ati pharmacology practice assessment A 2024
1. a nurse is instructing a client on the application of nitroglycerin
transdermal patches. which of the following statements by the client
indiciates an understanding of the teaching: I will take the patch off right after
my evening meal
2. a nurse receives a verbal order from the provider to administer
morphine 5 mg every 4 hours subQ for sever pain as needed. the nurse
should identify which of the following entries as the correct format doe the
medications administration record (MAR): morphine 5 mg subcut every 4 hr
PRN severe pain
3. a nurse is caring for a client who is taking acetazolamide for chronic
open-angle glaucoma. For which of the following adverse effects should the
nurse instruct the client to monitor and report?: tingling fingers
4. A nurse administers a dose of metformin to client instead of the
prescribed dose of metoclopramide. Which of the following actions should
the nurse take first?: check the client's blood glucose
5. A nurse is caring for a client who has cancer and is taking oral morphine
and docusate sodium.
The nurse should instruct the client that taking the docusate sodium daily can
minimize which of the following adverse effects of morphine.: constipation
6. A nurse is assessing a client's vital signs prior to the adminstration of PO
digoxin. The client's BP is 144/86 mmHG, heart rate 55/min and respiratory
rate is 20/min. The nurse should withhold the medication and contact the
provider for which of the following findings?: heart rate
7. A nurse is caring for a client who received 0.9% sodium chloride 1 L
over 4 hr instead of over 8 hr as prescribed. Which of the following
information should the nurse enter as a complete documentation of the
incident?: 0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable,
provider notified
8. 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.: Forms a
protective barrier over ulcers
9. A nurse is reviewing the ECG of a client who is receiving IV furosemide
for heart failure. The nurse should identify which of the following findings as
an indication of hypokalemia?: Presence of U waves
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, ati pharmacology practice assessment A 2024
10. 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?: tinnitus
11. A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?: administer the
medication outside the 5 cm radius of the umbilicus
12. A nurse at an urgent care clinic is collecting a history from a female
client who has a urinary tract infection. The nurse anticipates a prescription
for ciprofloxacin. The nurse should identify that which if the following client
statements indicates a contraindication for administering this medication?: I
have tendonitis, so I haven't been able to exercise
13. A nurse is reviewing the 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?: Platelets 96,000/mm3
14. A nurse is caring for a client who is in labor. The client is receiving
oxytocin by continuous IV infusion with a maintenance IV solution. The
external FHR monitor indicates late decelerations. Which of the following
actions should the nurse take first?: Turn the client to a side-lying position
15. a nurse is preparing to administer medications to a client who tells the
nurse, "I don't want to take my fluid pill until I get home today" Which of the
following actions should the nurse take?: Document the refusal and inform the
client's provider
16. a nurse at a clinic is providing follow-up care to a client who is taking
fluoxetine for depression. Which of the following findings should the nurse
identify as an adverse effect of the medication?: sexual dysfuction
17. A nurse is preparing to administer PO sodium polystrene sulfonate to a
client who has hyperkalemia. Which of the following actions should the
nurse plan to take?: monitor the client for constipation
18. A nurse is preparing to administer a scheduled antibiotic at 0800 to a
client and discovers the antibiotic is not present in the client's medication
drawer. the nurse should identify that administration of the medication can
occur at which of the following time periods without requiring an incident
report?: 0830
19. A nurse is planning care for a client who is prescribed metoclopramide
following bowel surgery. For which of the following adverse effects should
the nurse monitor: sedation
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1. a nurse is instructing a client on the application of nitroglycerin
transdermal patches. which of the following statements by the client
indiciates an understanding of the teaching: I will take the patch off right after
my evening meal
2. a nurse receives a verbal order from the provider to administer
morphine 5 mg every 4 hours subQ for sever pain as needed. the nurse
should identify which of the following entries as the correct format doe the
medications administration record (MAR): morphine 5 mg subcut every 4 hr
PRN severe pain
3. a nurse is caring for a client who is taking acetazolamide for chronic
open-angle glaucoma. For which of the following adverse effects should the
nurse instruct the client to monitor and report?: tingling fingers
4. A nurse administers a dose of metformin to client instead of the
prescribed dose of metoclopramide. Which of the following actions should
the nurse take first?: check the client's blood glucose
5. A nurse is caring for a client who has cancer and is taking oral morphine
and docusate sodium.
The nurse should instruct the client that taking the docusate sodium daily can
minimize which of the following adverse effects of morphine.: constipation
6. A nurse is assessing a client's vital signs prior to the adminstration of PO
digoxin. The client's BP is 144/86 mmHG, heart rate 55/min and respiratory
rate is 20/min. The nurse should withhold the medication and contact the
provider for which of the following findings?: heart rate
7. A nurse is caring for a client who received 0.9% sodium chloride 1 L
over 4 hr instead of over 8 hr as prescribed. Which of the following
information should the nurse enter as a complete documentation of the
incident?: 0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable,
provider notified
8. 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.: Forms a
protective barrier over ulcers
9. A nurse is reviewing the ECG of a client who is receiving IV furosemide
for heart failure. The nurse should identify which of the following findings as
an indication of hypokalemia?: Presence of U waves
1/7
, ati pharmacology practice assessment A 2024
10. 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?: tinnitus
11. A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?: administer the
medication outside the 5 cm radius of the umbilicus
12. A nurse at an urgent care clinic is collecting a history from a female
client who has a urinary tract infection. The nurse anticipates a prescription
for ciprofloxacin. The nurse should identify that which if the following client
statements indicates a contraindication for administering this medication?: I
have tendonitis, so I haven't been able to exercise
13. A nurse is reviewing the 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?: Platelets 96,000/mm3
14. A nurse is caring for a client who is in labor. The client is receiving
oxytocin by continuous IV infusion with a maintenance IV solution. The
external FHR monitor indicates late decelerations. Which of the following
actions should the nurse take first?: Turn the client to a side-lying position
15. a nurse is preparing to administer medications to a client who tells the
nurse, "I don't want to take my fluid pill until I get home today" Which of the
following actions should the nurse take?: Document the refusal and inform the
client's provider
16. a nurse at a clinic is providing follow-up care to a client who is taking
fluoxetine for depression. Which of the following findings should the nurse
identify as an adverse effect of the medication?: sexual dysfuction
17. A nurse is preparing to administer PO sodium polystrene sulfonate to a
client who has hyperkalemia. Which of the following actions should the
nurse plan to take?: monitor the client for constipation
18. A nurse is preparing to administer a scheduled antibiotic at 0800 to a
client and discovers the antibiotic is not present in the client's medication
drawer. the nurse should identify that administration of the medication can
occur at which of the following time periods without requiring an incident
report?: 0830
19. A nurse is planning care for a client who is prescribed metoclopramide
following bowel surgery. For which of the following adverse effects should
the nurse monitor: sedation
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