Pharmacology ATI Questions-more and more

A nurse is preparing to administer 1 mg of enalapril via IV bolus to a client who is experiencing hypertension. The amount available is enalapril 1.25 mg/ml. How many ml should the nurse plan to administer per dose

0.8 ml

A nurse is caring for a client who receives gastronomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subq A: 0600 B: 0630 C: 6045 D: 0760

0645

A nurse is preparing to administer heparin 900 units/hr via IV infusion. The amount available is heparin 25,000 units in 500 mL 5% dextrose in water. The nurse should set the IV pump to deliver how many ml/hr

18

A nurse is preparing to administer benztropine 8 mg PO daily in 2 divided doses to a client who has Parkinson's. The amount available is benztropine 2 mg tablets. How many tabs should the nurse administer?

2 tabs

A nurse is preparing to administer dextrose 5% in the water 1,000 mL for infusion over 10 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should get the manual IV infusion to deliver how many gtt/min.

25

A nurse is preparing to administer an enteral feeding through an NG tube at 250 mL over 4 hours. The nurse should set the pump to deliver how many ml/hr

63

A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching. A: i might have difficulty recognizing when my blood sugar is low B: i will have a lower risk of developing an infection while i take this medication C: i should be concerned about losing excess weight while i take this medication D: I could have more problems with high blood sugar while taking this medication

A: I might have difficulty recognizing when my blood sugar is low

A nurse is preparing a discharge teaching plan for a 6 year old client with asthma who has several prescription medications using metered-dose inhalers. Which of the following interventions should the nurse include in the plan A: add a spacer to each MDI B: instruct the child to inhale more rapidly than usual when using an MDI C: ask the provider to change the child's medications from inhaled to oral formulations D: administer oxygen by facemask along with the MDI

A: add a spacer to each MDI

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administering this medication A: blood pressure B: temperature C: blood glucose levels D: total protein level

A: blood pressure

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the prodiver for which of the following medications A: colchicine B: allopurinol C: probenecid D: pegloticase

A: colchicine

A nurse is caring for a client who takes Ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement A: decreased platelet aggregation B: prevention of migraine headaches C: increased risk of deep-vein thrombosis D: lowered cholesterol and triglyceride levels

A: decreased platelet aggregation

A nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. Which of the following manifestations related to the medication should the nurse report to the provider A: emesis that looks like coffee grounds B: erectile dysfunction C: muscle pain D: gynecomastia

A: emesis that looks like coffee grounds

A nurse is teaching a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective A: i should apply this patch behind my ear B: this patch should be replaced every 7 days C: before putting on my patch, i should wipe the area with an alcohol swab D: i can use a second patch if a single patch is not effective

A: i should apply this patch behind my ear

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium A: i will give my child a dose as soon as wheezing starts B: my child should rinse out his mouth after using the inhaler C: my child should exhale completely before placing the inhaler in his mouth D: if my child has difficulty breathing in the dose, a spacer can be used

A: i will give my child a dose as soon as wheezing starts

A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication A: jaundice B: constipation C: oral candidiasis D: sedation

A: jaundice

A nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. The nurse should identify that which of the following client statements indicates a potential adverse effect of the medication A: my body aches all over B: i have abdominal cramping C: my hair seems to be thinning D: it hurts when i urinate

A: my body aches all over

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications A: naproxen B: pegloticase C: probenecid D: allopurinol

A: naproxen

A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings should the nurse's priority A: paresthesia B: alopecia C: stomatitis D: constipation

A: paresthesia

A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should anticipate a prescription from the provider for which of the following medications A: propylthiouracil B: liothyronie C: methimazole D: iodine-131

A: propylthiouracil

A nurse is preparing to administer IV nitroprusside for a client who has a myocardial infarction. Which of the following actions should the nurse take A: regulate the infusion pump rate using the client's weight in the calculation B: change the IV solution bag every 48 hours after the time of preparation C: ensure the freshly prepared IV solution has a slight greenish tent D: cover the medication with an amber place bag to protect it from the light

A: regulate the infusion pump rate using the client's weight in the calculation

A nurse is teaching a client who has dyspepsia about prescribed antacids. Which of the following statements should the nurse include in the teaching A: take antacids 1 hour apart from other medication B: increase your sodium intake to avoid hyponatremia C: avoid combining antacids due to an increased risk of adverse effects D: antacids are taken 3 times daily

A: take antacids 1 hour apart from other medications

A nurse is assessing a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement A: the client is having 1-2 bowel movements per day B: the client's glucose level is elevated C: the client has experienced weight loss D: the client has abdominal distention

A: the client is having 1-2 bowel movements per day

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril A: tongue swelling B: low potassium level C: runny nose D: bruising

A: tongue swelling

A nurse is providing teaching discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse my brother takes verapamil for high blood pressure. Do you think the provider made a mistake? Which of the following responses should the nurse make A: verapamil is used to treat both high blood pressure and angina B: you should talk to your provider to make sure the prescription is correct for you C: are you concerned that you might have high blood pressure D: your provider has prescribed verapamil so that you will not develop high blood pressure

A: verapamil is used to treat high blood pressure and angina

A nurse is caring for a client who has a positive TB skin test and is beginning a prescription for isoniazid. Which of the following laboratory values should be monitored while the client is taking isoniazid A: TSH B: AST C: potassium D: sodium

B: AST

A nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8 on a scale of 0-10. Which of the following routes of administration will deliver the medication with the shortest time of onset A: oral B: IV C: intramuscular D: subcutaneous

B: IV

A nurse is caring for a client who is receiving lidocaine for localized pain. The nurse should recognize that which of the following actions will help prevent systemic toxicity of this medication A: applying a heating pad following administration to increase blood flow to the area B: applying the medication to intact skin C: applying a large amount of the medication at once to avoid frequent reapplication D: applying the medication to large areas for maximum spread

B: applying the medication to intact skin

A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should expect to administer which of the following medications A: disulfiram B: chlordiazepoxide C: methadone D: varenicline

B: chlordiazepoxide

A nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions A: act as a catalyst for the anesthetic properties of lidocaine B: delay systemic absorption of the anesthetic properties of lidocaine C: open the blood vessels for rapid anesthesia form the lidocaine D: prevent medication toxicity during the procedure

B: delay systemic absorption of the anesthetic properties of lidocaine

A nurse is caring for a client who is taking streptomycin. Which of the following medications increased the client's risk of developing ototoxicity when taken with streptomycin A: cefoxitin B: furosemide C: naproxen D: amphotericin B

B: furosemide

A nurse is performing a preoperative assessment of a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements A: soy B: garlic C: black cohosh D: green tea

B: garlic

A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication A: breast cancer B: history of DVT C: allergy to calcitonin D: current diagnosis of cholecystitis

B: history of DVT

A nurse is providing discharge teaching to a client who had a kidney transplant and has prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching A: i will able to stop taking this medication within 6 months after my surgery B: i am likely to develop higher blood pressure while taking this medication C: i am likely to lose my hair while taking this medication D: i am taking this medication to boost my immune system

B: i am likely to develop higher blood pressure while taking this medication

A nurse is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching A: i'll apply the patch over areas of my body with little fatty tissue B: i can place the patch on any area of by body without hair C: i'll put the patch on the same site as the previous patch D: i have to apply the patch directly over my heart

B: i can place the patch on any area of my body without hair

A nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching A: the patch will not cause constipation like other pain medications B: i will have to stop drinking grapefruit juice while using the patch C: i will place a heating pad over the patch to boost its effectiveness D: the patch will give me relief from my pain faster than pills can

B: i will have to stop drinking grapefruit juice while using the patch

A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions A: aspirin EC 80 mg PO daily B: levothyroxine 75 mcg PO q Am before breakfast C: metformin XR 500 mg PO daily D: nitroglycerin 0.3 mg SL PRN chest pain, may repeat q 5 min for 2 additional doses

B: levothyroxine 75 mcg PO q Am before breakfast

A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provider immediately A: my last bowel movement was 2 days ago B: my tongue keeps moving like a worm C: i feel dizzy when i stand up too quickly D: i can't stop blinking when i'm in the sun

B: my tongue keeps moving like a worm

A nurse is providing teaching to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to watch for and report to the provider A: weight gain B: myalgia C: hypoglycemia D: severe constipation

B: myalgia

A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therpeutic effect of this medication A: erythrocyte count B: neutrophil count C: lymphocyte count D: thrombocyte count

B: neutrophil count

A nurse is caring for a client who is at 28 weeks gestation and is experiecning preterm labor. Which of the following medications should the nurse plan to administer A: oxytocin B: nifedipine C: dinoprostone D: misoprostol

B: nifedipine

A nurse is assigned to care for several clients who are postoperative. The client is taking which of the following medications is at risk of delayed wound healing A: nifedipine to treat hypertension B: prednisone to treat persistent arthritis exacerbations C: albuterol to treat asthma D: chlorpromazine to treat schizophrenia

B: prednisone to treat persistant arthritis exacerbations

A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching A: take both medications together for 72 hours and then stop taking the cyclosporine B: stop taking the cyclosporine for 24 hours and then begin taking the tacrolimus C: alternate taking the medications for 48 hour and then take only the tacrolimus D: if adverse reactions to the tacrolimus occur, stop taking it and restart the cyclosporine

B: stop taking teh cyclosporine for 24 hours and then being taking the tacrolimus

A nurse is preparing to administer an IM injection for a client. Which of the following factors should the nurse identify as a potential contraindication to administering the medication via the IM route A: the medication is a depot preparation B: the client is taking an anticoagulant C: the medication is a particulate suspension D: the client has been vomiting

B: the client is taking an anticoagulant

A nurse is teaching the guardian of an infant about the diphtheria, tetanus, and pertussis vaccine. Which of the following pieces of information should the nurse include in the teaching A: routine immunization for DTaP consists of 3 injections B: the first immunization for DTaP in the series is given at 2 months C: DTaP immunization has been replaced with DTP D: this immunization is administered subcutaneously

B: the first immunization for DTaP in the series is given at 2 months

A nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements in the nurse include in the teaching A: you might notice that you see better in dim areas B: you should increase your fluid intake C: you should expect to have excessive urination D: you might experience difficulty sleeping

B: you should increase your fluid intake

A nurse is teaching a newly licensed nurse about caring for a client who is receiving patient-controlled analgesia. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching A: assessing the client's vital signs every 6 hours B: instructing the client's family to press the PCA button when the client is sleeping C: having a second nurse check the PCA setting D: administering the PCA through a free-flow infusion system

C: Having a second nurse check the PCA setting

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma. Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is contraindication to receiving this medication A: hypertension B: peripheral vision loss C: asthma D: increased intraocular pressure

C: asthma

A nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. Which of the following data should the nurse collect before administering this medication A: indications of superinfection B: peak and trough medication levels C: baseline BUn and creatinine D: history of allergy to aminoglycoside antibiotics

C: baseline BUN and creatinine levels

A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops durings an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia A: inability to tolerate bright lights B: pinpoint pupils C: blurred vision D: inability to perform an upward gaze

C: blurred vision

A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis A: weight gain B: constipation C: chest pain D: fatigue

C: chest pain

A nurse is caring for a client who has a new prescription for meperidine 500 mg PO q 4 to 6 hr to manage pain. Which of the following actions should the nurse take A: notify the pharmacist B: administer the prescribed amount C: contact the provider for clarification of the prescripiton D: clarify the dose with the charge nurse

C: contact the provider for clarification of the prescription

A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during the administration of adenosine A: seizures B: cinchonism C: dyspnea D: transient pallor of the face

C: dyspnea

A nurse is providing teaching to a client who has gout and new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects A: nausea B: metallic taste C: fever D: drowsiness

C: fever

A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication A: thrist B: nocturia C: headache D: heart palpitations

C: headache

A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication A: ecchymosis B: jaundice C: hypotension D: hypokalemia

C: hypotension

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching A: lidocaine toxicity will cause the client to develop tachycardia B: most clients develop a headache from spinal anesthesia C: hypotension is an adverse effect of spinal anesthesia D: urinary urgency occurs when the client has spinal anesthesia

C: hypotension is an adverse effect of spinal anesthesia

A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective. A: i should start taking this medication at 800 mg daily B: i will need to have tests done on my liver due to the greater chance of liver failure C: i will increase my fluids at least 2 liters per day D: i should take this medication twice daily

C: i will increase my fluids to at least 2 liters per day

A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription or intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching A: i will administer a spray into each nostril daily B: i should expect nasal bleeding for the first week C: i will need to depress the side arms to activate the pump D: i should expect to take this medication for a short-term course of treatment

C: i will need to depress the side arms to activate the pump

A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching A: in effects of the insulin lispro can last 8 to 12 hours B: administer insulin lispro 30 to 60 min before eating C: insulin lispro has an onset of about 15 min D: this insulin an be given as a continuous IV bolus

C: insulin lispro has an onset of about 15 min

A nurse is caring for a client who has recently diagnosed with Addison's disease and has been place on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy A: mineralocorticoids help the body metabolize carbohydrates, fats, and proteins B: mineralocorticoids support secondary sexual development C: mineralocorticoids maintain electrolyte and fluid balance D: mineralocorticoids reduce the risk of cardiac dysrhythmias

C: mineralocorticoids maintain electrolyte and fluid balance

A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextramphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider A: restlessness B: insomnia C: palpitations D: weight gain

C: palpitations

A nurse is providing teaching to a client who has a prescription for ranitidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching A: this medication is more effective when taken on an empty stomach B: you should take this medication with an antacid for pain control C: this medication is less effective for people who smoke D: you should expect to experience dizziness when taking this medication

C: this medication is less effective for people who smoke

A nurse is teaching a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication A: your current medication was not strong enough to manage this condition B: once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued C: This medication was added to delay the disease progression D: treating this disease with 2 medications will help protect you from becoming treatment-resistant

C: this medication was added to delay the disease progression

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse side effects should the client be taught to monitor and notify the provider if it occurs A: nasal congestion B: tremors C: tinnitus D: frontal headache

C: tinnitus

A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain? A: meperidine B: Buprenorphine C: methadone D: fentanyl

D: Fentanyl

A nurse is reviewing the laboratory data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following findings as a potential adverse effects of the medication? A: fasting blood glucose 95 mg/dl B: triglycerides 135 mg/dl C: total cholesterol 175 mg/dl D: absolute neutrophil count 1,200 mm3

D: absolute neutrophil count 1,200 mm3

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer A: ibuprofen B: naproxen C: aspirin D: acetaminophen

D: acetaminophen

A nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication A: acts with a partial agonist molecule to block receptors fully B: temporarily occupies receptors instead of other competitive molecules C: block receptors and prevents them from activating with a regulatory molecule D: binds to receptors and mimics regulatory molecules

D: binds to receptors and mimics regulatory molecules

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first A: encourage the client to eat the toast on the breakfast tray B: administer an antiemetic C: inform the client's provider D: check the client's apical pulse

D: check the client's apical pulse

A nurse is caring for a client who has been taking metformin for 6 months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication A: decreased vitamin B12 levels B: decreased blood glucose levels C: abdominal bloating and diarrhea D: decreased LDL level

D: decreased blood glucose level

A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective A: increased AST B: decreased ALT C: increased PT D: decreased serum ammonia

D: decreased serum ammonia

The nurse is providing discharge teaching for a client who is postoperative and has a new prescription for an oral opioid analgesic. Which of the following pieces of information should the nurse include as a rationale for increasing the client's daily intake of fiber A: fiber binds with the medication to releive pain B: dietary fiber prevents nausea caused by opioids C: fiber promotes the absorption of opioids D: dietary fiber helps prevent constipation

D: dietary fiber helps prevent constipation

A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention A: instructing the client to administer a PCA dose prior to a dressing change B: providing increased fluids while the client is using the PCA pump C: informing the client's partner that only the client should administer the PCA doses D: maintaining the client on bed rest while the PCA pump is in use

D: maintaining the client on bed rest while the PCA pump is in use

A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 times daily PO and gabapentin 1,800 mg 3 times daily PO to manage pain. The client tells the nurse, I'm having pain that keeps me from doing what I'd like most of the time. Which of the following additions should the nurse anticipate to the client's medication regimen A: oral meperidine B: parenteral naloxone C: parenteral diazepam D: oral oxycodone

D: oral oxycodone

A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication? A: weight loss B: hypotension C: lethargy D: osteoporosis

D: osteoporosis

A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client when taking this medication A: reduced cancer-related bone pain B: decreased anxiety and insomnia C: decreased inflammatory response to cancer tumors D: reduced cramping, aching, and burning neuropathic pain

D: reduced cramping, aching, and burning neuropathic pain

A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons A: long-term use to reduce the risk of breast cancer B: short-term use to stimulate the endometrium C: long-term use to prevent osteoporosis D: short-term use to control urogenital atrophy

D: short-term use to control urogenital atrophy

A nurse is teaching a client who has type 2 diabetes mellitus about storing unopened vials of insulin. Which of the following pieces of information should the nurse include in the teaching A: store the vials in the freezer B: store the vials at room temperature C: store the vials by a window D: store the vials in the refrigerator

D: store the vials in the refrigerator

A nurse assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication A: urine specific gravity B: urine output C: blood pressure D: temperature

D: temperature

A nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching A: this medication will not work unless i have enough potassium B: potassium will increase the therapeutic effect of my blood pressure medication C: potassium will lower my blood pressure D: this medication can cause a loss of potassium

D: this medication can cause a loss of potassium