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ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH COMPLETE SOLUTIOND GRADED A+

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ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+
The nurse answers a patient’s call light and finds the patient sitting up in bed and requesting pain
medication. What will the nurse do first?

- ASSESS THE PATIENT’S PAIN & PAIN LEVEL

The patient’s medication administration record lists two antiepileptic medications that are due at 0900,
but the patient is NPO for a barium study. The nurse’s coworker suggests giving the medications via IV
because the patient is NPO. What will the nurse do?

- CALL THE HEALTH CARE PROVIDER TO CLARIFY INSTRUCTIONS

A nurse makes an error when administering medications to a patient. Which action by the nurse requires
the supervising nurse to intervene? The nurse

- RECORD COMPLETION OF AN INCIDENT REPORT IN MEDICAL CHART

A patient is prescribed ibuprofen 200 mg PO every 4 hours as needed for pain. The pharmacy sends
up enteric-coated tablets, but the patient refuses the tablets, stating that she cannot swallow pills.
What will the nurse do?

- CALL THE PHARMACY AND ASK FOR THE LIQUID FORM OF THE MEDICATION

The nurse is preparing to administer a transdermal patch to a patient and finds that the patient already
has a medication patch on his right upper chest. What will the nurse do?

- REMOVE THE OLD PATCH AND APPLY A NEW PATCH TO A DIFFERENT, CLEAN AREA

When teaching a pregnant woman about the use of drugs during pregnancy, which statement will the
nurse include?

- DRUG TRANSFER TO THE FETUS IS MOST LIKELY TO OCCUR DURING THE LAST TRIMESTER
OF PREGNACY

Which does the nurse identify as a pharmacokinetic change that occurs in the elderly?

- THE NUMBER OF INTACT NEPHRONS IS DECREASED

Which racial group is predicted to be nearly one in three U.S. residents in 2050?

- HISPANIC

A research group is conducting an investigational drug study on a promising new drug for osteoporosis. It
has been difficult to find research subjects who meet the criteria. Just before the conclusion of the study,
four subjects approach the researchers and express their desire to withdraw from the study. The
researcher should first

- ACKNOWLEDGE THAT THEY CAN WITHDRAW AT ANY TIME FROM THE STUDY

A nurse has been asked to participate in an elective procedure that violates the nurse’s personal ethical
principles. The nurse should

- SPEAK TO THE MANGER OR SUPERVISOR

ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+

, ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+
In the 2006 Institute of Medicine Study, it was estimated that some form of medication error resulted in
harm to how many patients?

- 1.5 MILLION

The nursing student realizes that she has given a patient a double dose of an antihypertensive
medication. The tablet was supposed to be cut in half, but the student forgot and administered the
entire tablet. The patient’s blood pressure just before the dose was 146/98 mm Hg. What should the
student nurse do first?

- NOTIFY THE LCINICAL FACULTY

The nurse is caring for an 85-year-old patient in the hospital and teaching him how to use an inhaler.
His 84-year-old wife attends the teaching sessions, and their daughter comes in to visit in the evenings.
The patient is having trouble remembering the steps. The nurse should

- PROVIDE SMALL AMOUNTS OF INFORMATION AT A TIME, REPEATING
INFORMATION FREQUENTLY

A patient with newly diagnosed type 1 diabetes mellitus has completed a diabetes education
program. One month later, the patient confesses at a follow-up appointment that he “just didn’t feel
like” giving himself the insulin injections. Which nursing diagnosis will the nurse assign the patient?

- NONCOMPLIANCE

After providing education regarding medications to a patient who has been newly diagnosed with type 2
diabetes mellitus, the nurse would use which part of the nursing process to assess whether the patient
understands these new instructions?

- EVALUATION

The nurse’s instructions to a patient who is to take an orally disintegrating tablet would include
which statement?

- “PLACE THE TABLET ON THE TONGUE, AND LET IT DISSOLVE THERE” - Orally disintegrating
medications, either in tablet or medicated strip form, dissolve in the mouth without water in
about a minute. These medications are placed on the tongue, not under the tongue, as in
the sublingual route. The patient must be instructed to allow the medication to dissolve on
the tongue and not to chew or swallow the medication.

A patient is ordered to receive two different types of insulin. The nurse will

- DRAW THE CLEAR INSULIN INTO THE INSULIN SYRINGE THEN THE CLOUDLY INSULIN INTO THE
SAME SYRINGE - When two different types of insulin are ordered for a patient, the same
syringe is used. The clear insulin is drawn up into the syringe first followed by the cloudy insulin.
There is no need to administer two separate injections.

A patient is to receive a 0.5-mL injection of iron dextran, which can be very irritating to the body’s
tissues. The proper technique for administration of this drug would be a(n)


ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+

, ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+
- IM INJECTION USING THE Z-TRACK TECHNIQUE - The Z-track method is used for administration
of irritating substances. This technique forms a “Z-track” in the tissue that prevents the
irritating medication from leaking through the more sensitive subcutaneous tissue.

Which is the safest site for administration of an intramuscular injection to an adult?]

- VENTROGLUTEAL

When administering eye drops, where will the nurse place the drop?

- IN THE CONJUCTIVAL SAC - To avoid trauma to the eye and systemic absorption, the eye
drop should be placed in the conjunctival sac.

Which location is the area where the highest percentage of sodium and water are resorbed back into the
bloodstream?

- PROXIMAL TUBULE

When administering a loop diuretic to a patient, it is most important for the nurse to determine if the
patient is also taking which drug?

- LITHIUM (ESKALITH)

While preparing an infusion of mannitol (Osmitrol), the nurse notices small crystals in the IV tubing. The
most appropriate action by the nurse is to

- DISCARD THE SOLUTION & OBTAIN ANOTHER BAG OF MEDICATION

A patient with a creatinine clearance of 20 mL/min is admitted to the medical surgical unit. The patient is
in need of rapid diuresis. Which class of diuretic does the nurse anticipate administering?

- LOOP

The patient is ordered furosemide (Lasix). Before administering furosemide, it is most important for the
nurse to assess the patient for allergies to which drug class?

- SULFONAMIDES

Two days after admission, the nurse is reviewing laboratory results of the patient. Which is the most
common electrolyte finding resulting from the administration of furosemide (Lasix)?

- HYPOKALEMIA

The patient is being discharged home with furosemide (Lasix). When providing discharge teaching, which
instruction will the nurse include?

- AVOID PROLONGED EXPOSURE TO THE SUN

Which condition does the nurse identify as a late manifestation of hypokalemia?

- PALPITATIONS

A patient is hypokalemic and will be receiving intravenous potassium. The patient is not on a heart
ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+

, ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+
monitor. How should the nurse administer the potassium replacement?
- NO MORE THAN 10 mEq/hr

Which solution should the nurse administer with packed red blood cells?

- 0.9% SODIUM CHLORIDE

A patient who has a history of type 1 diabetes mellitus is in need of enteral nutrition. Which enteral
formulation does the nurse anticipate administering to this patient?

- GLUCERNA

The nurse is administering tube feeding to a patient taking multiple medications. The nurse is most
concerned about absorption of which medication when administered with tube feedings?

- PHENYTOIN

The nurse identifies which condition as the most common adverse effect of nutritional supplements?

- DIARRHEA

When caring for a patient receiving PPN, it is most important for the nurse to assess for the development
of which adverse effect?

- PHLEBITIS

A patient is receiving peripheral parenteral nutrition (PPN). When the current bag is empty, the nurse
discovers that the next ordered bag is not yet ready from the pharmacy. What will the nurse do?

- HANG A BAG OF 10% DEXTROSE

The nurse is assessing a patient admitted to the unit following major bowel surgery. The nurse
anticipates administering which type of nutrition for this patient?

- TOTAL PARENTERAL NUTRITION




CHAPTER 1: THE NURSING PROCESS AND DRUG THERAPY
5 Steps of Nursing Process:

• Assessment:

ATI PHARM EXAM REVIEW LATEST UPDATE 2022/2023 WITH
COMPLETE SOLUTIOND GRADED A+

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