ATI Pharmacology Pre-Assessment Quiz with all the correct answers

Pharmacology Pre-assignment Quiz 1. Match the medication to the lab value that should be monitored during therapy with that medication. Match the antidote to the correct medication. The correct answer is: Heparin – activated partial thromboplastin time (aPTT), Warfarin – prothrombin time (PT) and International Normalized Ratio (INR), Vitamin K – Warfarin (Coumadin), Protamine sulfate – Heparin 2. Match the following medications with the correct classification. he correct answer is: amiodarone – Antidysrhythmic agent, clonidine – Centrally acting alpha-2 agonist, atenolol – Beta Adrenergic Blocker, glipizide – Oral hypoglycemic, Sulfonylurea, terazosin – Alpha-Adrenergic blocker, prednisone – Glucocorticoid, ciprofloxacin – Fluroquinolone, captopril – Angiotensin converting enzyme (ACE) inhibitor, ondansetron – Antiemetic, Serotonin antagonist 3. Match the following classifications of diuretics to their mechanism of action. The correct answer is: This study source was downloaded by from CourseH on :10:40 GMT -05:00 This study resource was shared via CourseH Thiazide diuretics – Work in the early distal convoluted tubule to block the reabsorption of sodium and chloride and prevent the reabsorption of water that this site., Osmotic diuretics – Reduce intracranial pressure and intraocular pressure by raising serum osmolality and drawing fluid back into the vascular and extravascular space., Potassium-sparing diuretics – Block the action of aldosterone (sodium and water retention) which result in potassium retention and the secretion of sodium and water., Loop diuretics – Work on the ascending limb of the loop of Henle to block reabsorption of sodium and chloride and to prevent reabsorption of water. 4. Match the hematopoietic medication to the correct expected pharmacological action. The correct answer is: Thrombopoietic growth factor that increase the production of platelets. – oprelvekin, Granulocyte macrophage colony stimulator that acts on the bone marrow to increase production of white blood cells (neutrophils, monocytes, macrophages, eosinophils). – sargramostim, Leukopoietic growth factor that stimulates the bone marrow to increase production of neutrophils. – filgrastim, Erythropoietic growth factor that acts on the bone marrow to increase production of red blood cells. – epoetin alfa 5. A nurse is caring for a client prescribed hydromorphone for severe pain. The client's respiratory rate has decreased from 16 breaths per minute to 6. Which if the following medications should the nurse prepare to administer? The correct answer is: Naloxone 6. A client has been prescribed lisinopril. Which of the following medication interactions should the nurse instruct this client about? The correct answer is: Potassium supplements 7. A client has been prescribed vasopressin for the treatment of diabetes insipidus. What is the expected pharmacological action of this medication? The correct answer is: To increase reabsorption of water in the renal tubules. 8. A nurse is reviewing the medication class, benzodiazepines. The nurse would use caution when administering benzodiazepines to which of the below clients? The correct answer is: A client with glaucoma. 9. A client is prescribed propranolol. Which of the following client history findings would require the nurse to clarify this medication prescription? The correct answer is: Asthma This study source was downloaded by from CourseH on :10:40 GMT -05:00 This study resource was shared via CourseH Clients with asthma should avoid Beta2 Blockade agents such as propranolol. Bronchoconstriction can occur. Clients with asthma should be administered a beta1selective agent. 10. A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the following instructions should the nurse include in client education regarding taking the first dose of this medication? The correct answer is: Change positions slowly and lie down if dizziness occurs. First-dose orthostatic hypotension can occur with Cardura. The nurse should instruct clients to change positions slowly and to lie down if feeling dizzy, lightheaded or faint. 11. Which of the following are contraindications to aspirin therapy? Select all that apply. The correct answer is: Third trimester pregnancy-Category D, Thrombocytopeniacontraindicated in clients with bleeding disorders , Adolescents with chickenpox due to the risk of Reye syndrome. 12. A 45-year-old client is taking methylprednisolone. What pharmacological action should the nurse expect with this therapy? The correct answer is: Suppression of airway mucus production. 13. A nurse is caring for a client receiving a dopamine infusion via a peripheral IV. Which of the following actions should the nurse take if the IV site appears infiltrated? The correct answer is: Stop the infusion. If infiltration is suspected, the infusion should be stopped. Necrosis can occur from extravasation of high doses of dopamine. Extravasation can be treated with local injection of an alphaadrenergic blocking agent, such as phentolamine. 14. A nurse is to instill ear drops to a 2 year-old child. To straighten the ear canal, the nurse should pull the auricle of the ear: The correct answer is: Down and backward 15. A nurse is preparing to administer an intramuscular injection to an adult client. At what angle should the nurse administer the medication using the ventrogluteal site? The correct answer is: A 90 degree angle 16. A client has been prescribed isosorbide mononitrate. Which of the following should the nurse include in this client's education related to this medication? The correct answer is: This medication is prescribed for long-term prophylaxis against anginal attacks. Isosorbide mononitrate (Imdur) is used for long-term prophylaxis against anginal attacks. 17. A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the following instructions should be included in client teaching about this medication? The correct answer is: Take the medication on an empty stomach to maximize absorption. The nurse should instruct the clients to take iron on an empty stomach, such as 1 hr before meals to maximize absorption. Stomach acid increases absorption. If GI adverse effects occur, the client can take with food to increase adherence to therapy even though absorption is also decreased. 18. A nurse is caring for a client prescribed montelukast. Which of the following should the nurse include in teaching related to this medication? The correct answer is: Advise client to take the medication once daily at bedtime. 19. A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take when administering this medication? The correct answer is: Do not expel the air bubble from the prefilled syringe The air bubble should follow the medication to ensure the client receives the full dose of medication in the syringe. This study source was downloaded by from CourseH on :10:40 GMT -05:00 This study resource was shared via CourseH 20. A nurse has just administered a wrong medication to a client. Which of the follow