NURS-3730 PHARM ATI EXAM
QUESTIONS WITH CORRECT
ANSWERS
A nurse is reviewing a client's prescribed medications. Which of the following
situations represents a
contraindication to medication administration?
A. The client drank grapefruit juice, which could reduce a medication's 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 that has an adverse effect of drowsiness is prescribed
as a preoperative sedative. - ANSWER-C. A medication is approved for ages 12 and
older, and the client is 8 years old.
9. A nurse is assessing a client before administering medications. Which of the
following data should the
nurse obtain? (Select all that apply.)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies - ANSWER-A. Use of herbal products
C. Ability to swallow
E. Allergies
A nurse is working with a newly licensed nurse who is administering medications to
clients. Which of the
following actions should the nurse identify as an indication that the newly hired nurse
understands medication
error prevention?
A. Taking all medications out of the unit-dose wrappers before entering the client's
room
B. Checking the prescription 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 - ANSWER-B.
Checking the prescription when a single dose requires administration of multiple
tablets
A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential
contraindication to a medication for which of the following clients? (Select all that
apply.)
,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 is taking hydrocodone / acetaminophen
D. A client who has peptic ulcer disease, takes sucralfate, and has started taking
OTC aluminum hydroxide
E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected
pregnancy - ANSWER-B. A client who takes prednisone and has a possible fungal
infection
C. A client who has chronic liver disease and is taking hydrocodone / acetaminophen
E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected
pregnancy
12. A nurse is preparing to administer an IM dose of penicillin to a client who has a
new prescription. The
client states when they took penicillin 3 years ago, they developed a rash. Which of
the following actions
should the nurse take?
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 the same time. - ANSWER-B. Withhold the
medication.
A nurse is providing discharge instructions for a client who has a new prescription for
an antihypertensive
medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check your blood pressure every 8 hours 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." - ANSWER-D.
"Change positions slowly when you move from sitting to standing."
A nurse is reviewing a client's health record and notes that the client experienced
permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize
that the medication
affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal - ANSWER-C. Central nervous
A nurse is caring for a client who is taking oral oxycodone. The client is also taking
ibuprofen in three recommended doses daily. The nurse should identify that an
interaction between these two medications will
,cause which of the following findings?
A. A decrease in blood levels of ibuprofen, possibly leading to a need for increased
doses of this medication
B. A decrease in blood 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 - ANSWER-C. An
increase in the expected therapeutic effect of both medications
A nurse is preparing to administer medications to a 4-month-old infant. Which of the
following
pharmacokinetic principles should the nurse consider when administering
medications to this client? (Select
all 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. - ANSWER-B. Infants
have immature liver function.
C. Infants' blood-brain barrier is poorly developed.
D. Infants have an increased ability to absorb topical medications.
A nurse in a provider's office is reviewing the medical record of a client who is
pregnant and at the first
prenatal visit. Which of the following immunizations can the nurse administer safely
to this client?
A. Varicella vaccine
B. Rubella vaccine
C. Inactivated influenza vaccine
D. Measles vaccine - ANSWER-C. Inactivated influenza vaccine
A nurse on a medical-surgical unit administers a hypnotic medication to an older
adult client at 2100. The next morning, the client is drowsy and wants to sleep
instead of eating breakfast. Which of the following
factors should the nurse identify as a possible reason for the client's drowsiness?
A. Reduced cardiac function
B. First-pass effect
C. Reduced hepatic function
D. Increased gastric motility - ANSWER-C. Reduced hepatic function
. A nurse is caring for a client who has increased liver enzymes and is taking herbal
supplements. Which of
the following herbal supplements should the nurse report to the provider as the
potential cause?
A. Glucosamine
, B. Saw palmetto
C. Kava
D. St. John's Wort - ANSWER-C. Kava
A nurse is caring for a client who requests information on the use of feverfew. Which
of the tallowing
responses should the nurse make?
A. "It is used to treat skin infections."
B. "It can decrease the frequency of migraine headaches."
C. "It can lessen the nasal congestion in the common cold."
D. "It can relieve nausea of morning sickness during pregnancy." - ANSWER-B. "It
can decrease the frequency of migraine headaches."
A nurse is reviewing a client's current medications. The client states, "I also take
ginkgo biloba." Which of
the following medications has the potential to interact with ginkgo biloba?
A. Acetaminophen
B. Warfarin
C. Digoxin
D. Lisinopril - ANSWER-B. Warfarin
A nurse is caring for a client who asks about the potential adverse effects of smoking
cannabis. Which of
the following manifestations should the nurse include in the response? (Select all
that apply.)
A. Decreased heart rate
B. Dry mouth
C. Hallucinations
D. Hypertension
E. Increased urination - ANSWER-B. Dry mouth
C. Hallucinations
A nurse is teaching about the use of medical marijuana with a group of newly
licensed nurses. Which of
the following statements indicates an understanding of the teaching?
A. A health care provider must write a prescription for medical marijuana.
B. Medical marijuana is a Schedule V controlled substance in the United States.
C. Pharmacies must obtain certification prior to dispensing medical marijuana.
D. The FDA does not recognize the marijuana plant as a form of medicine. -
ANSWER-D. The FDA does not recognize the marijuana plant as a form of
medicine.
A nurse working in an emergency department is caring for a client who has
benzodiazepine toxicity. Which
of the following actions is the nurse's priority?
QUESTIONS WITH CORRECT
ANSWERS
A nurse is reviewing a client's prescribed medications. Which of the following
situations represents a
contraindication to medication administration?
A. The client drank grapefruit juice, which could reduce a medication's 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 that has an adverse effect of drowsiness is prescribed
as a preoperative sedative. - ANSWER-C. A medication is approved for ages 12 and
older, and the client is 8 years old.
9. A nurse is assessing a client before administering medications. Which of the
following data should the
nurse obtain? (Select all that apply.)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies - ANSWER-A. Use of herbal products
C. Ability to swallow
E. Allergies
A nurse is working with a newly licensed nurse who is administering medications to
clients. Which of the
following actions should the nurse identify as an indication that the newly hired nurse
understands medication
error prevention?
A. Taking all medications out of the unit-dose wrappers before entering the client's
room
B. Checking the prescription 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 - ANSWER-B.
Checking the prescription when a single dose requires administration of multiple
tablets
A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential
contraindication to a medication for which of the following clients? (Select all that
apply.)
,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 is taking hydrocodone / acetaminophen
D. A client who has peptic ulcer disease, takes sucralfate, and has started taking
OTC aluminum hydroxide
E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected
pregnancy - ANSWER-B. A client who takes prednisone and has a possible fungal
infection
C. A client who has chronic liver disease and is taking hydrocodone / acetaminophen
E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected
pregnancy
12. A nurse is preparing to administer an IM dose of penicillin to a client who has a
new prescription. The
client states when they took penicillin 3 years ago, they developed a rash. Which of
the following actions
should the nurse take?
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 the same time. - ANSWER-B. Withhold the
medication.
A nurse is providing discharge instructions for a client who has a new prescription for
an antihypertensive
medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check your blood pressure every 8 hours 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." - ANSWER-D.
"Change positions slowly when you move from sitting to standing."
A nurse is reviewing a client's health record and notes that the client experienced
permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize
that the medication
affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal - ANSWER-C. Central nervous
A nurse is caring for a client who is taking oral oxycodone. The client is also taking
ibuprofen in three recommended doses daily. The nurse should identify that an
interaction between these two medications will
,cause which of the following findings?
A. A decrease in blood levels of ibuprofen, possibly leading to a need for increased
doses of this medication
B. A decrease in blood 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 - ANSWER-C. An
increase in the expected therapeutic effect of both medications
A nurse is preparing to administer medications to a 4-month-old infant. Which of the
following
pharmacokinetic principles should the nurse consider when administering
medications to this client? (Select
all 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. - ANSWER-B. Infants
have immature liver function.
C. Infants' blood-brain barrier is poorly developed.
D. Infants have an increased ability to absorb topical medications.
A nurse in a provider's office is reviewing the medical record of a client who is
pregnant and at the first
prenatal visit. Which of the following immunizations can the nurse administer safely
to this client?
A. Varicella vaccine
B. Rubella vaccine
C. Inactivated influenza vaccine
D. Measles vaccine - ANSWER-C. Inactivated influenza vaccine
A nurse on a medical-surgical unit administers a hypnotic medication to an older
adult client at 2100. The next morning, the client is drowsy and wants to sleep
instead of eating breakfast. Which of the following
factors should the nurse identify as a possible reason for the client's drowsiness?
A. Reduced cardiac function
B. First-pass effect
C. Reduced hepatic function
D. Increased gastric motility - ANSWER-C. Reduced hepatic function
. A nurse is caring for a client who has increased liver enzymes and is taking herbal
supplements. Which of
the following herbal supplements should the nurse report to the provider as the
potential cause?
A. Glucosamine
, B. Saw palmetto
C. Kava
D. St. John's Wort - ANSWER-C. Kava
A nurse is caring for a client who requests information on the use of feverfew. Which
of the tallowing
responses should the nurse make?
A. "It is used to treat skin infections."
B. "It can decrease the frequency of migraine headaches."
C. "It can lessen the nasal congestion in the common cold."
D. "It can relieve nausea of morning sickness during pregnancy." - ANSWER-B. "It
can decrease the frequency of migraine headaches."
A nurse is reviewing a client's current medications. The client states, "I also take
ginkgo biloba." Which of
the following medications has the potential to interact with ginkgo biloba?
A. Acetaminophen
B. Warfarin
C. Digoxin
D. Lisinopril - ANSWER-B. Warfarin
A nurse is caring for a client who asks about the potential adverse effects of smoking
cannabis. Which of
the following manifestations should the nurse include in the response? (Select all
that apply.)
A. Decreased heart rate
B. Dry mouth
C. Hallucinations
D. Hypertension
E. Increased urination - ANSWER-B. Dry mouth
C. Hallucinations
A nurse is teaching about the use of medical marijuana with a group of newly
licensed nurses. Which of
the following statements indicates an understanding of the teaching?
A. A health care provider must write a prescription for medical marijuana.
B. Medical marijuana is a Schedule V controlled substance in the United States.
C. Pharmacies must obtain certification prior to dispensing medical marijuana.
D. The FDA does not recognize the marijuana plant as a form of medicine. -
ANSWER-D. The FDA does not recognize the marijuana plant as a form of
medicine.
A nurse working in an emergency department is caring for a client who has
benzodiazepine toxicity. Which
of the following actions is the nurse's priority?
