ATI PHARMACOLOGY PRACTICE
ASSESSMENT A
a0nurse0is0instructing0a0client0on0the0application0of0nitroglycerin0transdermal0patches.0whi
ch0of0the0following0statements0by0the0client0indiciates0an0understanding0of0the0teaching0-
0ans--I0will0take0the0patch0off0right0after0my0evening0meal
a0nurse0receives0a0verbal0order0from0the0provider0to0administer0morphine050mg0every040
hours0subQ0for0sever0pain0as0needed.0the0nurse0should0identify0which0of0the0following0e
ntries0as0the0correct0format0doe0the0medications0administration0record0(MAR)0-0ans--
morphine050mg0subcut0every040hr0PRN0severe0pain
a0nurse0is0caring0for0a0client0who0is0taking0acetazolamide0for0chronic0open-
angle0glaucoma.0For0which0of0the0following0adverse0effects0should0the0nurse0instruct0the
0client0to0monitor0and0report?0-0ans--tingling0fingers
A0nurse0administers0a0dose0of0metformin0to0client0instead0of0the0prescribed0dose0of0meto
clopramide.0Which0of0the0following0actions0should0the0nurse0take0first?0-0ans--
check0the0client's0blood0glucose
A0nurse0is0caring0for0a0client0who0has0cancer0and0is0taking0oral0morphine0and0docusate0s
odium.0
The0nurse0should0instruct0the0client0that0taking0the0docusate0sodium0daily0can0minimize0
which0of0the0following0adverse0effects0of0morphine.0-0ans--constipation
A0nurse0is0assessing0a0client's0vital0signs0prior0to0the0adminstration0of0PO0digoxin.0The0cl
ient's0BP0is0144/860mmHG,0heart0rate055/min0and0respiratory0rate0is020/
min.0The0nurse0should0withhold0the0medication0and0contact0the0provider0for0which0of0the
0following0findings?0-0ans--heart0rate
A0nurse0is0caring0for0a0client0who0received00.9%0sodium0chloride010L0over040hr0instead0of
0over080hr0as0prescribed.0Which0of0the0following0information0should0the0nurse0enter0as0a0
complete0documentation0of0the0incident?0-0ans--
0.9%0sodium0chloride01L0IV0infused0over040hr.0Vital0signs0stable,0provider0notified
A0nurse0is0providing0teaching0to0a0client0who0has0peptic0ulcer0disease0and0is0to0start0a0n
ew0prescription0for0sucralfate.0Which0of0the0following0actions0of0sucralfate0should0the0nur
se0include0in0the0teaching.0-0ans--Forms0a0protective0barrier0over0ulcers
, A0nurse0is0reviewing0the0ECG0of0a0client0who0is0receiving0IV0furosemide0for0heart0failure.
0The0nurse0should0identify0which0of0the0following0findings0as0an0indication0of0hypokalemi
a?0-0ans--Presence0of0U0waves
A0nurse0on0the0acute0care0unit0is0caring0for0a0client0who0is0receiving0gentamicin0IV.0the0n
urse0should0report0which0of0the0following0findings0to0the0provider0as0an0adverse0effect0of0
the0medication?0-0ans--tinnitus
A0nurse0is0preparing0to0administer0heparin0subcutaneously0to0a0client.0Which0of0the0follo
wing0actions0should0the0nurse0plan0to0take?0-0ans--
administer0the0medication0outside0the050cm0radius0of0the0umbilicus
A0nurse0at0an0urgent0care0clinic0is0collecting0a0history0from0a0female0client0who0has0a0uri
nary0tract0infection.0The0nurse0anticipates0a0prescription0for0ciprofloxacin.0The0nurse0sho
uld0identify0that0which0if0the0following0client0statements0indicates0a0contraindication0for0a
dministering0this0medication?0-0ans--I0have0tendonitis,0so0I0haven't0been0able0to0exercise
A0nurse0is0reviewing0the0laboratory0results0for0a0client0who0is0receiving0heparin0via0contin
uous0IV0infusion0for0deep-
vein0thrombosis.0The0nurse0should0discontinue0the0medication0infusion0for0which0of0the0f
ollowing0client0findings?0-0ans--Platelets096,000/mm3
A0nurse0is0caring0for0a0client0who0is0in0labor.0The0client0is0receiving0oxytocin0by0continuo
us0IV0infusion0with0a0maintenance0IV0solution.0The0external0FHR0monitor0indicates0late0d
ecelerations.0Which0of0the0following0actions0should0the0nurse0take0first?0-0ans--
Turn0the0client0to0a0side-lying0position
a0nurse0is0preparing0to0administer0medications0to0a0client0who0tells0the0nurse,0"I0don't0wa
nt0to0take0my0fluid0pill0until0I0get0home0today"0Which0of0the0following0actions0should0the0n
urse0take?0-0ans--Document0the0refusal0and0inform0the0client's0provider
a0nurse0at0a0clinic0is0providing0follow-
up0care0to0a0client0who0is0taking0fluoxetine0for0depression.0Which0of0the0following0finding
s0should0the0nurse0identify0as0an0adverse0effect0of0the0medication?0-0ans--
sexual0dysfuction
A0nurse0is0preparing0to0administer0PO0sodium0polystrene0sulfonate0to0a0client0who0has0h
yperkalemia.0Which0of0the0following0actions0should0the0nurse0plan0to0take?0-0ans--
monitor0the0client0for0constipation
A0nurse0is0preparing0to0administer0a0scheduled0antibiotic0at008000to0a0client0and0discover
s0the0antibiotic0is0not0present0in0the0client's0medication0drawer.0the0nurse0should0identify0
that0administration0of0the0medication0can0occur0at0which0of0the0following0time0periods0wit
hout0requiring0an0incident0report?0-0ans--0830
ASSESSMENT A
a0nurse0is0instructing0a0client0on0the0application0of0nitroglycerin0transdermal0patches.0whi
ch0of0the0following0statements0by0the0client0indiciates0an0understanding0of0the0teaching0-
0ans--I0will0take0the0patch0off0right0after0my0evening0meal
a0nurse0receives0a0verbal0order0from0the0provider0to0administer0morphine050mg0every040
hours0subQ0for0sever0pain0as0needed.0the0nurse0should0identify0which0of0the0following0e
ntries0as0the0correct0format0doe0the0medications0administration0record0(MAR)0-0ans--
morphine050mg0subcut0every040hr0PRN0severe0pain
a0nurse0is0caring0for0a0client0who0is0taking0acetazolamide0for0chronic0open-
angle0glaucoma.0For0which0of0the0following0adverse0effects0should0the0nurse0instruct0the
0client0to0monitor0and0report?0-0ans--tingling0fingers
A0nurse0administers0a0dose0of0metformin0to0client0instead0of0the0prescribed0dose0of0meto
clopramide.0Which0of0the0following0actions0should0the0nurse0take0first?0-0ans--
check0the0client's0blood0glucose
A0nurse0is0caring0for0a0client0who0has0cancer0and0is0taking0oral0morphine0and0docusate0s
odium.0
The0nurse0should0instruct0the0client0that0taking0the0docusate0sodium0daily0can0minimize0
which0of0the0following0adverse0effects0of0morphine.0-0ans--constipation
A0nurse0is0assessing0a0client's0vital0signs0prior0to0the0adminstration0of0PO0digoxin.0The0cl
ient's0BP0is0144/860mmHG,0heart0rate055/min0and0respiratory0rate0is020/
min.0The0nurse0should0withhold0the0medication0and0contact0the0provider0for0which0of0the
0following0findings?0-0ans--heart0rate
A0nurse0is0caring0for0a0client0who0received00.9%0sodium0chloride010L0over040hr0instead0of
0over080hr0as0prescribed.0Which0of0the0following0information0should0the0nurse0enter0as0a0
complete0documentation0of0the0incident?0-0ans--
0.9%0sodium0chloride01L0IV0infused0over040hr.0Vital0signs0stable,0provider0notified
A0nurse0is0providing0teaching0to0a0client0who0has0peptic0ulcer0disease0and0is0to0start0a0n
ew0prescription0for0sucralfate.0Which0of0the0following0actions0of0sucralfate0should0the0nur
se0include0in0the0teaching.0-0ans--Forms0a0protective0barrier0over0ulcers
, A0nurse0is0reviewing0the0ECG0of0a0client0who0is0receiving0IV0furosemide0for0heart0failure.
0The0nurse0should0identify0which0of0the0following0findings0as0an0indication0of0hypokalemi
a?0-0ans--Presence0of0U0waves
A0nurse0on0the0acute0care0unit0is0caring0for0a0client0who0is0receiving0gentamicin0IV.0the0n
urse0should0report0which0of0the0following0findings0to0the0provider0as0an0adverse0effect0of0
the0medication?0-0ans--tinnitus
A0nurse0is0preparing0to0administer0heparin0subcutaneously0to0a0client.0Which0of0the0follo
wing0actions0should0the0nurse0plan0to0take?0-0ans--
administer0the0medication0outside0the050cm0radius0of0the0umbilicus
A0nurse0at0an0urgent0care0clinic0is0collecting0a0history0from0a0female0client0who0has0a0uri
nary0tract0infection.0The0nurse0anticipates0a0prescription0for0ciprofloxacin.0The0nurse0sho
uld0identify0that0which0if0the0following0client0statements0indicates0a0contraindication0for0a
dministering0this0medication?0-0ans--I0have0tendonitis,0so0I0haven't0been0able0to0exercise
A0nurse0is0reviewing0the0laboratory0results0for0a0client0who0is0receiving0heparin0via0contin
uous0IV0infusion0for0deep-
vein0thrombosis.0The0nurse0should0discontinue0the0medication0infusion0for0which0of0the0f
ollowing0client0findings?0-0ans--Platelets096,000/mm3
A0nurse0is0caring0for0a0client0who0is0in0labor.0The0client0is0receiving0oxytocin0by0continuo
us0IV0infusion0with0a0maintenance0IV0solution.0The0external0FHR0monitor0indicates0late0d
ecelerations.0Which0of0the0following0actions0should0the0nurse0take0first?0-0ans--
Turn0the0client0to0a0side-lying0position
a0nurse0is0preparing0to0administer0medications0to0a0client0who0tells0the0nurse,0"I0don't0wa
nt0to0take0my0fluid0pill0until0I0get0home0today"0Which0of0the0following0actions0should0the0n
urse0take?0-0ans--Document0the0refusal0and0inform0the0client's0provider
a0nurse0at0a0clinic0is0providing0follow-
up0care0to0a0client0who0is0taking0fluoxetine0for0depression.0Which0of0the0following0finding
s0should0the0nurse0identify0as0an0adverse0effect0of0the0medication?0-0ans--
sexual0dysfuction
A0nurse0is0preparing0to0administer0PO0sodium0polystrene0sulfonate0to0a0client0who0has0h
yperkalemia.0Which0of0the0following0actions0should0the0nurse0plan0to0take?0-0ans--
monitor0the0client0for0constipation
A0nurse0is0preparing0to0administer0a0scheduled0antibiotic0at008000to0a0client0and0discover
s0the0antibiotic0is0not0present0in0the0client's0medication0drawer.0the0nurse0should0identify0
that0administration0of0the0medication0can0occur0at0which0of0the0following0time0periods0wit
hout0requiring0an0incident0report?0-0ans--0830
