ATI PHARMACOLOGY CMS EXAM/ RECENT AND
COMPLETE VERSION ALL 300+ QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |
GRADED A+
A nurse is preparing to administer medication to a client and discovers a
medication error. The nurse should recognize which of the following staff members
is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
b. The nurse who identifies the error
A nurse is planning care for a client who is receiving morphine via continuous
epidural infusion. The nurse should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
a. Pruritus
The nurse should monitor the client receiving morphine via epidural infusion for
symptoms of pruritus (itching) since itching is a common side effect of opioid
administration. Pruritus is a common side effect of opioids like morphine.
Morphine acts on mu-opioid receptors, which can trigger the release of histamine
and the sensation of itching.
A nurse is preparing to administer digoxin orally to a client. Identify the sequence
of steps the nurse should take.
a. Obtain the client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication a. - d. - b. - c. - e.
,Page 2 of 71
1- Obtain the client's apical heart rat
2- Remove the medication from the dispensing system
3- Open the medication package
4- Compare the client's wristband to the medication administration record
5- Document administration of the medication
a. Obtaining the client’s apical heart rate is a first step because digoxin affects the
heart's rhythm. This is why it is often prescribed based on the client's heart rate.
d. Comparing the client’s wristband to the medication administration record
ensures the right patient is receiving the right medication.
b. Removing the medication from the dispensing system is the first step in
preparing the medication for administration.
c. Opening the medication package is done once the medication is retrieved.
e. Documenting administration of the medication is essential to maintain accurate
records of their medication regimen.
A nurse is reviewing the medical record of an adult client who has a fever and a
prescription for acetaminophen. Which of the following findings should the nurse
identify as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
b. chronic kidney disease
individuals with chronic kidney disease, the body's capacity to excrete drugs is
altered, which could lead to drug buildup and potentially harmful effects when
taking acetaminophen. Acetaminophen is excreted by the kidneys, which is why
the elimination of acetaminophen can be compromised in individuals with
impaired kidney function.
,Page 3 of 71
A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the
last visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain
c. Determine medication adherence by the client
Before making further interventions, the nurse should first check if the client has
been consistently and correctly taking their medications. In a client with heart
failure, sudden weight gain could indicate fluid retention, which might be related
to the client not taking the prescribed diuretic as directed.
A nurse is preparing to administer the initial dose of penicillin G IM to a client.
The nurse should monitor for which of the following as an indication of an allergic
reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor d.Dyspepsia
a. Urticaria
(hives) is a common manifestation of an allergic reaction, and it's essential to
monitor for this when giving medications like penicillin G that can trigger
allergies. It can occur within minutes to hours after medication administration. The
nurse should be able to respond quickly to this sign to ensure the client's safety.
A nurse is teaching a client who has angina a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include
in the teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve."
c. “Keep the tablets at room temperature in their original glass bottle.”
, Page 4 of 71
The nurse should teach the client to store sublingual nitroglycerin tablets in their
original glass container and at room temperature to ensure they remain effective.
This protects the tablets from light, heat, and moisture. These conditions can
decrease the medication's effectiveness.
A nurse is providing teaching to a client who has a new prescription for
theophylline, a sustained-released capsule. Which of the following statements by
the client indicates an understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn."
d. "I will need to have blood levels drawn."
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to client who has diabetes mellitus following actions should the
nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial.
d. Inject air into the regular insulin vial.
By injecting air first into the regular insulin (clear) vial and then into the NPH
(cloudy) vial, it ensures there's no cross-contamination of the two insulins. This
maintains the purity and effectiveness of each insulin type.
A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take?
a. Administer the medication outside the 5-cm (2-in) radius of the umbilicus.
b. Aspirate for blood return before injecting.
c. Rub vigorously after the injection to promote absorption.
d. Place a pressure dressing on the injection site to prevent bleeding.
a. Administer the medication outside the 5-cm (2-in) radius of the umbilicus.
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