ATI Learning System 4.0: Pharmacology
Final with Verified Solutions
A nurse is preparing a discharge teaching plan for a 6 year old client who has asthma and
several prescription medications using metered dose inhalers (MDIs). Which of the following
interventions should the nurse include in the plan?
A. Add a spacer to each MDI.
B. Instruct the child to inhale more rapidly than usual when using an mdi.
C. Request that the provider change the child's medications from inhaled to oral formulations.
D. Administer oxygen by facemask along with the MDI. ✔✔A. Add a spacer to each MDI.
A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects
should the nurse instruct the client to expect?
A. Diarrhea
B. Anxiety
C. Nausea and vomiting
D. Dry mouth ✔✔D. Dry mouth
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily,
but the client reports that she has been taking extra doses to promote weight loss. Which of the
following findings should indicate to the nurse that the client is dehydrated?
,A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18 mg/dL
D. Bounding radial pulses ✔✔A. Urine specific gravity 1.035
A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral
prednisone for asthma. Which of the following instructions should the nurse include in the plan?
A. Stop taking the medication if a rash occurs.
B. Take the medication on an empty stomach to enhance absorption.
C. Schedule the medication on alternate days to decrease adverse effects.
D. Treat shortness of breath with an extra dose of the medication. ✔✔C. Schedule the
medication on alternate days to decrease adverse effects.
A nurse is providing teaching to a client who has hypertension and type 1 diabetes mellitus and a
new prescription for metoprolol. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I might have difficulty recognizing when my blood sugar is low."
B. "I will have less risk for developing an infection while I take this medication."
C. "I should be concerned about losing excess weight while I take this medication."
D. "I could have more problems with high blood sugars while taking this medication." ✔✔A. "I
might have difficulty recognizing when my blood sugar is low."
, A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water [D5W] to
infuse over 15 minutes. The drop factor of the manual IV tubing is 10 gtt./ml. The nurse should
set the manual IV infusion to deliver how many gtt./min? ✔✔33 gtt/min
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which
of the following data should the nurse plan to review prior to administration of this medication?
A. Blood pressure
B. Temperature
C. Blood glucose levels
D. Total protein level ✔✔A. Blood pressure
A nurse is planning care for a female client who has severe irritable bowel syndrome with
diarrhea [IBS-D] and a new prescription for Alosetron. Which of the following interventions
should the nurse include in the plan of care?
The client must sign an agreement with the provider before beginning alosetron.
The client must stop taking alosetron if diarrhea continues 1 week after beginning the
medication.
The client should expect to have a slower heart rate while taking alosetron.
The client should use a barrier birth control method because alosetron interacts with oral
contraceptives. ✔✔The client must sign an agreement with the provider before beginning
alosetron
Final with Verified Solutions
A nurse is preparing a discharge teaching plan for a 6 year old client who has asthma and
several prescription medications using metered dose inhalers (MDIs). Which of the following
interventions should the nurse include in the plan?
A. Add a spacer to each MDI.
B. Instruct the child to inhale more rapidly than usual when using an mdi.
C. Request that the provider change the child's medications from inhaled to oral formulations.
D. Administer oxygen by facemask along with the MDI. ✔✔A. Add a spacer to each MDI.
A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects
should the nurse instruct the client to expect?
A. Diarrhea
B. Anxiety
C. Nausea and vomiting
D. Dry mouth ✔✔D. Dry mouth
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily,
but the client reports that she has been taking extra doses to promote weight loss. Which of the
following findings should indicate to the nurse that the client is dehydrated?
,A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18 mg/dL
D. Bounding radial pulses ✔✔A. Urine specific gravity 1.035
A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral
prednisone for asthma. Which of the following instructions should the nurse include in the plan?
A. Stop taking the medication if a rash occurs.
B. Take the medication on an empty stomach to enhance absorption.
C. Schedule the medication on alternate days to decrease adverse effects.
D. Treat shortness of breath with an extra dose of the medication. ✔✔C. Schedule the
medication on alternate days to decrease adverse effects.
A nurse is providing teaching to a client who has hypertension and type 1 diabetes mellitus and a
new prescription for metoprolol. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I might have difficulty recognizing when my blood sugar is low."
B. "I will have less risk for developing an infection while I take this medication."
C. "I should be concerned about losing excess weight while I take this medication."
D. "I could have more problems with high blood sugars while taking this medication." ✔✔A. "I
might have difficulty recognizing when my blood sugar is low."
, A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water [D5W] to
infuse over 15 minutes. The drop factor of the manual IV tubing is 10 gtt./ml. The nurse should
set the manual IV infusion to deliver how many gtt./min? ✔✔33 gtt/min
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which
of the following data should the nurse plan to review prior to administration of this medication?
A. Blood pressure
B. Temperature
C. Blood glucose levels
D. Total protein level ✔✔A. Blood pressure
A nurse is planning care for a female client who has severe irritable bowel syndrome with
diarrhea [IBS-D] and a new prescription for Alosetron. Which of the following interventions
should the nurse include in the plan of care?
The client must sign an agreement with the provider before beginning alosetron.
The client must stop taking alosetron if diarrhea continues 1 week after beginning the
medication.
The client should expect to have a slower heart rate while taking alosetron.
The client should use a barrier birth control method because alosetron interacts with oral
contraceptives. ✔✔The client must sign an agreement with the provider before beginning
alosetron
