VATI PN PHARMACOLOGY ASSESSMENT
QUESTIONS AND CORRECT ANSWERS
A nurse is assisting with the care of a client who has a myasthenia gravis and is
experiencing a cholinergic crisis. Which of the following medications should the nurse
expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine ( CORRECT ANSWER ) - Atropine
A nurse is caring for a client who has bipolar disorder and a new prescription for lithium.
Which of the following laboratory values should the nurse plan to monitor for potential
adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium ( CORRECT ANSWER ) - Sodium
A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to treat
high cholesterol levels. For which of the following adverse effects should the nurse instruct
the client to monitor and report to the provider immediately?
Muscle weakness
Headache
Abdominal pain
Insomnia ( CORRECT ANSWER ) - Muscle weakness
A nurse is reinforcing teaching with a newly licensed nurse regarding safe procedures for
medication administration. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
,"I will identify the client by verifying the client's name using the room number."
"I can administer antibiotics 1 hour before the scheduled time."
"I will check the label on the client's medication three times before administering it."
"I will leave the client's medication at the client's bedside." ( CORRECT ANSWER ) - "I
will check the label on the client's medication three times before administering it."
A nurse is preparing to administer Lactated Ringer's solution 350 mL to infuse over 1 hr.
The drop factor of the tubing is 10 gtt/mL. The nurse should set the manual IV infusion to
deliver how many gtt/min? (Round answer to the nearest whole number.) ( CORRECT
ANSWER ) - ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 = 58.333
A nurse is collecting data from a client who is receiving morphine to relieve postoperative
pain. The client's respiratory rate is 9/min. The nurse should notify the provider and expect
a stat prescription for which of the following medications?
Naloxone
Glucagon
Flumazenil
Protamine ( CORRECT ANSWER ) - Naloxone
A nurse is reinforcing teaching with a client who has a new prescription for insulin. The
client is taking propranolol. The nurse should teach the client to monitor for which of the
following findings as a manifestation of hypoglycemia?
Tachycardia
Difficulty breathing
Sleep disturbance
Hunger ( CORRECT ANSWER ) - Hunger
A nurse is reinforcing dietary teaching with a client who is taking furosemide. Which of the
following foods should the nurse recommend as the best source of potassium?
, 1 cup baked potatoes
1 cup fresh blueberries
1 cup fresh watermelon
1 cup raw chopped cabbage ( CORRECT ANSWER ) - 1 cup baked potatoes
A nurse is reinforcing teaching with a client who has been prescribed isoniazid. Which of
the following client statements indicates an understanding of the teaching?
"I should expect my urine to turn reddish in color."
"I will have a skin test to determine when I am no longer contagious."
"I should notify my provider if I develop numbness in my feet."
"I should expect to take this medication for 6 weeks." ( CORRECT ANSWER ) - "I should
notify my provider if I develop numbness in my feet."
A nurse is assisting with the care of a client who has oral benzodiazepine toxicity. The
client has an IV infusing and is nonresponsive. Which of the following interventions should
the nurse anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation ( CORRECT ANSWER ) - Administering
IV flumazenil
A nurse is reinforcing teaching with a client who has chronic stable angina and a
prescription for sublingual nitroglycerin tablets. Which of the following instructions should
the nurse include in the teaching?
"Replace your bottle of tablets every 3 months for best effectiveness."
"Place one tablet under the tongue 30 minutes before exercise to prevent angina chest pain."
"Call 911 if chest pain is not relieved within 20 minutes of taking nitroglycerin."
QUESTIONS AND CORRECT ANSWERS
A nurse is assisting with the care of a client who has a myasthenia gravis and is
experiencing a cholinergic crisis. Which of the following medications should the nurse
expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine ( CORRECT ANSWER ) - Atropine
A nurse is caring for a client who has bipolar disorder and a new prescription for lithium.
Which of the following laboratory values should the nurse plan to monitor for potential
adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium ( CORRECT ANSWER ) - Sodium
A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to treat
high cholesterol levels. For which of the following adverse effects should the nurse instruct
the client to monitor and report to the provider immediately?
Muscle weakness
Headache
Abdominal pain
Insomnia ( CORRECT ANSWER ) - Muscle weakness
A nurse is reinforcing teaching with a newly licensed nurse regarding safe procedures for
medication administration. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
,"I will identify the client by verifying the client's name using the room number."
"I can administer antibiotics 1 hour before the scheduled time."
"I will check the label on the client's medication three times before administering it."
"I will leave the client's medication at the client's bedside." ( CORRECT ANSWER ) - "I
will check the label on the client's medication three times before administering it."
A nurse is preparing to administer Lactated Ringer's solution 350 mL to infuse over 1 hr.
The drop factor of the tubing is 10 gtt/mL. The nurse should set the manual IV infusion to
deliver how many gtt/min? (Round answer to the nearest whole number.) ( CORRECT
ANSWER ) - ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 = 58.333
A nurse is collecting data from a client who is receiving morphine to relieve postoperative
pain. The client's respiratory rate is 9/min. The nurse should notify the provider and expect
a stat prescription for which of the following medications?
Naloxone
Glucagon
Flumazenil
Protamine ( CORRECT ANSWER ) - Naloxone
A nurse is reinforcing teaching with a client who has a new prescription for insulin. The
client is taking propranolol. The nurse should teach the client to monitor for which of the
following findings as a manifestation of hypoglycemia?
Tachycardia
Difficulty breathing
Sleep disturbance
Hunger ( CORRECT ANSWER ) - Hunger
A nurse is reinforcing dietary teaching with a client who is taking furosemide. Which of the
following foods should the nurse recommend as the best source of potassium?
, 1 cup baked potatoes
1 cup fresh blueberries
1 cup fresh watermelon
1 cup raw chopped cabbage ( CORRECT ANSWER ) - 1 cup baked potatoes
A nurse is reinforcing teaching with a client who has been prescribed isoniazid. Which of
the following client statements indicates an understanding of the teaching?
"I should expect my urine to turn reddish in color."
"I will have a skin test to determine when I am no longer contagious."
"I should notify my provider if I develop numbness in my feet."
"I should expect to take this medication for 6 weeks." ( CORRECT ANSWER ) - "I should
notify my provider if I develop numbness in my feet."
A nurse is assisting with the care of a client who has oral benzodiazepine toxicity. The
client has an IV infusing and is nonresponsive. Which of the following interventions should
the nurse anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation ( CORRECT ANSWER ) - Administering
IV flumazenil
A nurse is reinforcing teaching with a client who has chronic stable angina and a
prescription for sublingual nitroglycerin tablets. Which of the following instructions should
the nurse include in the teaching?
"Replace your bottle of tablets every 3 months for best effectiveness."
"Place one tablet under the tongue 30 minutes before exercise to prevent angina chest pain."
"Call 911 if chest pain is not relieved within 20 minutes of taking nitroglycerin."
