ATI Comprehensive Exam Pharmacology
A client who has COPD is prescribed ipratropium bromide. The nurse should instruct
the client to report which of the following symptoms immediately?
a. Nausea
b. Eye pain
c. Dry mouth
d. Constipation - Answers -b. Eye pain
An older adult who is receiving a blood transfusion develops an increase in blood
pressure and crackles bilaterally. Which of the following medications should the nurse
administer?
a. Lisinopril
b. Ampicillin
c. Furosemide
d. Diphenhydramine - Answers -c. Furosemide
A nurse provides teaching to a client who is prescribed spironolactone. The nurse
should limit the intake of which of the following foods? (Select all that apply.)
a. Bananas
b. White rice
c. Tomatoes
d. Avocado
e. Sweet potato - Answers -a. Bananas
c. Tomatoes
d. Avocado
e. Sweet potato
A client is prescribed acetaminophen 650 mg PO every 4 hr PRN pain. Which of the
following findings should alert the nurse to question the prescription?
a. Manual BP 145/86 mm Hg
b. Reports drinking six beers daily
c. Oral temperature of 37 C (98.6 F)
d. Smokes two packs of cigarettes daily - Answers -b. Report drinking six beers daily
A school-aged child who has ADHD is observed having an increased ability to focus
and complete tasks. The nurse recognizes which of the following medications may have
been a contributing factor?
, a. Disulfiram
d. Alprazolam
c. Chlorpromazine
d. Methylphenidate - Answers -d. Methylphenidate
An unresponsive client who has a respiratory rate of 8/min and pinpoint pupils is
brought to the emergency department. The nurse should administer which of the
following medications?
a. Naloxone
b. Disulfiram
c. Methadone
d. Succinylcholine - Answers -a. Naloxone
A nurse provides discharge instructions to a client who is newly prescribed lisinopril.
Which of the following statements indicates teaching was effective? (Select all that
apply.)
a. "I can continue using a salt substitute on food."
b. "It is an emergency if my mouth starts to swell.'
c. "If I develop a cough my doctor will be notified."
d. "My potassium level will need to be monitored."
e. "Getting up quickly may cause me to feel dizzy." - Answers -b. It is an emergency if
my mouth starts to swell
c. If I develop a cough my doctor will be notified
d. My potassium level will need to be monitored
e. Getting up quickly may cause me to feel dizzy
A nurse provides care for a client who is receiving chemotherapy IV. After reviewing the
policy, which of the following is an appropriate action if chemotherapy drips on the floor?
a. Use a spill kit
b. Dry the liquid
c. Document waste
d. Call housekeeping - Answers -a. Use a spill kit
A client has a documented allergy to sulfamethoxazole-trimethoprim. The nurse should
question the prescription for which of the following medications?
a. Glipizide
b. Sertraline
c. Amoxicillin
d. Loratadine - Answers -a. Glipizide
A nurse prepares to administer morphine 2 mg IV to a client. The vial available contains
morphine 4 mg per 2 mL. Which of the following actions should be taken?
A client who has COPD is prescribed ipratropium bromide. The nurse should instruct
the client to report which of the following symptoms immediately?
a. Nausea
b. Eye pain
c. Dry mouth
d. Constipation - Answers -b. Eye pain
An older adult who is receiving a blood transfusion develops an increase in blood
pressure and crackles bilaterally. Which of the following medications should the nurse
administer?
a. Lisinopril
b. Ampicillin
c. Furosemide
d. Diphenhydramine - Answers -c. Furosemide
A nurse provides teaching to a client who is prescribed spironolactone. The nurse
should limit the intake of which of the following foods? (Select all that apply.)
a. Bananas
b. White rice
c. Tomatoes
d. Avocado
e. Sweet potato - Answers -a. Bananas
c. Tomatoes
d. Avocado
e. Sweet potato
A client is prescribed acetaminophen 650 mg PO every 4 hr PRN pain. Which of the
following findings should alert the nurse to question the prescription?
a. Manual BP 145/86 mm Hg
b. Reports drinking six beers daily
c. Oral temperature of 37 C (98.6 F)
d. Smokes two packs of cigarettes daily - Answers -b. Report drinking six beers daily
A school-aged child who has ADHD is observed having an increased ability to focus
and complete tasks. The nurse recognizes which of the following medications may have
been a contributing factor?
, a. Disulfiram
d. Alprazolam
c. Chlorpromazine
d. Methylphenidate - Answers -d. Methylphenidate
An unresponsive client who has a respiratory rate of 8/min and pinpoint pupils is
brought to the emergency department. The nurse should administer which of the
following medications?
a. Naloxone
b. Disulfiram
c. Methadone
d. Succinylcholine - Answers -a. Naloxone
A nurse provides discharge instructions to a client who is newly prescribed lisinopril.
Which of the following statements indicates teaching was effective? (Select all that
apply.)
a. "I can continue using a salt substitute on food."
b. "It is an emergency if my mouth starts to swell.'
c. "If I develop a cough my doctor will be notified."
d. "My potassium level will need to be monitored."
e. "Getting up quickly may cause me to feel dizzy." - Answers -b. It is an emergency if
my mouth starts to swell
c. If I develop a cough my doctor will be notified
d. My potassium level will need to be monitored
e. Getting up quickly may cause me to feel dizzy
A nurse provides care for a client who is receiving chemotherapy IV. After reviewing the
policy, which of the following is an appropriate action if chemotherapy drips on the floor?
a. Use a spill kit
b. Dry the liquid
c. Document waste
d. Call housekeeping - Answers -a. Use a spill kit
A client has a documented allergy to sulfamethoxazole-trimethoprim. The nurse should
question the prescription for which of the following medications?
a. Glipizide
b. Sertraline
c. Amoxicillin
d. Loratadine - Answers -a. Glipizide
A nurse prepares to administer morphine 2 mg IV to a client. The vial available contains
morphine 4 mg per 2 mL. Which of the following actions should be taken?