ATI Pharm Midterm Exam
1. A: 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
2. C
E: A staff educator is reviewing medication dosages and factors that influence medication
metabolism with a group of nurses at an in-service presentation. Whichof the following
factors should the educator include as a reason to administer lowermedication 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
3. B
D
E: A nurse is preparing to administer eye drops to a client. Which of the followingactions
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.
4. C: A nurse is completing discharge teaching for a client who has a new prescrip-tion 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."
5. A: 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
, ATI Pharm Midterm Exam
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.
6. A
C
D: A nurse is preparing a client's medications. Which of the following actions shouldthe
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
7. C: A nurse reviewing a client's health record notes a new prescription for lisinopril10 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
8. D: 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
9. A
C
E: A nurse is admitting a client and completing a preassessment before admin- istering
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
10. B: 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?
, ATI Pharm Midterm Exam
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."
11. B
C
E: A nurse in a clinic is caring for a group of clients. The nurse should contact theprovider
about a
potential contraindication to a medication for which of the following clients? (Selectall 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 shehas
started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected
pregnancy
12. B: A nurse is preparing to administer an IM dose of penicillin to a client whohas a
new prescription. The client states that she took penicillin 3 years ago anddeveloped 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
13. D: A nurse is providing discharge instructions for a client who has a new prescrip-tion 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."
14. C: A nurse is reviewing a client's health record and notes that the client expe- riences
permanent extrapyramidal effects caused by a previous medication. The nurse should
recognize that the medication affected which of the following systemsin the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal
1. A: 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
2. C
E: A staff educator is reviewing medication dosages and factors that influence medication
metabolism with a group of nurses at an in-service presentation. Whichof the following
factors should the educator include as a reason to administer lowermedication 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
3. B
D
E: A nurse is preparing to administer eye drops to a client. Which of the followingactions
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.
4. C: A nurse is completing discharge teaching for a client who has a new prescrip-tion 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."
5. A: 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
, ATI Pharm Midterm Exam
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.
6. A
C
D: A nurse is preparing a client's medications. Which of the following actions shouldthe
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
7. C: A nurse reviewing a client's health record notes a new prescription for lisinopril10 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
8. D: 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
9. A
C
E: A nurse is admitting a client and completing a preassessment before admin- istering
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
10. B: 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?
, ATI Pharm Midterm Exam
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."
11. B
C
E: A nurse in a clinic is caring for a group of clients. The nurse should contact theprovider
about a
potential contraindication to a medication for which of the following clients? (Selectall 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 shehas
started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected
pregnancy
12. B: A nurse is preparing to administer an IM dose of penicillin to a client whohas a
new prescription. The client states that she took penicillin 3 years ago anddeveloped 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
13. D: A nurse is providing discharge instructions for a client who has a new prescrip-tion 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."
14. C: A nurse is reviewing a client's health record and notes that the client expe- riences
permanent extrapyramidal effects caused by a previous medication. The nurse should
recognize that the medication affected which of the following systemsin the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal
