ATI RN Pharmacology (8.0)
EXAM 2022
Chapter 1
1. A provider prescribes phenobarbital for a client wo has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
a. One
b. Two
c. Three
d. Four
2. A nurse educator is reviewing medication metabolism at an in-service presentation.
Which of the following factors should the educator include as a reason to administer
lower medication dosages? (Select all that apply.)
a. Increased renal excretion
b. Increased medication-metabolizing enzymes
c. Liver failure
d. Peripheral vascular disease
e. Concurrent use of medication the same pathway metabolizes
3. A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? (Select all that apply.)
a. Have the client lie on one side.
b. Ask the client to look up at the ceiling.
c. Tell the client to blink when the drops enter the eye.
d. Drop the medication into the client’s conjunctival sac.
e. Instruct the client to close the eye gently after instillation.
4. A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
a. “I will clean the site with an alcohol swab before I apply the patch.”
b. “I will rotate the application sites weekly.”
c. “I will apply the patch to an area of skin with no hair.”
d. “I will place the new patch on the site of the old patch.”
5. A nurse reviewing a client’s medical record notes a new prescription for verifying
the trough level of the client’s medication. Which of the following actions should the
nurse take?
a. Obtain a blood specimen immediately prior to administering the next dose of
medication.
b. Verify that the client has been taking the medication for 24hr before obtaining a
blood specimen.
c. Ask the client to provide a urine specimen after the next dose of medication.
d. Administer the medication, and obtain a blood specimen 30 min later.
1|Page
,Chapter 2
1. A nurse is preparing a client’s medications. Which of the following actions should
the nurse take I following legal practice guidelines? (Select all that apply.)
a. Teach the client about the medication.
b. Determine the dosage.
c. Monitor for adverse effects.
d. Lock compartments for controlled substances.
e. Determine the client’s insurance status.
2. A nurse is preparing to administer digoxin to a client who states, “I don’t want to
take that medication. I do not want one more pill.” Which of the following responses
should the nurse make?
a. “Your physician prescribed it for you, so you really should take it.”
b. “Well, let’s just get it over quickly then.”
c. “Okay, I’ll just give you your other medications.”
d. “Tell me our concerns about taking this medication.”
3. A nurse is reviewing a client’s prescribed medications. Which of the following
situations represents a contraindication to medication administration?
a. The client drank grapefruit juice, which could reduce a medication’s
effectiveness.
b. The medication has orthostatic hypotension as an adverse effect.
c. A medication is approved for ages 12 and older, and the client is 8 years old.
d. An antianxiety medication that has an adverse effect of drowsiness is prescribed
as a preoperative sedative.
4. A nurse is assessing a client before administering medications. Which of the
following data should the nurse obtain? (Select all that apply.)
a. Use of herbal products
b. Daily fluid intake
c. Ability to swallow
d. Previous surgical history
e. Allergies
5. A nurse is working with a newly licensed nurse who is administering medications to
clients. Which of the following actions should the nurse identify as an indication that
the newly hired nurse understands medication error prevention?
a. Taking all medications out of the unit-dose wrappers before entering the client’s
room.
b. Checking the prescription when a single dose requires administration of
multiple tablets.
c. Administering a medication, then looking the usual dosage range.
d. Relying on another nurse to clarify a medication prescription.
2|Page
,Chapter 3
1. A nurse is preparing to administer vancomycin 1g by intermittent IV bolus.
Available is vancomycin 1g in 100 mL of dextrose 5% in water (D5W) to infuse over
45 min. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should
adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to
the nearest whole number. Do not use a trailing zero.)
22gtt/min
2. A nurse is preparing to administer clindamycin 200mg by intermittent IV bolus. The
amount available is clindamycin injection 200mg in 100mL 0.9% NaCl to infuse
over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round
to the nearest whole number. Do not use a trailing zero.)
200mL/hr
3. A nurse is preparing to administer furosemide 80mg PO daily. The amount available
is furosemide oral solution 10mg/1mL. How many mL should the nurse administer?
(Round to the nearest whole number. Do not use a trailing zero.)
8 mL
4. A nurse is preparing to administer haloperidol 2mg PO every 12 hr. The amount
available is haloperidol 1mg/tablet. How many tablets should the nurse administer?
(Round to the nearest whole number. Do not use a trailing zero.)
2 tablets
3|Page
, 5. A nurse is preparing to administer amoxicillin 20mg/kg/day PO to divide equally
every 12 hr to a preschooler who weighs 44lb. The amount available is amoxicillin
suspension 250mg/5mL. How many mL should the nurse administer per dose?
(Round to the nearest whole number. Do not use a trailing zero.)
4 mL
6. A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr.
The amount available is heparin injection 20,000 units/mL. How many mL should
the nurse administer per dose? (Round to the nearest tenth. Do not use a trailing
zero.)
0.8 mL
7. A nurse is preparing to administer acetaminophen 650mg PO every 6 hr PRN for
pain. The amount available is acetaminophen liquid 500 mg/5mL. how many mL
should the nurse administer per dose? (Round to the nearest tenth. Use a leading
zero if applies. Do not use a trailing zero.)
6.5mL
8. A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse
over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.)
125 mL/hr
4|Page
EXAM 2022
Chapter 1
1. A provider prescribes phenobarbital for a client wo has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
a. One
b. Two
c. Three
d. Four
2. A nurse educator is reviewing medication metabolism at an in-service presentation.
Which of the following factors should the educator include as a reason to administer
lower medication dosages? (Select all that apply.)
a. Increased renal excretion
b. Increased medication-metabolizing enzymes
c. Liver failure
d. Peripheral vascular disease
e. Concurrent use of medication the same pathway metabolizes
3. A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? (Select all that apply.)
a. Have the client lie on one side.
b. Ask the client to look up at the ceiling.
c. Tell the client to blink when the drops enter the eye.
d. Drop the medication into the client’s conjunctival sac.
e. Instruct the client to close the eye gently after instillation.
4. A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
a. “I will clean the site with an alcohol swab before I apply the patch.”
b. “I will rotate the application sites weekly.”
c. “I will apply the patch to an area of skin with no hair.”
d. “I will place the new patch on the site of the old patch.”
5. A nurse reviewing a client’s medical record notes a new prescription for verifying
the trough level of the client’s medication. Which of the following actions should the
nurse take?
a. Obtain a blood specimen immediately prior to administering the next dose of
medication.
b. Verify that the client has been taking the medication for 24hr before obtaining a
blood specimen.
c. Ask the client to provide a urine specimen after the next dose of medication.
d. Administer the medication, and obtain a blood specimen 30 min later.
1|Page
,Chapter 2
1. A nurse is preparing a client’s medications. Which of the following actions should
the nurse take I following legal practice guidelines? (Select all that apply.)
a. Teach the client about the medication.
b. Determine the dosage.
c. Monitor for adverse effects.
d. Lock compartments for controlled substances.
e. Determine the client’s insurance status.
2. A nurse is preparing to administer digoxin to a client who states, “I don’t want to
take that medication. I do not want one more pill.” Which of the following responses
should the nurse make?
a. “Your physician prescribed it for you, so you really should take it.”
b. “Well, let’s just get it over quickly then.”
c. “Okay, I’ll just give you your other medications.”
d. “Tell me our concerns about taking this medication.”
3. A nurse is reviewing a client’s prescribed medications. Which of the following
situations represents a contraindication to medication administration?
a. The client drank grapefruit juice, which could reduce a medication’s
effectiveness.
b. The medication has orthostatic hypotension as an adverse effect.
c. A medication is approved for ages 12 and older, and the client is 8 years old.
d. An antianxiety medication that has an adverse effect of drowsiness is prescribed
as a preoperative sedative.
4. A nurse is assessing a client before administering medications. Which of the
following data should the nurse obtain? (Select all that apply.)
a. Use of herbal products
b. Daily fluid intake
c. Ability to swallow
d. Previous surgical history
e. Allergies
5. A nurse is working with a newly licensed nurse who is administering medications to
clients. Which of the following actions should the nurse identify as an indication that
the newly hired nurse understands medication error prevention?
a. Taking all medications out of the unit-dose wrappers before entering the client’s
room.
b. Checking the prescription when a single dose requires administration of
multiple tablets.
c. Administering a medication, then looking the usual dosage range.
d. Relying on another nurse to clarify a medication prescription.
2|Page
,Chapter 3
1. A nurse is preparing to administer vancomycin 1g by intermittent IV bolus.
Available is vancomycin 1g in 100 mL of dextrose 5% in water (D5W) to infuse over
45 min. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should
adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to
the nearest whole number. Do not use a trailing zero.)
22gtt/min
2. A nurse is preparing to administer clindamycin 200mg by intermittent IV bolus. The
amount available is clindamycin injection 200mg in 100mL 0.9% NaCl to infuse
over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round
to the nearest whole number. Do not use a trailing zero.)
200mL/hr
3. A nurse is preparing to administer furosemide 80mg PO daily. The amount available
is furosemide oral solution 10mg/1mL. How many mL should the nurse administer?
(Round to the nearest whole number. Do not use a trailing zero.)
8 mL
4. A nurse is preparing to administer haloperidol 2mg PO every 12 hr. The amount
available is haloperidol 1mg/tablet. How many tablets should the nurse administer?
(Round to the nearest whole number. Do not use a trailing zero.)
2 tablets
3|Page
, 5. A nurse is preparing to administer amoxicillin 20mg/kg/day PO to divide equally
every 12 hr to a preschooler who weighs 44lb. The amount available is amoxicillin
suspension 250mg/5mL. How many mL should the nurse administer per dose?
(Round to the nearest whole number. Do not use a trailing zero.)
4 mL
6. A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr.
The amount available is heparin injection 20,000 units/mL. How many mL should
the nurse administer per dose? (Round to the nearest tenth. Do not use a trailing
zero.)
0.8 mL
7. A nurse is preparing to administer acetaminophen 650mg PO every 6 hr PRN for
pain. The amount available is acetaminophen liquid 500 mg/5mL. how many mL
should the nurse administer per dose? (Round to the nearest tenth. Use a leading
zero if applies. Do not use a trailing zero.)
6.5mL
8. A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse
over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.)
125 mL/hr
4|Page
