ATI Pharm Midterm Exam
A provider prescribes phenobarbital for a client who 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 - Answer-A
A staff educator is reviewing medication dosages and factors that influence medication metabolism with
a group of nurses 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 - Answer-C
E
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 her side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter her eye
D. Drop the medication into the center of the client's conjunctival sac
,E. Instruct the client to close her eye gently after instillation. - Answer-B
D
E
A nurse is completing discharge teaching for a client who has a new prescription for transdermal
patches. Which of the following statements should the nurse identify as an indication that the client
understands the instructions?
A. "I will clean the site wit 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." - Answer-C
A nurse is 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. - Answer-A
A nurse is preparing a client's medications. Which of the following actions should the nurse take in
following legal practice guidelines? (select all that apply)
A. Maintain skill competency
B. Determine the dosage
C. Monitor for adverse effects
D. Safeguard medications
E. Identify the client's diagnosis - Answer-A
C
,D
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every
day. The nurse should identify this as which of the following types of prescription?
A. Single
B. Stat
C. Routine
D. Standing - Answer-C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting for
a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the
prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - Answer-D
A nurse is admitting a client and completing a preassessment before administering medications. Which
of the following data should the nurse include in the preassessment? (select all that apply)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - Answer-A
C
E
, A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription.
Which of the following statements should the nurse identify as an indication that the newly licensed
nurse understands the process?
A. "A second nurse enters the prescription into the client's medical record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription." - Answer-B
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
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC
Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy -
Answer-B
C
E
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The
client states that she took penicillin 3 years ago and 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 antihistamine at the same time - Answer-B
A provider prescribes phenobarbital for a client who 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 - Answer-A
A staff educator is reviewing medication dosages and factors that influence medication metabolism with
a group of nurses 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 - Answer-C
E
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 her side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter her eye
D. Drop the medication into the center of the client's conjunctival sac
,E. Instruct the client to close her eye gently after instillation. - Answer-B
D
E
A nurse is completing discharge teaching for a client who has a new prescription for transdermal
patches. Which of the following statements should the nurse identify as an indication that the client
understands the instructions?
A. "I will clean the site wit 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." - Answer-C
A nurse is 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. - Answer-A
A nurse is preparing a client's medications. Which of the following actions should the nurse take in
following legal practice guidelines? (select all that apply)
A. Maintain skill competency
B. Determine the dosage
C. Monitor for adverse effects
D. Safeguard medications
E. Identify the client's diagnosis - Answer-A
C
,D
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every
day. The nurse should identify this as which of the following types of prescription?
A. Single
B. Stat
C. Routine
D. Standing - Answer-C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting for
a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the
prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency - Answer-D
A nurse is admitting a client and completing a preassessment before administering medications. Which
of the following data should the nurse include in the preassessment? (select all that apply)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - Answer-A
C
E
, A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription.
Which of the following statements should the nurse identify as an indication that the newly licensed
nurse understands the process?
A. "A second nurse enters the prescription into the client's medical record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription." - Answer-B
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
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC
Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy -
Answer-B
C
E
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The
client states that she took penicillin 3 years ago and 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 antihistamine at the same time - Answer-B
