ATI Pharmacology Practice A Exam Latest Updated 2024
A nurse is caring for a client who is taking acetazolamide for chronic open-angle
glaucoma. For which of the following adverse effects should the nurse instruct the
client to monitor and report?
A. Tingling of fingers
B. Constipation
C. Weight gain
D. Oliguria - ANSWER-Answer: A
A. The nurse should instruct the client to report the adverse effect of paresthesia,
a tingling sensation in the extremities, when taking acetazolamide.
A nurse administers a dose of metformin to a client instead of the prescribed
dose of metoclopramide. Which of the following actions should the nurse take
first?
A. Report the incident to the charge nurse.
B. Notify the provider.
,C. Check the client's blood glucose.
D. Fill out an incident report. - ANSWER-Answer: C
C. The first action the nurse should take using the nursing process is to assess
the client. The client is at risk for hypoglycemia. The nurse should monitor the
client's blood glucose and provide the client with a snack to reduce the risk for
hypoglycemia.
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should apply a patch every 5 minutes if I develop chest pain."
B. "I will take the patch off right after my evening meal."
C. "I will leave the patch off at least 1 day each week."
D. "I should discard the used patch by flushing it down the toilet." - ANSWER-
Answer: B
B. Clients should remove the patch each evening for a medication free time of 12
to 14 hr before applying a new patch to avoid developing a tolerance to the
medication's effects.
,A nurse receives a verbal order from the provider to administer morphine five
milligrams every 4 hours subcutaneously for severe pain as needed. The nurse
should identify which of the following entries as the correct format for the
medication administration record (MAR)?
A. MSO4 5 mg subcut every 4 hr PRN severe pain
B. Morphine 5 mg subcut every 4 hr PRN severe pain
C. MSO4 5 mg SQ every 4 hr PRN severe pain
D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain - ANSWER-Answer:
B
B. The nurse should identify this entry as the correct format for the MAR. The
medication name is spelled out and there are not any abbreviations from The Joint
Commission's "Do Not Use" list included in the transcription.
A nurse is caring for a client who has cancer and is taking oral morphine and
docusate sodium. The nurse should instruct the client that taking the docusate
sodium daily can minimize which of the following adverse effects of morphine?
A. Constipation
, B. Drowsiness
C. Facial flushing
D. Itching - ANSWER-Answer: A
A. Constipation is a common adverse effect of morphine that can be minimized by
taking docusate sodium, a stool softener that promotes easier evacuation of stool
by increasing water and fat in the intestine.
A nurse is assessing a client's vital signs prior to the administration of PO digoxin.
The client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is
20/min. The nurse should withhold the medication and contact the provider for
which of the following findings?
A. Diastolic BP
B. Systolic BP
C. Heart rate
D. Respiratory rate - ANSWER-Answer: C
C. Digoxin slows the conduction rate through the SA and AV nodes, thereby
decreasing the heart rate. The nurse should withhold the medication and notify
A nurse is caring for a client who is taking acetazolamide for chronic open-angle
glaucoma. For which of the following adverse effects should the nurse instruct the
client to monitor and report?
A. Tingling of fingers
B. Constipation
C. Weight gain
D. Oliguria - ANSWER-Answer: A
A. The nurse should instruct the client to report the adverse effect of paresthesia,
a tingling sensation in the extremities, when taking acetazolamide.
A nurse administers a dose of metformin to a client instead of the prescribed
dose of metoclopramide. Which of the following actions should the nurse take
first?
A. Report the incident to the charge nurse.
B. Notify the provider.
,C. Check the client's blood glucose.
D. Fill out an incident report. - ANSWER-Answer: C
C. The first action the nurse should take using the nursing process is to assess
the client. The client is at risk for hypoglycemia. The nurse should monitor the
client's blood glucose and provide the client with a snack to reduce the risk for
hypoglycemia.
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should apply a patch every 5 minutes if I develop chest pain."
B. "I will take the patch off right after my evening meal."
C. "I will leave the patch off at least 1 day each week."
D. "I should discard the used patch by flushing it down the toilet." - ANSWER-
Answer: B
B. Clients should remove the patch each evening for a medication free time of 12
to 14 hr before applying a new patch to avoid developing a tolerance to the
medication's effects.
,A nurse receives a verbal order from the provider to administer morphine five
milligrams every 4 hours subcutaneously for severe pain as needed. The nurse
should identify which of the following entries as the correct format for the
medication administration record (MAR)?
A. MSO4 5 mg subcut every 4 hr PRN severe pain
B. Morphine 5 mg subcut every 4 hr PRN severe pain
C. MSO4 5 mg SQ every 4 hr PRN severe pain
D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain - ANSWER-Answer:
B
B. The nurse should identify this entry as the correct format for the MAR. The
medication name is spelled out and there are not any abbreviations from The Joint
Commission's "Do Not Use" list included in the transcription.
A nurse is caring for a client who has cancer and is taking oral morphine and
docusate sodium. The nurse should instruct the client that taking the docusate
sodium daily can minimize which of the following adverse effects of morphine?
A. Constipation
, B. Drowsiness
C. Facial flushing
D. Itching - ANSWER-Answer: A
A. Constipation is a common adverse effect of morphine that can be minimized by
taking docusate sodium, a stool softener that promotes easier evacuation of stool
by increasing water and fat in the intestine.
A nurse is assessing a client's vital signs prior to the administration of PO digoxin.
The client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is
20/min. The nurse should withhold the medication and contact the provider for
which of the following findings?
A. Diastolic BP
B. Systolic BP
C. Heart rate
D. Respiratory rate - ANSWER-Answer: C
C. Digoxin slows the conduction rate through the SA and AV nodes, thereby
decreasing the heart rate. The nurse should withhold the medication and notify
