ATI Pharmacology Midterm Questions
and Answers 2023-2024|Rationale |
NR293
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 - Correct Answer A
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 excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - Correct Answer C
E
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. - Correct Answer B
D
E
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 wit 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." - Correct Answer C
,A nurse is 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 24hr 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 later. - Correct
Answer A
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 - Correct Answer A
C
D
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 - Correct Answer C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus 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 - Correct Answer D
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 - Correct Answer A
C
, E
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." - Correct Answer B
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a
potential contraindication to a medication for which of the following clients? (Select all
that apply.)
A. A client at 8 weeks of gestation who asks for an Influenza immunization
B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has
started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected
pregnancy - Correct Answer B
C
E
A nurse is preparing to administer an IM dose of penicillin to a client who has a new
prescription. The client states that she took penicillin 3 years ago and developed a rash.
Which of the following actions should the nurse take?
A. Administer the prescribed dose
B. Withhold the medication
C. Ask the provider to change the prescription to an oral form
D. Administer an oral antihistamine at the same time - Correct Answer B
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check you blood pressure every 8 hours while taking this medication."
C. "Your medication dosage will be increased if you develop tachycardia."
D. "Change positions slowly when you move from sitting to standing." - Correct Answer
D
A nurse is reviewing a client's health record and notes that the client experiences
permanent extrapyramidal effects caused by a previous medication. The nurse should
recognize that the medication affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
and Answers 2023-2024|Rationale |
NR293
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 - Correct Answer A
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 excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - Correct Answer C
E
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. - Correct Answer B
D
E
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 wit 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." - Correct Answer C
,A nurse is 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 24hr 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 later. - Correct
Answer A
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 - Correct Answer A
C
D
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 - Correct Answer C
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus 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 - Correct Answer D
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 - Correct Answer A
C
, E
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." - Correct Answer B
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a
potential contraindication to a medication for which of the following clients? (Select all
that apply.)
A. A client at 8 weeks of gestation who asks for an Influenza immunization
B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has
started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected
pregnancy - Correct Answer B
C
E
A nurse is preparing to administer an IM dose of penicillin to a client who has a new
prescription. The client states that she took penicillin 3 years ago and developed a rash.
Which of the following actions should the nurse take?
A. Administer the prescribed dose
B. Withhold the medication
C. Ask the provider to change the prescription to an oral form
D. Administer an oral antihistamine at the same time - Correct Answer B
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check you blood pressure every 8 hours while taking this medication."
C. "Your medication dosage will be increased if you develop tachycardia."
D. "Change positions slowly when you move from sitting to standing." - Correct Answer
D
A nurse is reviewing a client's health record and notes that the client experiences
permanent extrapyramidal effects caused by a previous medication. The nurse should
recognize that the medication affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
