1. 1. A nurse is administering medications to 7.5
a client who weighs 132 lb. The prescrip-
tion reads chloramphenicol, 50mg/kg/day
in 4 divided doses. Available is chloram-
phenicol 100 mg/mL. How many mL should
the nurse give with each dose?
2. 2. A nurse is planning to administer med- 1.5mL
ications to a client who weighs 198 lb. The
prescription reads, "filgrastim 5 mcg/kg,
subcutaneous, daily." Available is filgras-
tim 300 mcg/mL. How many mL should the
nurse plan to give with each dose?
3. 3. A nurse is preparing to administer the Urticaria
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?
4. 4. A nurse is caring for a client who is tak- Hyponatremia
ing lithium and reports starting a new exer-
cise program. The nurse should assess the
client for which of the following electrolyte
imbalances?
5. 5. A nurse is providing teaching to a client Endocarditis
who is receiving intermittent parenteral
metronidazole. Which of the following con-
ditions should the nurse recognize as an
indication for this medication?
6. 6. (NGN) "I will avoid consuming alco-
holic beverages."
A nurse is caring for a client with gingivitis "I will consume foods that are
in the clinic. soft or semisolid."
Which of the following client statements "I will rinse with saline every 2
indicates the teaching was effective? hours while awake."
, ATI RN PHARMACOLOGY 2023 (NGN) Review
7. 7. A nurse is caring for a client who has di- Decrease in urine output
abetes insipidus and is receiving desmo-
pressin by intermittent IV bolus. Which of
the following manifestations should the
nurse identify as an indication of a thera-
peutic response to the medication?
8. 8. (NGN) - Advise the client to change
positions slowly
A nurse in a provider's office is caring - Check the client for orthosta-
for a client. Client reports dizziness and tic hypotension
light-headedness upon standing. Client re- - Monitor the client for dys-
ports waking up at night to void. What ac- rhythmias
tions should the nurse take? Select all that
apply.
9. 9. A nurse is assessing a client who is in Hypotension
labor and is receiving epidural anesthesia.
Which of the following findings should the
nurse identify as the priority?
10. *10. (NGN) A. "You may initially notice an
increase in involuntary move-
A nurse is caring for a client in a provider's ments."
office. Which of the following statements B. "The medication can cause
should the nurse include when teaching nausea, so take it with a
the client about the prescribed medication meal."
of Levodopa- carbidopa 250mg/25mg? Se- D. "You can experience vivid
lect all that apply. nightmares."
E. "This medication can make
you light-headed if you stand
up too quickly from a seated
or lying position."
F. "Consumption of a high
protein meal can reduce the
effectiveness of the medica-
tion."
11. 11. (NGN) A nurse is caring for a female "I should take my medication
client in a provider's office. on an empty stomach." = UN-
, ATI RN PHARMACOLOGY 2023 (NGN) Review
DERSTANDING
Nurse Notes: "I should avoid taking antacids
0900: The client is being seen in the of- while on this medication," =
fice. The client reports feeling fatigued and UNDERSTANDING
having a heavy menstrual cycle the past "I should take this medication
year. Upon assessment, the client's con- with orange juice" = UNDER-
junctiva and mucosal membranes are pale. STANDING
Provider notified and laboratory samples "If I experience black stools, I
to be drawn. should notify my provider." =
NO UNDERSTANDING
Prescription Orders: 2 Days Later: "I should rinse my mouth after
Ferrous Sulfate 325 mg PO every other taking this medication." = NO
day. UNDESTANDING
A nurse is caring for a female client in a
provider's office.
The nurse notifies the client and provides
teaching about the newly prescribed med-
ication. For each of the statements made
by the client, click to specify whether the
statement indicates an understanding or
no understanding of the teaching provid-
ed.
12. 12. A nurse is mixing regular insulin and Inject air into the NPH vial.
NPH insulin in the same syringe prior to
administering it to a client who has dia- (Remember to inject air into
betes mellitus. Which of the following ac- both vials first before with-
tions should the nurse take first? drawing both meds in this or-
der: N -> R -> R -> N)
13. 13. A nurse is reviewing the medical record The client has immobility that
of a female client who asks about a pre- restricts her to a supine posi-
scription for alendronate for the treatment tion
of osteoporosis. Which of the following
findings should the nurse identify as a
safety risk for the client when taking this
medication?
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