ATI Pharmacology Test 1
A nurse is assessing a client who is receiving Chloramphenicol (Chloromycetin). Which of the following
findings is an adverse effect of this medication?
A. Ecchymosis
B. Ototoxicy
C. Hyertension
D. Anxiety - ANS A
A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chlorideIV over 8 hours. The
nurse plans to use IV tubing with a drop factor of 10 gtt/mL.How many gtt/min of IV fluid should the
client receive? (Round your answer tothe nearest whole number).
A. 20gtt/min
B. 70gtt/min
C. 31gtt/min
D. 40gtt/min - ANS C
A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at
home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which
action should the nurse take?
A. Clarify the medication dosages with the provider.
B. Change the prescribed medication dosages to reconcile the discrepancy
C. Contact the pharmacist regarding the dosage discrepancies
D. Ask a family member to verify the medication dosages - ANS A
A nurse is caring for a client who is receiving a fentanyl transdermal system(Duragesic). What is
important to document in the client's record?
,A. fluid intake
B. Skin integrity
C. Respiratory rate
D. Pulse rate - ANS C
A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the
following is an appropriate intervention for the nurse to take when administering this medication?
A. Massage the nitroglycerin ointment completely into the skin.
B. Replace the nitroglycerin transdermal patch every 4 hours.
C. Administer a sustained nitroglycerin tablet orally.
D. Administer a nitroglycerin tablet sublingually every 5minutes. - ANS D
A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The
nurse should watch the patient for which of the following adverse effects? (Select all that apply.)
A. Bradycardia
B. Jaundice
C. Polyuria
D. Urtipenia
E. Fever - ANS B D E
A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is
beginning medication therapy with zidovudine (Retrovir). Which of the following statements should the
nurse include in the teaching. (Select all that apply.)
A. Must be taken with other retroviral medicines.
B. Has few adverse effects
, C. Cures an HIV infection
D. Prevents you from transmitting the HIV infection
E. Increases CD4+ cell count - ANS A B E
A nurse is assessing a school age client who is experiencing seizure activity and is prescribed diazepam
(Valium) IV. The nurse should should clarify the order if the client is receiving a continuous infusion of
which of the following IV:
A. Lactated Ringers solution
B. 0.9% Sodium chloride with 100 units of regular insulin C. 0.9% sodium chloride
D. 0.9% Sodium chloride with 20 mEq of potassium chloride - ANS A
A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure. Which of the
following indicates an expected finding?
A. Activity tolerance
B. Orthostatic hypotension
C. Loss of strength
D. Increase in blood pressure - ANS B
A child with cerebral palsy is prescribed Baclofen (Lioresal). Which of the following therapeutic effects
should the nurse monitor?
A. Increased urine output
B. Increased energy
C. Decreased anxiety
D. Decreased spacity - ANS D
Clinical findings of a client who has a prescription for lithium carbonate (Lithobid) .For which reasons
should the nurse withhold the medication and notify the provider?
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