ATI: PHARMACOLOGY ONLINE
PRACTICE 2023 A
A6nurse6is6assisting6in6the6care6of6a6client6in6the6provider's6office.6(Complete6the6followin
g6sentence)6"The6nurse6is6planning6to6reinforce6teaching6to6the6client6about6their6newly6p
rescribed6medication.6The6nurse6should6plan6to6reinforce6with6the6client6to6_______6and6
_______"6-6ans--1st6Blank:6Use6saline6nasal6spray6prior6to6administering6medication
2nd6Blank:6instill6two6sprays6of6the6medication6in6each6nostril
A6nurse6is6assisting6in6the6care6of6a6female6older6adult6client6on6a6medical-
surgical6unit6(Complete6the6following6sentence)6"The6client6is6at6greatest6risk6for6develop
ing6______6as6evidenced6by6_______"6-6ans--1st6Blank:6Medication6Toxicity
2nd6Blank:6Trough6level
A6nurse6is6reinforcing6teaching6about6comfort6measures6with6the6guardian6of6a610-year-
old6child6who6has6a6viral6infection.6The6nurse6should6plan6to6tell6the6parent6that6aspirin6is6
contraindicated6because6of6the6risk6for6which6of6the6following6conditions?6-6ans--
Reye6Syndrome6
-
Rationale:6Aspirin6is6contraindicated6for6children6and6adolescents6who6have6a6viral6illnes
s6because6it6increases6the6risk6for6the6development6of6Reye6Syndrome6(Apparently6it's6a
6condition6that6causes6confusion,6swelling6in6the6brain,6and6liver6damage,6yikes!)
At608006a6nurse6assists6with6initiating6a61,000mL6IV6infusion6for6a6client,6which6is6runnin
g6at6125mL/hr.6How6much6fluid6is6left6in6the6IV6bag6at61300?6-6ans--3756mL
A6nurse6is6caring6for6a6client6who6is6taking6disulfiram6and6consumed6alcohol6126hr6ago.6
Which6of6the6following6adverse6reactions6is6the6priority6finding6to6report6to6the6provider?6-
6ans--Respiratory6Depression
A6nurse6is6collecting6data6from6a6client6who6has6been6taking6levodopa/
carbidopa.6Which6of6the6following6findings6should6indicate6to6the6nurse6that6the6medicati
on6is6effective?6-6ans--The6client6is6able6to6wash6their6face.6
-
Rationale:6Levodopa6works6by6activating6dopamine6receptors,6restoring6nerve6transmiss
ion6for6clients6who6have6Parkinson's6disease.6Carbidopa6enhances6these6effects6by6inhi
biting6the6breakdown6of6levodopa6in6the6intestine6and6periphery.6These6therapeutic6effec
ts6assist6the6client6with6moving6freely6and6resuming6ADLs.
, A6nurse6is6caring6for6a6client6who6has6a6prescription6for6an6IM6injection6of6penicillin6G6be
nzathine.6The6client6asks6why6the6injection6must6be6given6IM6instead6of6through6the6IV6li
ne.6Which6of6the6following6responses6should6the6nurse6make?6-
6ans--"Your6medication6can't6be6given6IV6because6it6is6not6water-soluble"
A6nurse6is6reviewing6a6client's6medical6history6before6administering6hydromorphone6for6p
ostoperative6pain.6The6nurse6should6notify6the6provider6of6which6of6the6following6findings
6before6administering6this6medication?6-6ans--Benign6Prostatic6Hyperplasia
-
Rationale:6A6client6who6has6benign6prostatic6hyperplasia6is6at6increased6risk6for6developi
ng6acute6urinary6retention6while6taking6opioids.6Therefore,6the6nurse6should6notify6the6pr
ovider6about6this6finding6before6administering6hydromorphone
A6nurse6is6reinforcing6dietary6teaching6with6a6client6who6has6a6new6prescription6for6phen
elzine.6Which6of6the6following6foods6should6the6nurse6include6in6the6teaching6as6an6appr
opriate6food6choice?6-6ans--Yogurt6
-
Rationale:6Clients6taking6phenelzine6should6avoid6consuming6tyramine,6which6can6cause
6high6blood6pressure.6Yogurt6contains6little6or6no6tyramine.6Therefore,6the6nurse6should6i
nstruct6the6client6that6yogurt6is6an6appropriate6food6choice.
A6nurse6is6reinforcing6teaching6with6a6client6who6has6seizures6and6a6new6prescription6for
6valproic6acid.6The6nurse6should6instruct6the6client6to6report6which6of6the6following6advers
e6effects6of6valproic6acid6to6the6provider6immediately?6-6ans--Abdominal6Pain6
-
Rationale:6The6greatest6risk6to6the6client6is6hepatotoxicity6and6pancreatitis,6which6can6ca
use6abdominal6pain.6Therefore,6the6client6should6notify6the6provider6immediately6if6experi
encing6a6decrease6in6appetite,6nausea,6abdominal6pain6or6jaundice.
A6nurse6is6reinforcing6teaching6with6a6newly6licensed6nurse6about6using6metoprolol6to6tre
at6hypertension.6Which6of6the6following6conditions6should6the6nurse6include6as6a6contrai
ndication6for6this6medication?6-6ans--Bradycardia
-
Rationale:6Metoprolol6is6a6beta6blocker6that6slows6the6conduction6through6the6AV6node.6
Therefore,6it6is6contraindicated6for6clients6who6have6bradycardia,6or6a6heart6rate6that6is6c
onsistently6less6than660/min
A6nurse6is6collecting6data6from6a6client6who6has6hyperthyroidism6and6a6new6prescription6
for6propylthiouracil.6The6nurse6should6monitor6the6client6for6which6of6the6following6manife
stations6as6an6adverse6effect6of6this6medication?6-6ans--Sore6Throat
-
Rationale:6The6nurse6should6monitor6for6sore6throat6and6fever6because6these6are6early6i
ndications6of6agranulocytosis,6which6is6an6adverse6effect6of6propylthiouracil
A6nurse6is6caring6for6a6client6who6is6receiving60.9%6sodium6chloride61,000mL6to6infuse6o
ver686hr.6The6drop6factor6on6the6manual6IV6tubing6is6156gtt/
PRACTICE 2023 A
A6nurse6is6assisting6in6the6care6of6a6client6in6the6provider's6office.6(Complete6the6followin
g6sentence)6"The6nurse6is6planning6to6reinforce6teaching6to6the6client6about6their6newly6p
rescribed6medication.6The6nurse6should6plan6to6reinforce6with6the6client6to6_______6and6
_______"6-6ans--1st6Blank:6Use6saline6nasal6spray6prior6to6administering6medication
2nd6Blank:6instill6two6sprays6of6the6medication6in6each6nostril
A6nurse6is6assisting6in6the6care6of6a6female6older6adult6client6on6a6medical-
surgical6unit6(Complete6the6following6sentence)6"The6client6is6at6greatest6risk6for6develop
ing6______6as6evidenced6by6_______"6-6ans--1st6Blank:6Medication6Toxicity
2nd6Blank:6Trough6level
A6nurse6is6reinforcing6teaching6about6comfort6measures6with6the6guardian6of6a610-year-
old6child6who6has6a6viral6infection.6The6nurse6should6plan6to6tell6the6parent6that6aspirin6is6
contraindicated6because6of6the6risk6for6which6of6the6following6conditions?6-6ans--
Reye6Syndrome6
-
Rationale:6Aspirin6is6contraindicated6for6children6and6adolescents6who6have6a6viral6illnes
s6because6it6increases6the6risk6for6the6development6of6Reye6Syndrome6(Apparently6it's6a
6condition6that6causes6confusion,6swelling6in6the6brain,6and6liver6damage,6yikes!)
At608006a6nurse6assists6with6initiating6a61,000mL6IV6infusion6for6a6client,6which6is6runnin
g6at6125mL/hr.6How6much6fluid6is6left6in6the6IV6bag6at61300?6-6ans--3756mL
A6nurse6is6caring6for6a6client6who6is6taking6disulfiram6and6consumed6alcohol6126hr6ago.6
Which6of6the6following6adverse6reactions6is6the6priority6finding6to6report6to6the6provider?6-
6ans--Respiratory6Depression
A6nurse6is6collecting6data6from6a6client6who6has6been6taking6levodopa/
carbidopa.6Which6of6the6following6findings6should6indicate6to6the6nurse6that6the6medicati
on6is6effective?6-6ans--The6client6is6able6to6wash6their6face.6
-
Rationale:6Levodopa6works6by6activating6dopamine6receptors,6restoring6nerve6transmiss
ion6for6clients6who6have6Parkinson's6disease.6Carbidopa6enhances6these6effects6by6inhi
biting6the6breakdown6of6levodopa6in6the6intestine6and6periphery.6These6therapeutic6effec
ts6assist6the6client6with6moving6freely6and6resuming6ADLs.
, A6nurse6is6caring6for6a6client6who6has6a6prescription6for6an6IM6injection6of6penicillin6G6be
nzathine.6The6client6asks6why6the6injection6must6be6given6IM6instead6of6through6the6IV6li
ne.6Which6of6the6following6responses6should6the6nurse6make?6-
6ans--"Your6medication6can't6be6given6IV6because6it6is6not6water-soluble"
A6nurse6is6reviewing6a6client's6medical6history6before6administering6hydromorphone6for6p
ostoperative6pain.6The6nurse6should6notify6the6provider6of6which6of6the6following6findings
6before6administering6this6medication?6-6ans--Benign6Prostatic6Hyperplasia
-
Rationale:6A6client6who6has6benign6prostatic6hyperplasia6is6at6increased6risk6for6developi
ng6acute6urinary6retention6while6taking6opioids.6Therefore,6the6nurse6should6notify6the6pr
ovider6about6this6finding6before6administering6hydromorphone
A6nurse6is6reinforcing6dietary6teaching6with6a6client6who6has6a6new6prescription6for6phen
elzine.6Which6of6the6following6foods6should6the6nurse6include6in6the6teaching6as6an6appr
opriate6food6choice?6-6ans--Yogurt6
-
Rationale:6Clients6taking6phenelzine6should6avoid6consuming6tyramine,6which6can6cause
6high6blood6pressure.6Yogurt6contains6little6or6no6tyramine.6Therefore,6the6nurse6should6i
nstruct6the6client6that6yogurt6is6an6appropriate6food6choice.
A6nurse6is6reinforcing6teaching6with6a6client6who6has6seizures6and6a6new6prescription6for
6valproic6acid.6The6nurse6should6instruct6the6client6to6report6which6of6the6following6advers
e6effects6of6valproic6acid6to6the6provider6immediately?6-6ans--Abdominal6Pain6
-
Rationale:6The6greatest6risk6to6the6client6is6hepatotoxicity6and6pancreatitis,6which6can6ca
use6abdominal6pain.6Therefore,6the6client6should6notify6the6provider6immediately6if6experi
encing6a6decrease6in6appetite,6nausea,6abdominal6pain6or6jaundice.
A6nurse6is6reinforcing6teaching6with6a6newly6licensed6nurse6about6using6metoprolol6to6tre
at6hypertension.6Which6of6the6following6conditions6should6the6nurse6include6as6a6contrai
ndication6for6this6medication?6-6ans--Bradycardia
-
Rationale:6Metoprolol6is6a6beta6blocker6that6slows6the6conduction6through6the6AV6node.6
Therefore,6it6is6contraindicated6for6clients6who6have6bradycardia,6or6a6heart6rate6that6is6c
onsistently6less6than660/min
A6nurse6is6collecting6data6from6a6client6who6has6hyperthyroidism6and6a6new6prescription6
for6propylthiouracil.6The6nurse6should6monitor6the6client6for6which6of6the6following6manife
stations6as6an6adverse6effect6of6this6medication?6-6ans--Sore6Throat
-
Rationale:6The6nurse6should6monitor6for6sore6throat6and6fever6because6these6are6early6i
ndications6of6agranulocytosis,6which6is6an6adverse6effect6of6propylthiouracil
A6nurse6is6caring6for6a6client6who6is6receiving60.9%6sodium6chloride61,000mL6to6infuse6o
ver686hr.6The6drop6factor6on6the6manual6IV6tubing6is6156gtt/
