ATI PHARMACOLOGY PRACTICE A LATEST.
QUESTIONS WITH VERIFIED ANSWERS. STUDY THIS
ONE
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb.
How many mg should the nurse administer per dose? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT ANSWERS-Answer: 300 mg
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of measure being
calculated on the left side of the equation.)
Step 2: Determine the ratio that contains the same unit as the unit being calculated. (Place the ratio on
the right side of the equation, ensuring that the unit in the numerator matches the unit being
calculated.)
Step 3: Place any remaining ratios that are relevant to the item on the right side of the equation, along
with any needed conversion factors, to cancel out unwanted units of measurement.
Step 4: Solve for X.
Step 5: Round if necessary.
Step 6: Determine whether the amount to administer makes sense. If the prescription reads 15 mg/kg
every 12 hr and the child weighs 20 kg, it makes sense to give 300 mg/dose every 12 hr.
A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse
should identify which of the following statements as an indication that the client understands the
teaching?
A. "I will drink a glass of milk when I take the risedronate."
B. "I will take the risedronate 15 minutes after my evening meal."
,C. "I should take an antacid with the risedronate to avoid nausea."
D. "I should sit up for 30 minutes after taking the risedronate." - CORRECT ANSWERS-Answer: D
D. Sitting upright for at least 30 min after taking risedronate will reduce the adverse gastrointestinal
effects of esophagitis and dyspepsia. Risedronate is contraindicated for a client who cannot sit or stand
upright for this length of time.
A. The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in
the extremities, when taking 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. - CORRECT ANSWERS-Answer: C
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.
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 - CORRECT ANSWERS-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.
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 - CORRECT ANSWERS-Answer: C
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.
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as
prescribed. Which of the following information should the nurse enter as a complete documentation of
the incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified.
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
C. 1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath.
D. IV fluid initiated at 0500. Lungs clear to auscultation. - CORRECT ANSWERS-Answer: B
B. The nurse should document the type and amount of fluid, how long it took to infuse, provider
notification, and the client's physical status.
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription
for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?
QUESTIONS WITH VERIFIED ANSWERS. STUDY THIS
ONE
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb.
How many mg should the nurse administer per dose? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT ANSWERS-Answer: 300 mg
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of measure being
calculated on the left side of the equation.)
Step 2: Determine the ratio that contains the same unit as the unit being calculated. (Place the ratio on
the right side of the equation, ensuring that the unit in the numerator matches the unit being
calculated.)
Step 3: Place any remaining ratios that are relevant to the item on the right side of the equation, along
with any needed conversion factors, to cancel out unwanted units of measurement.
Step 4: Solve for X.
Step 5: Round if necessary.
Step 6: Determine whether the amount to administer makes sense. If the prescription reads 15 mg/kg
every 12 hr and the child weighs 20 kg, it makes sense to give 300 mg/dose every 12 hr.
A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse
should identify which of the following statements as an indication that the client understands the
teaching?
A. "I will drink a glass of milk when I take the risedronate."
B. "I will take the risedronate 15 minutes after my evening meal."
,C. "I should take an antacid with the risedronate to avoid nausea."
D. "I should sit up for 30 minutes after taking the risedronate." - CORRECT ANSWERS-Answer: D
D. Sitting upright for at least 30 min after taking risedronate will reduce the adverse gastrointestinal
effects of esophagitis and dyspepsia. Risedronate is contraindicated for a client who cannot sit or stand
upright for this length of time.
A. The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in
the extremities, when taking 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. - CORRECT ANSWERS-Answer: C
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.
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 - CORRECT ANSWERS-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.
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 - CORRECT ANSWERS-Answer: C
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.
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as
prescribed. Which of the following information should the nurse enter as a complete documentation of
the incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified.
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
C. 1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath.
D. IV fluid initiated at 0500. Lungs clear to auscultation. - CORRECT ANSWERS-Answer: B
B. The nurse should document the type and amount of fluid, how long it took to infuse, provider
notification, and the client's physical status.
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription
for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?
