VATI PN Pharmacology Assessment A+GRADED
1. A nurse is assisting with the care of a client who has a myasthenia gravis and
is experiencing a cholinergic crisis. Which of the following medications should
the nurse expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine: Atropine
2. A nurse is caring for a client who has bipolar disorder and a new prescription
for lithium. Which of the following laboratory values should the nurse plan to
monitor for potential adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium: Sodium
3. A nurse is reinforcing teaching with a client who has a prescription for
rosuvastatin to treat high cholesterol levels. For which of the following ad-
verse effects should the nurse instruct the client to monitor and report to the
provider immediately?
Muscle weakness
Headache
Abdominal pain
Insomnia: Muscle weakness
4. A nurse is reinforcing teaching with a newly licensed nurse regarding safe
procedures for medication administration. Which of the following statements
by the newly licensed nurse indicates an understanding of the teaching?
,"I will identify the client by verifying the client's name using the room num-
ber."
"I can administer antibiotics 1 hour before the scheduled time."
"I will check the label on the client's medication three times before adminis-
tering it."
"I will leave the client's medication at the client's bedside.": "I will check the label on
the client's medication three times before administering it."
5. A nurse is preparing to administer Lactated Ringer's solution 350 mL to
infuse over 1 hr. The drop factor of the tubing is 10 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min? (Round answer to
the nearest whole number.): ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 = 58.333
6. A nurse is collecting data from a client who is receiving morphine to relieve
postoperative pain. The client's respiratory rate is 9/min. The nurse should
notify the provider and expect a stat prescription for which of the following
medications?
Naloxone
Glucagon
Flumazenil
Protamine: Naloxone
7. A nurse is reinforcing teaching with a client who has a new prescription for
insulin. The client is taking propranolol. The nurse should teach the client
to monitor for which of the following findings as a manifestation of hypo-
glycemia?
Tachycardia
Difficulty breathing
Sleep disturbance
Hunger: Hunger
8. A nurse is reinforcing dietary teaching with a client who is taking furosemide.
, Which of the following foods should the nurse recommend as the best source
of potassium?
1 cup baked potatoes
1 cup fresh blueberries
1 cup fresh watermelon
1 cup raw chopped cabbage: 1 cup baked potatoes
9. A nurse is reinforcing teaching with a client who has been prescribed isoni-
azid. Which of the following client statements indicates an understanding of
the teaching?
"I should expect my urine to turn reddish in color."
"I will have a skin test to determine when I am no longer contagious."
"I should notify my provider if I develop numbness in my feet."
"I should expect to take this medication for 6 weeks.": "I should notify my provider if I
develop numbness in my feet."
10. A nurse is assisting with the care of a client who has oral benzodiazepine
toxicity. The client has an IV infusing and is nonresponsive. Which of the
following interventions should the nurse anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation: Administering IV flumazenil
11. A nurse is reinforcing teaching with a client who has chronic stable angina
and a prescription for sublingual nitroglycerin tablets. Which of the following
instructions should the nurse include in the teaching?
"Replace your bottle of tablets every 3 months for best effectiveness."
"Place one tablet under the tongue 30 minutes before exercise to prevent
angina chest pain."
"Call 911 if chest pain is not relieved within 20 minutes of taking nitroglyc-
erin."
1. A nurse is assisting with the care of a client who has a myasthenia gravis and
is experiencing a cholinergic crisis. Which of the following medications should
the nurse expect the RN to administer?
Bethanechol
Propranolol
Atropine
Epinephrine: Atropine
2. A nurse is caring for a client who has bipolar disorder and a new prescription
for lithium. Which of the following laboratory values should the nurse plan to
monitor for potential adverse effects?
Prothrombin Time
Hematocrit
Sodium
Potassium: Sodium
3. A nurse is reinforcing teaching with a client who has a prescription for
rosuvastatin to treat high cholesterol levels. For which of the following ad-
verse effects should the nurse instruct the client to monitor and report to the
provider immediately?
Muscle weakness
Headache
Abdominal pain
Insomnia: Muscle weakness
4. A nurse is reinforcing teaching with a newly licensed nurse regarding safe
procedures for medication administration. Which of the following statements
by the newly licensed nurse indicates an understanding of the teaching?
,"I will identify the client by verifying the client's name using the room num-
ber."
"I can administer antibiotics 1 hour before the scheduled time."
"I will check the label on the client's medication three times before adminis-
tering it."
"I will leave the client's medication at the client's bedside.": "I will check the label on
the client's medication three times before administering it."
5. A nurse is preparing to administer Lactated Ringer's solution 350 mL to
infuse over 1 hr. The drop factor of the tubing is 10 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min? (Round answer to
the nearest whole number.): ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 = 58.333
6. A nurse is collecting data from a client who is receiving morphine to relieve
postoperative pain. The client's respiratory rate is 9/min. The nurse should
notify the provider and expect a stat prescription for which of the following
medications?
Naloxone
Glucagon
Flumazenil
Protamine: Naloxone
7. A nurse is reinforcing teaching with a client who has a new prescription for
insulin. The client is taking propranolol. The nurse should teach the client
to monitor for which of the following findings as a manifestation of hypo-
glycemia?
Tachycardia
Difficulty breathing
Sleep disturbance
Hunger: Hunger
8. A nurse is reinforcing dietary teaching with a client who is taking furosemide.
, Which of the following foods should the nurse recommend as the best source
of potassium?
1 cup baked potatoes
1 cup fresh blueberries
1 cup fresh watermelon
1 cup raw chopped cabbage: 1 cup baked potatoes
9. A nurse is reinforcing teaching with a client who has been prescribed isoni-
azid. Which of the following client statements indicates an understanding of
the teaching?
"I should expect my urine to turn reddish in color."
"I will have a skin test to determine when I am no longer contagious."
"I should notify my provider if I develop numbness in my feet."
"I should expect to take this medication for 6 weeks.": "I should notify my provider if I
develop numbness in my feet."
10. A nurse is assisting with the care of a client who has oral benzodiazepine
toxicity. The client has an IV infusing and is nonresponsive. Which of the
following interventions should the nurse anticipate first?
Administering norepinephrine via continuous IV infusion
Administering IV flumazenil
Performing gastric lavage
Preparing the client for mechanical ventilation: Administering IV flumazenil
11. A nurse is reinforcing teaching with a client who has chronic stable angina
and a prescription for sublingual nitroglycerin tablets. Which of the following
instructions should the nurse include in the teaching?
"Replace your bottle of tablets every 3 months for best effectiveness."
"Place one tablet under the tongue 30 minutes before exercise to prevent
angina chest pain."
"Call 911 if chest pain is not relieved within 20 minutes of taking nitroglyc-
erin."
