ATI Pharmacology proctored exam study
guide
a nurse is preparing to administer a drug to a client. In which of the following sections of
a drug handbook should the nurse look to determine if the drug has more than one use?
-adverse effects
-indications
-pharmacokinetics
-nursing implications -
✔indications
a nurse is reviewing a drug handbook prior to administering a drug to a client who has
kidney disease. The handbook states that the drug can be administered but identifies
certain risks. Which of the following terms describes these risks?
contraindications
precautions
paradoxical effects
adverse effects -
✔precautions
a nurse is caring for a client who is taking diphenhydramine for insomnia and reports
drowsiness. The nurse should identify that drowsiness indicates which of the following?
therapeutic effect
adverse reaction
contraindication
precaution -
✔therapeutic effect
a nurse is providing teaching for a client who has a new prescription for a drug with a
high potential for toxicity. Which of the following information should the nurse include?
(Select all that apply)
,1. periodic lab tests are essential to measure serum drug levels
2. monitoring for indications of toxicity is important
3. taking the drug with an inducing agent will increase the possibility of toxicity
4. taking the smallest effective dose is crucial
5. increasing fluid intake is recommended to avoid toxicity -
✔1,2,4
a nurse is providing teaching to a pregnant client who is taking captopril, an ACE
inhibitor, to treat hypertension. The nurse informs the client that captopril is a
teratogenic drug. The nurse should explain that teratogenic drugs can cause which of
the following?
maternal bleeding
maternal blood clots
gestational diabetes
fetal malformation -
✔fetal malformation
when reviewing a lists of drugs in a drug handbook, a nurse can identify the generic
name for a drug in which of the following ways?
it begins with a lower case letter
it is listed in parentheses along with the trade name
there are both letters and numbers in the name
the chemical name is listed in parentheses before the generic name -
✔lower case letter
a nurse is reviewing a drug reference. The nurse should identify that drugs in the same
class share which of the following similarities?
they have similar mechanisms of actions
they have the same half life
they are administered by the same route
,they have similar availability -
✔1
a nurse is caring for a client who is newly admitted to the facility for chest pain. At which
of the following times should the nurse begin teaching about drugs and discharge
planning?
after the client has a definitive diagnosis
on the day of discharge
when the client's family members are present
as soon as possible -
✔ASAP
a nurse is caring for a client who is taking acetaminophen and codeine for pain relief.
These analgesic drugs interact with one another to cause an additive effect. The nurse
should identify that which of the following characteristics of additive drug interactions?
(select all that apply)
1. clients can achieve desired effects with the use of lower dosages
2. taking the two drugs together can reduce the effects of one or both drugs
3. taking the two drugs together can potentiate the effects of one or both drugs.
4. the two drugs can produce an action neither would have produced alone
5. both drugs have similar actions -
✔1,5
a nurse is caring for a client who arrived at an ER department following a bee sting.
Which of the following findings indicates an anaphylactic reaction? (Select all that apply)
1. Low bp
2. wheezing
3. bradycardia
4. peripheral edema
5. difficulty swallowing -
✔1,2,5
, a nurse is preparing to teach a client how to take care of a newly created colostomy.
The nurse should identify that which of the following factors can decrease the client's
ability to learn? (select all that apply)
1. impaired cognitive level
2. language barrier
3. discomfort
4. repetition of teaching
5. unreadiness to learn -
✔1,2,3,5
a nurse is teaching a client about the adverse effects of digoxin. Which of the following
statements should the nurse include in the teaching?
adverse effects are intended effects of the med
adverse effects indicate a severe allergy to the med
decrease your med dose if adverse effects occur
contact your provider if adverse effects occur -
✔contact hcp
a nurse is obtaining a client's health history. The client reports no allergies but has
experienced mild itching while taking amoxicillin in the past. Which of the following
responses should the nurse make?
itching is an expected adverse effect of amoxicillin
itching can indicate amoxicillin toxicity
itching can indicate hypersensitivity to amoxicillin
itching can result from dry skin which is often caused by amoxicillin -
✔3
a nurse is caring for a client who was prescribed an antidepressant based on its ability
to prevent the reuptake of neurotransmitters. the nurse should identify that which of the
following terms describes why this drug was prescribed to the client?
pharmacological action
guide
a nurse is preparing to administer a drug to a client. In which of the following sections of
a drug handbook should the nurse look to determine if the drug has more than one use?
-adverse effects
-indications
-pharmacokinetics
-nursing implications -
✔indications
a nurse is reviewing a drug handbook prior to administering a drug to a client who has
kidney disease. The handbook states that the drug can be administered but identifies
certain risks. Which of the following terms describes these risks?
contraindications
precautions
paradoxical effects
adverse effects -
✔precautions
a nurse is caring for a client who is taking diphenhydramine for insomnia and reports
drowsiness. The nurse should identify that drowsiness indicates which of the following?
therapeutic effect
adverse reaction
contraindication
precaution -
✔therapeutic effect
a nurse is providing teaching for a client who has a new prescription for a drug with a
high potential for toxicity. Which of the following information should the nurse include?
(Select all that apply)
,1. periodic lab tests are essential to measure serum drug levels
2. monitoring for indications of toxicity is important
3. taking the drug with an inducing agent will increase the possibility of toxicity
4. taking the smallest effective dose is crucial
5. increasing fluid intake is recommended to avoid toxicity -
✔1,2,4
a nurse is providing teaching to a pregnant client who is taking captopril, an ACE
inhibitor, to treat hypertension. The nurse informs the client that captopril is a
teratogenic drug. The nurse should explain that teratogenic drugs can cause which of
the following?
maternal bleeding
maternal blood clots
gestational diabetes
fetal malformation -
✔fetal malformation
when reviewing a lists of drugs in a drug handbook, a nurse can identify the generic
name for a drug in which of the following ways?
it begins with a lower case letter
it is listed in parentheses along with the trade name
there are both letters and numbers in the name
the chemical name is listed in parentheses before the generic name -
✔lower case letter
a nurse is reviewing a drug reference. The nurse should identify that drugs in the same
class share which of the following similarities?
they have similar mechanisms of actions
they have the same half life
they are administered by the same route
,they have similar availability -
✔1
a nurse is caring for a client who is newly admitted to the facility for chest pain. At which
of the following times should the nurse begin teaching about drugs and discharge
planning?
after the client has a definitive diagnosis
on the day of discharge
when the client's family members are present
as soon as possible -
✔ASAP
a nurse is caring for a client who is taking acetaminophen and codeine for pain relief.
These analgesic drugs interact with one another to cause an additive effect. The nurse
should identify that which of the following characteristics of additive drug interactions?
(select all that apply)
1. clients can achieve desired effects with the use of lower dosages
2. taking the two drugs together can reduce the effects of one or both drugs
3. taking the two drugs together can potentiate the effects of one or both drugs.
4. the two drugs can produce an action neither would have produced alone
5. both drugs have similar actions -
✔1,5
a nurse is caring for a client who arrived at an ER department following a bee sting.
Which of the following findings indicates an anaphylactic reaction? (Select all that apply)
1. Low bp
2. wheezing
3. bradycardia
4. peripheral edema
5. difficulty swallowing -
✔1,2,5
, a nurse is preparing to teach a client how to take care of a newly created colostomy.
The nurse should identify that which of the following factors can decrease the client's
ability to learn? (select all that apply)
1. impaired cognitive level
2. language barrier
3. discomfort
4. repetition of teaching
5. unreadiness to learn -
✔1,2,3,5
a nurse is teaching a client about the adverse effects of digoxin. Which of the following
statements should the nurse include in the teaching?
adverse effects are intended effects of the med
adverse effects indicate a severe allergy to the med
decrease your med dose if adverse effects occur
contact your provider if adverse effects occur -
✔contact hcp
a nurse is obtaining a client's health history. The client reports no allergies but has
experienced mild itching while taking amoxicillin in the past. Which of the following
responses should the nurse make?
itching is an expected adverse effect of amoxicillin
itching can indicate amoxicillin toxicity
itching can indicate hypersensitivity to amoxicillin
itching can result from dry skin which is often caused by amoxicillin -
✔3
a nurse is caring for a client who was prescribed an antidepressant based on its ability
to prevent the reuptake of neurotransmitters. the nurse should identify that which of the
following terms describes why this drug was prescribed to the client?
pharmacological action
