NURS126. Pharmacology in Nursing
Practice II - ATI PRACTICE TEST A
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by
continuous IV infusion. The client asks the nurse how long it will take for the heparin to
dissolve the clot. Which of the following responses should the nurse give?
"It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
"A pharmacist is the person to answer that question."
"Heparin does not dissolve clots. It stops new clots from forming."
"The oral medication you will take after this IV will dissolve the clot." - answer “Heparin
does not dissolve clots. It stops new clots from forming."
A nurse is instructing the parents of a client who has a new prescription for
methylphenidate. Which of the following instructions should the nurse include?
Avoid activities that require alertness such as driving.
Increase caffeine intake.
Take this medication before bedtime.
Reduce calorie intake. - answerAvoid activities that require alertness such as driving.
A nurse is caring for a client who receives furosemide to treat heart failure. Which of the
following laboratory values should the nurse monitor for this client due to this
medication?
Potassium
Albumin
Cortisol
Bicarbonate - answerPotassium
A nurse in a coronary care unit is admitting a client who has had CPR following a
cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the
nurse why he is receiving that medication, the nurse should explain that it has which of
the following actions?
Prevents dysrhythmias
Slows intestinal motility
Dissolves blood clots
Relieves pain - answerPrevents dysrhythmias
, A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin
and pyrazinamide. Which of the following laboratory tests should the nurse instruct the
client will be required while on this medication regimen?
Liver function tests
Gallbladder studies
Thyroid function studies
Blood glucose levels - answerLiver function tests
A nurse is teaching a client who has a new prescription for captopril. Which of the
following instructions should the nurse include in the teaching?
Monitor for a cough.
Hold medication for heart rate less than 60/min.
Take this medication with food.
Avoid grapefruit juice. - answerMonitor for a cough.
A nurse is teaching a client who has a new prescription for bumetanide. Which of the
following instructions should the nurse include in the teaching?
"Report changes in hearing."
"Avoid foods high in potassium."
"Take the prescribed second dose at nighttime."
"Limit your fluid intake to no more than 1.5 L a day." - answer"Report changes in
hearing."
A nurse is providing teaching to a client who has schizophrenia and is receiving
chlorpromazine. Which of the following client statements indicates an understanding of
the teaching?
"I will contact my provider if I have difficulty urinating."
"I am less likely to get an infection while taking this medication."
"Weight loss is a sign that my medication dose is too high."
"I may need to take this medication with an antacid due to stomach upset." - answer"I
will contact my provider if I have difficulty urinating."
A nurse is caring for a client who has a prescription for olanzapine. The nurse should
monitor the client for which of the following manifestations as an expected response to
this medication?
A decrease in resting blood pressure
Control of seizure activity
Decreased auditory hallucinations
Increased energy level and involvement in activities - answerDecreased auditory
hallucinations
Practice II - ATI PRACTICE TEST A
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by
continuous IV infusion. The client asks the nurse how long it will take for the heparin to
dissolve the clot. Which of the following responses should the nurse give?
"It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
"A pharmacist is the person to answer that question."
"Heparin does not dissolve clots. It stops new clots from forming."
"The oral medication you will take after this IV will dissolve the clot." - answer “Heparin
does not dissolve clots. It stops new clots from forming."
A nurse is instructing the parents of a client who has a new prescription for
methylphenidate. Which of the following instructions should the nurse include?
Avoid activities that require alertness such as driving.
Increase caffeine intake.
Take this medication before bedtime.
Reduce calorie intake. - answerAvoid activities that require alertness such as driving.
A nurse is caring for a client who receives furosemide to treat heart failure. Which of the
following laboratory values should the nurse monitor for this client due to this
medication?
Potassium
Albumin
Cortisol
Bicarbonate - answerPotassium
A nurse in a coronary care unit is admitting a client who has had CPR following a
cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the
nurse why he is receiving that medication, the nurse should explain that it has which of
the following actions?
Prevents dysrhythmias
Slows intestinal motility
Dissolves blood clots
Relieves pain - answerPrevents dysrhythmias
, A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin
and pyrazinamide. Which of the following laboratory tests should the nurse instruct the
client will be required while on this medication regimen?
Liver function tests
Gallbladder studies
Thyroid function studies
Blood glucose levels - answerLiver function tests
A nurse is teaching a client who has a new prescription for captopril. Which of the
following instructions should the nurse include in the teaching?
Monitor for a cough.
Hold medication for heart rate less than 60/min.
Take this medication with food.
Avoid grapefruit juice. - answerMonitor for a cough.
A nurse is teaching a client who has a new prescription for bumetanide. Which of the
following instructions should the nurse include in the teaching?
"Report changes in hearing."
"Avoid foods high in potassium."
"Take the prescribed second dose at nighttime."
"Limit your fluid intake to no more than 1.5 L a day." - answer"Report changes in
hearing."
A nurse is providing teaching to a client who has schizophrenia and is receiving
chlorpromazine. Which of the following client statements indicates an understanding of
the teaching?
"I will contact my provider if I have difficulty urinating."
"I am less likely to get an infection while taking this medication."
"Weight loss is a sign that my medication dose is too high."
"I may need to take this medication with an antacid due to stomach upset." - answer"I
will contact my provider if I have difficulty urinating."
A nurse is caring for a client who has a prescription for olanzapine. The nurse should
monitor the client for which of the following manifestations as an expected response to
this medication?
A decrease in resting blood pressure
Control of seizure activity
Decreased auditory hallucinations
Increased energy level and involvement in activities - answerDecreased auditory
hallucinations
