VATI Pharmacology Exam Questions AND Correct Answers
A child with ADHD receives a new prescription for methylphenidate.
What SE should the nurse advise the client about? - ✔✔Restlessness.
Methylphenidate (Ritalin) is a stimulant. Other SE include anorexia w/
growth delay, anxiety or jitteriness, insomnia, increased HR and BP,
and HA
A client admitted with an acute exacerbation of asthma has been
prescribed methylprednisolone sodium succinate IV. What finding
should the nurse report to the provider immediately? - ✔✔Elevated
temp. Infection is a potential adverse of glucocorticoids. The nurse
should monitor this client for signs of infection such as fever and sore
throat and report immediately if they occur.
A client diagnosed with preterm labor has been prescribed nifedipine.
The client asks the nurse why this particular medication has been
prescribed. How should the nurse respond? - ✔✔To relax your
muscles of your uterus
A client has a clogged percutaneous gastrostomy feeding tube. What
action should the nurse take first? - ✔✔Change position of the client.
Least restrictive and may remove any kinks in the tube, which can
lead to clogging. (next nurse should attempt to flush or aspirate tube
contents)
,A client has been prescribed spironolactone for treatment of heart
failure. Which statement made by the client would indicate a need for
further teaching? - ✔✔"I will limit the use of salt in my diet and use a
salt substitute instead."
Correct: Spironolactone is a potassium sparing diuretic and caution
should be taken when using this medication with anything that may
increase potassium levels. Most salt substitutes contain potassium
and should be avoided. Clients should also never take an oral
potassium substitute, and be cautioned about large dietary changes
that increase potassium. ACE inhibitors should also be used with
cautions when on a potassium sparing diuretic.
A client ingested a full bottle of imipramine hydrochloride. What toxic
effects is most important for the nurse monitor? - ✔✔Arrhythmias.
Tricyclic antidepressant (TCA) overdose causes cardiac problems such
as arrhythmias, tachycardia, and myocardial infarction
A client is on lisinopril. What is the most important thing for the nurse
to assess before administering this med to the client? - ✔✔Serum
electrolytes
A client is taking bacizumab for metastic colorectal cancer. What is an
adverse effect and what should be done? - ✔✔Nosebleeds. Should be
reported to provider b/c client has an increased risk when taking this
medication for severe bleeding from nosebleeds, vaginal bleeding, GI
bleeding, intracranial bleeding and pulmonary bleeding, which may be
,caused from the development of thrombocytopenia and other blood
disorders.
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The
health care provider prescribes atropine sulfate. What best describes
the intended action of atropine for this client? - ✔✔To accelerate the
HR by interfering with vagal impulses
*Atropine-anticholinergics
A client with a history of duodenal ulcers is admitted to the hospital
with status asthmaticus. What meds should the nurse question? -
✔✔Prednisone-Corticosteroids such as prednisone are associated
with an increased incidence of peptic ulcers and should be questioned
since client has a history of duodenal ulcers
Naproxen-NSAIDs contribute to gastric irritation
A client with measles should be on what type of precautions? -
✔✔Airborne
A client with what electrolyte imbalance will display tetany? -
✔✔Hypocalcemia
, A few vesicant extravasations such as those that result from
administration of vincristine and etoposide are treated with what? -
✔✔Warm compresses
A nurse in the ED is caring for a client who is unconscious and requires
emergency medical procedures. The nurse is unable to locate
members of the client's family to obtain consent. What action should
the nurse take? - ✔✔Proceed with provision of medical care. Life-
saving care can proceed because the law considers it implied consent
A nurse is administering mannitol to the client with increased
intracranial pressure. What supplies are necessary when
administering this medication? - ✔✔Syringe, filter needle, IV filter
tubing. Mannitol is not available in an oral (PO) form, so this option is
incorrect
A nurse is administering nasal decongestant drops to a client. What
action should the nurse take? - ✔✔Tell the client to blow her nose
gently before the instillation. This will help remove any secretions or
crusts that could interfere with the distribution and absorption of the
med
A nurse is assessing a client who has a prescription for oral albuterol
for the long-term management of asthma. What adverse effects
should the nurse monitor for? - ✔✔Tachycardia and dysrhythmias
because of beta2-agonist properties
A child with ADHD receives a new prescription for methylphenidate.
What SE should the nurse advise the client about? - ✔✔Restlessness.
Methylphenidate (Ritalin) is a stimulant. Other SE include anorexia w/
growth delay, anxiety or jitteriness, insomnia, increased HR and BP,
and HA
A client admitted with an acute exacerbation of asthma has been
prescribed methylprednisolone sodium succinate IV. What finding
should the nurse report to the provider immediately? - ✔✔Elevated
temp. Infection is a potential adverse of glucocorticoids. The nurse
should monitor this client for signs of infection such as fever and sore
throat and report immediately if they occur.
A client diagnosed with preterm labor has been prescribed nifedipine.
The client asks the nurse why this particular medication has been
prescribed. How should the nurse respond? - ✔✔To relax your
muscles of your uterus
A client has a clogged percutaneous gastrostomy feeding tube. What
action should the nurse take first? - ✔✔Change position of the client.
Least restrictive and may remove any kinks in the tube, which can
lead to clogging. (next nurse should attempt to flush or aspirate tube
contents)
,A client has been prescribed spironolactone for treatment of heart
failure. Which statement made by the client would indicate a need for
further teaching? - ✔✔"I will limit the use of salt in my diet and use a
salt substitute instead."
Correct: Spironolactone is a potassium sparing diuretic and caution
should be taken when using this medication with anything that may
increase potassium levels. Most salt substitutes contain potassium
and should be avoided. Clients should also never take an oral
potassium substitute, and be cautioned about large dietary changes
that increase potassium. ACE inhibitors should also be used with
cautions when on a potassium sparing diuretic.
A client ingested a full bottle of imipramine hydrochloride. What toxic
effects is most important for the nurse monitor? - ✔✔Arrhythmias.
Tricyclic antidepressant (TCA) overdose causes cardiac problems such
as arrhythmias, tachycardia, and myocardial infarction
A client is on lisinopril. What is the most important thing for the nurse
to assess before administering this med to the client? - ✔✔Serum
electrolytes
A client is taking bacizumab for metastic colorectal cancer. What is an
adverse effect and what should be done? - ✔✔Nosebleeds. Should be
reported to provider b/c client has an increased risk when taking this
medication for severe bleeding from nosebleeds, vaginal bleeding, GI
bleeding, intracranial bleeding and pulmonary bleeding, which may be
,caused from the development of thrombocytopenia and other blood
disorders.
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The
health care provider prescribes atropine sulfate. What best describes
the intended action of atropine for this client? - ✔✔To accelerate the
HR by interfering with vagal impulses
*Atropine-anticholinergics
A client with a history of duodenal ulcers is admitted to the hospital
with status asthmaticus. What meds should the nurse question? -
✔✔Prednisone-Corticosteroids such as prednisone are associated
with an increased incidence of peptic ulcers and should be questioned
since client has a history of duodenal ulcers
Naproxen-NSAIDs contribute to gastric irritation
A client with measles should be on what type of precautions? -
✔✔Airborne
A client with what electrolyte imbalance will display tetany? -
✔✔Hypocalcemia
, A few vesicant extravasations such as those that result from
administration of vincristine and etoposide are treated with what? -
✔✔Warm compresses
A nurse in the ED is caring for a client who is unconscious and requires
emergency medical procedures. The nurse is unable to locate
members of the client's family to obtain consent. What action should
the nurse take? - ✔✔Proceed with provision of medical care. Life-
saving care can proceed because the law considers it implied consent
A nurse is administering mannitol to the client with increased
intracranial pressure. What supplies are necessary when
administering this medication? - ✔✔Syringe, filter needle, IV filter
tubing. Mannitol is not available in an oral (PO) form, so this option is
incorrect
A nurse is administering nasal decongestant drops to a client. What
action should the nurse take? - ✔✔Tell the client to blow her nose
gently before the instillation. This will help remove any secretions or
crusts that could interfere with the distribution and absorption of the
med
A nurse is assessing a client who has a prescription for oral albuterol
for the long-term management of asthma. What adverse effects
should the nurse monitor for? - ✔✔Tachycardia and dysrhythmias
because of beta2-agonist properties
