ATI PHARM PRACTICE B CONCEPT REVIEW
GUIDE 2026 CLINICAL DECISION MAKING IN
MEDICATION MANAGEMENT
◉ a nurse erroneously administered zolpidem to the wrong client.
which of the following actions should the nurse take when
documenting the medication error?
a. document the completion of the incident report in the medical
record of the client who received the zolpidem
b. administer a dose of naloxone to reverse the effects of the
medication
c. keep a copy of the incident report on the unit
d. document the notification of the client's provider.
Answer: d. document the notification of the client's provider
◉ a nurse is collecting data from a client who has bacterial
pneumonia & is taking ceftriaxone. which of the following findings
indicates a therapeutic effect of the medication?
a. white blood cell count 10,500/mm
b. clear, bilateral breath sounds
,c. heart rate 110/min
d. tolerates small meal servings.
Answer: b. clear, bilateral breath sounds
◉ a nurse is reinforcing with a client who is to start therapy with a
nitroglycerin transdermal patch. which of the following statements
by the client indicates an understanding of the teaching?
a. "while using the patch, i will be careful when rising from a chair"
b. "i should leave the patch in place for 24 hrs"
c. "i should apply the patch to the same location with each
application"
d. "i will apply a new patch if i have chest pain".
Answer: a. "while using the patch, i will be careful when rising from
a chair"
◉ a nurse is reviewing the medical administration record of a client
who has a history of stevens-johnson syndrome when taking
sulfamethoxazole-trimethoprim. which of the following medications
should the nurse identify as contraindicated for this client?
a. prednisone
b. furosemide
c. lansoprazole
, d. digoxin.
Answer: b. furosemide
◉ a nurse is collecting data from a client who is taking lithium to
treat bipolar disorder. which of the following findings should the
nurse report to the provider?
a. bloating
b. WBC count 8,500/mm
c. slurred speech
d. sodium 140 mEq/L.
Answer: c. slurred speech
◉ an older adult client who has terminal cancer reports pain level at
5 using a 0-10 pain scale. the client has a prescription for morphin
e15 mg orally every 4 hrs. the client's children express concern that
the client is receiving too much of the medication. which of the
following responses should the nurse make?
a. "clients who receive this medication orally have a lower risk for
addiction"
b. "additional doses will not be needed because this medication is
given on a fixed schedule"
c. "the dose should remain constant to prevent breakthrough pain"
GUIDE 2026 CLINICAL DECISION MAKING IN
MEDICATION MANAGEMENT
◉ a nurse erroneously administered zolpidem to the wrong client.
which of the following actions should the nurse take when
documenting the medication error?
a. document the completion of the incident report in the medical
record of the client who received the zolpidem
b. administer a dose of naloxone to reverse the effects of the
medication
c. keep a copy of the incident report on the unit
d. document the notification of the client's provider.
Answer: d. document the notification of the client's provider
◉ a nurse is collecting data from a client who has bacterial
pneumonia & is taking ceftriaxone. which of the following findings
indicates a therapeutic effect of the medication?
a. white blood cell count 10,500/mm
b. clear, bilateral breath sounds
,c. heart rate 110/min
d. tolerates small meal servings.
Answer: b. clear, bilateral breath sounds
◉ a nurse is reinforcing with a client who is to start therapy with a
nitroglycerin transdermal patch. which of the following statements
by the client indicates an understanding of the teaching?
a. "while using the patch, i will be careful when rising from a chair"
b. "i should leave the patch in place for 24 hrs"
c. "i should apply the patch to the same location with each
application"
d. "i will apply a new patch if i have chest pain".
Answer: a. "while using the patch, i will be careful when rising from
a chair"
◉ a nurse is reviewing the medical administration record of a client
who has a history of stevens-johnson syndrome when taking
sulfamethoxazole-trimethoprim. which of the following medications
should the nurse identify as contraindicated for this client?
a. prednisone
b. furosemide
c. lansoprazole
, d. digoxin.
Answer: b. furosemide
◉ a nurse is collecting data from a client who is taking lithium to
treat bipolar disorder. which of the following findings should the
nurse report to the provider?
a. bloating
b. WBC count 8,500/mm
c. slurred speech
d. sodium 140 mEq/L.
Answer: c. slurred speech
◉ an older adult client who has terminal cancer reports pain level at
5 using a 0-10 pain scale. the client has a prescription for morphin
e15 mg orally every 4 hrs. the client's children express concern that
the client is receiving too much of the medication. which of the
following responses should the nurse make?
a. "clients who receive this medication orally have a lower risk for
addiction"
b. "additional doses will not be needed because this medication is
given on a fixed schedule"
c. "the dose should remain constant to prevent breakthrough pain"
