ATI pharm quiz 1.
Pharmacology Pre-Assessment Quiz
A client has been prescribed metoclopramide. Which of the following should the
nurse include in client education regarding this
medicatio
n? Select
one:
a. Notify your provider if you experience restlessness or spasms of the face or neck.
An adverse effect of Reglan is extrapyramidal symptoms. The client should stop the
medication and notify the provider if these occur.
b.This medication can cause urinary frequency.
c.Decrease your fluid intake while taking this medication.
d.This medication can cause insomnia.
A 52-year-old client with a history of angina has been prescribed transdermal
nitroglycerin.
Which of the following adverse effects
is not seen with this therapy?
Select one:
a. Headache
b. Orthostatic hypotension
c. Tolerance
d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect
lung function. Physiologically, vasodilation
should effect capillary perfusion and decrease lung secretions.
A nurse is caring for a client prescribed montelukast. Which of the following should
the nurse include in teaching related to this
medicatio
n? Select
one:
a. Advise client to take the medication once daily at bedtime. Clients should
take montelukast once daily at bedtime.
b.If the client forgets to take the medication for a few days he can double up on
doses to catch up.
c.Avoid dairy products while taking this medication.
d.This medication is for acute management of asthma
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? Select one:
a. 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
,ATI pharm quiz 1.
increase adherence to therapy even though absorption is also
, ATI pharm quiz 1.
decreased.
b.Take prescribed antacids at the same time as this medication.
c.Decrease dietary fiber intake while taking this medication.
d.Notify your provider if your stool becomes dark green.
A nurse is caring for a client who has diabetes and a new prescription for 14 units
of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily.
What is the total number of units of insulin that the nurse should prepare in the
insulin syringe?
42 Units
Each order of for units of insulin is combined in the same syringe. The nurse should
withdraw the regular insulin into the syringe first.
A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of
the following interventions should the nurse take while
caring for this
client? Select one:
a. Increase client's 4-hr limit as needed.
b. Encourage the client to use the PCA before dressing changes. The nurse
should encourage the client to use the PCA
prophylactically prior to activities that are likely to augment pain levels.
c. Advise the client to use the pump sparingly to prevent addiction.
d. Encourage the client's family to administer PCA while client is sleeping.
A nurse is reviewing the medication class, benzodiazepines. The nurse would use
caution when administering benzodiazepines to which
of the below
clients?
Select one:
a. A client with insomnia.
b. A client with renal failure.
c. A client with hypertension.
d. A client with glaucoma. Correct – benzodiazepines can increase intraocular
pressure due to the pupil-dilating effects of the
Medication.
A client has been prescribed lisinopril. Which of the following medication interactions
should the nurse instruct this client about?
Select one:
a. Escitalopram
b. Potassium supplements Correct. Potassium supplements and potassium-
sparing diuretics increase the risk of hyperkalemia in clients
taking ACE inhibitors such as lisinopril.
Clients should only take potassium supplements if prescribed by the provider. Clients
should also avoid salt substitutes that contain potassium.
Pharmacology Pre-Assessment Quiz
A client has been prescribed metoclopramide. Which of the following should the
nurse include in client education regarding this
medicatio
n? Select
one:
a. Notify your provider if you experience restlessness or spasms of the face or neck.
An adverse effect of Reglan is extrapyramidal symptoms. The client should stop the
medication and notify the provider if these occur.
b.This medication can cause urinary frequency.
c.Decrease your fluid intake while taking this medication.
d.This medication can cause insomnia.
A 52-year-old client with a history of angina has been prescribed transdermal
nitroglycerin.
Which of the following adverse effects
is not seen with this therapy?
Select one:
a. Headache
b. Orthostatic hypotension
c. Tolerance
d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect
lung function. Physiologically, vasodilation
should effect capillary perfusion and decrease lung secretions.
A nurse is caring for a client prescribed montelukast. Which of the following should
the nurse include in teaching related to this
medicatio
n? Select
one:
a. Advise client to take the medication once daily at bedtime. Clients should
take montelukast once daily at bedtime.
b.If the client forgets to take the medication for a few days he can double up on
doses to catch up.
c.Avoid dairy products while taking this medication.
d.This medication is for acute management of asthma
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? Select one:
a. 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
,ATI pharm quiz 1.
increase adherence to therapy even though absorption is also
, ATI pharm quiz 1.
decreased.
b.Take prescribed antacids at the same time as this medication.
c.Decrease dietary fiber intake while taking this medication.
d.Notify your provider if your stool becomes dark green.
A nurse is caring for a client who has diabetes and a new prescription for 14 units
of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily.
What is the total number of units of insulin that the nurse should prepare in the
insulin syringe?
42 Units
Each order of for units of insulin is combined in the same syringe. The nurse should
withdraw the regular insulin into the syringe first.
A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of
the following interventions should the nurse take while
caring for this
client? Select one:
a. Increase client's 4-hr limit as needed.
b. Encourage the client to use the PCA before dressing changes. The nurse
should encourage the client to use the PCA
prophylactically prior to activities that are likely to augment pain levels.
c. Advise the client to use the pump sparingly to prevent addiction.
d. Encourage the client's family to administer PCA while client is sleeping.
A nurse is reviewing the medication class, benzodiazepines. The nurse would use
caution when administering benzodiazepines to which
of the below
clients?
Select one:
a. A client with insomnia.
b. A client with renal failure.
c. A client with hypertension.
d. A client with glaucoma. Correct – benzodiazepines can increase intraocular
pressure due to the pupil-dilating effects of the
Medication.
A client has been prescribed lisinopril. Which of the following medication interactions
should the nurse instruct this client about?
Select one:
a. Escitalopram
b. Potassium supplements Correct. Potassium supplements and potassium-
sparing diuretics increase the risk of hyperkalemia in clients
taking ACE inhibitors such as lisinopril.
Clients should only take potassium supplements if prescribed by the provider. Clients
should also avoid salt substitutes that contain potassium.
