SEC 4 ; ATI Pharmacology
ProctoredFinal Exam With Correct
Aswers
1.A provider prescribes phenobarbital for a client who has a 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 ANSWER. One
.(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of time. The nurse should expect to administer this medication once a
day.)
2.A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation. Which
of the following factors should the educator include as a reason to administer lower
medication dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - ANSWER C. Liver
failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for
metabolism, thereby increasing the concentration of one or both medications. This
requires decreasing the dosage of one or both
3.A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
,E. Instruct the client to close her eye gently after instillation - ANSWER B. Ask the
client to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
4.A nurse is completing discharge teaching for a client who has a new prescription
for transdermal patches. Which of the following statements should the nurse identify
as an indication that the client understands the instructions?
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. - ANSWER C. "I will apply
the patch to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote absorption of
the medication.)
5.A nurse reviewing a client's medical record notes a new prescription for verifying
the trough level of the client's 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 - ANSWER
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen
immediately before administering the next dose of medication.)
6.A nurse is preparing a client's medications. Which of the following actions should
the nurse take in following legal practice guidelines? (Select all that apply.)
A. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis - ANSWER A. Maintain skill competency.
C. Monitor for adverse effects.
D. Safeguard medications.
, (A.maintaining skill competency and using appropriate administration techniques are
legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse effects of
medication
D. Safeguarding of medications, such as controlled substances, is a legal
responsibility of the nurse)
7.A nurse reviewing a client's health record notes a new prescription for Lisinopril 10
mg PO once every day. The nurse should identify this as which of the following types
of prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWEAR C. Routine
(A routine or standard prescription identifies medications to give on a regular
schedule with or without a termination date or a specific number of doses. The nurse
will administer
this medication every day until the provider discontinues it.)
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify
which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - ANSWER D. Frequency
(This prescription does not include the time or frequency of medication
administration. The nurse must clarify this with the prescribing provide)
A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the
preassessment? (Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - ANSWER A. Use of herbal teas
C. Current health status
E. Food allergies
(A. The nurse should inquire about the client's use of herbal products, which often
contain caffeine, prior to medication administration because caffeine can affect
medication biotransformation
ProctoredFinal Exam With Correct
Aswers
1.A provider prescribes phenobarbital for a client who has a 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 ANSWER. One
.(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of time. The nurse should expect to administer this medication once a
day.)
2.A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation. Which
of the following factors should the educator include as a reason to administer lower
medication dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - ANSWER C. Liver
failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for
metabolism, thereby increasing the concentration of one or both medications. This
requires decreasing the dosage of one or both
3.A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
,E. Instruct the client to close her eye gently after instillation - ANSWER B. Ask the
client to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
4.A nurse is completing discharge teaching for a client who has a new prescription
for transdermal patches. Which of the following statements should the nurse identify
as an indication that the client understands the instructions?
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. - ANSWER C. "I will apply
the patch to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote absorption of
the medication.)
5.A nurse reviewing a client's medical record notes a new prescription for verifying
the trough level of the client's 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 - ANSWER
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen
immediately before administering the next dose of medication.)
6.A nurse is preparing a client's medications. Which of the following actions should
the nurse take in following legal practice guidelines? (Select all that apply.)
A. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis - ANSWER A. Maintain skill competency.
C. Monitor for adverse effects.
D. Safeguard medications.
, (A.maintaining skill competency and using appropriate administration techniques are
legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse effects of
medication
D. Safeguarding of medications, such as controlled substances, is a legal
responsibility of the nurse)
7.A nurse reviewing a client's health record notes a new prescription for Lisinopril 10
mg PO once every day. The nurse should identify this as which of the following types
of prescription?
A. Single
B. Stat
C. Routine
D. Standing - ANSWEAR C. Routine
(A routine or standard prescription identifies medications to give on a regular
schedule with or without a termination date or a specific number of doses. The nurse
will administer
this medication every day until the provider discontinues it.)
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify
which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - ANSWER D. Frequency
(This prescription does not include the time or frequency of medication
administration. The nurse must clarify this with the prescribing provide)
A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the
preassessment? (Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - ANSWER A. Use of herbal teas
C. Current health status
E. Food allergies
(A. The nurse should inquire about the client's use of herbal products, which often
contain caffeine, prior to medication administration because caffeine can affect
medication biotransformation
