ATI CAPSTONE PHARMACOLOGY REVIEW UPDATED EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent
infusion over 30min every 12 hours, what should the nurse take? - ✔✔contact the
provider for prescription clarification
(administer over 60min or more to reduce risk of infusion reaction--hypotension,
flushing)
✔✔a nurse is providing teaching to a male client who has a new prescription for folic
acid, the client tells the nurse he heard that the medication is prescribed for women
during pregnancy, what statements should the nurse make? - ✔✔folic acid is important
for the building of blood cells for adults and children
(tx megaloblastic and macrocytic anemias)
✔✔a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. the client asks why she has to take both medications, which explanation
should the nurse provide? - ✔✔taking the 2 meds together keeps you from becoming
resistant to either of them
✔✔a nurse in the PACU is caring for a client who has received GA and has a
manifestations of malignant hyperthermia, the nurse should expect to administer which
of the following meds? - ✔✔dantrolene
✔✔a nurse is providing teaching to a client who has a new prescription for oxybutynin,
what statements by the client indicates an understanding of the teaching? - ✔✔i need to
avoid jogging on warm days
(suppression of sweating by the anticholinergic effects by oxybutynin can result in
hyperthermia)
✔✔a nurse is reviewing the lab findings for a client who is taking zidovudine to treat
HIV, which should the nurse report to the provider - ✔✔neutrophil count 650/mm3
(normal is 1500-8000)
✔✔a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify
what finding as an AE of this med? - ✔✔muscle tenderness
(--> myopathy, rhabdomyolysis)
✔✔a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago
, the client reports experiencing n/d, what should the nurse say - ✔✔your symptoms are
common AE of metformin and should decrease with time
(GI manifestations at onset of therapy)
✔✔a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should
recognize that misoprostol is contraindicated for which of the following clients? - ✔✔a
client who might be pregnant
(category X, can cause spontaneous abortion)
✔✔a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what
med should the nurse prepare? - ✔✔adenosine
(decreases electrical conduction through the AV node)
✔✔a nurse is assessing a pt who has open angle glaucoma and a new prescription for
timolol, the nurse should monitor for what AE - ✔✔hypoglycemia
✔✔a nurse is caring for a client who has varicella zoster, what med should the nurse
administer - ✔✔acyclovir
✔✔a nurse is caring for a client who has recurrent lower UTIs which of the following
meds should the nurse expect to administer? - ✔✔nitrofuratoin
ab for lower recurrent UTIs
✔✔a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate
cancer. what info should the nurse include? - ✔✔increase calcium intake
(can cause bone loss)
✔✔a nurse in ICU is monitoring a pt who has cardiogenic shock and is receiving a
continuous IV infusion of dopamine. what requires an immediate intervention by the
nurse? - ✔✔infiltration of the peripheral IV
✔✔a nurse is caring for a pt who has a new diagnosis of adrenal insufficiency. which of
the following prescriptions should the nurse anticipate? - ✔✔fludrocortisone
(mineralcorticoid replacement med used to treat adrenal insufficiency, monitor for
hypertension and edema)
QUESTIONS AND ANSWERS SURE A+
✔✔a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent
infusion over 30min every 12 hours, what should the nurse take? - ✔✔contact the
provider for prescription clarification
(administer over 60min or more to reduce risk of infusion reaction--hypotension,
flushing)
✔✔a nurse is providing teaching to a male client who has a new prescription for folic
acid, the client tells the nurse he heard that the medication is prescribed for women
during pregnancy, what statements should the nurse make? - ✔✔folic acid is important
for the building of blood cells for adults and children
(tx megaloblastic and macrocytic anemias)
✔✔a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. the client asks why she has to take both medications, which explanation
should the nurse provide? - ✔✔taking the 2 meds together keeps you from becoming
resistant to either of them
✔✔a nurse in the PACU is caring for a client who has received GA and has a
manifestations of malignant hyperthermia, the nurse should expect to administer which
of the following meds? - ✔✔dantrolene
✔✔a nurse is providing teaching to a client who has a new prescription for oxybutynin,
what statements by the client indicates an understanding of the teaching? - ✔✔i need to
avoid jogging on warm days
(suppression of sweating by the anticholinergic effects by oxybutynin can result in
hyperthermia)
✔✔a nurse is reviewing the lab findings for a client who is taking zidovudine to treat
HIV, which should the nurse report to the provider - ✔✔neutrophil count 650/mm3
(normal is 1500-8000)
✔✔a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify
what finding as an AE of this med? - ✔✔muscle tenderness
(--> myopathy, rhabdomyolysis)
✔✔a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago
, the client reports experiencing n/d, what should the nurse say - ✔✔your symptoms are
common AE of metformin and should decrease with time
(GI manifestations at onset of therapy)
✔✔a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should
recognize that misoprostol is contraindicated for which of the following clients? - ✔✔a
client who might be pregnant
(category X, can cause spontaneous abortion)
✔✔a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what
med should the nurse prepare? - ✔✔adenosine
(decreases electrical conduction through the AV node)
✔✔a nurse is assessing a pt who has open angle glaucoma and a new prescription for
timolol, the nurse should monitor for what AE - ✔✔hypoglycemia
✔✔a nurse is caring for a client who has varicella zoster, what med should the nurse
administer - ✔✔acyclovir
✔✔a nurse is caring for a client who has recurrent lower UTIs which of the following
meds should the nurse expect to administer? - ✔✔nitrofuratoin
ab for lower recurrent UTIs
✔✔a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate
cancer. what info should the nurse include? - ✔✔increase calcium intake
(can cause bone loss)
✔✔a nurse in ICU is monitoring a pt who has cardiogenic shock and is receiving a
continuous IV infusion of dopamine. what requires an immediate intervention by the
nurse? - ✔✔infiltration of the peripheral IV
✔✔a nurse is caring for a pt who has a new diagnosis of adrenal insufficiency. which of
the following prescriptions should the nurse anticipate? - ✔✔fludrocortisone
(mineralcorticoid replacement med used to treat adrenal insufficiency, monitor for
hypertension and edema)
