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ATI PHARMACOLOGY CONTENT MASTERY SERIES EXAM WITH
COMPLETE AND VERIFIED QUESTIONS COVERING MEDICATION
CLASSIFICATIONS, PHARMACOKINETICS, SIDE EFFECTS, AND
SAFE ADMINISTRATION PRACTICES.
a nurse is teaching a client who has severe chronic gout and a new prescription for pegloticase.
the client has been taking allopurinol for 1 month. which of the following instructions should
the nurse include about pegloticase?
a - you will take this med along with allopurinol
b. you will take this medication by mouth
c. there are very few adverse effects of the medication
d. if you experience a flare-up, you can take an NSAID while receiving this medication -
ANSWER-d - if you experience a flare-up, you can take an NSAID while receiving this medication
the nurse should instruct this client who has chronic gout that, during the first few months of
treatment, an increase in gout manifestations is expected. to reduce the intensity of these
manifestations, clients are instructed to take an NSAID such as Naproxen.
the nurse is teaching to a client who has systemic lupus erythematous about a new prescription
for oral glucocorticoid therapy. which of the following client statements indicates an
understanding of the teaching?
a. I should take a calcium supplement while on this medications
b. regular liver function studies will have to be done while I am taking this medication
c. I can take NSAIDs to treat mild pain while using this medication
d. I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication -
ANSWER-a - I should take a calcium supplement while on this medication
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an adverse effect of systemic glucocorticoid therapy is osteoporosis. increasing calcium-rich
foods in the diet and adding calcium and Vitamin D supplements should be encouraged to
prevent osteoporosis and decrease the risk of fractures
a nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist.
which of the following should the nurse identify as the expected outcome of the med?
a. reduces the frequency of attacks
b. reverse bronchospasm
c. prevents inflammation
d. decrease chronic manifestations - ANSWER-b - reverses bronchospasm
the nurse should identify that the expected outcome of short-acting beta2-agonist is several of
bronchospasm, these bind to beta2-adrenergic receptors in the lungs, resulting in relaxation of
bronchial smooth muscles
a nurse is teaching self-administration of NPH insulin to a client who has Type 2 diabetes
mellitus. which of the following instructions should the nurse include?
a. alternate injecting doses between the abdomen and the thigh
b. shake the vial before withdrawing the dosage
c. rotate injection sites within the same area
d. discard the vial if the insulin is cloudy - ANSWER-c - rotate injection sites within the same area
to prevent lipodystrophy, the client should rotate injection sites and keep them about 2.5 cm (1
in) apart within the same anatomical area
not a - because absorption varies with the sire of injection, the client should use the same
general area such as the thigh OR the abdomen each time
not b - the client should roll the vial between the palms, do not shake it
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not d - NPH insulin is a cloud suspension
a nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate
labor. which of the following statements should the nurse include in the teaching?
a. it is inserted using a catheter
b. one pouch is given every 4 hours until labor occurs
c. lie on your back for at least 2 hours without getting up
d. if labor doesn't occur within 6 hours, a second dose can be administered - ANSWER-c - lie on
your back for at least 2 hours without getting up
the client should remain supine for at least 2 hours after the dinoprostone vaginal pouch is
inserted to allows a slow release of the medication from the pouch to stimulate labor
a nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and
long-acting beta2-agonist combination dry-powdered inhaler (DPI) for maintenance therapy. the
nurse should identify that which of the following is a disadvantage of this medication?
a. restricted dosage flexibility
b. complicated delivery device
c. serious systemic effects
d. limited efficacy over time - ANSWER-a - restricted dosage flexibility
the nurse should identify that a disadvantage of an inhaled glucocorticoid and a long acting
beta2-agonist being combined is that the dosages of the medications are fixed, so the dose
cannot be adjusted
not b - easy to use device for self-administration after receiving basic instruction
not c - the combo med DPI is delivered locally t the lungs, systemic effects are mild, and
generally do not occur
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not d - the combo med DPI is effective for long-term use for clients who have asthma
a nurse is providing discharge teaching for a client who has a new prescription for metoprolol.
which of the following instructions should the nurse include? select all that apply
a. do not stop taking this med abruptly
b. take the med right before bedtime
c. avoid exposure to sunlight
d. count your radial pulse daily
e. change positions slowly - ANSWER-a - d - e -
do not stop taking abruptly (increased risk for angina, hypertension, and myocardial infarction,
reduce over 1-2 weeks)
count radial pulse daily (report a HR slower than 60/min)
change positions slowly (this med can cause orthostatic hypotension, prevent injury like falls, by
moving from lying down or sitting to standing slowly
not b - metoprolol can cause insomnia
not c - does not cause photosensitivity
a nurse is an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily.
the client reports taking extra doses to promote weight loss. which of the following findings
should indicate to the nurse that the client is hydrated?m
a. urine specific gravity 1.035
b. distended neck veins
c. BUN 18 mg/dL
d. bounding radial pulses - ANSWER-a - urine specific gravity 1.035
is oliguria, an increased urine concentration and an increased urine specific gravity greater than
10.30 are expected findings in clients who are dehydrated
ATI PHARMACOLOGY CONTENT MASTERY SERIES EXAM WITH
COMPLETE AND VERIFIED QUESTIONS COVERING MEDICATION
CLASSIFICATIONS, PHARMACOKINETICS, SIDE EFFECTS, AND
SAFE ADMINISTRATION PRACTICES.
a nurse is teaching a client who has severe chronic gout and a new prescription for pegloticase.
the client has been taking allopurinol for 1 month. which of the following instructions should
the nurse include about pegloticase?
a - you will take this med along with allopurinol
b. you will take this medication by mouth
c. there are very few adverse effects of the medication
d. if you experience a flare-up, you can take an NSAID while receiving this medication -
ANSWER-d - if you experience a flare-up, you can take an NSAID while receiving this medication
the nurse should instruct this client who has chronic gout that, during the first few months of
treatment, an increase in gout manifestations is expected. to reduce the intensity of these
manifestations, clients are instructed to take an NSAID such as Naproxen.
the nurse is teaching to a client who has systemic lupus erythematous about a new prescription
for oral glucocorticoid therapy. which of the following client statements indicates an
understanding of the teaching?
a. I should take a calcium supplement while on this medications
b. regular liver function studies will have to be done while I am taking this medication
c. I can take NSAIDs to treat mild pain while using this medication
d. I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication -
ANSWER-a - I should take a calcium supplement while on this medication
,2|Page
an adverse effect of systemic glucocorticoid therapy is osteoporosis. increasing calcium-rich
foods in the diet and adding calcium and Vitamin D supplements should be encouraged to
prevent osteoporosis and decrease the risk of fractures
a nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist.
which of the following should the nurse identify as the expected outcome of the med?
a. reduces the frequency of attacks
b. reverse bronchospasm
c. prevents inflammation
d. decrease chronic manifestations - ANSWER-b - reverses bronchospasm
the nurse should identify that the expected outcome of short-acting beta2-agonist is several of
bronchospasm, these bind to beta2-adrenergic receptors in the lungs, resulting in relaxation of
bronchial smooth muscles
a nurse is teaching self-administration of NPH insulin to a client who has Type 2 diabetes
mellitus. which of the following instructions should the nurse include?
a. alternate injecting doses between the abdomen and the thigh
b. shake the vial before withdrawing the dosage
c. rotate injection sites within the same area
d. discard the vial if the insulin is cloudy - ANSWER-c - rotate injection sites within the same area
to prevent lipodystrophy, the client should rotate injection sites and keep them about 2.5 cm (1
in) apart within the same anatomical area
not a - because absorption varies with the sire of injection, the client should use the same
general area such as the thigh OR the abdomen each time
not b - the client should roll the vial between the palms, do not shake it
,3|Page
not d - NPH insulin is a cloud suspension
a nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate
labor. which of the following statements should the nurse include in the teaching?
a. it is inserted using a catheter
b. one pouch is given every 4 hours until labor occurs
c. lie on your back for at least 2 hours without getting up
d. if labor doesn't occur within 6 hours, a second dose can be administered - ANSWER-c - lie on
your back for at least 2 hours without getting up
the client should remain supine for at least 2 hours after the dinoprostone vaginal pouch is
inserted to allows a slow release of the medication from the pouch to stimulate labor
a nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and
long-acting beta2-agonist combination dry-powdered inhaler (DPI) for maintenance therapy. the
nurse should identify that which of the following is a disadvantage of this medication?
a. restricted dosage flexibility
b. complicated delivery device
c. serious systemic effects
d. limited efficacy over time - ANSWER-a - restricted dosage flexibility
the nurse should identify that a disadvantage of an inhaled glucocorticoid and a long acting
beta2-agonist being combined is that the dosages of the medications are fixed, so the dose
cannot be adjusted
not b - easy to use device for self-administration after receiving basic instruction
not c - the combo med DPI is delivered locally t the lungs, systemic effects are mild, and
generally do not occur
, 4|Page
not d - the combo med DPI is effective for long-term use for clients who have asthma
a nurse is providing discharge teaching for a client who has a new prescription for metoprolol.
which of the following instructions should the nurse include? select all that apply
a. do not stop taking this med abruptly
b. take the med right before bedtime
c. avoid exposure to sunlight
d. count your radial pulse daily
e. change positions slowly - ANSWER-a - d - e -
do not stop taking abruptly (increased risk for angina, hypertension, and myocardial infarction,
reduce over 1-2 weeks)
count radial pulse daily (report a HR slower than 60/min)
change positions slowly (this med can cause orthostatic hypotension, prevent injury like falls, by
moving from lying down or sitting to standing slowly
not b - metoprolol can cause insomnia
not c - does not cause photosensitivity
a nurse is an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily.
the client reports taking extra doses to promote weight loss. which of the following findings
should indicate to the nurse that the client is hydrated?m
a. urine specific gravity 1.035
b. distended neck veins
c. BUN 18 mg/dL
d. bounding radial pulses - ANSWER-a - urine specific gravity 1.035
is oliguria, an increased urine concentration and an increased urine specific gravity greater than
10.30 are expected findings in clients who are dehydrated
