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ATI PHARMACOLOGY PRACTICE A EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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ATI PHARMACOLOGY PRACTICE A EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (60) A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? A. "I should apply a patch every 5 minutes if I develop chest pain." B. "I will take the patch off right after my evening meal." C. "I will leave the patch off at least 1 day each week." D. "I should discard the used patch by flushing it down the toilet." Answer: B A. Nitroglycerin sublingual tablets are used to treat new onset of angina pain. A client who uses sublingual tablets should place one tablet under their tongue at the onset of angina pain and continue taking a tablet every 5 min for a total of three doses of nitroglycerin. The effects of a nitroglycerin patch will take 30 to 60 min to occur and are not useful to prevent an ongoing angina attack. B. Clients should remove the patch each evening for a medication free time of 12 to 14 hr before applying a new patch to avoid developing a tolerance to the medication's effects. C. Nitroglycerin is an antianginal medication that results in dilation of the coronary vessels. Clients should apply the patch daily to sustain prophylaxis. D. Medication remains in the transdermal patch after removing it from the body and must be discarded safely. The nurse should instruct the client to fold the patch ends together with the medication on the inside and place the discarded patch in a closed container so that children and pets cannot gain access to the medication. A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)? A. MSO4 5 mg subcut every 4 hr PRN severe pain B. Morphine 5 mg subcut every 4 hr PRN severe pain C. MSO4 5 mg SQ every 4 hr PRN severe pain D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain Answer: B A. The use of the abbreviation MSO4 is prohibited by The Joint Commission. The medication name of morphine must be spelled out to reduce the risk for error. B. The nurse should identify this entry as the correct format for the MAR. The medication name is spelled out and there are not any abbreviations from The Joint Commission's "Do Not Use" list included in the transcription. C. The use of the abbreviations MSO4 and SQ are prohibited by The Joint Commission. The abbreviation SQ can be mistaken for SL and, therefore, this route should be written as subcut, subq, or subcutaneously. D. The trailing zero on 5.0 can be mistaken for 50 if the decimal point is missed. Therefore, the dosage should be written as 5 mg without a trailing zero. A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? A. Tingling of fingers B. Constipation C. Weight gain D. Oliguria Answer: A A. The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide. B. Diarrhea is an adverse effect of acetazolamide due to gastrointestinal disturbances. C. Weight loss is an adverse effect of acetazolamide due to gastrointestinal disturbances causing reduced appetite. D. Polyuria, rather than oliguria, is an adverse effect of acetazolamide. A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? A. Report the incident to the charge nurse. B. Notify the provider. C. Check the client's blood glucose. D. Fill out an incident report. Answer: C A. The nurse should report the incident to the charge nurse to protect the client from injury. However, there is another action the nurse should take first. B. The nurse should notify the provider to protect the client from injury. However, there is another action the nurse should take first. C. The first action the nurse should take using the nursing process is to assess the client. The client is at risk for hypoglycemia. The nurse should monitor the client's blood glucose and provide the client with a snack to reduce the risk for hypoglycemia. D. The nurse should fill out an incident report to document the incident. However, there is another action the nurse should take first. The incident report alerts the risk manager to the incident, who then determines the cause and a plan of action to reduce the risk of reoccurrence. A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? A. Constipation B. Drowsiness C. Facial flushing D. Itching Answer: A A. Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine. B. Drowsiness is not an adverse effect of morphine that can be minimized by taking docusate sodium. C. Facial flushing is not an adverse effect of morphine that can be minimized by taking docusate sodium. D. Itching is not an adverse effect of morphine that can be minimized by taking docusate sodium. A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? A. Diastolic BP B. Systolic BP C. Heart rate D. Respiratory rate Answer: C A. Digoxin increases cardiac output and reduces the heart rate. A diastolic BP of 86 mm Hg is not a cause for withholding the medication and contacting the provider. B. Digoxin increases cardiac output and reduces the heart rate. A systolic BP of 140 mm Hg is not a cause for withholding the medication and contacting the provider. C. Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing the heart rate. The nurse should withhold the medication and notify the provider for a heart rate of 55/min because this is an early indication of digoxin toxicity. D. Digoxin increases cardiac output and reduces heart rate. A respiratory rate of 20/min is not a cause for withholding the medication and contacting the provider.

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6/25/25, 12:38
PM


ATI PHARMACOLOGY PRACTICE A EXAM ACTUAL QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE


Terms in this set (60)


Answer: B

A.Nitroglycerin sublingual tablets are used to treat new
A nurse is instructing a onset of angina pain. A
client on the client who uses sublingual tablets should place
application of
one tablet under their tongue at the onset of
nitroglycerin
angina pain and continue taking a tablet
transdermal patches.
every 5 min for a total of three doses of
Which of the following
nitroglycerin. The effects of a nitroglycerin patch
statements by the client
will take 30 to 60 min to occur and are not
indicates an
useful to prevent an ongoing angina attack.
understanding of the
teaching? B. Clients should remove the patch each
evening for a medication free time of 12 to 14
A. "I should apply a patch
hr before applying a new patch to avoid
every 5 minutes if I
developing a tolerance to the
develop chest pain." medication's effects.
B. "I will take the patch
off right after my C. Nitroglycerin is an antianginal medication
evening meal." that results in dilation of the coronary vessels.
C. "I will leave the patch Clients should apply the patch daily to
off at least 1 day each sustain prophylaxis.
week."
D.Medication remains in the transdermal patch
D. "I should discard after removing it from the body and must be
the used patch by discarded safely. The nurse should instruct the
client to fold the patch ends together with the
flushing it down
medication on the inside and place the
the toilet." discarded patch in a closed container so that
children and pets cannot gain access to the
medication.
https://quizlet.com/1020201726/ati-pharmacology-practice-a- 1/45
flash-cards/

,6/25/25, 12:38
PM




A nurse receives a verbal Answer: B
order from the provider
to administer morphine A. The use of the abbreviation MSO4 is
five prohibited by The Joint Commission. The
milligrams every 4 medication name of morphine must be
hours subcutaneously spelled out to reduce the risk for error.
for severe pain as
needed. The nurse B. The nurse should identify this entry as the correct
format for the MAR. The
should identify which of
medication name is spelled out and there are
the following entries as
not any abbreviations from The Joint
the correct format for
Commission's "Do Not Use" list included in the
the
transcription.
medication
administration record
(MAR)?
C. The use of the abbreviations MSO4 and
A. MSO4 5 mg subcut SQ are prohibited by The Joint Commission.
every 4 hr PRN The abbreviation SQ can be mistaken for SL
severe pain and, therefore, this route should be written
B. Morphine 5 mg as subcut, subq, or subcutaneously.
subcut every 4 hr PRN
severe pain D. The trailing zero on 5.0 can be mistaken
C. MSO4 5 mg SQ every for 50 if the decimal point is missed.
4 hr PRN severe pain Therefore, the dosage should be written
D. Morphine 5.0 mg as 5 mg without a trailing zero.
subcutaneously every 4
hr PRN severe pain
Answer: A
A nurse is caring for a
client who is taking A. The nurse should instruct the client to report
acetazolamide for the adverse effect of paresthesia, a tingling
chronic open-angle sensation in the extremities, when taking
glaucoma. For which acetazolamide.
of the following
https://quizlet.com/1020201726/ati-pharmacology-practice-a- 2/45
flash-cards/

,6/25/25, 12:38
PM
adverse effects should B. Diarrhea is an adverse effect of
the nurse instruct the acetazolamide due to gastrointestinal
client to monitor and disturbances.
report?
C. Weight loss is an adverse effect of
A. Tingling of fingers acetazolamide due to gastrointestinal
B. Constipation disturbances causing reduced
C. Weight gain
appetite.
D. Oliguria


D. Polyuria, rather than oliguria, is an adverse effect of
acetazolamide.


Answer: C

A. The nurse should report the incident to the
charge nurse to protect the client from injury.
A nurse administers a However, there is another action the nurse
dose of metformin to a should take first.
client instead of the
prescribed dose of B. The nurse should notify the provider to
metoclopramide. protect the client from injury. However, there
Which of the following is another action the nurse should take
actions should the first.
nurse take first?
C. The first action the nurse should take using
A. Report the incident to the nursing process is to assess the client. The
the charge nurse. client is at risk for hypoglycemia. The nurse
B. Notify the provider. should monitor the client's blood glucose
C. Check the client's blood
and provide the client with a snack to
glucose.
reduce the risk for
D. Fill out an incident
hypoglycemia.
report.

The nurse should fill out an incident report to
D.

document the incident. However,
there is another action the nurse should take
https://quizlet.com/1020201726/ati-pharmacology-practice-a- 3/45
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, 6/25/25, 12:38
PM
first. The incident report alerts the risk manager
to the incident, who then determines the
cause and a plan of action to reduce the risk
of reoccurrence.



Answer: A

A nurse is caring for a A. Constipation is a common adverse effect of
client who has
morphine that can be minimized by taking
cancer and is taking oral
morphine and docusate sodium, a stool softener that
docusate sodium. The promotes easier evacuation of stool by
nurse should instruct increasing water and fat in the intestine.
the client that taking
the docusate sodium B. Drowsiness is not an adverse effect of
daily can minimize morphine that can be minimized by taking
which of the following docusate sodium.
adverse effects of
morphine? C. Facial flushing is not an adverse effect of
morphine that can be minimized by taking
A. Constipation docusate sodium.
B. Drowsiness
Itching is not an adverse effect of
D.
C. Facial flushing
morphine that can be minimized by taking
D. Itching docusate sodium.


Answer: C

A nurse is assessing a A. Digoxin increases cardiac output and reduces
client's vital signs prior the heart rate. A diastolic BP of 86 mm Hg is
to the administration of not a cause for withholding the medication and
PO digoxin. contacting the provider.
The client's BP is 144/86
mm Hg, heart rate is B. Digoxin increases cardiac output and reduces
55/min, and respiratory the heart rate. A systolic BP of 140 mm Hg is
rate is 20/min. not a cause for withholding the medication and
https://quizlet.com/1020201726/ati-pharmacology-practice-a- 4/45
flash-cards/

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