ATI PHARMACOLOGY EXAM Q & A
Which of the following assessment findings in a client receiving transdermal nitrate
therapy for angina indicates an adverse effect?
Dizziness when the client stands up
At 1130, a nurse administers aspart insulin (NovoLog) to a client with diabetes mellitus.
When is the client at greatest risk for hypoglycemia?
1345
A client with a diagnosis of cystic fibrosis is prescribed acetylcysteine (Mucomyst). A
nurse understands that the primary reason for giving this medication to the client is
to thin respiratory secretions.
A nurse is reinforcing teaching for a client who has colorectal cancer and is receiving
the platinum compound oxaliplatin (Eloxatin). The client should be taught about which
of the following nutritional interventions?
Increase the amount of fiber in the diet, such as whole grains.
A client is receiving diuretics as part of the pharmacologic therapy for heart failure.
Which of the following client statements indicates the need for further instruction?
"I will take the diuretic if I experience difficulty breathing or chest pressure."
1. An immunizing agent that confers active immunity protects by:
providing antibodies obtained from immune humans or animals.
2. Antacids should be given one hour apart from most other drugs. Which is the rationale?
Antacids may interfere with absorption of drugs taken at the same time.
,3. Vancomycin should not be used to treat minor infections because it:
can cause "red man syndrome", a hypertensive crisis that is almost always fatal.
4. The antagonist for a client who has overdosed on morphine is:
narcan.
5. The most serious adverse reaction to oral contraceptives is:
thromboembolism.
6. When a client develops tolerance to a drug, the nurse would expect:
higher dose needed to achieve same effect.
7. Antihyperglycemic agents are prescribed for clients with:
Type 2 diabetes mellitus.
8. The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic
mannitol is started. Which finding represents an early adverse effect of mannitol?
Bounding pulse
9. Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers:
are less likely to cause bronchoconstriction.
10. A client who experiences motion sickness during airplane flights obtains a prescription for
meclizine (Antivert). When is the best time to take the drug? One hour before the flight
11. Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to
penicillin. Why is this important to assess?
, A client who is allergic to penicillin can have a cross sensitivity to cephalosporins.
12. The use of which class of antibiotics should be avoided in children?
Tetracyclines
13. In a walk-in clinic, clients are often given intramuscular injections. Which drug should be
readily available in case a client has an anaphylactic reaction? Epinephrine
14. Thiazide and loop (high ceiling) diuretics are similar in that both:
decrease tubular reabsorption of sodium and water.
15. Which of the statements by the nurse most accurately describes the effects of declined
plasma albumin levels in older adults?
"There is an increased risk for adverse effects."
16. To prevent oral fungal infections, the nurse should instruct the client who uses a
beclomethasone inhaler to take which action?
Rinse the mouth after each use.
17. A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She calls
the clinic and relates that she missed her medication yesterday. Which instructions will the
nurse give?
"Take two pills today then continue on a daily basis."
18. The nurse may administer acetylcysteine (Mucomyst) inhalation to:
facilitate mucus expectoration.
Which of the following assessment findings in a client receiving transdermal nitrate
therapy for angina indicates an adverse effect?
Dizziness when the client stands up
At 1130, a nurse administers aspart insulin (NovoLog) to a client with diabetes mellitus.
When is the client at greatest risk for hypoglycemia?
1345
A client with a diagnosis of cystic fibrosis is prescribed acetylcysteine (Mucomyst). A
nurse understands that the primary reason for giving this medication to the client is
to thin respiratory secretions.
A nurse is reinforcing teaching for a client who has colorectal cancer and is receiving
the platinum compound oxaliplatin (Eloxatin). The client should be taught about which
of the following nutritional interventions?
Increase the amount of fiber in the diet, such as whole grains.
A client is receiving diuretics as part of the pharmacologic therapy for heart failure.
Which of the following client statements indicates the need for further instruction?
"I will take the diuretic if I experience difficulty breathing or chest pressure."
1. An immunizing agent that confers active immunity protects by:
providing antibodies obtained from immune humans or animals.
2. Antacids should be given one hour apart from most other drugs. Which is the rationale?
Antacids may interfere with absorption of drugs taken at the same time.
,3. Vancomycin should not be used to treat minor infections because it:
can cause "red man syndrome", a hypertensive crisis that is almost always fatal.
4. The antagonist for a client who has overdosed on morphine is:
narcan.
5. The most serious adverse reaction to oral contraceptives is:
thromboembolism.
6. When a client develops tolerance to a drug, the nurse would expect:
higher dose needed to achieve same effect.
7. Antihyperglycemic agents are prescribed for clients with:
Type 2 diabetes mellitus.
8. The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic
mannitol is started. Which finding represents an early adverse effect of mannitol?
Bounding pulse
9. Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers:
are less likely to cause bronchoconstriction.
10. A client who experiences motion sickness during airplane flights obtains a prescription for
meclizine (Antivert). When is the best time to take the drug? One hour before the flight
11. Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to
penicillin. Why is this important to assess?
, A client who is allergic to penicillin can have a cross sensitivity to cephalosporins.
12. The use of which class of antibiotics should be avoided in children?
Tetracyclines
13. In a walk-in clinic, clients are often given intramuscular injections. Which drug should be
readily available in case a client has an anaphylactic reaction? Epinephrine
14. Thiazide and loop (high ceiling) diuretics are similar in that both:
decrease tubular reabsorption of sodium and water.
15. Which of the statements by the nurse most accurately describes the effects of declined
plasma albumin levels in older adults?
"There is an increased risk for adverse effects."
16. To prevent oral fungal infections, the nurse should instruct the client who uses a
beclomethasone inhaler to take which action?
Rinse the mouth after each use.
17. A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She calls
the clinic and relates that she missed her medication yesterday. Which instructions will the
nurse give?
"Take two pills today then continue on a daily basis."
18. The nurse may administer acetylcysteine (Mucomyst) inhalation to:
facilitate mucus expectoration.
