ATI RN Pharmacology (8.0)

Chapter 1

1. A provider prescribes phenobarbital for a client wo has a seizure

disorder. The medication has a long half-life of 4 days. How many

times per day should the nurse expect to administer this medication?

a. One

b. Two

c. Three

d. Four

2. A nurse educator is reviewing medication metabolism at an in-service

presentation. Which of the following factors should the educator

include as a reason to administer lower medication dosages? (Select

all that apply.)

a. Increased renal excretion

b. Increased medication-metabolizing enzymes

c. Liver failure

d. Peripheral vascular disease

e. Concurrent use of medication the same pathway metabolizes

3. A nurse is preparing to administer eye drops to a client. Which of the

following actions should the nurse take? (Select all that apply.)

a. Have the client lie on one side.

b. Ask the client to look up at the ceiling.

c. Tell the client to blink when the drops enter the eye.

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d. Drop the medication into the client’s conjunctival sac.

e. Instruct the client to close the eye gently after instillation.

4. A nurse is teaching a client about transdermal patches. Which of the

following statements should the nurse identify as an indication that

the client understands?

a. “I will clean the site with an alcohol swab before I apply the patch.”

b. “I will rotate the application sites weekly.”

c. “I will apply the patch to an area of skin with no hair.”

d. “I will place the new patch on the site of the old patch.”

5. A nurse reviewing a client’s medical record notes a new prescription

for verifying the trough level of the client’s medication. Which of the

following actions should the nurse take?

a. Obtain a blood specimen immediately prior to administering

the next dose of medication.

b. Verify that the client has been taking the medication for 24hr before

obtaining a blood specimen.

c. Ask the client to provide a urine specimen after the next dose of

medication.

d. Administer the medication, and obtain a blood specimen 30 min later.

Chapter 2

1. A nurse is preparing a client’s medications. Which of the following

actions should the nurse take I following legal practice guidelines?

(Select all that apply.)

a. Teach the client about the medication.

b. Determine the dosage.

c. Monitor for adverse effects.

d. Lock compartments for controlled substances.

e. Determine the client’s insurance status.

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2. A nurse is preparing to administer digoxin to a client who states, “I

don’t want to take that medication. I do not want one more pill.”

Which of the following responses should the nurse make?

a. “Your physician prescribed it for you, so you really should take it.”

b. “Well, let’s just get it over quickly then.”

c. “Okay, I’ll just give you your other medications.”

d. “Tell me our concerns about taking this medication.”

3. A nurse is reviewing a client’s prescribed medications. Which of the

following situations represents a contraindication to medication

administration?

a. The client drank grapefruit juice, which could reduce a medication’s

effectiveness.

b. The medication has orthostatic hypotension as an adverse effect.

c. A medication is approved for ages 12 and older, and the client is

8 years old.

d. An antianxiety medication that has an adverse effect of drowsiness is

prescribed as a preoperative sedative.

4. A nurse is assessing a client before administering medications. Which

of the following data should the nurse obtain? (Select all that apply.)

a. Use of herbal products

b. Daily fluid intake

c. Ability to swallow

d. Previous surgical history

e. Allergies

5. A nurse is working with a newly licensed nurse who is administering

medications to clients. Which of the following actions should the

nurse identify as an indication that the newly hired nurse

understands medication error prevention?

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a. Taking all medications out of the unit-dose wrappers before entering the

client’s room.

b. Checking the prescription when a single dose requires

administration of multiple tablets.

c. Administering a medication, then looking the usual dosage range.

d. Relying on another nurse to clarify a medication prescription.