ATI Capstone Pharmacology
Assessment 2, ATI Capstone
Pharmacology assessment 1
A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are
correct administration guidelines for the nurse to implement? (Select all that apply.) - ANS - Lubricate
index finger
- Insert suppository just beyond internal sphincter
A nurse is caring for a client who has anemia and has difficulty swallowing pills. The client's provider has
prescribed a liquid oral iron supplement. The client should be instructed by the nurse to take the iron -
ANS with orange juice to enhance absorption.
Which of the following are appropriate references for the nurse to use to ensure safe medication
administration? (Select all that apply.) - ANS - Published journals
- Pharmacists
- Physicians' Desk Reference
A nurse is developing home instructions for a client who is prescribed phenytoin (Dilantin) via the tube.
Which of the following should the nurse include in the instructions? - ANS Alcohol increases the chance
of phenytoin toxicity.
A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma. Which of the
following client statements should indicate that the client understood the nurse's instructions? - ANS "I'll
take this medication once a day in the evening."
A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best
determines therapeutic client response to this medication? - ANS 0 rating on pain scale
,A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has emphysema.
Which of the following client findings should cause the nurse to consult the provider before
administering the next dose? - ANS Visual changes
A nurse is reviewing medications for a client who has a diagnosis of a small bowel obstruction. The nurse
should withhold senna (Senoket) prescribed orally based on understanding of which of the following? -
ANS Laxatives are contraindicated in clients who have a small bowel obstruction.
A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse should explain that
the most common side effect of this medication is - ANS sedation
A nurse is teaching a client who has asthma the appropriate use of inhaled beclomethasone (Beclovent).
To avoid complications related to the use of beclomethasone, the nurse should encourage the client to -
ANS rinse the mouth after administration.
A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to
minimize gastric mucosal irritation, she should take this medication at which of the following times? -
ANS Immediately after a meal
A nurse is monitoring a client's IV site. Which of the following findings are associated with phlebitis and
should be reported to the RN? (Select all that apply.) - ANS - Erythema
- Throbbing
- Warmth at insertion site
- Streak formation
A nurse is teaching medication safety to a group of healthy older adults at a community center. The
nurse explains that due to the high frequency of food-drug interactions, the clients should avoid taking
their medications with which of the following? - ANS Grapefruit juice
, A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the
following should the nurse include in the response? (Select all that apply.) - ANS - The medication will
prevent wheezing
- The medication will open the airways.
- The medication will decrease coughing episodes.
A client diagnosed with oral candidiasis has received instructions from the nurse about the use of
nystatin (Mycostatin) suspension. Which of the following statements made by the client should indicate
to the nurse that the teaching has been effective? - ANS "I will hold the medication in my mouth for as
long as possible."
A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which
of the following? - ANS Move the decimal point 3 places to the right.
A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse. Which of the
following should the nurse include in the teaching? (Select all that apply.) - ANS - Count each dose of
narcotics in inventory.
- Match number of available doses to record.
- Sign acceptance of narcotic count if correct.
A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of rheumatoid
arthritis. Which of the following comments by the client requires further discussion by the nurse? - ANS
"I've been buying Tagamet to help with the indigestion I've had."
A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve pruritus.
The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the
following is an appropriate response by the nurse? - ANS "Take most of the daily dose at bedtime."
A nurse is preparing to administer hydrocodone/acetaminophen (Lortab) 5 mg. It is available in 7.5
mg/500 mg/15 mL elixir. How many mL should the nurse administer? (Round the answer to the nearest
whole number.) - ANS 10 mL
Assessment 2, ATI Capstone
Pharmacology assessment 1
A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are
correct administration guidelines for the nurse to implement? (Select all that apply.) - ANS - Lubricate
index finger
- Insert suppository just beyond internal sphincter
A nurse is caring for a client who has anemia and has difficulty swallowing pills. The client's provider has
prescribed a liquid oral iron supplement. The client should be instructed by the nurse to take the iron -
ANS with orange juice to enhance absorption.
Which of the following are appropriate references for the nurse to use to ensure safe medication
administration? (Select all that apply.) - ANS - Published journals
- Pharmacists
- Physicians' Desk Reference
A nurse is developing home instructions for a client who is prescribed phenytoin (Dilantin) via the tube.
Which of the following should the nurse include in the instructions? - ANS Alcohol increases the chance
of phenytoin toxicity.
A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma. Which of the
following client statements should indicate that the client understood the nurse's instructions? - ANS "I'll
take this medication once a day in the evening."
A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best
determines therapeutic client response to this medication? - ANS 0 rating on pain scale
,A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has emphysema.
Which of the following client findings should cause the nurse to consult the provider before
administering the next dose? - ANS Visual changes
A nurse is reviewing medications for a client who has a diagnosis of a small bowel obstruction. The nurse
should withhold senna (Senoket) prescribed orally based on understanding of which of the following? -
ANS Laxatives are contraindicated in clients who have a small bowel obstruction.
A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse should explain that
the most common side effect of this medication is - ANS sedation
A nurse is teaching a client who has asthma the appropriate use of inhaled beclomethasone (Beclovent).
To avoid complications related to the use of beclomethasone, the nurse should encourage the client to -
ANS rinse the mouth after administration.
A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to
minimize gastric mucosal irritation, she should take this medication at which of the following times? -
ANS Immediately after a meal
A nurse is monitoring a client's IV site. Which of the following findings are associated with phlebitis and
should be reported to the RN? (Select all that apply.) - ANS - Erythema
- Throbbing
- Warmth at insertion site
- Streak formation
A nurse is teaching medication safety to a group of healthy older adults at a community center. The
nurse explains that due to the high frequency of food-drug interactions, the clients should avoid taking
their medications with which of the following? - ANS Grapefruit juice
, A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the
following should the nurse include in the response? (Select all that apply.) - ANS - The medication will
prevent wheezing
- The medication will open the airways.
- The medication will decrease coughing episodes.
A client diagnosed with oral candidiasis has received instructions from the nurse about the use of
nystatin (Mycostatin) suspension. Which of the following statements made by the client should indicate
to the nurse that the teaching has been effective? - ANS "I will hold the medication in my mouth for as
long as possible."
A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which
of the following? - ANS Move the decimal point 3 places to the right.
A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse. Which of the
following should the nurse include in the teaching? (Select all that apply.) - ANS - Count each dose of
narcotics in inventory.
- Match number of available doses to record.
- Sign acceptance of narcotic count if correct.
A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of rheumatoid
arthritis. Which of the following comments by the client requires further discussion by the nurse? - ANS
"I've been buying Tagamet to help with the indigestion I've had."
A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve pruritus.
The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the
following is an appropriate response by the nurse? - ANS "Take most of the daily dose at bedtime."
A nurse is preparing to administer hydrocodone/acetaminophen (Lortab) 5 mg. It is available in 7.5
mg/500 mg/15 mL elixir. How many mL should the nurse administer? (Round the answer to the nearest
whole number.) - ANS 10 mL
