VATI Pharmacology Exam Questions
With 100% Pass
/. A nurse is teaching a female client who has a new prescription for transdermal
sumatriptan to treat migraine headaches. Which of the following instructions should the
nurse include?
"Take daily to prevent headaches."
"Chew tablet well before swallowing."
"Report swelling of eyelids after dosage."
"Repeat dose in 1 hour for unrelieved headache." - Answer-✅"Report swelling of
eyelids after dosage."
The client should report swelling of eyelids and lips to provider, which can indicate an
allergic reaction to this medication.
/.A nurse is preparing to administer ampicillin and gentamicin sulfate via iv infusion.
Which of the following resource should the nurse consult first regarding medication
compatibility?
Nurse manager
Hospital pharmacist
Health care provider
Medication sales representative - Answer-✅Hospital pharmacist
The greatest risk to the client is injury form medication error; therefore, the nurse should
consult the hospital pharmacist first. The pharmacist will have information about
medications, including adverse effects, recommended dosages, and drug
incompatibilities.
/.A nurse is teaching a client who has a new prescription for esomeprazole to manage
his GERD. Which of the following statements by the client indicates an understanding of
the teaching?
"I won't pass gas as often now that I am taking this medication."
"I will take this medication each morning with my breakfast."
"I have an increased risk of getting pneumonia while taking this medication."
"I will need to take a daily stool softener while taking this medication." - Answer-✅"I
have an increased risk of getting pneumonia while taking this medication."
The client taking esomeprazole is at a greater risk for developing pneumonia due to an
elevation of gastric pH, especially during the first few days of treatment. The nurse
,should instruct the client about manifestations of a respiratory infection and to report
these findings to the provider if they occur.
/.A nurse is assessing a client after administering a dose of losartan. The client has a
hoarse voice, and swollen lips and tongue. In which order should the nurse take the
following actions? Move the nursing actions into the box on the right, placing them in the
selected order of performance.
Assess the client's airway.
Call the emergency response team.
Apply high-flow oxygen.
Initiate IV access.
Administer IV epinephrine.
Administer IV antihistamines. - Answer-✅Assess the client's airway.
Call the emergency response team.
Apply high-flow oxygen.
Initiate IV access.
Administer IV epinephrine.
Administer IV antihistamines.
The nurse should first assess the client's airway and oxygen saturation to determine the
need for respiratory support. Intubation or tracheotomy is considered if adequate
oxygenation is not maintained. The second step the nurse should take is to call the
rapid response team to provide emergency treatment in case of cardiac or respiratory
arrest. Next, the nurse should apply high-flow oxygen to increase oxygenation and then
initiate an IV site, if one is not present, and administer isotonic IV fluids to prevent
hypotension and provide access for IV medications. The nurse should then administer
IV epinephrine to constrict blood vessels, dilate bronchioles, and increase cardiac
function. And finally, the nurse should administer IV antihistamines and corticosteroids
to block the effects of histamine and decrease edema.
/.A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as
part of antiretroviral therapy. The nurse should monitor the client for which of the
following adverse effects of this medication?
Cardiac dysrhythmia
Metabolic alkalosis
Renal failure
Aplastic anemia - Answer-✅Aplastic anemia
Severe myelosuppression that results in anemia (decreased red blood cells),
agranulocytosis (decreased white blood cells), and thrombocytopenia (decreased
platelets) is a life-threatening adverse reaction to zidovudine therapy. Consequently,
zidovudine must be used cautiously in clients already experiencing myelosuppression,
and the client must be monitored with a CBC performed every few weeks for early
detection of marrow failure, which may lead to aplastic anemia.
, /.A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a
client. Which of the following is the priority assessment the nurse should complete?
Apical pulse rate
Blood pressure
Level of consciousness
Respiratory rate - Answer-✅Respiratory rate
Airway, breathing, and circulation are the priority focus of the nurse at this time.
Meperidine can cause respiratory depression and the client's respiratory rate should be
monitored prior to administering this medication.
/.A nurse is obtaining a medical history from a client who is to start warfarin therapy and
currently uses herbal supplements at home. The nurse should inform the client that
which of the following herbal supplements can interact adversely with warfarin?
Feverfew
Black cohosh
Echinacea
Flaxseed - Answer-✅Feverfew
The nurse should instruct the client to avoid taking feverfew while taking warfarin
because it will increase the anticoagulant effect.
/.The nurse should instruct the client to avoid taking feverfew while taking warfarin
because it will increase the anticoagulant effect.
Inject air into regular insulin vial
Inject air into the NPH.
Inspect vials for contaminants.
Roll NPH vial between palms of hands.
Add intermediate insulin to syringe
Withdraw short-acting insulin into syringe - Answer-✅Inspect vials for contaminants.
Roll NPH vial between palms of hands.
Inject air into the NPH.
Withdraw short-acting insulin into syringe
Inject air into regular insulin vial
Add intermediate insulin to syringe
Inspect vials for contaminants: With the exception of NPH insulin, all insulin available
today is supplied as a clear, colorless solution. Do not use insulin that is colored,
cloudy, or has formed a precipitate. The first step is to observe the characteristics of the
regular and NPH insulin to determine whether they are safe to use.
Roll NPH vial between palms of hands: Because NPH insulin is a suspension, the
particles must be evenly dispersed by rolling the vial gently between the palms of the
With 100% Pass
/. A nurse is teaching a female client who has a new prescription for transdermal
sumatriptan to treat migraine headaches. Which of the following instructions should the
nurse include?
"Take daily to prevent headaches."
"Chew tablet well before swallowing."
"Report swelling of eyelids after dosage."
"Repeat dose in 1 hour for unrelieved headache." - Answer-✅"Report swelling of
eyelids after dosage."
The client should report swelling of eyelids and lips to provider, which can indicate an
allergic reaction to this medication.
/.A nurse is preparing to administer ampicillin and gentamicin sulfate via iv infusion.
Which of the following resource should the nurse consult first regarding medication
compatibility?
Nurse manager
Hospital pharmacist
Health care provider
Medication sales representative - Answer-✅Hospital pharmacist
The greatest risk to the client is injury form medication error; therefore, the nurse should
consult the hospital pharmacist first. The pharmacist will have information about
medications, including adverse effects, recommended dosages, and drug
incompatibilities.
/.A nurse is teaching a client who has a new prescription for esomeprazole to manage
his GERD. Which of the following statements by the client indicates an understanding of
the teaching?
"I won't pass gas as often now that I am taking this medication."
"I will take this medication each morning with my breakfast."
"I have an increased risk of getting pneumonia while taking this medication."
"I will need to take a daily stool softener while taking this medication." - Answer-✅"I
have an increased risk of getting pneumonia while taking this medication."
The client taking esomeprazole is at a greater risk for developing pneumonia due to an
elevation of gastric pH, especially during the first few days of treatment. The nurse
,should instruct the client about manifestations of a respiratory infection and to report
these findings to the provider if they occur.
/.A nurse is assessing a client after administering a dose of losartan. The client has a
hoarse voice, and swollen lips and tongue. In which order should the nurse take the
following actions? Move the nursing actions into the box on the right, placing them in the
selected order of performance.
Assess the client's airway.
Call the emergency response team.
Apply high-flow oxygen.
Initiate IV access.
Administer IV epinephrine.
Administer IV antihistamines. - Answer-✅Assess the client's airway.
Call the emergency response team.
Apply high-flow oxygen.
Initiate IV access.
Administer IV epinephrine.
Administer IV antihistamines.
The nurse should first assess the client's airway and oxygen saturation to determine the
need for respiratory support. Intubation or tracheotomy is considered if adequate
oxygenation is not maintained. The second step the nurse should take is to call the
rapid response team to provide emergency treatment in case of cardiac or respiratory
arrest. Next, the nurse should apply high-flow oxygen to increase oxygenation and then
initiate an IV site, if one is not present, and administer isotonic IV fluids to prevent
hypotension and provide access for IV medications. The nurse should then administer
IV epinephrine to constrict blood vessels, dilate bronchioles, and increase cardiac
function. And finally, the nurse should administer IV antihistamines and corticosteroids
to block the effects of histamine and decrease edema.
/.A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as
part of antiretroviral therapy. The nurse should monitor the client for which of the
following adverse effects of this medication?
Cardiac dysrhythmia
Metabolic alkalosis
Renal failure
Aplastic anemia - Answer-✅Aplastic anemia
Severe myelosuppression that results in anemia (decreased red blood cells),
agranulocytosis (decreased white blood cells), and thrombocytopenia (decreased
platelets) is a life-threatening adverse reaction to zidovudine therapy. Consequently,
zidovudine must be used cautiously in clients already experiencing myelosuppression,
and the client must be monitored with a CBC performed every few weeks for early
detection of marrow failure, which may lead to aplastic anemia.
, /.A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a
client. Which of the following is the priority assessment the nurse should complete?
Apical pulse rate
Blood pressure
Level of consciousness
Respiratory rate - Answer-✅Respiratory rate
Airway, breathing, and circulation are the priority focus of the nurse at this time.
Meperidine can cause respiratory depression and the client's respiratory rate should be
monitored prior to administering this medication.
/.A nurse is obtaining a medical history from a client who is to start warfarin therapy and
currently uses herbal supplements at home. The nurse should inform the client that
which of the following herbal supplements can interact adversely with warfarin?
Feverfew
Black cohosh
Echinacea
Flaxseed - Answer-✅Feverfew
The nurse should instruct the client to avoid taking feverfew while taking warfarin
because it will increase the anticoagulant effect.
/.The nurse should instruct the client to avoid taking feverfew while taking warfarin
because it will increase the anticoagulant effect.
Inject air into regular insulin vial
Inject air into the NPH.
Inspect vials for contaminants.
Roll NPH vial between palms of hands.
Add intermediate insulin to syringe
Withdraw short-acting insulin into syringe - Answer-✅Inspect vials for contaminants.
Roll NPH vial between palms of hands.
Inject air into the NPH.
Withdraw short-acting insulin into syringe
Inject air into regular insulin vial
Add intermediate insulin to syringe
Inspect vials for contaminants: With the exception of NPH insulin, all insulin available
today is supplied as a clear, colorless solution. Do not use insulin that is colored,
cloudy, or has formed a precipitate. The first step is to observe the characteristics of the
regular and NPH insulin to determine whether they are safe to use.
Roll NPH vial between palms of hands: Because NPH insulin is a suspension, the
particles must be evenly dispersed by rolling the vial gently between the palms of the
