ATI Pharmacology test A
A nurse is completing an incident report for a med error, which of the following information
should the nurse include in the report - ANS-the incident report should clearly and thoroughly
report the facts of the error
A nurse is providing teaching to a client who is to begin taking Oxybutynin for urinary
incontinence. Which of the following adverse effects should the nurse include in the teaching -
ANS-Oxybutynin is an anticholinergic that causes dryness
-symptoms include dry mouth, blurred vision & dry eyes
-these symptoms are all affects of anticholinergics
A nurse is preparing medication instructions for a client who is receiving end-of-life care and
their family. The client has a prescription for fentanyl patches. Which of the following information
regarding the manifestations and use of fentanyl should the nurse include in the instructions -
ANS—take a stool softener daily will be needed
-constipation is an adverse effect of opioid use
-stool softeners can decrease the severity of this adverse effect
A nurse is caring for a client who is receiving haloperidol. Which of the following findings should
the nurse identify as an adverse effect of the medication - ANS-Akathisia
-an adverse effect associated with the medication is the development of extrapyramidal
manifestations such as dystonia pseudoparkinsonism, and akathisia
-this drug is classified as an antipsychotic used to treat mental disorders, this drug is also used
to control symptoms of Tourette syndrome
-this drug can cause seizures, confusion and neuroleptic syndrome
-this drug has anticholinergics properties and can cause increased intraoccular pressure,
blurred vision, and dry eyes
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine.
Which of the following findings indicates that the medication is effective - ANS-increased cardiac
output
-dopamine is an adrenergic that causes a receptor specificity effect, which increases cardiac
output and improves perfusion
-an adverse effect of the drug is tachycardia
A nurse is preparing to administer hydrochlorothiazide. Which of the following actions should the
nurse take prior to administering the medication - ANS-Obtain clients blood pressure
-HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure
and edema. The nurse should obtain the client's bp prior to administration of the medication
-NSAIDS decrease the effectiveness of HCTZ
, -assess the client for an allergy to sulfonamides due to the potential of cross sensitivity with
HCTZ
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 information should the nurse include in the
teaching? - ANS-Forms a protective barrier over ulcers
-Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further irritate the
ulcerated areas.
-forms a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier to
hydrochloric acid and pepsin
Famotidine - ANS-decreases stomach acid secretion
Antacid (aluminum) - ANS-neutralize acids in the stomach and prevent pepsin formation, a
digestive enzyme that can further damage the eroded epithelium
A nurse is teaching a client who has insomnia about zolpidem. The nurse should identify that
which of the following client statements indicates an understanding of the teaching - ANS-I will
use this medication for a short period of time
-zolpidem is used for short term treatment of insomnia. Therefore, the provider should reassess
the client before filling the prescription
Zolpidem - ANS-used for short term treatment of insomnia
-client should experience improved sleep within two days of starting the medication
-client shouldn't build up a tolerance to the medication with short term use
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the
following medications should the nurse expect to administer? - ANS-Methadone
-methadone can be administered for withdrawal and to assist with maintenance and
suppressive therapy
Bupropion (Wellbutrin) - ANS-assists the client with smoking cessation
Disulfiram - ANS-aversion therapy to assist with maintaining abstinence from alcohol
Modafinil - ANS-assists with fatigue and prolonged sleep from methamphetamine withdrawal
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should
report which of the following findings to the provider as a manifestation of neuroleptic malignant
syndrome (NMS) - ANS-Temp 39.7 C or 103.5 F
-The nurse should report fever to the provider as an indication of NMS, an acute life threatening
emergency
-other manifestations include respiratory distress, diaphoresis, and either hypotension or
hypertension
A nurse is completing an incident report for a med error, which of the following information
should the nurse include in the report - ANS-the incident report should clearly and thoroughly
report the facts of the error
A nurse is providing teaching to a client who is to begin taking Oxybutynin for urinary
incontinence. Which of the following adverse effects should the nurse include in the teaching -
ANS-Oxybutynin is an anticholinergic that causes dryness
-symptoms include dry mouth, blurred vision & dry eyes
-these symptoms are all affects of anticholinergics
A nurse is preparing medication instructions for a client who is receiving end-of-life care and
their family. The client has a prescription for fentanyl patches. Which of the following information
regarding the manifestations and use of fentanyl should the nurse include in the instructions -
ANS—take a stool softener daily will be needed
-constipation is an adverse effect of opioid use
-stool softeners can decrease the severity of this adverse effect
A nurse is caring for a client who is receiving haloperidol. Which of the following findings should
the nurse identify as an adverse effect of the medication - ANS-Akathisia
-an adverse effect associated with the medication is the development of extrapyramidal
manifestations such as dystonia pseudoparkinsonism, and akathisia
-this drug is classified as an antipsychotic used to treat mental disorders, this drug is also used
to control symptoms of Tourette syndrome
-this drug can cause seizures, confusion and neuroleptic syndrome
-this drug has anticholinergics properties and can cause increased intraoccular pressure,
blurred vision, and dry eyes
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine.
Which of the following findings indicates that the medication is effective - ANS-increased cardiac
output
-dopamine is an adrenergic that causes a receptor specificity effect, which increases cardiac
output and improves perfusion
-an adverse effect of the drug is tachycardia
A nurse is preparing to administer hydrochlorothiazide. Which of the following actions should the
nurse take prior to administering the medication - ANS-Obtain clients blood pressure
-HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure
and edema. The nurse should obtain the client's bp prior to administration of the medication
-NSAIDS decrease the effectiveness of HCTZ
, -assess the client for an allergy to sulfonamides due to the potential of cross sensitivity with
HCTZ
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 information should the nurse include in the
teaching? - ANS-Forms a protective barrier over ulcers
-Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further irritate the
ulcerated areas.
-forms a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier to
hydrochloric acid and pepsin
Famotidine - ANS-decreases stomach acid secretion
Antacid (aluminum) - ANS-neutralize acids in the stomach and prevent pepsin formation, a
digestive enzyme that can further damage the eroded epithelium
A nurse is teaching a client who has insomnia about zolpidem. The nurse should identify that
which of the following client statements indicates an understanding of the teaching - ANS-I will
use this medication for a short period of time
-zolpidem is used for short term treatment of insomnia. Therefore, the provider should reassess
the client before filling the prescription
Zolpidem - ANS-used for short term treatment of insomnia
-client should experience improved sleep within two days of starting the medication
-client shouldn't build up a tolerance to the medication with short term use
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the
following medications should the nurse expect to administer? - ANS-Methadone
-methadone can be administered for withdrawal and to assist with maintenance and
suppressive therapy
Bupropion (Wellbutrin) - ANS-assists the client with smoking cessation
Disulfiram - ANS-aversion therapy to assist with maintaining abstinence from alcohol
Modafinil - ANS-assists with fatigue and prolonged sleep from methamphetamine withdrawal
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should
report which of the following findings to the provider as a manifestation of neuroleptic malignant
syndrome (NMS) - ANS-Temp 39.7 C or 103.5 F
-The nurse should report fever to the provider as an indication of NMS, an acute life threatening
emergency
-other manifestations include respiratory distress, diaphoresis, and either hypotension or
hypertension
