ATI PHARMACOLOGY TEST 1 WITH
Which of the following findings is an adverse effect of this medication?
A. Ecchymosis
B. Ototoxicy
C. Hyertension
D. Anxiety
C - Answer - A nurse is caring for a client who is to receive 1,500 ml of 0.9% sodium chlorideiv over
8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/ml.How many gtt/min of IV
fluid should the client receive? (Round your answer tothe nearest whole number).
A. 20gtt/min
B. 70gtt/min
C. 31gtt/min
D. 40gtt/min
A - Answer - A nurse is admitting a client to a long-term care facility. While reconciling the
medication prescribed at home with those prescribed in the facility, the nurse discovers a
discrepancy in the dosages. Which action should the nurse take?
A. Clarify the medication dosages with the provider.
B. Change the prescribed medication dosages to reconcile the discrepancy
C. Contact the pharmacist regarding the dosage discrepancies
D. Ask a family member to verify the medication dosages
,C - Answer - A nurse is caring for a client who is receiving a fentanyl transdermal
system(Duragesic). What is important to document in the client's record?
A. Fluid intake
B. Skin integrity
C. Respiratory rate
D. Pulse rate
D - Answer - A nurse is caring for a client who has acute angina and has a prescription for
nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when
administering this medication?
A. Massage the nitroglycerin ointment completely into the skin.
B. Replace the nitroglycerin transdermal patch every 4 hours.
C. Administer a sustained nitroglycerin tablet orally.
D. Administer a nitroglycerin tablet sublingually every 5minutes.
B D E - Answer - A nurse is preparing to administer infliximab (Remicade) to a client who has
rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects?
(Select all that apply.)
A. Bradycardia
B. Jaundice
C. Polyuria
D. Urtipenia
E. Fever
A B E - Answer - A nurse is providing teaching to a client who was recently diagnosed as HIV
positive. The client is beginning medication therapy with zidovudine (Retrovir). Which of the
following statements should the nurse include in the teaching. (Select all that apply.)
A. Must be taken with other retroviral medicines.
B. Has few adverse effects
C. Cures an HIV infection
, D. Prevents you from transmitting the HIV infection
E. Increases CD4+ cell count
A - Answer - A nurse is assessing a school age client who is experiencing seizure activity and is
prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving
a continuous infusion of which of the following IV:
A. Lactated Ringers solution
B. 0.9% Sodium chloride with 100 units of regular insulin C. 0.9% sodium chloride
D. 0.9% Sodium chloride with 20 meq of potassium chloride
B - Answer - A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart
failure. Which of the following indicates an expected finding?
A. Activity tolerance
B. Orthostatic hypotension
C. Loss of strength
D. Increase in blood pressure
D - Answer - A child with cerebral palsy is prescribed Baclofen (Lioresal). Which of the following
therapeutic effects should the nurse monitor?
A. Increased urine output
B. Increased energy
C. Decreased anxiety
D. Decreased spacity
D - Answer - Clinical findings of a client who has a prescription for lithium carbonate (Lithobid) .For
which reasons should the nurse withhold the medication and notify the provider?
A. Lithium level 1.0meq/L
B. Potassium at 3.7meq/L
C. Sodium at 143meq/L
D. Lithium level 2.5meq/L
B - Answer - The nurse is caring for a client who has tuberculosis and is being treated with
combination medication therapy. To test the effectiveness of the treatment, the nurse should
periodically monitor which of the following laboratory results.
Which of the following findings is an adverse effect of this medication?
A. Ecchymosis
B. Ototoxicy
C. Hyertension
D. Anxiety
C - Answer - A nurse is caring for a client who is to receive 1,500 ml of 0.9% sodium chlorideiv over
8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/ml.How many gtt/min of IV
fluid should the client receive? (Round your answer tothe nearest whole number).
A. 20gtt/min
B. 70gtt/min
C. 31gtt/min
D. 40gtt/min
A - Answer - A nurse is admitting a client to a long-term care facility. While reconciling the
medication prescribed at home with those prescribed in the facility, the nurse discovers a
discrepancy in the dosages. Which action should the nurse take?
A. Clarify the medication dosages with the provider.
B. Change the prescribed medication dosages to reconcile the discrepancy
C. Contact the pharmacist regarding the dosage discrepancies
D. Ask a family member to verify the medication dosages
,C - Answer - A nurse is caring for a client who is receiving a fentanyl transdermal
system(Duragesic). What is important to document in the client's record?
A. Fluid intake
B. Skin integrity
C. Respiratory rate
D. Pulse rate
D - Answer - A nurse is caring for a client who has acute angina and has a prescription for
nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when
administering this medication?
A. Massage the nitroglycerin ointment completely into the skin.
B. Replace the nitroglycerin transdermal patch every 4 hours.
C. Administer a sustained nitroglycerin tablet orally.
D. Administer a nitroglycerin tablet sublingually every 5minutes.
B D E - Answer - A nurse is preparing to administer infliximab (Remicade) to a client who has
rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects?
(Select all that apply.)
A. Bradycardia
B. Jaundice
C. Polyuria
D. Urtipenia
E. Fever
A B E - Answer - A nurse is providing teaching to a client who was recently diagnosed as HIV
positive. The client is beginning medication therapy with zidovudine (Retrovir). Which of the
following statements should the nurse include in the teaching. (Select all that apply.)
A. Must be taken with other retroviral medicines.
B. Has few adverse effects
C. Cures an HIV infection
, D. Prevents you from transmitting the HIV infection
E. Increases CD4+ cell count
A - Answer - A nurse is assessing a school age client who is experiencing seizure activity and is
prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving
a continuous infusion of which of the following IV:
A. Lactated Ringers solution
B. 0.9% Sodium chloride with 100 units of regular insulin C. 0.9% sodium chloride
D. 0.9% Sodium chloride with 20 meq of potassium chloride
B - Answer - A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart
failure. Which of the following indicates an expected finding?
A. Activity tolerance
B. Orthostatic hypotension
C. Loss of strength
D. Increase in blood pressure
D - Answer - A child with cerebral palsy is prescribed Baclofen (Lioresal). Which of the following
therapeutic effects should the nurse monitor?
A. Increased urine output
B. Increased energy
C. Decreased anxiety
D. Decreased spacity
D - Answer - Clinical findings of a client who has a prescription for lithium carbonate (Lithobid) .For
which reasons should the nurse withhold the medication and notify the provider?
A. Lithium level 1.0meq/L
B. Potassium at 3.7meq/L
C. Sodium at 143meq/L
D. Lithium level 2.5meq/L
B - Answer - The nurse is caring for a client who has tuberculosis and is being treated with
combination medication therapy. To test the effectiveness of the treatment, the nurse should
periodically monitor which of the following laboratory results.
