ATI RN Pharmacology
Online Practice 2023 B
100 Verified
300 Questions
© AK Ebooks US
,Question 1
A nurse is caring for a client who is receiving meperidine. Which of the following is the
nurse's priority assessment before administering the medication?
A. Urinary retention
B. Vomiting
C. Respiratory rate
D. Level of consciousness
EXPLANATION:
The priority assessment before administering meperidine is the client's respiratory rate.
Opioids can cause respiratory depression, leading to reduced breathing and inadequate
ventilation. Monitoring the respiratory rate allows the nurse to detect any signs of
respiratory distress or inadequate breathing, enabling them to intervene promptly to
prevent serious complications.
Question 2
A nurse is caring for a client who has a new prescription for metformin. Which of the
following laboratory results should the nurse evaluate prior to administering the first dose?
A. Potassium level
B. Creatinine level
C. Platelet count
D. Liver enzymes
EXPLANATION:
Before administering the first dose of metformin, the nurse should evaluate the client's
creatinine level. Metformin is primarily excreted by the kidneys, and its clearance
depends on renal function. Elevated creatinine levels indicate impaired kidney function,
which can lead to metformin accumulation and increase the risk of lactic acidosis.
Page 1
© AK Ebooks US
,Question 3
A nurse is providing teaching for a client who has a new prescription for rifampin. Which of
the following statements should the nurse include?
A. This medication can cause your urine to turn orange.
B. You should take this medication with food.
C. This medication can cause insomnia
D. You should take a stool softener with this medication
EXPLANATION:
Rifampin commonly causes discoloration of bodily fluids, including urine, turning it
orange. This is a harmless side effect, and informing the client prevents unnecessary
concern.
Question 4
A nurse accidently removes celecoxib from an automated medication dispensing system
(AMDS) instead of citalopram and almost administers the wrong medication to a client.
Which of the following actions should the nurse take?
A. Report the incident to the nurse manager.
B. Document that the pharmacy sent the incorrect medication.
C. Contact the provider to change the client's prescription.
D. Place the unwrapped celecoxib back into the AMDS
EXPLANATION:
Reporting the incident to the nurse manager ensures proper investigation and
documentation, following facility protocols to prevent future errors.
Question 5
A nurse discovers that a client has been administered a higher dose of oxybutynin than the
prescription indicates. The nurse should assess the client for which of the following adverse
effects?
A. Increased salivation
B. Hyperthermia
C. Urinary incontinence
D. Bradycardia
Page 2
© AK Ebooks US
, EXPLANATION:
Oxybutynin, an anticholinergic, can cause bradycardia due to inhibition of acetylcholine, which regulates heart rate. Assessing
critical after an overdose.
Question 6
A nurse is reviewing the medical record of a client who has a new prescription for verapamil.
Which of the following findings in the client's medical record should the nurse identify as a
contraindication for the administration of verapamil?
A. History of asthma
B. History of heart failure
C. Systolic BP 110 mm Hg
D. Blood creatinine 1.0 mg/dl
EXPLANATION:
Verapamil's negative inotropic effects can worsen heart failure, particularly in clients
with systolic heart failure, making it a contraindication.
Question 7
A nurse is assessing a client who has ovarian cancer and is receiving paclitaxel. Which of the
following findings is the priority for the nurse to report to the provider?
A. Alopecia
B. Muscle pain
C. Nausea
D. Bradycardia
EXPLANATION:
Bradycardia is a serious side effect of paclitaxel, indicating potential cardiac
toxicity. It requires prompt reporting to prevent life-threatening complications.
Page 3
© AK Ebooks US
Online Practice 2023 B
100 Verified
300 Questions
© AK Ebooks US
,Question 1
A nurse is caring for a client who is receiving meperidine. Which of the following is the
nurse's priority assessment before administering the medication?
A. Urinary retention
B. Vomiting
C. Respiratory rate
D. Level of consciousness
EXPLANATION:
The priority assessment before administering meperidine is the client's respiratory rate.
Opioids can cause respiratory depression, leading to reduced breathing and inadequate
ventilation. Monitoring the respiratory rate allows the nurse to detect any signs of
respiratory distress or inadequate breathing, enabling them to intervene promptly to
prevent serious complications.
Question 2
A nurse is caring for a client who has a new prescription for metformin. Which of the
following laboratory results should the nurse evaluate prior to administering the first dose?
A. Potassium level
B. Creatinine level
C. Platelet count
D. Liver enzymes
EXPLANATION:
Before administering the first dose of metformin, the nurse should evaluate the client's
creatinine level. Metformin is primarily excreted by the kidneys, and its clearance
depends on renal function. Elevated creatinine levels indicate impaired kidney function,
which can lead to metformin accumulation and increase the risk of lactic acidosis.
Page 1
© AK Ebooks US
,Question 3
A nurse is providing teaching for a client who has a new prescription for rifampin. Which of
the following statements should the nurse include?
A. This medication can cause your urine to turn orange.
B. You should take this medication with food.
C. This medication can cause insomnia
D. You should take a stool softener with this medication
EXPLANATION:
Rifampin commonly causes discoloration of bodily fluids, including urine, turning it
orange. This is a harmless side effect, and informing the client prevents unnecessary
concern.
Question 4
A nurse accidently removes celecoxib from an automated medication dispensing system
(AMDS) instead of citalopram and almost administers the wrong medication to a client.
Which of the following actions should the nurse take?
A. Report the incident to the nurse manager.
B. Document that the pharmacy sent the incorrect medication.
C. Contact the provider to change the client's prescription.
D. Place the unwrapped celecoxib back into the AMDS
EXPLANATION:
Reporting the incident to the nurse manager ensures proper investigation and
documentation, following facility protocols to prevent future errors.
Question 5
A nurse discovers that a client has been administered a higher dose of oxybutynin than the
prescription indicates. The nurse should assess the client for which of the following adverse
effects?
A. Increased salivation
B. Hyperthermia
C. Urinary incontinence
D. Bradycardia
Page 2
© AK Ebooks US
, EXPLANATION:
Oxybutynin, an anticholinergic, can cause bradycardia due to inhibition of acetylcholine, which regulates heart rate. Assessing
critical after an overdose.
Question 6
A nurse is reviewing the medical record of a client who has a new prescription for verapamil.
Which of the following findings in the client's medical record should the nurse identify as a
contraindication for the administration of verapamil?
A. History of asthma
B. History of heart failure
C. Systolic BP 110 mm Hg
D. Blood creatinine 1.0 mg/dl
EXPLANATION:
Verapamil's negative inotropic effects can worsen heart failure, particularly in clients
with systolic heart failure, making it a contraindication.
Question 7
A nurse is assessing a client who has ovarian cancer and is receiving paclitaxel. Which of the
following findings is the priority for the nurse to report to the provider?
A. Alopecia
B. Muscle pain
C. Nausea
D. Bradycardia
EXPLANATION:
Bradycardia is a serious side effect of paclitaxel, indicating potential cardiac
toxicity. It requires prompt reporting to prevent life-threatening complications.
Page 3
© AK Ebooks US
