Pharm ATI Test Questions and Answers Graded A
A nurse on an oncology unit is preparing to medication. Risks include fetal distress (fetal
administer doxorubicin to a client who has breast bradycardia) caused by hyper-stimulation of the
cancer. Prior to beginning the infusion, the nurse uterus compromising blood flow to the fetus.
verifies the client's current cumulative lifetime Uterine contractions lasting longer than 90
dose of the medication. For which of the seconds should prompt the nurse to discontinue
following reasons is this verification necessary? - the medication.
ANSWER -c. An excess amount of
doxorubicin can lead to cardiomyopathy
Doxorubicin is an antineoplastic antibiotic used in A client's IV bag of total parenteral nutrition (TPN)
the treatment of various cancers. Irreversible is empty, and the new bag has not arrived from
cardiomyopathy with congestive heart failure can the pharmacy. Which of the following is the most
result from repeated doses of doxorubicin, and appropriate intervention for the nurse to make? -
prolonged use can also cause severe heart ANSWER -Hang a bag of dextrose 10% in
damage, even years after the client has stopped water (D10W) until the new bag of TPN is
taking it. The maximum cumulative dose a client delivered.
should receive is 550 mg/m2 or 450 mg/m2with a If TPN runs out or is not available to hang, then
history of radiation to the mediastinum. the protocol requires that D10W is infused. D10W
is a hypertonic solution that will maintain glucose
level and prevent rebound hypoglycemia.
A nurse is caring for a client who has
thrombophlebitis and is receiving heparin by
continuous IV infusion. The client asks the nurse A nurse is caring for a client who is receiving
how long it will take for the heparin to dissolve heparin by continuous IV infusion. Which of the
the clot. Which of the following responses should following medications should the nurse plan to
the nurse give? - ANSWER -Heparin does administer in the event of an overdose? -
not dissolve clots. It stop new clots from forming. ANSWER -Protamine
Protamine reverses the effects of heparin and is
used in the event of an overdose.
A nurse is providing education to a client who is
in labor and has a prescription for a continuous
IV infusion of oxytocin. Which of the information A nurse gives a client morphine sulfate 2 mg IV
should the nurse include? - ANSWER - push after the client reports pain. The nurse
Your contractions will become stronger and more evaluates the client 15 min after the injection.
frequent." Which of the following findings represent an
Oxytocin is diluted with sodium chloride and adverse effect? - ANSWER -espiratory rate
administered IV via an infusion pump device to of 8 breaths per minute.(
induce or strengthen uterine contractions during
labor. The client who is receiving an oxytocin drip The nurse's evaluation of the client's displaying
is closely monitored to promote a safe delivery respiratory depression of 8 per minutes
and prevent maternal and/or fetal complications. represents an adverse effect of the morphine.
The desired concentration of oxytocin medication
is determined by the desired labor contraction
pattern that should increase in frequency, A nurse is preparing to administer
duration, and intensity. The nurse closely hydromorphone 2.5 mg. The amount available is
monitors risks of continuous IV infusion of 5 mg/5 mL elixir. How many mL should the nurse
oxytocin to determine when to discontinue the administer? (Round the answer to the nearest
,Pharm ATI Test Questions and Answers Graded A
tenth. Use a leading zero if it applies. Do not use response is achieved.After initiation of an IV
a trailing zero.) - ANSWER -2.5 access and isotonic IV fluids at a keep vein open
rate, IV antihistamines and corticosteroids should
be administered. Antihistamines are generally
A postoperative client is receiving administered first as onset of action takes a bit
hydromorphone HCL (Dilaudid) via a PCA pump longer. By administering the antihistamines first,
and reports continuous pain. Which of the then followed by IV corticosteroids (which have
following should be the nurse's initial action? - an onset of action of generally less than 10 min),
ANSWER -Check the display on the PCA the antihistamines have begun to work while
pump. immediate relief is being offered by the
The nurse needs to assess the display to corticosteroids. If no response is seen at this
determine how much medication has been time, fresh frozen plasma (FFP) may be
administered. Some clients are fearful of administered to help reverse the angioedema.
developing an addiction to narcotics and may be FFP has been shown to substantially improve
reluctant to use the PCA. outcomes associate with angioedema.After
stabilization, the causative agent should be
permanently discontinued, and the client
A nurse is preparing to administer insulin lispro transferred to a monitored bed as applicable.
(Humalog) to a client who has type 1 diabetes Most clients who have experienced angioedema
mellitus. Which of the following nursing actions is will remain hospitalized for 12 to 24 hr post event,
and the nurse should transfer the client upon
appropriate? - ANSWER -Inject the insulin
stabilization to the critical care unit.
15 min before a meal.
MY ANSWER
The appropriate nursing action is to administer
A nurse is preparing to administer total parental
the insulin 15 min before a meal because insulin
nutrition (TPN) 1800 mL to infuse over 24 hr. The
lispro is a rapid-acting insulin and the client may
nurse should set the IV pump to deliver how
develop hypoglycemia quickly if they don't eat.
many mL/hr? (Round the answer to the nearest
whole number. Use a leading zero if it applies.
A client who has been taking losartan (Cozaar) Do not use a trailing zero.) - ANSWER -75
has a hoarse voice, swollen lips and tongue.
(Move the nursing actions into the box on the
right, placing them in the selected order of A nurse in a substance abuse clinic is assessing
performance. All steps must be used.) - a client who recently started taking disulfiram.
The client reports having discontinued the
ANSWER -Maintaining an adequate airway
medication after experiencing severe nausea and
and oxygen status is critical in any ACE or ARB
vomiting. Which of the following reasons should
treated patient experiencing angioedema.
the nurse suspect to be a likely cause of the
Continuous pulse oximetry should be applied to
the client, and oxygen administered as indicated client's distress? - ANSWER -The client
by pulse oximetry status. Intubation or consumed alcohol while taking the medication.
tracheotomy should be considered if adequate MY ANSWER
oxygenation cannot be maintained.After Disulfiram is given to clients who have a history
oxygenation status and airway have been of alcohol abuse. It produces a sensitivity to
evaluated, the nurse should administer SQ alcohol that results in a highly unpleasant
epinephrine at 1:1000 (usually 0.3 to 0.5 ml). reaction when the client ingests even small
This dose may be repeated one time if no amounts of alcohol. When combined with alcohol,
, Pharm ATI Test Questions and Answers Graded A
disulfiram produces nausea and vomiting. Cushing's Triad following a subdural hematoma.
Which of the following medications should the
nurse plan to administer? - ANSWER -
A nurse is preparing to administer digoxin to a Mannitol 25%
client who has heart failure. Which of the Cushing's Triad is an indication that the client is
following actions is appropriate? - experiencing increased intracranial pressure. The
ANSWER -Evaluating the client for nausea, nurse should administer mannitol 25%, an
vomiting, and anorexia osmotic diuretic that promotes diuresis to treat
Loss of appetite, nausea, vomiting, and blurred cerebral edema.
or yellow vision may be signs of digoxin toxicity.
Mannitol 25%
After receiving TPN at 84 ml/hr continuously for Cushing's Triad is an indication that the client is
five days, a client in a state of confusion pulled experiencing increased intracranial pressure. The
out their central line. Prior to notifying the nurse should administer mannitol 25%, an
provider, the nurse should start a peripheral IV osmotic diuretic that promotes diuresis to treat
and do which of the following? - ANSWER - cerebral edema. - ANSWER -"You should
Hang an infusion 10% dextrose. report any tendon discomfort you experience
The sudden withdrawal from the TPN (hypertonic while taking this medication."
solution) can cause the client to be experiencing The nurse should instruct the client to report any
hypoglycemia. Administering an infusion of 10% tendon discomfort as well as swelling or
dextrose will adjust the client's blood glucose inflammation of the tendons due to the risk of
levels. tendon rupture.
A nurse is caring for a client who is exhibiting A client is scheduled to receive digoxin (Lanoxin).
signs of alcohol withdrawal. Which of the Which of the following laboratory data is most
following medications should the nurse plan to important for the nurse to review? -
administer? - ANSWER -Diazepam ANSWER -Potassium
MY ANSWER MY ANSWER
Diazepam is prescribed to treat the symptoms Digoxin is a cardiac glycoside medication used to
and prevent complications of alcohol withdrawal. improve myocardial contractility, increasing
stroke volume and cardiac output in a client who
has heart failure. During therapy, the nurse
A nurse is teaching a client who has angina should closely monitor the narrow therapeutic
pectoris about starting therapy with SL index of digoxin (0.8 to 2.0 ng/mL) and potassium
nitroglycerin tablets. The nurse should include (3.5 to 5.0 mEq/L). Hypokalemia increases the
which of the following instructions regarding how risk of digitalis toxicity and cardiac arrhythmias.
to take the medication? - ANSWER -"Take High potassium foods include oranges, bananas,
one tablet at the first indication of chest pain." raisins, prunes, spinach, potatoes, tomatoes, and
The client should take nitroglycerin as soon as black licorice.
he feels pain, pressure, or tightness in his chest
and not wait until his chest pain is severe.
A nurse is to preparing to administer cefazolin 1 g
by intermittent IV bolus over 30 min. Available is
A nurse is caring for a client who is experiencing cefazolin 1 g in 100 mL dextrose 5% in water
A nurse on an oncology unit is preparing to medication. Risks include fetal distress (fetal
administer doxorubicin to a client who has breast bradycardia) caused by hyper-stimulation of the
cancer. Prior to beginning the infusion, the nurse uterus compromising blood flow to the fetus.
verifies the client's current cumulative lifetime Uterine contractions lasting longer than 90
dose of the medication. For which of the seconds should prompt the nurse to discontinue
following reasons is this verification necessary? - the medication.
ANSWER -c. An excess amount of
doxorubicin can lead to cardiomyopathy
Doxorubicin is an antineoplastic antibiotic used in A client's IV bag of total parenteral nutrition (TPN)
the treatment of various cancers. Irreversible is empty, and the new bag has not arrived from
cardiomyopathy with congestive heart failure can the pharmacy. Which of the following is the most
result from repeated doses of doxorubicin, and appropriate intervention for the nurse to make? -
prolonged use can also cause severe heart ANSWER -Hang a bag of dextrose 10% in
damage, even years after the client has stopped water (D10W) until the new bag of TPN is
taking it. The maximum cumulative dose a client delivered.
should receive is 550 mg/m2 or 450 mg/m2with a If TPN runs out or is not available to hang, then
history of radiation to the mediastinum. the protocol requires that D10W is infused. D10W
is a hypertonic solution that will maintain glucose
level and prevent rebound hypoglycemia.
A nurse is caring for a client who has
thrombophlebitis and is receiving heparin by
continuous IV infusion. The client asks the nurse A nurse is caring for a client who is receiving
how long it will take for the heparin to dissolve heparin by continuous IV infusion. Which of the
the clot. Which of the following responses should following medications should the nurse plan to
the nurse give? - ANSWER -Heparin does administer in the event of an overdose? -
not dissolve clots. It stop new clots from forming. ANSWER -Protamine
Protamine reverses the effects of heparin and is
used in the event of an overdose.
A nurse is providing education to a client who is
in labor and has a prescription for a continuous
IV infusion of oxytocin. Which of the information A nurse gives a client morphine sulfate 2 mg IV
should the nurse include? - ANSWER - push after the client reports pain. The nurse
Your contractions will become stronger and more evaluates the client 15 min after the injection.
frequent." Which of the following findings represent an
Oxytocin is diluted with sodium chloride and adverse effect? - ANSWER -espiratory rate
administered IV via an infusion pump device to of 8 breaths per minute.(
induce or strengthen uterine contractions during
labor. The client who is receiving an oxytocin drip The nurse's evaluation of the client's displaying
is closely monitored to promote a safe delivery respiratory depression of 8 per minutes
and prevent maternal and/or fetal complications. represents an adverse effect of the morphine.
The desired concentration of oxytocin medication
is determined by the desired labor contraction
pattern that should increase in frequency, A nurse is preparing to administer
duration, and intensity. The nurse closely hydromorphone 2.5 mg. The amount available is
monitors risks of continuous IV infusion of 5 mg/5 mL elixir. How many mL should the nurse
oxytocin to determine when to discontinue the administer? (Round the answer to the nearest
,Pharm ATI Test Questions and Answers Graded A
tenth. Use a leading zero if it applies. Do not use response is achieved.After initiation of an IV
a trailing zero.) - ANSWER -2.5 access and isotonic IV fluids at a keep vein open
rate, IV antihistamines and corticosteroids should
be administered. Antihistamines are generally
A postoperative client is receiving administered first as onset of action takes a bit
hydromorphone HCL (Dilaudid) via a PCA pump longer. By administering the antihistamines first,
and reports continuous pain. Which of the then followed by IV corticosteroids (which have
following should be the nurse's initial action? - an onset of action of generally less than 10 min),
ANSWER -Check the display on the PCA the antihistamines have begun to work while
pump. immediate relief is being offered by the
The nurse needs to assess the display to corticosteroids. If no response is seen at this
determine how much medication has been time, fresh frozen plasma (FFP) may be
administered. Some clients are fearful of administered to help reverse the angioedema.
developing an addiction to narcotics and may be FFP has been shown to substantially improve
reluctant to use the PCA. outcomes associate with angioedema.After
stabilization, the causative agent should be
permanently discontinued, and the client
A nurse is preparing to administer insulin lispro transferred to a monitored bed as applicable.
(Humalog) to a client who has type 1 diabetes Most clients who have experienced angioedema
mellitus. Which of the following nursing actions is will remain hospitalized for 12 to 24 hr post event,
and the nurse should transfer the client upon
appropriate? - ANSWER -Inject the insulin
stabilization to the critical care unit.
15 min before a meal.
MY ANSWER
The appropriate nursing action is to administer
A nurse is preparing to administer total parental
the insulin 15 min before a meal because insulin
nutrition (TPN) 1800 mL to infuse over 24 hr. The
lispro is a rapid-acting insulin and the client may
nurse should set the IV pump to deliver how
develop hypoglycemia quickly if they don't eat.
many mL/hr? (Round the answer to the nearest
whole number. Use a leading zero if it applies.
A client who has been taking losartan (Cozaar) Do not use a trailing zero.) - ANSWER -75
has a hoarse voice, swollen lips and tongue.
(Move the nursing actions into the box on the
right, placing them in the selected order of A nurse in a substance abuse clinic is assessing
performance. All steps must be used.) - a client who recently started taking disulfiram.
The client reports having discontinued the
ANSWER -Maintaining an adequate airway
medication after experiencing severe nausea and
and oxygen status is critical in any ACE or ARB
vomiting. Which of the following reasons should
treated patient experiencing angioedema.
the nurse suspect to be a likely cause of the
Continuous pulse oximetry should be applied to
the client, and oxygen administered as indicated client's distress? - ANSWER -The client
by pulse oximetry status. Intubation or consumed alcohol while taking the medication.
tracheotomy should be considered if adequate MY ANSWER
oxygenation cannot be maintained.After Disulfiram is given to clients who have a history
oxygenation status and airway have been of alcohol abuse. It produces a sensitivity to
evaluated, the nurse should administer SQ alcohol that results in a highly unpleasant
epinephrine at 1:1000 (usually 0.3 to 0.5 ml). reaction when the client ingests even small
This dose may be repeated one time if no amounts of alcohol. When combined with alcohol,
, Pharm ATI Test Questions and Answers Graded A
disulfiram produces nausea and vomiting. Cushing's Triad following a subdural hematoma.
Which of the following medications should the
nurse plan to administer? - ANSWER -
A nurse is preparing to administer digoxin to a Mannitol 25%
client who has heart failure. Which of the Cushing's Triad is an indication that the client is
following actions is appropriate? - experiencing increased intracranial pressure. The
ANSWER -Evaluating the client for nausea, nurse should administer mannitol 25%, an
vomiting, and anorexia osmotic diuretic that promotes diuresis to treat
Loss of appetite, nausea, vomiting, and blurred cerebral edema.
or yellow vision may be signs of digoxin toxicity.
Mannitol 25%
After receiving TPN at 84 ml/hr continuously for Cushing's Triad is an indication that the client is
five days, a client in a state of confusion pulled experiencing increased intracranial pressure. The
out their central line. Prior to notifying the nurse should administer mannitol 25%, an
provider, the nurse should start a peripheral IV osmotic diuretic that promotes diuresis to treat
and do which of the following? - ANSWER - cerebral edema. - ANSWER -"You should
Hang an infusion 10% dextrose. report any tendon discomfort you experience
The sudden withdrawal from the TPN (hypertonic while taking this medication."
solution) can cause the client to be experiencing The nurse should instruct the client to report any
hypoglycemia. Administering an infusion of 10% tendon discomfort as well as swelling or
dextrose will adjust the client's blood glucose inflammation of the tendons due to the risk of
levels. tendon rupture.
A nurse is caring for a client who is exhibiting A client is scheduled to receive digoxin (Lanoxin).
signs of alcohol withdrawal. Which of the Which of the following laboratory data is most
following medications should the nurse plan to important for the nurse to review? -
administer? - ANSWER -Diazepam ANSWER -Potassium
MY ANSWER MY ANSWER
Diazepam is prescribed to treat the symptoms Digoxin is a cardiac glycoside medication used to
and prevent complications of alcohol withdrawal. improve myocardial contractility, increasing
stroke volume and cardiac output in a client who
has heart failure. During therapy, the nurse
A nurse is teaching a client who has angina should closely monitor the narrow therapeutic
pectoris about starting therapy with SL index of digoxin (0.8 to 2.0 ng/mL) and potassium
nitroglycerin tablets. The nurse should include (3.5 to 5.0 mEq/L). Hypokalemia increases the
which of the following instructions regarding how risk of digitalis toxicity and cardiac arrhythmias.
to take the medication? - ANSWER -"Take High potassium foods include oranges, bananas,
one tablet at the first indication of chest pain." raisins, prunes, spinach, potatoes, tomatoes, and
The client should take nitroglycerin as soon as black licorice.
he feels pain, pressure, or tightness in his chest
and not wait until his chest pain is severe.
A nurse is to preparing to administer cefazolin 1 g
by intermittent IV bolus over 30 min. Available is
A nurse is caring for a client who is experiencing cefazolin 1 g in 100 mL dextrose 5% in water
