Pharm VATI pre-assessment
1. A nurse is teaching a client who has a new prescription for phenytoin. The nurse should
instruct the client to monitor for and report which of the following adverse effects of this
medication?
Anxiety
Skin Rash
Diarrhea
Metallic Taste - ANS -Skin rash
Phenytoin is an anti-epileptic medication used to treat partial seizures and generalized tonic
clonic seizures. Fenton can cause a rash that can progress to Stevens Johnson syndrome or
toxic epidermal necrolysis. If a rash develops, the client should notify the provider immediately
and stop the use of phenytoin.
\2. a nurse is preparing to administer ampicillin and gentamicin sulfate via iv infusion. which of
the following resource should the nurse consult first regarding medication compatibility ?
a. nurse manager
b. hospital pharmacist
c. health care provider
d. medication sales representative - ANS -b. hospital pharmacist
The greatest risk to the client is injury for medication error. Therefore the nurse should consult
the hospital pharmacist first the pharmacist will have information about medication, including
adverse effects, recommended dosages, and drug incompatibilities.
\3. A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat
asthma. Which of the following statements by the client indicates an understanding of the
teaching?
A. I'll rinse my mouth after taking this medication.
B. I'll take this medication when I get in attack
C. I'll take this medication once a day in the evening.
D. I'll use a spacer device when I inhale this medication. - ANS -C. I'll take this medication once
a day in the evening.
Monte, Lucas, a Lotry modifier, is used to prevent asthma, exacerbations. The client should take
it on a daily basis, once a day in the evening.
\4. A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client.
Which of the following is the priority assessment the nurse should complete?
A. Apical pulse rate
, B. Blood pressure
C. Level of consciousness
D. Respiratory rate - ANS -D. Respiratory rate
(Airway, breathing, and circulation are the priority focus of the nurse at this time. Meperidine can
cause respiratory depression and the client's respiratory rate should be monitored prior to
administering this medication.)
\5. A nurse is caring for a client who has atrial fibrillation and receives Digoxin daily. Before
administering this medication, which of the following actions should the nurse take?
A. Offer the client at light snack
B. Measure the clients blood pressure.
C. Measure the clients apical pulse.
D. Weigh the clients. - ANS -C. Measure the clients apical pulse.
Digoxin decreases the heart rate so the nurse should count the apical pulse for at least one
minute before administering the nurse should hold the medication and notify the provider if the
clients heart rate is below 60 bpm, or if if a change in heart rhythm is detected
\6. A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial
pressure. Which of the following should the nurse identify as the purpose of the medication?
-Reduce edema of the brain.
-Provide fluid hydration.
-Increase cell size in the brain.
-Expand extracellular fluid volume. - ANS -Reduce edema of the brain.
An osmotic diuretic is used to decrease intracranial pressure by moving fluid out of the
ventricles into the bloodstream.
\7. A nurse is reviewing the medication list for a client who has a newly diagnosis of type 2
diabetes mellitus. The nurse should recognize which of the following medications can cause
glucose intolerance?
A. Ranitidine
B. Guaifenesin
C. Prednisone
D. Atorvastatin - ANS -C. Prednisone
Cortical steroids, such as prednisone can cause glucose intolerance and hyperglycemia the
client might require increased dosage of a hypoglycemic medication
\8. A nurse is preparing to administer potassium chloride (KCl) to a client who is receiving
diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the
client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?
1. Give the ordered KCl as prescribed.
1. A nurse is teaching a client who has a new prescription for phenytoin. The nurse should
instruct the client to monitor for and report which of the following adverse effects of this
medication?
Anxiety
Skin Rash
Diarrhea
Metallic Taste - ANS -Skin rash
Phenytoin is an anti-epileptic medication used to treat partial seizures and generalized tonic
clonic seizures. Fenton can cause a rash that can progress to Stevens Johnson syndrome or
toxic epidermal necrolysis. If a rash develops, the client should notify the provider immediately
and stop the use of phenytoin.
\2. a nurse is preparing to administer ampicillin and gentamicin sulfate via iv infusion. which of
the following resource should the nurse consult first regarding medication compatibility ?
a. nurse manager
b. hospital pharmacist
c. health care provider
d. medication sales representative - ANS -b. hospital pharmacist
The greatest risk to the client is injury for medication error. Therefore the nurse should consult
the hospital pharmacist first the pharmacist will have information about medication, including
adverse effects, recommended dosages, and drug incompatibilities.
\3. A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat
asthma. Which of the following statements by the client indicates an understanding of the
teaching?
A. I'll rinse my mouth after taking this medication.
B. I'll take this medication when I get in attack
C. I'll take this medication once a day in the evening.
D. I'll use a spacer device when I inhale this medication. - ANS -C. I'll take this medication once
a day in the evening.
Monte, Lucas, a Lotry modifier, is used to prevent asthma, exacerbations. The client should take
it on a daily basis, once a day in the evening.
\4. A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client.
Which of the following is the priority assessment the nurse should complete?
A. Apical pulse rate
, B. Blood pressure
C. Level of consciousness
D. Respiratory rate - ANS -D. Respiratory rate
(Airway, breathing, and circulation are the priority focus of the nurse at this time. Meperidine can
cause respiratory depression and the client's respiratory rate should be monitored prior to
administering this medication.)
\5. A nurse is caring for a client who has atrial fibrillation and receives Digoxin daily. Before
administering this medication, which of the following actions should the nurse take?
A. Offer the client at light snack
B. Measure the clients blood pressure.
C. Measure the clients apical pulse.
D. Weigh the clients. - ANS -C. Measure the clients apical pulse.
Digoxin decreases the heart rate so the nurse should count the apical pulse for at least one
minute before administering the nurse should hold the medication and notify the provider if the
clients heart rate is below 60 bpm, or if if a change in heart rhythm is detected
\6. A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial
pressure. Which of the following should the nurse identify as the purpose of the medication?
-Reduce edema of the brain.
-Provide fluid hydration.
-Increase cell size in the brain.
-Expand extracellular fluid volume. - ANS -Reduce edema of the brain.
An osmotic diuretic is used to decrease intracranial pressure by moving fluid out of the
ventricles into the bloodstream.
\7. A nurse is reviewing the medication list for a client who has a newly diagnosis of type 2
diabetes mellitus. The nurse should recognize which of the following medications can cause
glucose intolerance?
A. Ranitidine
B. Guaifenesin
C. Prednisone
D. Atorvastatin - ANS -C. Prednisone
Cortical steroids, such as prednisone can cause glucose intolerance and hyperglycemia the
client might require increased dosage of a hypoglycemic medication
\8. A nurse is preparing to administer potassium chloride (KCl) to a client who is receiving
diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the
client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?
1. Give the ordered KCl as prescribed.
