Pharmacology exam one ATI Exam
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
a nurse educator is reviewing medication metabolism at an inservice presentation. which of the
following factors should the educator include as a reason to administer 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 - C, E
A nurse is preparing to administer eyedrops to a client. Which of the following actions should
the nurse take? (Select all that apply)
Have the client lie on one side
A. Ask the client to look up at the ceiling
B. tell the client to blink when the drops enter the eye
C. drop the medication into the clients conjunctival sac
D. instruct the client to close the eye gently after installation - B, D, E
The 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 site weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the side of the old patch" - C
A nurse reviewing a clients medical record notes a new prescription For verifying the trough
level of a clients medication. Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administrating the next dose of medication
B. Verify that the client has been taking the medication for 24 hours 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 minutes later - A
A nurse is preparing a clients medications. Which of the following actions should the nurse take
in following legal practice guidelines? (select all that apply)
, A. Teach the client about the medication
B. determine the dosage monitor for adverse effects
C. lock compartments for controlled substances
D. determine the clients insurance status - A, C D
A nurse is reviewing a clients prescribed medications. Which of the following situation presents
a contraindication to medication administration?
A. Client drink grapefruit juice, which could reduce a medication 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 eight years old
D. And anti-anxiety medication has an adverse effect of drowsiness is prescribed as a
preoperative sedative - C
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 ability to swallow
C. previous surgical history
D. allergies - A, C, E
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 a newly hired nurse
understands medication error prevention?
A. Taking all medications out of the unit those rappers before entering the clients room
B. Checking the prescription when a single dose requires administration of multiple tablets
C. Administering a medication then looking up the usual dose range
D. Relying on another nurse to clarify a medication prescription - B
A nurse is caring for a client experiencing IV extravasation. The facility requires the
administration of an antidote for the prescribed IV solution. After stopping the IV infusion,
which of the following actions should the nurse take first
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity - B
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following
actions should the nurse plan to take?
A. Use a disposable razor to remove excess hair
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above the heart - C
A nurse is assessing the IV catheter insertion site for a client receiving a nonvesicant solution
and notes swelling at the site and decreased skin temperature. Which of the following actions
should the nurse take? (Select all that apply)
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
a nurse educator is reviewing medication metabolism at an inservice presentation. which of the
following factors should the educator include as a reason to administer 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 - C, E
A nurse is preparing to administer eyedrops to a client. Which of the following actions should
the nurse take? (Select all that apply)
Have the client lie on one side
A. Ask the client to look up at the ceiling
B. tell the client to blink when the drops enter the eye
C. drop the medication into the clients conjunctival sac
D. instruct the client to close the eye gently after installation - B, D, E
The 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 site weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the side of the old patch" - C
A nurse reviewing a clients medical record notes a new prescription For verifying the trough
level of a clients medication. Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administrating the next dose of medication
B. Verify that the client has been taking the medication for 24 hours 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 minutes later - A
A nurse is preparing a clients medications. Which of the following actions should the nurse take
in following legal practice guidelines? (select all that apply)
, A. Teach the client about the medication
B. determine the dosage monitor for adverse effects
C. lock compartments for controlled substances
D. determine the clients insurance status - A, C D
A nurse is reviewing a clients prescribed medications. Which of the following situation presents
a contraindication to medication administration?
A. Client drink grapefruit juice, which could reduce a medication 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 eight years old
D. And anti-anxiety medication has an adverse effect of drowsiness is prescribed as a
preoperative sedative - C
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 ability to swallow
C. previous surgical history
D. allergies - A, C, E
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 a newly hired nurse
understands medication error prevention?
A. Taking all medications out of the unit those rappers before entering the clients room
B. Checking the prescription when a single dose requires administration of multiple tablets
C. Administering a medication then looking up the usual dose range
D. Relying on another nurse to clarify a medication prescription - B
A nurse is caring for a client experiencing IV extravasation. The facility requires the
administration of an antidote for the prescribed IV solution. After stopping the IV infusion,
which of the following actions should the nurse take first
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity - B
A nurse is preparing to initiate IV therapy for an older adult client. Which of the following
actions should the nurse plan to take?
A. Use a disposable razor to remove excess hair
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above the heart - C
A nurse is assessing the IV catheter insertion site for a client receiving a nonvesicant solution
and notes swelling at the site and decreased skin temperature. Which of the following actions
should the nurse take? (Select all that apply)
