PHARM VIRTUAL ATI QUESTIONS WITH
CORRECT ANSWERS
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? - CORRECT ANSWER -To accelerate the heart rate by interfering with
vagal impulses
pt has signs of digoxin toxicity what should you do - CORRECT ANSWER -hold the medication
and call the provider
Nifedipine - CORRECT ANSWER -calcium channel blocker
sometimes used to prevent preterm labor by relaxing the smooth muscle of the uterus
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 - CORRECT ANSWER -Ensure glucagon is readily available
Lithuim - CORRECT ANSWER -take with meals to prevent gi upset
what finding should be reported right away in patient taking captopril - CORRECT ANSWER -
elevated potassium >5.5
adverse effect of ace inhibitors (captopril) that sould be reported to provider - CORRECT
ANSWER -frequent dry cough
lab that shows TPN is effective - CORRECT ANSWER -albumin levels normal 4.5 - 5
, 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? - CORRECT ANSWER -Short term values
normal, long-term values elevated
-Normal fasting plasma glucose range for the diabetic client is 90-130 mg/d
-HgA1C normal level range is less than 7% with the optimal range being 4-6% in the diabetic.
A nurse is reviewing the morning laboratory results while preparing to administer a client their
dose of digoxin. Which result would the nurse need to report to the primary care provider? -
CORRECT ANSWER -low (even slightly low 3.4) potassium
value that best indicates compliance with diabetic rigemin - CORRECT ANSWER -Hba1c
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of potassium/L to
infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse calculates the flow rate to be:
______ gtt/min. - CORRECT ANSWER -40/60 x 15= 10 drops/min
intervention that is priority when adminstering nitro - CORRECT ANSWER -Inform client to sit or
lie down. This intervention is priority due to the orthostatic hypotension effects that can occur
with nitroglycerin administration; including dizziness, light-headedness, and reduced cardiac
output. This can cause a drop in blood pressure. Lying with feet elevated promotes venous
return and thereby restores blood pressure. This is a safety concern and action needs to be
taken before medication administration
IM penicillin injection to client who has not had one before - CORRECT ANSWER -keep client at
clinic for 30 min to monitor for side effects
Omeprazole (Prilosec) - CORRECT ANSWER -take in am before breakfast
CORRECT ANSWERS
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? - CORRECT ANSWER -To accelerate the heart rate by interfering with
vagal impulses
pt has signs of digoxin toxicity what should you do - CORRECT ANSWER -hold the medication
and call the provider
Nifedipine - CORRECT ANSWER -calcium channel blocker
sometimes used to prevent preterm labor by relaxing the smooth muscle of the uterus
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 - CORRECT ANSWER -Ensure glucagon is readily available
Lithuim - CORRECT ANSWER -take with meals to prevent gi upset
what finding should be reported right away in patient taking captopril - CORRECT ANSWER -
elevated potassium >5.5
adverse effect of ace inhibitors (captopril) that sould be reported to provider - CORRECT
ANSWER -frequent dry cough
lab that shows TPN is effective - CORRECT ANSWER -albumin levels normal 4.5 - 5
, 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? - CORRECT ANSWER -Short term values
normal, long-term values elevated
-Normal fasting plasma glucose range for the diabetic client is 90-130 mg/d
-HgA1C normal level range is less than 7% with the optimal range being 4-6% in the diabetic.
A nurse is reviewing the morning laboratory results while preparing to administer a client their
dose of digoxin. Which result would the nurse need to report to the primary care provider? -
CORRECT ANSWER -low (even slightly low 3.4) potassium
value that best indicates compliance with diabetic rigemin - CORRECT ANSWER -Hba1c
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of potassium/L to
infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse calculates the flow rate to be:
______ gtt/min. - CORRECT ANSWER -40/60 x 15= 10 drops/min
intervention that is priority when adminstering nitro - CORRECT ANSWER -Inform client to sit or
lie down. This intervention is priority due to the orthostatic hypotension effects that can occur
with nitroglycerin administration; including dizziness, light-headedness, and reduced cardiac
output. This can cause a drop in blood pressure. Lying with feet elevated promotes venous
return and thereby restores blood pressure. This is a safety concern and action needs to be
taken before medication administration
IM penicillin injection to client who has not had one before - CORRECT ANSWER -keep client at
clinic for 30 min to monitor for side effects
Omeprazole (Prilosec) - CORRECT ANSWER -take in am before breakfast
