Pathophysiology and Pharmacology
Final Practice Questions (ATI/Test/Quiz)
A nurse in a clinic is caring for a group of the clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the following
clients? (Select all 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 infections
c). a client who has chronic liver disease and is taking hydrocodone/acetaminophen
d). a client who has peptic ulcer disease, takes sucralfate, and tells the nurse she has
started taking OTC aluminum hydroxide
e). a client who has a prosthetic heart valve, take warfarin, and reports a suspected
pregnancy - Answerb,c,e
a nurse is preparing to administer an IM does of penicillin to a client who has a new
prescription. The client states she took penicillin 3 years ago and developed a rash.
Which of the following actions should the nurse take?
a. administer the prescribed does
b. withhold the med
c. ask the provider to change the prescription to an oral form
d. administer an oral antihistamine at the same time - Answerb
a nurse is providing discharge instructions for a client who has a new prescription for an
antihypertenisve med. Which of the following statements should the nurse give?
a. "be sure to limit your K+ intake while taking the med"
b. "you should check your blood pressure every 8 hours while taking this med"
c. "your med dosage will be increased if you develop tachycardia"
d. "change positions slowly when you move from sitting to standing" - Answerd
a nurse is reviewing a client's health record and notes that the client experience
permanent extrapyramidal effects caused by a previous med. The nurse should
recognize that the med affected which of the following systems in the client?
a. cardiovascular
b. immune
c. central nervous
d. gastrointestinal - Answerc.
a nurse is caring for a client who is taking oral oxycodone. the client states he is also
taking ibuprofen in three recommended doses daily. The nurse should identify that an
interaction between these two meds will cause which of the following findings?
,a. a decrease in serum levels of ibuprofen, possibly leading to a need for increased
doses of this med
b. a decrease in serum levels of oxycodone, possibly leading to a need for increased
doses of this med
c. an increase in the expected therapeutic effect of both meds
d. an increase in expected adverse effects for both meds - Answerc.
a nurse is preparing to administer meds to a 4 month old infant. which of the following
pharmacokinetic principles should the nurse consider when administering meds to this
client?
a. infants have a rapid gastric emptying time
b. infants have immature liver function
c. infants blood brain barrier is poorly developed
d. infants have an increased ability to absorb topical meds
e. infants have an increased number of protein-binding sites - Answerb,c,e
a nurse in a provider's office is reviewing the medical record of a client who is pregnant
and is at her first prenatal visit. Which of the following immunizations may the nurse
administer safely to the client
a. varicella vaccine
b. rubella vaccine
c. inactivated influenza vaccine
d. measles vaccine - Answerc
a nurse on a med surge unit administers a hypnotic med to an older adult client at 2100.
The next morning, the client is drowsy and wants to sleep instead of eating breakfast.
Which of the following factors should the nurse identify as a possible reason for the
client's drowsiness?
a. reduced cardiac function
b. first pass effect
c. reduced hepatic function
d. increased gastric motility - Answerc
a provider prescribes phenobarbital for a client who has a seizure disorder. The med
has a long half life of 4 days. How many times per day should the nurse expect to
administer this med?
a. one
b. two
c. three
d. four - Answera
,a staff educator is reviewing med dosages and factors that influence med 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 med dosages? (select all
that apply)
a. increased renal excretion
b. increased med metabolizing enzymes
c. liver failure
d. peripheral vascular disease
e. concurrent use of med the same pathway metabolizes - Answerc, e
a nurse is preparing to administer eye drops to a client. Which of the following actions
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 med into the center of the clients conjunctival sac
e. instruct the client to close her eye gently after instillation - Answerb,c,d,e
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?
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" - Answerc
a nurse reviewing a client's medical record notes a new prescription for verifying the
trough level of the client's med. Which of the following actions should the nurse take?
a. obtain a blood specimen immediately prior to administering the next dose of med
b. verify that the client has been taking the med for 24 hr before obtaining a blood
specimen
c. ask the client to provide urine specimen after the next dose of med
d. administer the medication and obtain a blood specimen 30 min later - Answera.
a nurse is preparing a client's meds. Which of the following actions should the 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 med
e. identify the client's diagnosis - Answera,c,d
, a nurse reviewing a client's 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?
a. single
b. stat
c. routine
d. standing - Answerc
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?
a. name
b. dosage
c. route
d. frequency - Answerd.
a nurse is admitting a client and completing a preassessment before administering
meds. 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 previous surgical history
d. previous surgical history
e. food allergies - Answera,c,e
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?
a. " a second nurse enters the prescription into the client's medical record "
d. "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" - Answerb.
a nurse in the post-anesthesia recovery unit is caring for a client who received a non
depolarizing neuromuscular blocking agent and has muscle weakness. the nurse should
anticipate a prescription for which of the following medications?
a. neostigmine
b. naloxone
c. dantrolene
d. vecuronium - Answera.
Final Practice Questions (ATI/Test/Quiz)
A nurse in a clinic is caring for a group of the clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the following
clients? (Select all 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 infections
c). a client who has chronic liver disease and is taking hydrocodone/acetaminophen
d). a client who has peptic ulcer disease, takes sucralfate, and tells the nurse she has
started taking OTC aluminum hydroxide
e). a client who has a prosthetic heart valve, take warfarin, and reports a suspected
pregnancy - Answerb,c,e
a nurse is preparing to administer an IM does of penicillin to a client who has a new
prescription. The client states she took penicillin 3 years ago and developed a rash.
Which of the following actions should the nurse take?
a. administer the prescribed does
b. withhold the med
c. ask the provider to change the prescription to an oral form
d. administer an oral antihistamine at the same time - Answerb
a nurse is providing discharge instructions for a client who has a new prescription for an
antihypertenisve med. Which of the following statements should the nurse give?
a. "be sure to limit your K+ intake while taking the med"
b. "you should check your blood pressure every 8 hours while taking this med"
c. "your med dosage will be increased if you develop tachycardia"
d. "change positions slowly when you move from sitting to standing" - Answerd
a nurse is reviewing a client's health record and notes that the client experience
permanent extrapyramidal effects caused by a previous med. The nurse should
recognize that the med affected which of the following systems in the client?
a. cardiovascular
b. immune
c. central nervous
d. gastrointestinal - Answerc.
a nurse is caring for a client who is taking oral oxycodone. the client states he is also
taking ibuprofen in three recommended doses daily. The nurse should identify that an
interaction between these two meds will cause which of the following findings?
,a. a decrease in serum levels of ibuprofen, possibly leading to a need for increased
doses of this med
b. a decrease in serum levels of oxycodone, possibly leading to a need for increased
doses of this med
c. an increase in the expected therapeutic effect of both meds
d. an increase in expected adverse effects for both meds - Answerc.
a nurse is preparing to administer meds to a 4 month old infant. which of the following
pharmacokinetic principles should the nurse consider when administering meds to this
client?
a. infants have a rapid gastric emptying time
b. infants have immature liver function
c. infants blood brain barrier is poorly developed
d. infants have an increased ability to absorb topical meds
e. infants have an increased number of protein-binding sites - Answerb,c,e
a nurse in a provider's office is reviewing the medical record of a client who is pregnant
and is at her first prenatal visit. Which of the following immunizations may the nurse
administer safely to the client
a. varicella vaccine
b. rubella vaccine
c. inactivated influenza vaccine
d. measles vaccine - Answerc
a nurse on a med surge unit administers a hypnotic med to an older adult client at 2100.
The next morning, the client is drowsy and wants to sleep instead of eating breakfast.
Which of the following factors should the nurse identify as a possible reason for the
client's drowsiness?
a. reduced cardiac function
b. first pass effect
c. reduced hepatic function
d. increased gastric motility - Answerc
a provider prescribes phenobarbital for a client who has a seizure disorder. The med
has a long half life of 4 days. How many times per day should the nurse expect to
administer this med?
a. one
b. two
c. three
d. four - Answera
,a staff educator is reviewing med dosages and factors that influence med 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 med dosages? (select all
that apply)
a. increased renal excretion
b. increased med metabolizing enzymes
c. liver failure
d. peripheral vascular disease
e. concurrent use of med the same pathway metabolizes - Answerc, e
a nurse is preparing to administer eye drops to a client. Which of the following actions
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 med into the center of the clients conjunctival sac
e. instruct the client to close her eye gently after instillation - Answerb,c,d,e
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?
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" - Answerc
a nurse reviewing a client's medical record notes a new prescription for verifying the
trough level of the client's med. Which of the following actions should the nurse take?
a. obtain a blood specimen immediately prior to administering the next dose of med
b. verify that the client has been taking the med for 24 hr before obtaining a blood
specimen
c. ask the client to provide urine specimen after the next dose of med
d. administer the medication and obtain a blood specimen 30 min later - Answera.
a nurse is preparing a client's meds. Which of the following actions should the 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 med
e. identify the client's diagnosis - Answera,c,d
, a nurse reviewing a client's 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?
a. single
b. stat
c. routine
d. standing - Answerc
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?
a. name
b. dosage
c. route
d. frequency - Answerd.
a nurse is admitting a client and completing a preassessment before administering
meds. 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 previous surgical history
d. previous surgical history
e. food allergies - Answera,c,e
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?
a. " a second nurse enters the prescription into the client's medical record "
d. "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" - Answerb.
a nurse in the post-anesthesia recovery unit is caring for a client who received a non
depolarizing neuromuscular blocking agent and has muscle weakness. the nurse should
anticipate a prescription for which of the following medications?
a. neostigmine
b. naloxone
c. dantrolene
d. vecuronium - Answera.
