ATI PHARM PRACTICE B REVISION HANDBOOK
2026 ADVERSE DRUG REACTIONS AND
PATIENT SAFETY
◉ A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have
taken ibuprofen 800 mg up to four times per day as needed for the
last year. It is no longer effective for pain. Reports pain today as 7 on
a 0 to 10 scale.
6 months ago:
Client reports 5 on a 0 to 10 scale for right upper quadrant
abdominal pain and dyspepsia for the last 3 months. Appetite
decreased due to occasional nausea.Abdomen: Soft, slightly
distended, nontender, bowel sounds present in all four
quadrantsEsophagogastroduodenoscopy (EGD)
prescribed.Today:Client reports no dyspepsia, nausea, or abdominal
pain with continued use of omeprazole. Knee pain is reported as 2
on a 0 to 10 scale with continued use of naproxen.
5 months ago:
Esophagogastroduodenoscopy (EGD) reveals peptic ulcer in
proximal duodenum.
11 months ago:
Diclofenac 50 mg by mouth three times daily5 months
, Answer: The nurse is reviewing the client's medical record, which of
the following is the client at risk for developing hypomagnesemia do
to omeprazole
◉ A nurse in an outpatient clinic is caring for a client.
Initial visit:Temperature 36.5° C (97.7° F)Heart rate 72/minBlood
pressure 118/74 mm HgRespiratory rate 15/minSpO2 99% on room
airFollow-up visit:Temperature 36.7° C (98.1° F)Heart rate
92/minBlood pressure 132/88 mm HgRespiratory rate 18/minSpO2
98% on room air
Initial visit:Client presents for evaluation of an increase in
headaches over past several months. Client reports headaches occur
three to six times per month and typically last a few hours to three
days. Headaches are often accompanied by neck pain and nausea.
Client reports working full-time at a desk job and is using a
computer all day. States last eye exam was three months ago.Follow-
up visit:Client presents with report of a severe headache for the past
four days that is unrelieved by rest and over the counter analgesics.
The client states that they have been nauseated and had 2 episodes
of vomit
Answer: When generating solutions and planning teaching about
sumatriptan, an abortive medication for migraine, the nurse should
inform the client that a feeling of pressure in the chest or arm
heaviness is an expected adverse effect. Sumatriptan can also cause
fatigue. Oral sumatriptan begins to alleviate migraine pain within
one hour and a second dose can be taken at least two hours later if
manifestations persist.
2026 ADVERSE DRUG REACTIONS AND
PATIENT SAFETY
◉ A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have
taken ibuprofen 800 mg up to four times per day as needed for the
last year. It is no longer effective for pain. Reports pain today as 7 on
a 0 to 10 scale.
6 months ago:
Client reports 5 on a 0 to 10 scale for right upper quadrant
abdominal pain and dyspepsia for the last 3 months. Appetite
decreased due to occasional nausea.Abdomen: Soft, slightly
distended, nontender, bowel sounds present in all four
quadrantsEsophagogastroduodenoscopy (EGD)
prescribed.Today:Client reports no dyspepsia, nausea, or abdominal
pain with continued use of omeprazole. Knee pain is reported as 2
on a 0 to 10 scale with continued use of naproxen.
5 months ago:
Esophagogastroduodenoscopy (EGD) reveals peptic ulcer in
proximal duodenum.
11 months ago:
Diclofenac 50 mg by mouth three times daily5 months
, Answer: The nurse is reviewing the client's medical record, which of
the following is the client at risk for developing hypomagnesemia do
to omeprazole
◉ A nurse in an outpatient clinic is caring for a client.
Initial visit:Temperature 36.5° C (97.7° F)Heart rate 72/minBlood
pressure 118/74 mm HgRespiratory rate 15/minSpO2 99% on room
airFollow-up visit:Temperature 36.7° C (98.1° F)Heart rate
92/minBlood pressure 132/88 mm HgRespiratory rate 18/minSpO2
98% on room air
Initial visit:Client presents for evaluation of an increase in
headaches over past several months. Client reports headaches occur
three to six times per month and typically last a few hours to three
days. Headaches are often accompanied by neck pain and nausea.
Client reports working full-time at a desk job and is using a
computer all day. States last eye exam was three months ago.Follow-
up visit:Client presents with report of a severe headache for the past
four days that is unrelieved by rest and over the counter analgesics.
The client states that they have been nauseated and had 2 episodes
of vomit
Answer: When generating solutions and planning teaching about
sumatriptan, an abortive medication for migraine, the nurse should
inform the client that a feeling of pressure in the chest or arm
heaviness is an expected adverse effect. Sumatriptan can also cause
fatigue. Oral sumatriptan begins to alleviate migraine pain within
one hour and a second dose can be taken at least two hours later if
manifestations persist.
