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1. A provider prescribes phenobarbital for a A. One
client who has a seizure disorder. The medica-
tion has a long half-life of 4 days. How many (Medications with long half-lives re-
times per day should the nurse expect to ad- main at their therapeutic levels be-
minister this medication? tween doses for long periods of time.
The nurse should expect to adminis-
A. One ter this medication once a day.)
B. Two
C. Three
D. Four
2. A staff educator is reviewing medication C. Liver failure
dosages and factors that influence medica- E. Concurrent use of medication the
tion metabolism with a group of nurses at an same pathway metabolizes
in-service presentation. Which of the following
factors should the educator include as a rea- C. Liver failure decreases metabolism
son to administer lower medication dosages? and thus increases the concentration
(Select all that apply.) of a medication. This requires de-
creasing the dosage.
A. Increased renal secretion
B. Increased medication-metabolizing en- E. When the same pathway metabo-
zymes lizes two medications, they compete
C. Liver failure for metabolism, thereby increasing
D. Peripheral vascular disease the concentration of one or both
E. Concurrent use of medication the same medications. This requires decreas-
pathway metabolizes ing the dosage of one or both
3. A nurse is preparing to administer eye drops to B. Ask the client to look up at the ceil-
a client. Which of the following actions should ing.
the nurse take? (Select all that apply.) D. Drop the medication into the cen-
ter of the client's conjunctival sac.
A. Have the client lie on her side. E. Instruct the client to close her eye
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B. Ask the client to look up at the ceiling. gently after instillation
C. Tell the client to blink when the drops enter
her eye. (B. The client should look upward to
D. Drop the medication into the center of the keep the drops from falling onto her
client's conjunctival sac. cornea.
E. Instruct the client to close her eye gently D. The nurse should drop the med-
after instillation ication into the
center of the conjunctival sac to pro-
mote distribution.
E. The client should close her eye
gently to promote distribution of the
medication)
4. A nurse is completing discharge teaching for C. "I will apply the patch to an area of
a client who has a new prescription for trans- skin with no hair."
dermal patches. Which of the following state-
ments should the nurse identify as an indica- (The client should apply the patch to
tion that the client understands the instruc- a hairless area of skin to promote ab-
tions? sorption of the medication.)
A. "I will clean the site with 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 nurse reviewing a client's medical record A. Obtain a blood specimen immedi-
notes a new prescription for verifying the ately prior to administering the next
trough level of the client's medication. Which dose of medication.
of the following actions should the nurse
(To verify trough levels of a med-
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take? ication, the nurse should obtain a
blood specimen immediately before
A. Obtain a blood specimen immediately prior administering the next dose of med-
to administering the next dose of medication. ication.)
B. Verify that the client has been taking the
medication for 24 hr 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 late
6. A nurse is preparing a client's medications. A. Maintain skill competency.
Which of the following actions should the C. Monitor for adverse effects.
nurse take in following legal practice guide- D. Safeguard medications.
lines? (Select all that apply.)
(A.maintaining skill competency and
A. Maintain skill competency. using appropriate administration
B. Determine the dosage. techniques are legal responsibilities
C. Monitor for adverse effects. of the nurse
D. Safeguard medications.
E. Identify the client's diagnosis C. A nurse is legally responsible for
monitoring for side and adverse ef-
fects of medication
D. Safeguarding of medications, such
as controlled substances, is a legal
responsibility of the nurse)
7. A nurse reviewing a client's health record notes C. Routine
a new prescription for Lisinopril 10 mg PO once
every day. The nurse should identify this as (A routine or standard prescription
which of the following types of prescription? identifies medications to give on a
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regular schedule with or without a
A. Single termination date or a specific number
B. Stat of doses. The nurse will administer
C. Routine this medication every day until the
D. Standing provider discontinues it.)
8. A nurse is reviewing a new prescription for D. Frequency
Ondansetron 4 mg PO PRN for nausea and
vomiting for a client who has Hyperemesis (This prescription does not include
Gravidarum. The nurse should clarify which of the time or frequency of medication
the following parts of the prescription with the administration. The nurse must clarify
provider? this with the prescribing provide)
A. Name
B. Dosage
C. Route
D. Frequency
9. A nurse is admitting a client and completing a A. Use of herbal teas
preassessment before administering medica- C. Current health status
tions. Which of the following data should the E. Food allergies
nurse include in the preassessment? (Select all
that apply.) (A. The nurse should inquire about
the client's use of herbal products,
A. Use of herbal teas which often contain caffeine, prior to
B. Daily fluid intake medication administration because
C. Current health status caffeine can affect medication bio-
D. Previous surgical history transformation
E. Food allergies
C. The nurse should review the client's
current health status because new
prescriptions can cause alterations in
current health status
Study online at https://quizlet.com/_g3h3bt
1. A provider prescribes phenobarbital for a A. One
client who has a seizure disorder. The medica-
tion has a long half-life of 4 days. How many (Medications with long half-lives re-
times per day should the nurse expect to ad- main at their therapeutic levels be-
minister this medication? tween doses for long periods of time.
The nurse should expect to adminis-
A. One ter this medication once a day.)
B. Two
C. Three
D. Four
2. A staff educator is reviewing medication C. Liver failure
dosages and factors that influence medica- E. Concurrent use of medication the
tion metabolism with a group of nurses at an same pathway metabolizes
in-service presentation. Which of the following
factors should the educator include as a rea- C. Liver failure decreases metabolism
son to administer lower medication dosages? and thus increases the concentration
(Select all that apply.) of a medication. This requires de-
creasing the dosage.
A. Increased renal secretion
B. Increased medication-metabolizing en- E. When the same pathway metabo-
zymes lizes two medications, they compete
C. Liver failure for metabolism, thereby increasing
D. Peripheral vascular disease the concentration of one or both
E. Concurrent use of medication the same medications. This requires decreas-
pathway metabolizes ing the dosage of one or both
3. A nurse is preparing to administer eye drops to B. Ask the client to look up at the ceil-
a client. Which of the following actions should ing.
the nurse take? (Select all that apply.) D. Drop the medication into the cen-
ter of the client's conjunctival sac.
A. Have the client lie on her side. E. Instruct the client to close her eye
, ATI Pharmacology Proctored, Pharmacology ATI Proctored
Study online at https://quizlet.com/_g3h3bt
B. Ask the client to look up at the ceiling. gently after instillation
C. Tell the client to blink when the drops enter
her eye. (B. The client should look upward to
D. Drop the medication into the center of the keep the drops from falling onto her
client's conjunctival sac. cornea.
E. Instruct the client to close her eye gently D. The nurse should drop the med-
after instillation ication into the
center of the conjunctival sac to pro-
mote distribution.
E. The client should close her eye
gently to promote distribution of the
medication)
4. A nurse is completing discharge teaching for C. "I will apply the patch to an area of
a client who has a new prescription for trans- skin with no hair."
dermal patches. Which of the following state-
ments should the nurse identify as an indica- (The client should apply the patch to
tion that the client understands the instruc- a hairless area of skin to promote ab-
tions? sorption of the medication.)
A. "I will clean the site with 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 nurse reviewing a client's medical record A. Obtain a blood specimen immedi-
notes a new prescription for verifying the ately prior to administering the next
trough level of the client's medication. Which dose of medication.
of the following actions should the nurse
(To verify trough levels of a med-
, ATI Pharmacology Proctored, Pharmacology ATI Proctored
Study online at https://quizlet.com/_g3h3bt
take? ication, the nurse should obtain a
blood specimen immediately before
A. Obtain a blood specimen immediately prior administering the next dose of med-
to administering the next dose of medication. ication.)
B. Verify that the client has been taking the
medication for 24 hr 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 late
6. A nurse is preparing a client's medications. A. Maintain skill competency.
Which of the following actions should the C. Monitor for adverse effects.
nurse take in following legal practice guide- D. Safeguard medications.
lines? (Select all that apply.)
(A.maintaining skill competency and
A. Maintain skill competency. using appropriate administration
B. Determine the dosage. techniques are legal responsibilities
C. Monitor for adverse effects. of the nurse
D. Safeguard medications.
E. Identify the client's diagnosis C. A nurse is legally responsible for
monitoring for side and adverse ef-
fects of medication
D. Safeguarding of medications, such
as controlled substances, is a legal
responsibility of the nurse)
7. A nurse reviewing a client's health record notes C. Routine
a new prescription for Lisinopril 10 mg PO once
every day. The nurse should identify this as (A routine or standard prescription
which of the following types of prescription? identifies medications to give on a
, ATI Pharmacology Proctored, Pharmacology ATI Proctored
Study online at https://quizlet.com/_g3h3bt
regular schedule with or without a
A. Single termination date or a specific number
B. Stat of doses. The nurse will administer
C. Routine this medication every day until the
D. Standing provider discontinues it.)
8. A nurse is reviewing a new prescription for D. Frequency
Ondansetron 4 mg PO PRN for nausea and
vomiting for a client who has Hyperemesis (This prescription does not include
Gravidarum. The nurse should clarify which of the time or frequency of medication
the following parts of the prescription with the administration. The nurse must clarify
provider? this with the prescribing provide)
A. Name
B. Dosage
C. Route
D. Frequency
9. A nurse is admitting a client and completing a A. Use of herbal teas
preassessment before administering medica- C. Current health status
tions. Which of the following data should the E. Food allergies
nurse include in the preassessment? (Select all
that apply.) (A. The nurse should inquire about
the client's use of herbal products,
A. Use of herbal teas which often contain caffeine, prior to
B. Daily fluid intake medication administration because
C. Current health status caffeine can affect medication bio-
D. Previous surgical history transformation
E. Food allergies
C. The nurse should review the client's
current health status because new
prescriptions can cause alterations in
current health status