ATI Pharmacology CMS Practice Questions | Pharmacology CMS Exam Prep | Questions and Rationales
A provider prescribes phenobarbital for a client who has a A. One
seizure disorder. The medication has a long half-life of 4
days. How many times per day should the nurse expect to
administer this medication?
A. One
B. Two
C. Three
D. Four
A nurse educator is reviewing medication metabolism at an C. Liver failure
in-service presentation. Which of the following factors E. Concurrent use of medication the same pathway metabolizes
should the educator include as a reason to administer
lower medication dosages? (select all that apply)
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. peripheral vascular disease
E. concurrent use of medication the same pathway
metabolizes
A nurse is preparing to administer eye drops to a client. B. Ask the client to look up at the ceiling
Which of the following actions should the nurse take? D. Drop the medication into the clients conjunctival sac
(select all that apply) E. Instruct the client to close the eye gently after instillation
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eyes
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
A nurse is teaching a client about transdermal patches. C. "I will apply the patch to an area of skin with no hair"
Which of the following statements should the nurse identify
as an indication that the client understands?
A. "I will clean the site with an alcohol swab before i apply
the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch"
A nurse reviewing a client's medical record notes a new A. Obtain a blood specimen immediately prior to administering the next dose of
prescription for verifying the trough level of the client's medication.
medication. Which of the following actions should the
nurse take?
A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
B. Verify that the client has been taking the medication for
24 hr before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next
dose of medication.
D. Administer the medication,and obtain a blood specimen
30 min late
A nurse is preparing a client's medications. Which of the A. Teach the client about the med
following actions should the nurse take in following legal C. Monitor for adverse effects
practice guidelines? (Select all that apply) D. Lock compartments for controlled substances
A. Teach the client about the med
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the clients insurance status
The nurse is preparing to administer digoxin to a client who D. Tell me your concerns about taking this medication
states, "I don't want to take that medication. I do not want
one more pill." Which of the following responses should
the nurse make?
A. Your physician prescribes it for you, so you really should
take it
B. Well, lets just get it over quickly then
C. Okay, ill just give you your other medications
D. Tell me your concerns about taking this medication
, ATI Pharmacology CMS Practice Questions | Pharmacology CMS Exam Prep | Questions and Rationales
The nurse is reviewing a client's prescribed medications. C. A medication is approved for ages 12 and older, and the client is 8 years old
Which of the following situations represents a
contraindication to med administrations?
A. The client drank grapefruit juice, which could reduce a
medications effectiveness
B. The medication has orthostatic hypotension as an
adverse effect
C. A medication is approved for ages 12 and older, and the
client is 8 years old
D. An antianxiety medication has an adverse effect of
drowsiness is prescribed as a preoperative sedative
The nurse is assessing a client before administering A. Use of herbal products
medications. Which of the following data should the nurse C. Ability to swallow
obtain? (select all the apply) E. Allergies
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies
A nurse is working with a newly hired nurse who is B. Checking with the provider when a single dose requires administration of multiple
administering medications to clients. Which of the following tablets
actions by the newly hired nurse indicates an
understanding of medication error prevention.
A. Taking all medications out of the unit- dose wrappers
before entering the clients room
B. Checking with the provider when a single dose requires
administration of multiple tablets
C. Administering a medication, then looking up the usual
dosage range.
D. Relying on another nurse to clarify a medication
prescription.
A nurse is caring for a client experiencing IV extravasation. B. Withdraw the solution from the IV access
The facility requires the administration of an antidote for
the prescribed IV solution. After stopping the IV infusion,
which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity
A nurse is preparing to initiate IV therapy for an older adult C. Distend the veins by using a blood pressure cuff
client. Which of the following actions should the nurse plan
to take?A. Use a disposable razor to remove excess hair
on the extremity
B. Select the back of the client's hand to insert the IV
catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart
A nurse assessing the IV catheter insertion site for a client A. Stop the infusion
receiving a non vesicant solution and notes swelling at the C. Apply warm compresses to the insertion site
site with decreased skin temperature. Which of the D. Elevate the client's arm
following actions should the nurse take? (select all that
apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
E. Obtain a specimen for culture at the insertion site
, ATI Pharmacology CMS Practice Questions | Pharmacology CMS Exam Prep | Questions and Rationales
A nurse in a clinic is caring for a group of clients. The B. A client who takes prednisone and has a possible fungal infection.
nurse should contact the provider about a potential C. A client who has chronic liver disease and reports he is taking hydrocodone.
contraindication to a medication for which of the following E. A client who has a prosthetic heart valve who takes warfarin and reports a
clients? SELECT ALL THAT APPLY. suspected pregnancy.
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 reports he is
taking hydrocodone.
D. A client who has peptic ulcer disease and takes
sucralfate and tells the nurse she has started taking over-
the-counter aluminum hydroxide.
E. A client who has a prosthetic heart valve who takes
warfarin and reports a suspected pregnancy.
A nurse is preparing to administer an IM dose of penicillin B. Withhold the medication
to a client who has a new prescription. The client states
she took penicillin 3 years ago and developed a rash.
Which of the following is an appropriate nursing action?
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.
A nurse is providing discharge instructions for a client who D. "Change positions slowly when you move from sitting to standing."
has a new prescription for an antihypertensive medication.
Which of the following is an appropriate statement by the
nurse?
A. "Be sure to limit your potassium intake while taking the
medication.
"B. "You should check your blood pressure every 8 hr
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."
A nurse is reviewing a client's health record and notes that C. central nervous system.
the client experiences permanent extrapyramidal effects
caused by a previous medication. The nurse recognizes
that the medication affected the client's:
A. cardiovascular system.
B. immune system.
C. central nervous system.
D. gastrointestinal system.
A nurse is caring for a client who is taking oral oxycodone. C. An increase in the expected therapeutic effect of both medications.
The client states he is also taking ibuprofen in three
recommended doses daily. The interaction between these
two medications will cause which of the following?
A. A decrease in serum levels of ibuprofen, possibly
leading to a need for increased doses of the 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.
A nurse is preparing to administer meds to a 4-month-old B) Infants have immature liver function
infant. Which of the following pharmacokinetic principles C) Infants' blood-brain barrier is poorly developed
should the nurse consider when administering? (select all D) Infants have an increased ability to absorb topical medications
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
A provider prescribes phenobarbital for a client who has a A. One
seizure disorder. The medication has a long half-life of 4
days. How many times per day should the nurse expect to
administer this medication?
A. One
B. Two
C. Three
D. Four
A nurse educator is reviewing medication metabolism at an C. Liver failure
in-service presentation. Which of the following factors E. Concurrent use of medication the same pathway metabolizes
should the educator include as a reason to administer
lower medication dosages? (select all that apply)
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. peripheral vascular disease
E. concurrent use of medication the same pathway
metabolizes
A nurse is preparing to administer eye drops to a client. B. Ask the client to look up at the ceiling
Which of the following actions should the nurse take? D. Drop the medication into the clients conjunctival sac
(select all that apply) E. Instruct the client to close the eye gently after instillation
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eyes
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
A nurse is teaching a client about transdermal patches. C. "I will apply the patch to an area of skin with no hair"
Which of the following statements should the nurse identify
as an indication that the client understands?
A. "I will clean the site with an alcohol swab before i apply
the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch"
A nurse reviewing a client's medical record notes a new A. Obtain a blood specimen immediately prior to administering the next dose of
prescription for verifying the trough level of the client's medication.
medication. Which of the following actions should the
nurse take?
A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
B. Verify that the client has been taking the medication for
24 hr before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next
dose of medication.
D. Administer the medication,and obtain a blood specimen
30 min late
A nurse is preparing a client's medications. Which of the A. Teach the client about the med
following actions should the nurse take in following legal C. Monitor for adverse effects
practice guidelines? (Select all that apply) D. Lock compartments for controlled substances
A. Teach the client about the med
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the clients insurance status
The nurse is preparing to administer digoxin to a client who D. Tell me your concerns about taking this medication
states, "I don't want to take that medication. I do not want
one more pill." Which of the following responses should
the nurse make?
A. Your physician prescribes it for you, so you really should
take it
B. Well, lets just get it over quickly then
C. Okay, ill just give you your other medications
D. Tell me your concerns about taking this medication
, ATI Pharmacology CMS Practice Questions | Pharmacology CMS Exam Prep | Questions and Rationales
The nurse is reviewing a client's prescribed medications. C. A medication is approved for ages 12 and older, and the client is 8 years old
Which of the following situations represents a
contraindication to med administrations?
A. The client drank grapefruit juice, which could reduce a
medications effectiveness
B. The medication has orthostatic hypotension as an
adverse effect
C. A medication is approved for ages 12 and older, and the
client is 8 years old
D. An antianxiety medication has an adverse effect of
drowsiness is prescribed as a preoperative sedative
The nurse is assessing a client before administering A. Use of herbal products
medications. Which of the following data should the nurse C. Ability to swallow
obtain? (select all the apply) E. Allergies
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies
A nurse is working with a newly hired nurse who is B. Checking with the provider when a single dose requires administration of multiple
administering medications to clients. Which of the following tablets
actions by the newly hired nurse indicates an
understanding of medication error prevention.
A. Taking all medications out of the unit- dose wrappers
before entering the clients room
B. Checking with the provider when a single dose requires
administration of multiple tablets
C. Administering a medication, then looking up the usual
dosage range.
D. Relying on another nurse to clarify a medication
prescription.
A nurse is caring for a client experiencing IV extravasation. B. Withdraw the solution from the IV access
The facility requires the administration of an antidote for
the prescribed IV solution. After stopping the IV infusion,
which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity
A nurse is preparing to initiate IV therapy for an older adult C. Distend the veins by using a blood pressure cuff
client. Which of the following actions should the nurse plan
to take?A. Use a disposable razor to remove excess hair
on the extremity
B. Select the back of the client's hand to insert the IV
catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart
A nurse assessing the IV catheter insertion site for a client A. Stop the infusion
receiving a non vesicant solution and notes swelling at the C. Apply warm compresses to the insertion site
site with decreased skin temperature. Which of the D. Elevate the client's arm
following actions should the nurse take? (select all that
apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
E. Obtain a specimen for culture at the insertion site
, ATI Pharmacology CMS Practice Questions | Pharmacology CMS Exam Prep | Questions and Rationales
A nurse in a clinic is caring for a group of clients. The B. A client who takes prednisone and has a possible fungal infection.
nurse should contact the provider about a potential C. A client who has chronic liver disease and reports he is taking hydrocodone.
contraindication to a medication for which of the following E. A client who has a prosthetic heart valve who takes warfarin and reports a
clients? SELECT ALL THAT APPLY. suspected pregnancy.
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 reports he is
taking hydrocodone.
D. A client who has peptic ulcer disease and takes
sucralfate and tells the nurse she has started taking over-
the-counter aluminum hydroxide.
E. A client who has a prosthetic heart valve who takes
warfarin and reports a suspected pregnancy.
A nurse is preparing to administer an IM dose of penicillin B. Withhold the medication
to a client who has a new prescription. The client states
she took penicillin 3 years ago and developed a rash.
Which of the following is an appropriate nursing action?
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.
A nurse is providing discharge instructions for a client who D. "Change positions slowly when you move from sitting to standing."
has a new prescription for an antihypertensive medication.
Which of the following is an appropriate statement by the
nurse?
A. "Be sure to limit your potassium intake while taking the
medication.
"B. "You should check your blood pressure every 8 hr
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."
A nurse is reviewing a client's health record and notes that C. central nervous system.
the client experiences permanent extrapyramidal effects
caused by a previous medication. The nurse recognizes
that the medication affected the client's:
A. cardiovascular system.
B. immune system.
C. central nervous system.
D. gastrointestinal system.
A nurse is caring for a client who is taking oral oxycodone. C. An increase in the expected therapeutic effect of both medications.
The client states he is also taking ibuprofen in three
recommended doses daily. The interaction between these
two medications will cause which of the following?
A. A decrease in serum levels of ibuprofen, possibly
leading to a need for increased doses of the 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.
A nurse is preparing to administer meds to a 4-month-old B) Infants have immature liver function
infant. Which of the following pharmacokinetic principles C) Infants' blood-brain barrier is poorly developed
should the nurse consider when administering? (select all D) Infants have an increased ability to absorb topical medications
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
