Pharmacology II ATI Quiz 01

A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.2 mL

A nurse is caring for a client who has a prescription for 3,000 mL of dextrose 5% in 0.45% sodium chloride to infuse IV over 24 hr. The nurse initiates an IV infusion of 1,000 mL of this fluid at 0800. At what time should the nurse prepare to initiate the second 1,000 mL bag? a. 1600 b. 2400 c. 1200 d. 1800

a. 1600

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? a. Administer a short-acting B2-agonist (SABA). b. Obtain a peak flow reading. c. Administer an inhaled glucocorticoid. d. Determine the cause of the acute exacerbation.

a. Administer a short-acting B2-agonist (SABA).

A nurse is assessing a client who has an inadequate dietary intake of vitamin C. Which of the following findings should the nurse expect? a. Bleeding gums b. Constipation c. Brittle hair d. Memory loss

a. Bleeding gums

A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C? (Select all that apply.) a. Green pepper b. Orange c. Cabbage d. Strawberries e. Milk

a. Green pepper b. Orange c. Cabbage d. Strawberries

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? a. Insomnia b. Constipation c. Drowsiness d. Hypoactive deep-tendon reflexes

a. Insomnia

A nurse is teaching a class about minerals. Which of the following minerals is needed for the transport of oxygen? a. Iron b. Phosphorus c. Magnesium d. Potassium

a. Iron

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching? a. Keep the open vial of insulin at room temperature. b. Inject the insulin into a large muscle. c. Aspirate the medication prior to administration. d. Administer the insulin in two separate injections.

a. Keep the open vial of insulin at room temperature.

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication? a. Sedation b. Constipation c. Hypertension d. Bradycardia

a. Sedation

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? a. The client holds his breath for 10 seconds after inhaling the medication. b. The client takes a quick inhalation while releasing the medication from the inhaler. c. The client exhales as the medication is released from the inhaler. d. The client waits 10 min between inhalations.

a. The client holds his breath for 10 seconds after inhaling the medication.

A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles? a. Vastus lateralis b. Ventrogluteal c. Dorsogluteal d. Deltoid

a. Vastus lateralis

A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following? a. Vitamin A b. Vitamin B1 c. Vitamin C d. Vitamin B12

a. Vitamin A

A nurse is completing discharge teaching to a client about nutrition therapy for wound healing following a major surgery. Which of the following vitamins that promote healing should the nurse include in the teaching? (Select all that apply.) a. Vitamin A b. Vitamin B12 c. Vitamin C d. Vitamin D e. Vitamin K

a. Vitamin A b. Vitamin B12 c. Vitamin C e. Vitamin K

A nurse is teaching a client who has a vitamin K deficiency about the effects of vitamin K. Which of the following information should the nurse include in the teaching? a. Vitamin K reverses warfarin toxicity. b. Vitamin K promotes fibrinogen formation. c. Vitamin K is produced in the gastric juices. d. Vitamin K is produced in the liver.

a. Vitamin K reverses warfarin toxicity.

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine? a. "Administer the medication with food." b. "Chew on sugarless gum or suck on hard, sour candies." c. "Place a humidifier at your bedside every evening." d. "Discontinue the medication and notify your provider."

b. "Chew on sugarless gum or suck on hard, sour candies."

A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? a. "Glipizide absorbs the excess carbohydrates in your system." b. "Glipizide stimulates your pancreas to release insulin." c. "Glipizide replaces insulin that is not being produced by your pancreas." d. "Glipizide prevents your liver from destroying your insulin."

b. "Glipizide stimulates your pancreas to release insulin."

A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching? a. "I will expect the color of my urine to be amber." b. "I should expect dark, tarry stools." c. "I should expect increased bruising." d. "I will not get as many infections."

b. "I should expect dark, tarry stools."

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching? a. "If my breathing begins to feel tight, I will use the cromolyn immediately." b. "I will be sure to take the albuterol before taking the cromolyn." c. "I will use both medications immediately after exercising." d. "I will administer the medications 10 minutes apart."

b. "I will be sure to take the albuterol before taking the cromolyn."

A nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of the following statements by the client indicates the need for further teaching? a. "I might need to increase my regular insulin during this time." b. "I will gradually stop the prednisone when my rash goes away." c. "I should expect my stools to become very dark and sticky while on this medication." d. "I might have a hard time falling asleep while taking prednisone."

b. "I will gradually stop the prednisone when my rash goes away."

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication? a. Give the medication in the morning daily. b. Administer the medication 2 hr before exercise. c. Give the medication at the onset of wheezing. d. Administer the granules mixed with 20 oz of water.

b. Administer the medication 2 hr before exercise.

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects? a. Hyperglycemia b. Adrenocortical insufficiency c. Severe dehydration d. Rebound pulmonary congestion

b. Adrenocortical insufficiency

A nurse is assessing a client who has vitamin C deficiency. Which of the following findings should the nurse expect? a. Swollen tongue b. Bleeding gums c. Impaired vision d. Diarrhea

b. Bleeding gums

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client? a. Radioactive iodine b. Levothyroxine c. Sumatriptan d. Levofloxacin

b. Levothyroxine

A nurse is providing teaching to a female client who has type 2 diabetes and a new prescription for pioglitazone. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) a. Expect urine to be darkened. b. Monitor weight daily. c. Increase calcium intake. d. Use oral contraceptives to avoid pregnancy. e. Take tablets whole.

b. Monitor weight daily. c. Increase calcium intake.

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide? a. Take the medication on an empty stomach to decrease gastrointestinal irritation. b. Take the medication with orange juice to enhance absorption. c. Take the medication with milk. d. Rinse the mouth before taking the iron.

b. Take the medication with orange juice to enhance absorption.

A nurse is teaching a client about water-soluble vitamins. Which of the following vitamins should the nurse include? a. Vitamin A b. Vitamin C c. Vitamin E d. Vitamin D

b. Vitamin C

A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following by the client indicates an understanding of the teaching? a. "I'll rinse my mouth after taking this medication." b. "I'll take this medication when I get an asthma attack." c. "I'll take this medication once a day in the evening." d. "I'll use a spacer device when I inhale this medication."

c. "I'll take this medication once a day in the evening."

A nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give? a. "Gradually decrease the dose once tolerance to the effect is reached." b. "Distribute the doses evenly throughout the day." c. "Take most of the daily dose at bedtime." d. "Take the medication with meals."

c. "Take most of the daily dose at bedtime."

A nurse is caring for a group of clients. The nurse should recognize that which of the following clients is a risk for a vitamin B6 deficiency? a. A client who takes gabapentin as part of treatment phenytoin for a seizure disorder. b. A client who has asthma. c. A client who has chronic alcohol use disorder. d.A client who takes heparin to prevent deep vein thrombosis.

c. A client who has chronic alcohol use disorder.

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? a. A decrease in blood sugar b. A decrease in blood pressure c. A decrease in urine output d. A decrease in specific gravity

c. A decrease in urine output

A nurse is providing teachings to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide? a. Consume a high-protein diet. b. Administer the medication with food. c. Avoid caffeine while taking the medication. d. Increase fluids to 1L/per day.

c. Avoid caffeine while taking the medication.

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include? a. Discard the NPH solution if it appears cloudy. b. Shake the insulin vigorously before loading the syringe. c. Expect the NPH insulin to peak in 6 to 14 hr. d. Freeze unopened insulin vials.

c. Expect the NPH insulin to peak in 6 to 14 hr.

A nurse is instructing a group of clients about nutrition. The nurse should include which of the following is a trigger for the formation of vitamin D in the body. a. Calcium b. Vitamin A depletion c. Exposure to sunlight d. Weight-bearing exercise

c. Exposure to sunlight

A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions? a. Eczema b. Migraines c. Hypertension d. Diverticulitis

c. Hypertension

A nurse is assessing a client who has vitamin A deficiency. Which of the following findings should the nurse expect? a. Constipation b. Swollen tongue c. Impaired vision d. Bleeding gums

c. Impaired vision

A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication? a. Decrease in appetite b. Increase in weight c. Increase in energy d. Decrease in body temperature

c. Increase in energy

A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat hyperthyroidism. The nurse should understands that this client is at increased risk for which of the following conditions? a. Excessive bleeding b. Ecchymosis c. Infection d. Hyperglycemia

c. Infection

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance? a. Cimetidine b. Dextromethorphan c. Prednisone d. Atorvastatin

c. Prednisone

A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? a. Saw palmetto b. Cranberry c. Soy d. Garlic

c. Soy

A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication? a. The client experiences less muscle pain. b. The client's seizure threshold is reduced. c. The client experiences an increased ease of breathing. d. The client's platelet count is increased.

c. The client experiences an increased ease of breathing.

A nurse is reviewing the medication list for a client who has a new prescription for warfarin. The nurse should recognize that which of the following medications is incompatible with warfarin? a. Furosemide b. Alprazolam c. Vitamin K d. Vitamin A

c. Vitamin K

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? a. Sedation b. Increased appetite c. White coating in the mouth d. Dry oral mucous membranes

c. White coating in the mouth

A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following should the nurse include? a. "Discard the medication if it is cloudy." b. "Briskly shake the medication before filling the syringe." c. "Take this medication 15 minutes before meals." d. "Eat a snack 8 hours after taking this medication."

d. "Eat a snack 8 hours after taking this medication."

A nurse is teaching an adolescent about medication therapy with oral acetylcysteine. Which of the following information should the nurse include in the teaching? a. "You should avoid eating eggs." b. "Your mouth will become dry." c. "It is necessary to monitor your serum electrolyte levels." d. "This medication has a very unusual odor."

d. "This medication has a very unusual odor."

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the burse should prepare in the insulin syringe? a. 14 units b. 28 units c. 32 units d. 42 units

d. 42 units

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort and acute asthma attack? a. Beclomethasone b. Salmeterol c. Formoterol d. Albuterol

d. Albuterol

A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure? a. Pull the skin 1.3 cm (1/2 inch) to the side. b. Insert the needle slowly and gently. c. Use a 45⁰ angle of insertion. d. Aspirate for 5 to 10 seconds.

d. Aspirate for 5 to 10 seconds.

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication? a. Decrease in level of thyroxine (T4). b. Increase in weight. c. Increase in hr of sleep per night. d. Decrease in level of thyroid stimulating hormone (TSH).

d. Decrease in level of thyroid stimulating hormone (TSH).

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include? a. Draw up the NPH insulin into the syringe first. b. Inject air into the regular insulin first. c. Shake the NPH insulin until it is well mixed. d. Discard the regular insulin that appears cloudy.

d. Discard the regular insulin that appears cloudy.

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin? a. Insulin glargine has a duration of 3 to 6 hr. b. Insulin glargine has a duration of 6 to 10 hr. c. Insulin glargine has a duration of 16-24 hr. d. Insulin glargine has a duration of 18-24 hr.

d. Insulin glargine has a duration of 18-24 hr.

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions? a. Reduces inflammation b. Suppresses the urge to cough c. Dries mucous membranes d. Stimulates secretions

d. Stimulates secretions

A nurse is providing teaching to a client who is pregnant and is vegan. The nurse should instruct the client that which of the following foods is a reliable source of Vitamin B12? a. Tempeh b. Algae c. Sea vegetables d. Sunflower margarine

d. Sunflower margarine

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tall the client that this medication might cause which of the following adverse effects? a. Drowsiness b. Constipation c. Oliguria d. Tachycardia

d. Tachycardia