ATI RN Pharmacology

ATI RN Pharmacology (8.0) Chapter 1 1. A provider prescribes phenobarbital for a client wo has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? a. One b. Two c. Three d. Four 2. A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.) a. Increased renal excretion b. Increased medication-metabolizing enzymes c. Liver failure d. Peripheral vascular disease e. Concurrent use of medication the same pathway metabolizes 3. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) a. Have the client lie on one side. b. Ask the client to look up at the ceiling. c. Tell the client to blink when the drops enter the eye. d. Drop the medication into the client’s conjunctival sac. e. Instruct the client to close the eye gently after instillation. 4. A nurse is teaching a client about transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands? a. “I will clean the site with an alcohol swab before I apply the patch.” b. “I will rotate the application sites weekly.” c. “I will apply the patch to an area of skin with no hair.” d. “I will place the new patch on the site of the old patch.” 5. A nurse reviewing a client’s medical record notes a new prescription for verifying the trough level of the client’s medication. Which of the following actions should the nurse take? a. Obtain a blood specimen immediately prior to administering the next dose of medication. b. Verify that the client has been taking the medication for 24hr before obtaining a blood specimen. c. Ask the client to provide a urine specimen after the next dose of medication. d. Administer the medication, and obtain a blood specimen 30 min later. Chapter 2 1. A nurse is preparing a client’s medications. Which of the following actions should the nurse take I following legal practice guidelines? (Select all that apply.) a. Teach the client about the medication. b. Determine the dosage. c. Monitor for adverse effects. d. Lock compartments for controlled substances. e. Determine the client’s insurance status. 2. A nurse is preparing to administer digoxin to a client who states, “I don’t want to take that medication. I do not want one more pill.” Which of the following responses should the nurse make? a. “Your physician prescribed it for you, so you really should take it.” b. “Well, let’s just get it over quickly then.” c. “Okay, I’ll just give you your other medications.” d. “Tell me our concerns about taking this medication.” 3. A nurse is reviewing a client’s prescribed medications. Which of the following situations represents a contraindication to medication administration? a. The client drank grapefruit juice, which could reduce a medication’s effectiveness. b. The medication has orthostatic hypotension as an adverse effect. c. A medication is approved for ages 12 and older, and the client is 8 years old. d. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a preoperative sedative. 4. A nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (Select all that apply.) a. Use of herbal products b. Daily fluid intake c. Ability to swallow d. Previous surgical history e. Allergies 5. A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? a. Taking all medications out of the unit-dose wrappers before entering the client’s room. b. Checking the prescription when a single dose requires administration of multiple tablets. c. Administering a medication, then looking the usual dosage range. d. Relying on another nurse to clarify a medication prescription. Chapter 3 1. A nurse is preparing to administer vancomycin 1g by intermittent IV bolus. Available is vancomycin 1g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.) 22gtt/min 2. A nurse is preparing to administer clindamycin 200mg by intermittent IV bolus. The amount available is clindamycin injection 200mg in 100mL 0.9% NaCl to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Do not use a trailing zero.) 200mL/hr 3. A nurse is preparing to administer furosemide 80mg PO daily. The amount available is furosemide oral solution 10mg/1mL. How many mL should the nurse administer? (Round to the nearest whole number. Do not use a trailing zero.) 8 mL 4. A nurse is preparing to administer haloperidol 2mg PO every 12 hr. The amount available is haloperidol 1mg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Do not use a trailing zero.) 2 tablets 5. A nurse is preparing to administer amoxicillin 20mg/kg/day PO to divide equally every 12 hr to a preschooler who weighs 44lb. The amount available is amoxicillin suspension 250mg/5mL. How many mL should the nurse administer per dose? (Round to the nearest whole number. Do not use a trailing zero.) 4 mL 6. A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr. The amount available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose? (Round to the nearest tenth. Do not use a trailing zero.) 0.8 mL 7. A nurse is preparing to administer acetaminophen 650mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5mL. how many mL should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if applies. Do not use a trailing zero.) 6.5mL 8. A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.) 125 mL/hr Chapter 4 1. A nurse is caring for a client experiencing IV extravasation. The facility requires the administration of an antidote for the prescribed IV solution. After stropping the IV infusion, which of the following actions should the nurse take first? a. Remove the IV catheter. b. Withdraw the solution from the IV access. c. Administer the antidote to the vesicant. d. Insert a new IV access in a different extremity. 2. A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take? a. Use a disposable razor to remove excess hair on the extremity. b. Select the back of the client’s hand to insert the IV catheter. c. Distend the veins by using BP cuff. d. Direct the client to raise their arm above the heart. 3. A nurse assessing the IV catheter insertion site for a client receiving a nonvesicant solution and notes swelling at the site with decreased skin temperature. Which of the following actions should the nurse take? (Select all that apply.) a. Stop the infusion. b. Start a new IV access distal to this site. c. Apply warm compresses to the insertion. d. Elevate the client’s arm. e. Obtain a specimen for culture at the insertion site. Chapter 5 1. A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) a. A client at 8 weeks of gestation who asks for an influenza immunization. b. A client who takes prednisone and has a possible fungal infection. c. A client who has chronic liver disease and is taking hydrocodone/acetaminophen. d. A client who has peptic ulcer disease, takes sucralfate, and has started taking OTC aluminum hydroxide. e. A client who has a prosthetic heart valve, takes warfarin, and reports suspected pregnancy. 2. A nurse is preparing to administer an IM dose of PCN to a client who has a new prescription. The client states when they took PCN 3 years ago, the developed a rash. Which of the following actions should the nurse take? a. Administer the prescribed dose. b. Withhold the medication. c. Ask the provider to change the prescription to an oral form. d. Administer an oral histamine at the same time. 3. A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give? a. “Be sure to limit your potassium intake while taking this medication.” b. “You should check your blood pressure every 8 hours while taking this medication.” c. “Your medication dosage will be increased if you develop tachycardia.” d. “Change positions slowly when you move from sitting to standing.” 4. A nurse is reviewing a client’s health record an...

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