ATI Pharmacological and Parenteral Therapies Practice Test

A nurse is preparing to administer moxifloxacin 400 mg by intermittent IV bolus over 60 min. Available is moxifloxacin 400 mg in 250 mL dextrose 5% (D5W). The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

63 gtt/min

A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/5mL. How many mL should the nurse administer per dose?

4 mL

A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water?

-After each medication -Prior to administering each medication -After giving multiple medications

A nurse is preparing to administer phenyton 75 mg PO every 6 hr. Available is phenytoin 25 mg/5mL. How many mL should the nurse administer?

15 mL

A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 30 min. Available is clindamycin 900 mg in 100mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?

200mL/hr

A nurse is preparing to administer dextromethorphan 30 mg PO. The amount available is dextromethorphan oral liquid 7.5mg/5mL. How many mL should the nurse administer?

20mL

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr?

250mL/hr

A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has neuropathic pain. The amount available is gabapentin 300 mg/capsule. How many capsules should the nurse administer per dose?

3 capsules

A nurse is preparing to administer clonidine 0.3 mg at bedtime to a client. The amount available is clondine 0.1mg/tablet. How many tablets should the nurse administer per dose?

3 tablets

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Administer the medication under the client's tongue

A nurse is caring for a client who is 1 day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?

Ask the client to rate her pain on a scale from 0 to 10.

A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client. Which of the following should prompt the charge nurse to intervene?

Withdrawing the needle and massaging the site gently

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75mg/mL. How many mL should the nurse administer per dose?

0.5mL

A nurse is caring for a client who has a single lumen central venous catheter. Which of the following actions should the nurse take when accessing the catheter?

Use a 10-mL syringe to flush the catheter

A nurse is preparing a presentation about valerian to a group of clients. Which of the following information should the nurse include in the teaching?

Valerian contains a compound with estrogenic properties

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Tell the client to blow her nose gently before the installation

A nurse is preparing to administer ranitidine 300 mg PO daily to a client. The amount available is ranitidine 150mg/tablet. How many tablets should the nurse administer?

2 tablets

A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr?

83mL/hr

Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use?

Ask the client's full name and date of birth

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

At the bedside before administration

A nurse is preparing to administer atenolol 50 mg PO daily to a client. The amount available is atenolol 100 mg/tablet. How many tablets should the nurse administer per dose?

0.5 tablets

A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

Shake the inhaler for 3 to 5 seconds

A nurse is preparing to administer 1,000 mL of Lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

28 gtt/min

A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600,000 units/mL. How many mL should the nurse administer?

2mL

A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?

Dextrose 10% in water

A nurse is assessing an IV infusion site on an infant's left hand. Which of the following findings should the nurse identify as an indication of an infiltration?

Edema in the palm of the hand

A nurse is planning to administer an IM injection into a client's deltoid muscle. Which of the following actions should the nurse take?

Inject the medication at a 90 degree angle

A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?

Left forearm

A nurse is administering 1 mg hydromorphone IV to a client. The available dose is 2mg/1mL. What should the nurse do with the remaining medication>

Waste the medication in the presence of another nurse.

A nurse finds an open vial of morphine lying on top of the cabinet in a client's room. Which of the following actions should the nurse take?

Report the discrepancy immediately

A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client. Which of the following is the priority assessment the nurse should complete?

Respiratory Rate

A nurse is administering an oral medication to an older adult client. The client states "The pill I always take is green. I don't take an orange pill." Which of the following responses should the nurse make?

"I will take your medication order again."

A nurse is preparing to insert an IV catheter for a client and has selected the insertion site. Place the following steps in the order in which the nurse should perform them.

-Cleanse the site with an antiseptic swab -Apply a tourniquet or BP cuff -Dilate the vein -Insert the catheter -Flush the catheter

A nurse is preparing to administer lorazepam 1 mg PO at bedtime. The amount available is lorazepam 2 mg tablets. How many tablets should the nurse administer per dose?

0.5 tablets

A nurse is preparing to administer methylnatrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnatrexone 8mg/0.4mL. How many mL should the nurse administer?

0.6mL

A nurse is preparing to administer meperidine 75 mg IM to a client who reports postoperative pain. Available is meperidine 100mg/mL. How many mL should the nurse administer?

0.8 mL

A nurse is preparing to administer an IV fluid bolus of 200 mL dextrose 5% in water over 30 min. The drop factor of the manual IV tubing is 15 gtt/min. The nurse should set the manual IV infusion to deliver how many gtt/min?

100 gtt/min

A nurse is preparing to administer amoxicillin 500 mg PO four times each day to a client. The amount available is amoxicillin suspension 250mg/5mL. How many mL should the nurse administer per dose?

10mL

A nurse is preparing to administer 0.9% sodium chloride 1,000mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr?

125mL/hr

A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has an opioid -induced respiratory depression. Available is naloxone injection 0.2mg/mL. How many mL should the nurse administer per dose?

2 mL

A nurse is preparing to administer vancomycin 15mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose?

675 mg

A nurse arrives for her shift and is preparing to count the controlled substances in the secure cabinet. Which of the following actions should the nurse take?

Verify that the amounts of each medication she counts match the amounts on the inventory record.

A nurse working on a medical surgical unit is completing the admission of a client who reports a severe allergy to penicillin. Which of the following actions should the nurse take?

Verify the client's medication prescriptions do not include cephalosporin

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"I will clean and dry the area before applying the patch"

A nurse is preparing to administer levothyroxine 0.175mg PO once a day. The amount available is levothyroxine 88mcg/tablet. How many tablets should the nurse administer per dose?

2 tablets

A nurse is preparing to administer clindamycin palitate 225 mg PO every 8 hr to a client. The amount available is clindamycin palmitate oral suspension 74mg/5 mL. How many mL should the nurse administer?

15mL

A nurse is preparing to administer three liquid medications to a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?

Pinch the tube prior to attaching the medication syringe

A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take?

Remove the catheter and insert another into a different site

A nurse is preparing to administer naproxen 500 mg PO BID for a client who has osteoarthritis. The amount available is naproxen 125mg/5mL oral suspension. How many mL should the nurse administer per dose?

20 mL

A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?

Inject 20 units of air into the NPH insulin vial

A nurse is caring for an adult client who is scheduled for surgery. Which of the following sites should the nurse assess for possible placement of an IV catheter?

-Cephalic Vein -Basilic Vein

A nurse is planning care for a client who is postoperative. Which of the following statements about pain management should then nurse consider when implementing client care?

-Each client's expression of pain may be different an individualized -Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range -Pain level and pain tolerance can be assessed using a scale from 0 to 10. -The client will express the feeling of pain both verbally and nonverbally

A nurse is monitoring a client who is postoperative and unable to respond to questions. Which of the following nonverbal behaviors should the nurse identify as an indication that the client has pain?

-Restlessness -Grimacing -Clenching

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?

0.45% sodium chloride

A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hr. At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?

1800

A nurse is preparing to administer acetaminophen 650 mg PO every 4 hr PRN to a client. The amount available is acetaminophen 325mg/tablet. How many tablets should the nurse administer?

2 tablets

A nurse is preparing to administer amitriptyline 150 mg PO at bedtime. The amount available is amitriptyline 75 mg/tablet. How many tablets should the nurse administer per dose?

2 tablets

A nurse is preparing to administer hydrochlorothiazide 25 mg PO daily to a client. Available is hydrochlorothiazide 50mg/5mL. How many mL should the nurse administer?

2.5mL

A nurse is preparing to administer digoxin 1.5mg PO to a client. The amount available is digoxin 0.5mg/tablet. How many tablets should the nurse administer?

3 tablets

A nurse is preparing to administer digoxin 12mcg/kg/day PO to divide equally every 12 hr to a school-age child who weighs 66 lb. Available is digoxin elixir 0.05mg/mL. How many mL should the nurse administer per dose?

3.6mL

A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute?

31 gtt/min

A nurse is preparing to administer an IV fluid bolus of 500 mL 0.9% sodium chloride over 60 min. The drop factor of the manual IV tubing is 10gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

83gtt/min

A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?

90 degrees

A nurse withdraws morphine 2 mg from a 40mg/mL vial to inject IMf for a client. Which of the following actions should the nurse take for wasting the excess medication?

Have a second nurse witness the disposal of the excess medication

A nurse is preparing medication for a client when another client has an emergency. Which of the following actions should the nurse take?

Lock the medication in a room and finish preparing it after returning from the emergency.

A nurse is inserting an IV catheter for an older adult client in preparation for an outpatient procedure. Which of the following veins should the nurse select?

Median vein in the forearm

A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?

Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm