ATI Pharmacology 2019 B, Pharmacology Practice 2019 A
Terms in this set (120)
Have the provider spell out the unfamiliar medication names.
Nurse contacts a pt's provider on telephone to
obtain prescription for pain med. Which of
The nurse should ask the provider to spell out the name of the medication if
following actions should nurse take?
the stated name is one the nurse is not familiar with.
Nurse in clinic is caring for a pt who is taking Tinnitus
aspirin for Tx of arthritis. Nurse should identify
which of following findings as indication that pt is Tinnitus is a manifestation of aspirin toxicity, also called salicylism.
beginning to exhibit salicylism? Other manifestations include sweating, headache, and dizziness.
Circulating nurse is planning care for pt who is Place monitoring cords and tubes in a stockinet.
schedule for surgery and has latex allergy. Which
of following actions should nurse include in plan of The nurse should place monitoring devices in a stockinet to prevent direct contact
care? with the client's skin.
Increased blood pressure
Nurse is assessing pt who is receiving epoetin alfa The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which
to Tx anemia. Which of following findings should can result in an increase in a client's blood pressure. If the client's hematocrit
nurse monitor? level rises too rapidly, hypertension and seizures can result. The nurse should
monitor the
client's blood pressure and ensure hypertension is controlled prior to
administering the medication.
Obtain the client's blood pressure.
Nurse is preparing to administer
hydrochlorothiazide to pt. Which of following
actions should nurse take prior to administering the HCTZ is a thiazide diuretic administered to promote urine output and reduce
med? blood pressure and edema. The nurse should obtain the client's blood pressure
prior to administration of the medication.
Methadone
The nurse should expect to administer methadone for treatment of opioid use
disorder. Methadone can be administered for withdrawal and to assist with
Nurse is caring for pt who is receiving Tx for opioid
maintenance and suppressive therapy.
use disorder. Which of following medications
The nurse should administer bupropion to assist the client with smoking cessation.
should nurse expect to administer?
The nurse should administer disulfiram as an aversion therapy to assist
with maintaining abstinence from alcohol.
The nurse should administer modafinil to assist with the fatigue and
prolonged sleep from methamphetamine withdrawal.
Asthma
Nurse is reviewing medical record of pt who has
HTN. Nurse should identify which of following Asthma is a contraindication for receiving propranolol. Propranolol is an
findings as contraindication for receiving adrenergic antagonist which blocks the beta2 receptors in the lungs, causing
propranolol? bronchoconstriction and leading to serious airway resistance and possibly
pg. 1
, respiratory arrest.
pg. 2
, Nurse is caring for pt who has pneumonia. Pt Doxycycline
tells nurse she is pregnant and that she hasn't
told Doxycycline is a tetracycline antibiotic. The nurse should identify that
provider yet. Nurse should identify that pregnancy doxycycline can cause teratogenic effects such as staining of the infant's teeth
is contraindicated for receiving which of following when exposed to this medication. Therefore, this medication is contraindicated
meds? for the client.
Nurse is teaching about self-administration of "I will remove the patch after 14 hours."
transdermal medication w/ male pt who has new
prescription for nitroglycerin. Nurse should identify The client should remove the patch after 12 to 14 hr to prevent tolerance of
that which of following statements by pt indicates the medication.
understanding of teaching?
Discontinue the medication IV infusion.
Nurse is administering cefotetan via intermitten IV
The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore,
bolus to pt who suddenly develop dyspnea and
the first action the nurse should take is to discontinue the medication IV infusion
widespread hives. Which of following actions
to
should nurse take 1st?
prevent the client from receiving more medication. However, the nurse should
not remove the IV catheter. Instead, the nurse should change the tubing and
administer 0.9% sodium chloride by continuous IV infusion.
The client reports shortness of breath.
Nurse administers ceftazidime to pt who has severe
penicillin allergy. Nurse should identify which of
A severe penicillin allergy is a contraindication for taking ceftazidime, a
following pt findings as indication that she should
cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness
complete incident report?
of breath can indicate the client is developing anaphylaxis.
Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg
Nurse is preparing newly licensed nurse who is
caring for 4 pts. Nurse should complete incident Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide
report for which of following actions by newly mononitrate leads to vasodilation, which can result in hypotension. The nurse
licensed nurse? should withhold the medication and notify the provider if the client's systolic blood
pressure is below the expected reference range of 120/80.
Cromolyn
Nurse is planning to teach about inhalant meds to
pt who has new Dx of exercise-indused asthma.
Which of following weds should nurse plan to Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and
instruct pt to use prior to physical activity? other inflammatory mediators. The client should use cromolyn 10 to 15 min before
planning to exercise to prevent bronchospasms.
Creatinine kinase
Nurse is caring for pt who is taking atorvastatin for
The client who is taking atorvastatin can develop an adverse effect called
hyperlipidemia. Which of following client lab values
rhabdomyolysis, which causes muscle weakness or pain and can progress to
should nurse monitor?
myositis. Creatinine kinase levels rise in response to enzymes released with
muscle injury.
Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic
Nurse is preparing to mix and administer
agent.
dantrolene via IV bolus to pt who had developed
MH during surgery. Which of following actions
should nurse take? The nurse should dilute the medication with 60 mL of sterile water without a
bacteriostatic agent and inject rapidly.
pg. 3
Terms in this set (120)
Have the provider spell out the unfamiliar medication names.
Nurse contacts a pt's provider on telephone to
obtain prescription for pain med. Which of
The nurse should ask the provider to spell out the name of the medication if
following actions should nurse take?
the stated name is one the nurse is not familiar with.
Nurse in clinic is caring for a pt who is taking Tinnitus
aspirin for Tx of arthritis. Nurse should identify
which of following findings as indication that pt is Tinnitus is a manifestation of aspirin toxicity, also called salicylism.
beginning to exhibit salicylism? Other manifestations include sweating, headache, and dizziness.
Circulating nurse is planning care for pt who is Place monitoring cords and tubes in a stockinet.
schedule for surgery and has latex allergy. Which
of following actions should nurse include in plan of The nurse should place monitoring devices in a stockinet to prevent direct contact
care? with the client's skin.
Increased blood pressure
Nurse is assessing pt who is receiving epoetin alfa The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which
to Tx anemia. Which of following findings should can result in an increase in a client's blood pressure. If the client's hematocrit
nurse monitor? level rises too rapidly, hypertension and seizures can result. The nurse should
monitor the
client's blood pressure and ensure hypertension is controlled prior to
administering the medication.
Obtain the client's blood pressure.
Nurse is preparing to administer
hydrochlorothiazide to pt. Which of following
actions should nurse take prior to administering the HCTZ is a thiazide diuretic administered to promote urine output and reduce
med? blood pressure and edema. The nurse should obtain the client's blood pressure
prior to administration of the medication.
Methadone
The nurse should expect to administer methadone for treatment of opioid use
disorder. Methadone can be administered for withdrawal and to assist with
Nurse is caring for pt who is receiving Tx for opioid
maintenance and suppressive therapy.
use disorder. Which of following medications
The nurse should administer bupropion to assist the client with smoking cessation.
should nurse expect to administer?
The nurse should administer disulfiram as an aversion therapy to assist
with maintaining abstinence from alcohol.
The nurse should administer modafinil to assist with the fatigue and
prolonged sleep from methamphetamine withdrawal.
Asthma
Nurse is reviewing medical record of pt who has
HTN. Nurse should identify which of following Asthma is a contraindication for receiving propranolol. Propranolol is an
findings as contraindication for receiving adrenergic antagonist which blocks the beta2 receptors in the lungs, causing
propranolol? bronchoconstriction and leading to serious airway resistance and possibly
pg. 1
, respiratory arrest.
pg. 2
, Nurse is caring for pt who has pneumonia. Pt Doxycycline
tells nurse she is pregnant and that she hasn't
told Doxycycline is a tetracycline antibiotic. The nurse should identify that
provider yet. Nurse should identify that pregnancy doxycycline can cause teratogenic effects such as staining of the infant's teeth
is contraindicated for receiving which of following when exposed to this medication. Therefore, this medication is contraindicated
meds? for the client.
Nurse is teaching about self-administration of "I will remove the patch after 14 hours."
transdermal medication w/ male pt who has new
prescription for nitroglycerin. Nurse should identify The client should remove the patch after 12 to 14 hr to prevent tolerance of
that which of following statements by pt indicates the medication.
understanding of teaching?
Discontinue the medication IV infusion.
Nurse is administering cefotetan via intermitten IV
The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore,
bolus to pt who suddenly develop dyspnea and
the first action the nurse should take is to discontinue the medication IV infusion
widespread hives. Which of following actions
to
should nurse take 1st?
prevent the client from receiving more medication. However, the nurse should
not remove the IV catheter. Instead, the nurse should change the tubing and
administer 0.9% sodium chloride by continuous IV infusion.
The client reports shortness of breath.
Nurse administers ceftazidime to pt who has severe
penicillin allergy. Nurse should identify which of
A severe penicillin allergy is a contraindication for taking ceftazidime, a
following pt findings as indication that she should
cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness
complete incident report?
of breath can indicate the client is developing anaphylaxis.
Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg
Nurse is preparing newly licensed nurse who is
caring for 4 pts. Nurse should complete incident Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide
report for which of following actions by newly mononitrate leads to vasodilation, which can result in hypotension. The nurse
licensed nurse? should withhold the medication and notify the provider if the client's systolic blood
pressure is below the expected reference range of 120/80.
Cromolyn
Nurse is planning to teach about inhalant meds to
pt who has new Dx of exercise-indused asthma.
Which of following weds should nurse plan to Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and
instruct pt to use prior to physical activity? other inflammatory mediators. The client should use cromolyn 10 to 15 min before
planning to exercise to prevent bronchospasms.
Creatinine kinase
Nurse is caring for pt who is taking atorvastatin for
The client who is taking atorvastatin can develop an adverse effect called
hyperlipidemia. Which of following client lab values
rhabdomyolysis, which causes muscle weakness or pain and can progress to
should nurse monitor?
myositis. Creatinine kinase levels rise in response to enzymes released with
muscle injury.
Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic
Nurse is preparing to mix and administer
agent.
dantrolene via IV bolus to pt who had developed
MH during surgery. Which of following actions
should nurse take? The nurse should dilute the medication with 60 mL of sterile water without a
bacteriostatic agent and inject rapidly.
pg. 3
