NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
1. A nurse is preparing to administer warfarin to a client who has a new onset of atrial
fibrillation. The client asks the nurse, “What does this medication do?” Which of the
following responses should the nurse make?
a. “It helps your heart return to a normal rhythm.”
b. “It dissolves blood clots.”
c. “It can reduce your risk of having a stroke.”
d. “It helps to prevent bleeding in atrial fibrillation.”
Rationale: C. The nurse should identify that atrial fibrillation increases the client’s risk
of having a stroke due to clot formation in the atrium. Warfarin can prevent clot
formation when used long term, which will reduce the client’s risk of having a stroke.
2. A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for
fluoxetine. The client asks the nurse, “When should I notice the benefits of this medication?”
Which of the following responses should the nurse make?
,NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
ss. “You should expect decreased manifestations within a few days.” tt.
“Manifestations decrease after about 2 months.”
uu.“You should expect decreased manifestations immediately.”
vv. “Manifestations will decrease after several weeks.”
Rationale: A. The nurse should inform the client that fluoxetine is a selective serotonin
reuptake inhibitor (SSRI) used to treat PMD. Unlike using fluoxetine to treat depression,
using fluoxetine to treat PMD will improve manifestations more quickly.
3. A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent.
Which of the following findings should the nurse identify as an adverse effect of this type
of medication?
ww. Fluid overload
xx.Bronchospasm yy.
Electrolyte imbalance zz.
Tachycardia
Rationale: B. The nurse should identify that bronchospasm is an adverse reaction to a
mucolytic agent. Mucolytic agent as a hypertonic saline solution or acetylcysteine can
irritate the airways, resulting in bronchospasm while producing a cough and thinning
mucus secretions.
4. A nurse working in a mental health facility is admitting a client with opioid use disorder who
is experiencing withdrawal. The nurse should anticipate a prescription for which of the
following medications from the provider?
aaa.Methylnaltrexone
bbb. Methadone
ccc.Naloxone
,NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
ddd. Hydromorphone
Rationale: B. The nurse should anticipate a prescription from the provider for
methadone for a client who is experiencing opioid withdrawal.
Methadone is an opioid medication that is used for pain management and treatment of
withdrawal manifestations in clients who have opioid use disorder. Methylnaltrexone is
an opioid antagonist used to treat opioid induced constipation for client who have not
responded to laxatives.
Naloxone is an opioid antagonist used to treat opioid overdose. Naloxone is
, NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
used cautiously in clients who have opioid use disorder because it can cause acute
opioid withdrawal. Hydromorphone is a strong opioid used to treat moderate to severe
pain.
5. A nurse is preparing to administer medications to a client who is NPO and is receiving
enteral feedings through an NG tube. Which of the following prescriptions should the
nurse clarify with the provider?
eee.Aspirin EC 325 mg per NG tube daily
fff.Atorvastatin 40 mg per NG tube daily
ggg. Propranolol 20 mg per NG tube daily
hhh. Sucralfate 2 g oral suspension per NG tube BID
Rationale: A. The nurse should clarify the prescription for aspirin EC 325 mg per NG
tube daily, as enteric-coated tablets should not be crushed.
6. A nurse is teaching a client who has type 1 diabetes mellitus about a new
subcutaneous insulin infusion pump. Which of the following pieces of information
should the nurse include in the teaching?
iii. Plan to use a type of short-duration insulin in the infusion pump jjj.
Replace the infusion pump set every 4 days
kkk. Turn off the infusion pump for at least 3 hours each day
lll. Move the infusion pump catheter 1.27 cm (0.5 in) away from the old site.
Rationale: A The client should plan to use short duration insulin such as regular, lispro,
aspart, or glulisine insulin in the infusion pump to deliver a baseline infusion of insulin.
The client should also administer bolus doses of insulin before each meal. The client
should replace the infusion set every 1 to 3 days to maintain asepsis and to reduce the
formation of insulin microdeposits within the tubing.
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
1. A nurse is preparing to administer warfarin to a client who has a new onset of atrial
fibrillation. The client asks the nurse, “What does this medication do?” Which of the
following responses should the nurse make?
a. “It helps your heart return to a normal rhythm.”
b. “It dissolves blood clots.”
c. “It can reduce your risk of having a stroke.”
d. “It helps to prevent bleeding in atrial fibrillation.”
Rationale: C. The nurse should identify that atrial fibrillation increases the client’s risk
of having a stroke due to clot formation in the atrium. Warfarin can prevent clot
formation when used long term, which will reduce the client’s risk of having a stroke.
2. A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for
fluoxetine. The client asks the nurse, “When should I notice the benefits of this medication?”
Which of the following responses should the nurse make?
,NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
ss. “You should expect decreased manifestations within a few days.” tt.
“Manifestations decrease after about 2 months.”
uu.“You should expect decreased manifestations immediately.”
vv. “Manifestations will decrease after several weeks.”
Rationale: A. The nurse should inform the client that fluoxetine is a selective serotonin
reuptake inhibitor (SSRI) used to treat PMD. Unlike using fluoxetine to treat depression,
using fluoxetine to treat PMD will improve manifestations more quickly.
3. A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent.
Which of the following findings should the nurse identify as an adverse effect of this type
of medication?
ww. Fluid overload
xx.Bronchospasm yy.
Electrolyte imbalance zz.
Tachycardia
Rationale: B. The nurse should identify that bronchospasm is an adverse reaction to a
mucolytic agent. Mucolytic agent as a hypertonic saline solution or acetylcysteine can
irritate the airways, resulting in bronchospasm while producing a cough and thinning
mucus secretions.
4. A nurse working in a mental health facility is admitting a client with opioid use disorder who
is experiencing withdrawal. The nurse should anticipate a prescription for which of the
following medications from the provider?
aaa.Methylnaltrexone
bbb. Methadone
ccc.Naloxone
,NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
ddd. Hydromorphone
Rationale: B. The nurse should anticipate a prescription from the provider for
methadone for a client who is experiencing opioid withdrawal.
Methadone is an opioid medication that is used for pain management and treatment of
withdrawal manifestations in clients who have opioid use disorder. Methylnaltrexone is
an opioid antagonist used to treat opioid induced constipation for client who have not
responded to laxatives.
Naloxone is an opioid antagonist used to treat opioid overdose. Naloxone is
, NURSING NUR 2571 PHARMACOLOGY ATI PRACTICE
QUESTIONS & ANSWERS LATEST UPDATE 2021/2023
GRADED A+
used cautiously in clients who have opioid use disorder because it can cause acute
opioid withdrawal. Hydromorphone is a strong opioid used to treat moderate to severe
pain.
5. A nurse is preparing to administer medications to a client who is NPO and is receiving
enteral feedings through an NG tube. Which of the following prescriptions should the
nurse clarify with the provider?
eee.Aspirin EC 325 mg per NG tube daily
fff.Atorvastatin 40 mg per NG tube daily
ggg. Propranolol 20 mg per NG tube daily
hhh. Sucralfate 2 g oral suspension per NG tube BID
Rationale: A. The nurse should clarify the prescription for aspirin EC 325 mg per NG
tube daily, as enteric-coated tablets should not be crushed.
6. A nurse is teaching a client who has type 1 diabetes mellitus about a new
subcutaneous insulin infusion pump. Which of the following pieces of information
should the nurse include in the teaching?
iii. Plan to use a type of short-duration insulin in the infusion pump jjj.
Replace the infusion pump set every 4 days
kkk. Turn off the infusion pump for at least 3 hours each day
lll. Move the infusion pump catheter 1.27 cm (0.5 in) away from the old site.
Rationale: A The client should plan to use short duration insulin such as regular, lispro,
aspart, or glulisine insulin in the infusion pump to deliver a baseline infusion of insulin.
The client should also administer bolus doses of insulin before each meal. The client
should replace the infusion set every 1 to 3 days to maintain asepsis and to reduce the
formation of insulin microdeposits within the tubing.
