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ATI Pharmacology proctored Exam Test Bank 1

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A provider prescribes phenobarbital for a client who 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 staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses 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 nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A 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 nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.) A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following parts of the prescription with the provider? ..............................................continued.....................................................

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ATI Pharmacology proctored Exam Test Bank 1

A provider prescribes phenobarbital for a client who 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

A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses 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 secretion
B. Increased medication-metabolizing
enzymes C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes

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 her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation

A nurse is completing discharge teaching for a client who has a new prescription
for transdermal patches. Which of the following statements should the nurse
identify as an indication that the client understands the instructions?
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.

,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 24 hr 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
late

A nurse is preparing a client's medications. Which of the following actions should
the nurse take in following legal practice guidelines? (Select all that apply.)
A. Maintain skill
competency. B. Determine
the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis

A nurse reviewing a client's health record notes a new prescription for Lisinopril 10
mg PO once every day. The nurse should identify this as which of the following
types of prescription?
A. Single
B. Stat
C. Routine
D. Standing

A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should
clarify which of the following parts of the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Frequency

A nurse is admitting a client and completing a preassessment before administering
medications. Which of the following data should the nurse include in the

,preassessment? (Select all that apply.)
A. Use of herbal teas

, B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies

A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription. Which of the following statements should the nurse identify
as an
indication that the newly licensed nurse understands the process?
A. "A second nurse enters the prescription into the client's medical
record." B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health record."
D. "I should omit the 'read back' if this is a one-time prescription

A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to
infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/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.

A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus.
The amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium
chloride (0.9% NaCl) to infuse over 30 min. 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.

A nurse is preparing to administer furosemide 80 mg PO daily. The
amount available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? (Round
the answer to the nearest whole number. Do not use a trailing zero.)

A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amount
available is haloperidol 1 mg/tablet. how many tablets should the nurse administer?
(Round the answer to the nearest whole number. Do not use a trailing zero.

A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide equally
every 12 hr to a preschooler who weighs 44 lb. The amount available is amoxicillin
suspension 250 mg/5 mL. how many mL should the nurse administer per dose?
(Round the answer to the nearest whole number. Do not use a trailing zero.)

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