ATI CAPSTONE PHARMACOLOGY ASSESSMENT 1 2019 NGN
QUESTIONS WITH 100% CORRECT ANSWERS
A nurse is caring for a client who is receiving morphine. Which of the following assessments is priority?
RR
A nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma. Which of
the following findings is the priority to report to the provider?
bronchospasms
A nurse is caring for a client who has a prescription for terazosin. The nurse should identify that this
medication is indicated for which of the following disorders? (select all that apply.)
Hyper
Tension
nBPH
A nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an
albuterol inhaler for asthma maintenance, what should the nurse instruct?
You should gargle with water after each use of this inhaler.
A nurse is preparing to administer topotecan IV. Which of the following medications should the nurse expect
to administer to control the adverse effects?
Granisetron
(antiemetic to prevent n/v) for clients receiving chemo
A nurse is planning a staff education session on adverse effects of medications. Which of the following
information should the nurse discuss about anticholinergic adverse effects? (select all that apply.)
Blurred vision
Tachycardia
Constipation
A nurse is providing teaching to a client who has a new prescription for guaifenesin. which of the following
information regarding the action of guaifenesin should the nurse include in the teaching?
Guaifenesin increases cough production
A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. The nurse
should monitor the client for which of the following outcomes as therapeutic response to the medication?
Decreased anginal pain
A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following
statements indicates understanding of the teaching?
"I might not realize the full effect of the medication for several weeks"
, take on empty stomach with glass of water, first thing in the morning 30-60 min prior to breakfast
A nurse is assessing a client who has heart failure HF is taking digoxin. The nurse should monitor the client for
which of the following manifestations as an indication of digoxin toxicity to report to the provider?
vomiting
(n/v, anorexia, blurred vision)
A nurse is providing teaching for a client with a prescription for oral metronidazole. Which of the following
statements is the priority teaching point?
You should report a rash to your provider
(fatal disorder Stevens-Johnson syndrome)
A nurse is providing discharge instructions to a client who has a new prescription for codeine for cough
suppression. Which of the following is the priority instruction?
Move slowly when standing from a lying down position
(r/f orthostatic hypotension)
A nurse is reviewing the medical record of a client who received his medications 1 hour ago. The client reports
chest pain. This can be an adverse effect of which of the following medications?
Albuterol
(beta2 agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia,
dysrhythmias)
A nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma. Which of
the following statements indicates an understanding of the instructions?
“I can expect to feel some irritation when i put these drops in my eyes”
A nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene. Which of the
following should the nurse assess prior to initiating therapy?
Pregnancy status
(risk category X)
A nurse is teaching a client to use transdermal nitroglycerin patches to treat angina pectoris. Which of the
following instructions should she include in the teaching?
Apply a new patch every morning
(effects begin 30-60 min after application and last 14 hours)
A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the
following should the nurse include in the teaching?
Increase your fluid intake
A nurse is teaching a client who has a new prescription for alprazolam to treat an anxiety disorder. Which of
the following teachings should the nurse include?
, Avoid taking this medication with grapefruit juice.
(take with food to reduce gastric distress)
A nurse is providing teaching to a client who has hypertension and a new prescription for clonidine twice daily.
Which of the following statements indicates client understanding of the teaching?
“I will stop drinking a glass of red wine at night.”
(avoid due to the additive CNS effects)
A nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline
once per day. Which of the following instructions should the nurse include?
Increase fluids while on this medication.
(urine turns blue/green, sedation is an AE)
A nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion over 30 min
every 12 hours. Which of the following actions should the nurse take?
Contact the provider for prescription clarification
(administer over 60 min or more to reduce risk of infusion reaction— hypotension, flushing)
A nurse is providing teaching to a male client who has a new prescription for folic acid. The client tells the
nurse he heard that the medication is prescribed for women during pregnancy. Which of the following
statements should the nurse make?
Folic acid is important for the building of blood cells for adults and children
(tx megaloblastic and macrocytic anemias)
A nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and zidovudine. The client
asks why she has to take both medications. Which of the following explanations should the nurse provide?
Taking the 2 medications together keeps you from becoming resistant to either of them
A nurse in the PACU is caring for a client who has received general anesthesia GA and has manifestations of
malignant hyperthermia. The nurse should expect to administer which of the following medications?
Dantrolene
A nurse is providing teaching to a client who has a new prescription for oxybutynin. Which of the following
statements by the client indicates an understanding of the teaching?
I need to avoid jogging on warm days
(suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia)
A nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV. Which of the following
laboratory findings should the nurse report to the provider?
Neutrophil count 650/mm3
(normal is 1500-8000)
A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following
findings is an adverse effect of this medication?
Muscle tenderness
QUESTIONS WITH 100% CORRECT ANSWERS
A nurse is caring for a client who is receiving morphine. Which of the following assessments is priority?
RR
A nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma. Which of
the following findings is the priority to report to the provider?
bronchospasms
A nurse is caring for a client who has a prescription for terazosin. The nurse should identify that this
medication is indicated for which of the following disorders? (select all that apply.)
Hyper
Tension
nBPH
A nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an
albuterol inhaler for asthma maintenance, what should the nurse instruct?
You should gargle with water after each use of this inhaler.
A nurse is preparing to administer topotecan IV. Which of the following medications should the nurse expect
to administer to control the adverse effects?
Granisetron
(antiemetic to prevent n/v) for clients receiving chemo
A nurse is planning a staff education session on adverse effects of medications. Which of the following
information should the nurse discuss about anticholinergic adverse effects? (select all that apply.)
Blurred vision
Tachycardia
Constipation
A nurse is providing teaching to a client who has a new prescription for guaifenesin. which of the following
information regarding the action of guaifenesin should the nurse include in the teaching?
Guaifenesin increases cough production
A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. The nurse
should monitor the client for which of the following outcomes as therapeutic response to the medication?
Decreased anginal pain
A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following
statements indicates understanding of the teaching?
"I might not realize the full effect of the medication for several weeks"
, take on empty stomach with glass of water, first thing in the morning 30-60 min prior to breakfast
A nurse is assessing a client who has heart failure HF is taking digoxin. The nurse should monitor the client for
which of the following manifestations as an indication of digoxin toxicity to report to the provider?
vomiting
(n/v, anorexia, blurred vision)
A nurse is providing teaching for a client with a prescription for oral metronidazole. Which of the following
statements is the priority teaching point?
You should report a rash to your provider
(fatal disorder Stevens-Johnson syndrome)
A nurse is providing discharge instructions to a client who has a new prescription for codeine for cough
suppression. Which of the following is the priority instruction?
Move slowly when standing from a lying down position
(r/f orthostatic hypotension)
A nurse is reviewing the medical record of a client who received his medications 1 hour ago. The client reports
chest pain. This can be an adverse effect of which of the following medications?
Albuterol
(beta2 agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia,
dysrhythmias)
A nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma. Which of
the following statements indicates an understanding of the instructions?
“I can expect to feel some irritation when i put these drops in my eyes”
A nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene. Which of the
following should the nurse assess prior to initiating therapy?
Pregnancy status
(risk category X)
A nurse is teaching a client to use transdermal nitroglycerin patches to treat angina pectoris. Which of the
following instructions should she include in the teaching?
Apply a new patch every morning
(effects begin 30-60 min after application and last 14 hours)
A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the
following should the nurse include in the teaching?
Increase your fluid intake
A nurse is teaching a client who has a new prescription for alprazolam to treat an anxiety disorder. Which of
the following teachings should the nurse include?
, Avoid taking this medication with grapefruit juice.
(take with food to reduce gastric distress)
A nurse is providing teaching to a client who has hypertension and a new prescription for clonidine twice daily.
Which of the following statements indicates client understanding of the teaching?
“I will stop drinking a glass of red wine at night.”
(avoid due to the additive CNS effects)
A nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline
once per day. Which of the following instructions should the nurse include?
Increase fluids while on this medication.
(urine turns blue/green, sedation is an AE)
A nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion over 30 min
every 12 hours. Which of the following actions should the nurse take?
Contact the provider for prescription clarification
(administer over 60 min or more to reduce risk of infusion reaction— hypotension, flushing)
A nurse is providing teaching to a male client who has a new prescription for folic acid. The client tells the
nurse he heard that the medication is prescribed for women during pregnancy. Which of the following
statements should the nurse make?
Folic acid is important for the building of blood cells for adults and children
(tx megaloblastic and macrocytic anemias)
A nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and zidovudine. The client
asks why she has to take both medications. Which of the following explanations should the nurse provide?
Taking the 2 medications together keeps you from becoming resistant to either of them
A nurse in the PACU is caring for a client who has received general anesthesia GA and has manifestations of
malignant hyperthermia. The nurse should expect to administer which of the following medications?
Dantrolene
A nurse is providing teaching to a client who has a new prescription for oxybutynin. Which of the following
statements by the client indicates an understanding of the teaching?
I need to avoid jogging on warm days
(suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia)
A nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV. Which of the following
laboratory findings should the nurse report to the provider?
Neutrophil count 650/mm3
(normal is 1500-8000)
A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following
findings is an adverse effect of this medication?
Muscle tenderness
