with preterm labor has been prescribed nifedipine. The client asks the nurse
why this particular medication has been prescribed. Which of the following statements by the
nurse is correct?
Select one:
a. To relax your muscles of your uterus
b. To lower your blood pressure
c. To promote development of your baby's lungs
d. To decrease the intensity of your pain - a. To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an unlabeled use of the drug.
Nifedipine, a calcium channel blocker, is more commonly used to treat high blood pressure and
heart disease. Smooth muscle tissue, like the uterus, needs calcium to contract. Nifedipine blocks
,the passage of calcium into certain tissues, relaxing the uterine muscles and smooth muscles of
blood vessels throughout the body.
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA). An
intravenous infusion of regular insulin has been started. Which of the following nursing
interventions is most appropriate for this client?
Select one:
a. Obtain an arterial blood gas every 2 hours
b. Monitor blood glucose levels every 4 hours
c. Add the prescribed dose of NPH insulin to the IV infusion
d. Ensure glucagon is readily available - d. Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which can occur when insulin is
administered intravenously
A nurse is evaluating a client's understanding of lithium. Which statement by the client indicates
a need for further education?
Select one:
a. "I will contact my provider if I develop diarrhea."
b. "I should have my blood level drawn as directed."
c. "I will drink 8-12 glasses of water a day."
d. "I should take the medication on an empty stomach." - d. "I should take the medication on an
empty stomach."
Lithium has a narrow therapeutic window which should be monitored closely (Lithium
therapeutic level: 0.4-1 mEq/L for maintenance therapy). Clients should be taught about signs
and symptoms of toxicity, and instructed to withhold medication and notify provider if they
develop.
A nurse is caring for a client taking captopril. Which finding would require immediate attention
for this client?
Select one:
a. Blood pressure 96/48
b. Pulse 56
c. Potassium 5.8
d. Sodium 133 - c. Potassium 5.8
These findings are outside normal values. The B/P and pulse are both a bit low and would
warrant looking at patient baselines, plus assessing for symptoms related to low B/P and pulse
, A nurse is caring for a client taking captopril who has started experiencing a frequent dry cough.
What action should the nurse take?
Select one:
a. Notify the provider of the client's symptom.
b. Instruct the client to decrease the dosage of the medication.
c. Encourage the client to use over the counter cough syrup for the cough.
d. Encourage the client to continue taking the medication as prescribed. - a. Notify the provider
of the client's symptom.
An adverse effect of ACE inhibitors is a cough related to inhibition of kinase II which results in
an increase in bradykinin. The provider should be notified if a dry cough occurs so that the
medication can be discontinued.
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following
outcomes best demonstrates that TPN therapy is effective?
Select one:
a. The client gains one kilogram per day.
b. The client's urinary output increases by 800 mL per day.
c. The client maintains an albumin level of 5.0 g/100mL.
d. The client reports less frequent bowel movements. - c. The client maintains an albumin level
of 5.0 g/100mL.
When clients are on TPN therapy, laboratory values such as electrolytes, CBC, BUN, and plasma
glucose should be monitored closely. All laboratory values should be within normal range.
Normal range for albumin is 4.5-5.0 g/100ml.
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?
Select one:
a. Short term values normal, long-term values elevated
b. Short term values elevated, long term values elevated
c. Short term values normal, long term values normal
d. Short term values elevated, long-term values normal - a. Short term values normal, long-term
values elevated
Fasting plasma glucose is normal. Normal fasting plasma glucose range for the diabetic client is
90-130 mg/dl.
