ATI Pharm Midterm Exam Questions &
Answers GRADED A+
A nurse is preparing a client's medications. Which of the following actions should the
nurse take in following legal practice guidelines? (select all that apply)
A. Maintain skill competency
B. Determine the dosage
C. Monitor for adverse effects
D. Safeguard medications
E. Identify the client's diagnosis - ANSWER-A
C
D
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg
PO once every day. The nurse should identify this as which of the following types of
prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWER-C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea
and vomiting for a client who has hyperemesis gravidarum. The nurse should clarify
which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - ANSWER-D
A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the
preassessment? (select all that apply)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - ANSWER-A
C
E
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription. Which of the following statements should the nurse identify as
an indication that the newly licensed nurse understands the process?
,A. "A second nurse enters the prescription into the client's medical record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription." - ANSWER-B
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a
potential contraindication to a medication for which of the following clients? (Select all
that apply.)
A. A client at 8 weeks of gestation who asks for an Influenza immunization
B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has
started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected
pregnancy - ANSWER-B
C
E
A nurse is preparing to administer an IM dose of penicillin to a client who has a new
prescription. The client states that she took penicillin 3 years ago and developed a rash.
Which of the following actions should the nurse take?
A. Administer the prescribed dose
B. Withhold the medication
C. Ask the provider to change the prescription to an oral form
D. Administer an oral antihistamine at the same time - ANSWER-B
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check you blood pressure every 8 hours while taking this medication."
C. "Your medication dosage will be increased if you develop tachycardia."
D. "Change positions slowly when you move from sitting to standing." - ANSWER-D
A nurse is reviewing a client's health record and notes that the client experiences
permanent extrapyramidal effects caused by a previous medication. The nurse should
recognize that the medication affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal - ANSWER-C
A nurse is caring for a client who is taking oral oxycodone. The client states he is also
taking ibuprofen in three recommended doses daily. The nurse should identify that an
interaction between these two medications will cause which of the following findings?
, A. a decrease in serum level of ibuprofen, possibly leading to a need for increased
doses of this medication
B. a decrease in serum levels of oxycodone, possibly leading to a need for increased
doses of this medication
C. an increase in the expected therapeutic effect of both medications
D. an increase in expected adverse effects for both medications - ANSWER-C
A nurse is preparing to administer medications to a 4-month-old infant. Which of the
following pharmacokinetic principles should the nurse consider when administering
medications to this client? (select all that apply)
A. infants have a more rapid gastric emptying time
B. infants have immature liver function
C. infants' blood-brain barrier is poorly developed
D. infants have an increased ability to absorb topical medications
E. infants have an increased number of protein-binding sites - ANSWER-B
C
D
A nurse in a provider's office is reviewing the medical record of a client who is pregnant
and is at her first prenatal visit. Which of the following immunizations may the nurse
administer safely to this client?
A. varicella vaccine
B. Rubella vaccine
C. inactivated influenza vaccine
D. measles vaccine - ANSWER-C
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult
client at 2100. The next morning, the client is drowsy and wants to sleep instead of
eating breakfast. Which of the following factors should the nurse identify as a possible
reason for the client's drowsiness?
A. reduced cardiac function
B. first-pass effect
C. reduced hepatic function
D. increased gastric motility - ANSWER-C
A nurse in the operating room is caring for a client who received a dose of
succinylcholine. During the operation, the client suddenly develops rigidity, and his body
temperature begins to rise. The nurse should anticipate a prescription for which of the
following medications?
A. Neostigmine
B. Naloxone
C. Dantrolene
D. Vecuronium - ANSWER-C
Answers GRADED A+
A nurse is preparing a client's medications. Which of the following actions should the
nurse take in following legal practice guidelines? (select all that apply)
A. Maintain skill competency
B. Determine the dosage
C. Monitor for adverse effects
D. Safeguard medications
E. Identify the client's diagnosis - ANSWER-A
C
D
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg
PO once every day. The nurse should identify this as which of the following types of
prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWER-C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea
and vomiting for a client who has hyperemesis gravidarum. The nurse should clarify
which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - ANSWER-D
A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the
preassessment? (select all that apply)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - ANSWER-A
C
E
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription. Which of the following statements should the nurse identify as
an indication that the newly licensed nurse understands the process?
,A. "A second nurse enters the prescription into the client's medical record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription." - ANSWER-B
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a
potential contraindication to a medication for which of the following clients? (Select all
that apply.)
A. A client at 8 weeks of gestation who asks for an Influenza immunization
B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has
started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected
pregnancy - ANSWER-B
C
E
A nurse is preparing to administer an IM dose of penicillin to a client who has a new
prescription. The client states that she took penicillin 3 years ago and developed a rash.
Which of the following actions should the nurse take?
A. Administer the prescribed dose
B. Withhold the medication
C. Ask the provider to change the prescription to an oral form
D. Administer an oral antihistamine at the same time - ANSWER-B
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check you blood pressure every 8 hours while taking this medication."
C. "Your medication dosage will be increased if you develop tachycardia."
D. "Change positions slowly when you move from sitting to standing." - ANSWER-D
A nurse is reviewing a client's health record and notes that the client experiences
permanent extrapyramidal effects caused by a previous medication. The nurse should
recognize that the medication affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal - ANSWER-C
A nurse is caring for a client who is taking oral oxycodone. The client states he is also
taking ibuprofen in three recommended doses daily. The nurse should identify that an
interaction between these two medications will cause which of the following findings?
, A. a decrease in serum level of ibuprofen, possibly leading to a need for increased
doses of this medication
B. a decrease in serum levels of oxycodone, possibly leading to a need for increased
doses of this medication
C. an increase in the expected therapeutic effect of both medications
D. an increase in expected adverse effects for both medications - ANSWER-C
A nurse is preparing to administer medications to a 4-month-old infant. Which of the
following pharmacokinetic principles should the nurse consider when administering
medications to this client? (select all that apply)
A. infants have a more rapid gastric emptying time
B. infants have immature liver function
C. infants' blood-brain barrier is poorly developed
D. infants have an increased ability to absorb topical medications
E. infants have an increased number of protein-binding sites - ANSWER-B
C
D
A nurse in a provider's office is reviewing the medical record of a client who is pregnant
and is at her first prenatal visit. Which of the following immunizations may the nurse
administer safely to this client?
A. varicella vaccine
B. Rubella vaccine
C. inactivated influenza vaccine
D. measles vaccine - ANSWER-C
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult
client at 2100. The next morning, the client is drowsy and wants to sleep instead of
eating breakfast. Which of the following factors should the nurse identify as a possible
reason for the client's drowsiness?
A. reduced cardiac function
B. first-pass effect
C. reduced hepatic function
D. increased gastric motility - ANSWER-C
A nurse in the operating room is caring for a client who received a dose of
succinylcholine. During the operation, the client suddenly develops rigidity, and his body
temperature begins to rise. The nurse should anticipate a prescription for which of the
following medications?
A. Neostigmine
B. Naloxone
C. Dantrolene
D. Vecuronium - ANSWER-C
