UNLOCKING ATI PHARMACOLOGY PROCTORED EXAM: KEY
QUESTIONS AND ANSWERS FOR A+ SUCCESS
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?
One
(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of
time. The nurse should expect to administer this medication once a day.)
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.)
Liver failure
Concurrent use of medication the same pathway metabolizes
(-Liver failure decreases metabolism and thus increases the concentration of a
medication. This
requires decreasing the dosage.
- When the same pathway metabolizes two medications, they compete for metabolism,
thereby
increasing the concentration of one or both medications. This requires decreasing the
dosage of one or
both)
A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse
take? (Select all that apply.)
,Ask the client to look up at the ceiling.
Drop the medication into the center of the client's conjunctival sac.
Instruct the client to close her eye gently after instillation
(- The client should look upward to keep the drops from falling onto her cornea.
- The nurse should drop the medication into the center of the conjunctival sac to
promote distribution.
- The client should close her eye gently to promote distribution of the medication)
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?
I will apply the patch to an area of skin with no hair.
(The client should apply the patch to a hairless area of skin to promote absorption of the
medication.)
A nurse 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?
Obtain a blood specimen immediately prior to administering the next dose of
medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen
immediately before
administering the next dose of medication.)
,A nurse is preparing a clients medications. Which of the following actions should
the nurse take in
following legal practice guidelines? (Select all that apply.)
Maintain skill competency.
Monitor for adverse effects.
Safeguard medications.
(- maintaining skill competency and using appropriate administration techniques are
legal
responsibilities of the nurse
- A nurse is legally responsible for monitoring for side and adverse effects of medication
- Safeguarding of medications, such as controlled substances, is a legal responsibility of
the nurse)
A nurse reviewing a clients 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?
Routine
(A routine or standard prescription identifies medications to give on a regular schedule
with or without a termination date or a specific number of doses. The nurse will
administer this medication every day until the provider discontinues it.)
A nurse is reviewing a new prescription for Ondansetron 4 mg PO 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?
Frequency
, (This prescription does not include the time or frequency of medication administration.
The nurse
must clarify this with the prescribing provide)
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.)
Use of herbal teas
Current health status
Food allergies
(- The nurse should inquire about the clients use of herbal products, which often contain
caffeine,
prior to medication administration because caffeine can affect medication
biotransformation
- The nurse should review the client's current health status because new
prescriptions can cause
alterations in current health status
- The nurse should inquire about food allergies during the preassessment to identify any
potential
reactions or interactions)
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?
Another nurse should listen to the phone call.
(A second nurse should listen to a telephone prescription to prevent errors in
communication.)
QUESTIONS AND ANSWERS FOR A+ SUCCESS
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?
One
(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of
time. The nurse should expect to administer this medication once a day.)
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.)
Liver failure
Concurrent use of medication the same pathway metabolizes
(-Liver failure decreases metabolism and thus increases the concentration of a
medication. This
requires decreasing the dosage.
- When the same pathway metabolizes two medications, they compete for metabolism,
thereby
increasing the concentration of one or both medications. This requires decreasing the
dosage of one or
both)
A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse
take? (Select all that apply.)
,Ask the client to look up at the ceiling.
Drop the medication into the center of the client's conjunctival sac.
Instruct the client to close her eye gently after instillation
(- The client should look upward to keep the drops from falling onto her cornea.
- The nurse should drop the medication into the center of the conjunctival sac to
promote distribution.
- The client should close her eye gently to promote distribution of the medication)
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?
I will apply the patch to an area of skin with no hair.
(The client should apply the patch to a hairless area of skin to promote absorption of the
medication.)
A nurse 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?
Obtain a blood specimen immediately prior to administering the next dose of
medication.
(To verify trough levels of a medication, the nurse should obtain a blood specimen
immediately before
administering the next dose of medication.)
,A nurse is preparing a clients medications. Which of the following actions should
the nurse take in
following legal practice guidelines? (Select all that apply.)
Maintain skill competency.
Monitor for adverse effects.
Safeguard medications.
(- maintaining skill competency and using appropriate administration techniques are
legal
responsibilities of the nurse
- A nurse is legally responsible for monitoring for side and adverse effects of medication
- Safeguarding of medications, such as controlled substances, is a legal responsibility of
the nurse)
A nurse reviewing a clients 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?
Routine
(A routine or standard prescription identifies medications to give on a regular schedule
with or without a termination date or a specific number of doses. The nurse will
administer this medication every day until the provider discontinues it.)
A nurse is reviewing a new prescription for Ondansetron 4 mg PO 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?
Frequency
, (This prescription does not include the time or frequency of medication administration.
The nurse
must clarify this with the prescribing provide)
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.)
Use of herbal teas
Current health status
Food allergies
(- The nurse should inquire about the clients use of herbal products, which often contain
caffeine,
prior to medication administration because caffeine can affect medication
biotransformation
- The nurse should review the client's current health status because new
prescriptions can cause
alterations in current health status
- The nurse should inquire about food allergies during the preassessment to identify any
potential
reactions or interactions)
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?
Another nurse should listen to the phone call.
(A second nurse should listen to a telephone prescription to prevent errors in
communication.)
