ATI Pharmacology
A nurse contacts a client's provider on the telephone to obtain prescription for pain medication. Which
of following actions should nurse take?
A. Write the order on a prescription pad designated for the client's provider
B. Have the provider spell out the unfamiliar medicati...
ATI Pharmacology 2022 2023
A nurse contacts a client's provider on the telephone to obtain prescription for pain medication. Which
of following actions should nurse take?
A. Write the order on a prescription pad designated for the client's provider
B. Have the provider spell out the unfamiliar medication names
C. Read the prescription back to the provider using abbreviations
D. Consult with a second nurse for any questions regarding dosage Ans- Have the provider spell out the
unfamiliar medication names.
Rationale: The nurse should ask the provider to spell out the name of the medication if the stated name
is one the nurse is not familiar with.
Nurse in clinic is caring who is taking aspirin for the treatment of arthritis. The nurse should identify
which of following findings as indication that the client is beginning to exhibit salicylism?
A. Gastric distress
B. Oliguria
C. Excessive bruising
D. Tinnitus Ans- Tinnitus
Rationale: Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations
include sweating, headache, and dizziness.
Circulating nurse is planning care for a client who is scheduled for surgery and has latex allergy. Which of
following actions should nurse include in plan of care?
A. Schedule the client for the last surgery of the day
B. Place monitoring cords and tubes in a stockinet
C. Choose rubber injection ports for fluid administration
,D. Ensure phenytoin IV is readily available Ans- Place monitoring cords and tubes in a stockinet.
Rationale: The nurse should place monitoring devices in a stockinet to prevent direct contact with the
client's skin.
Nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of following findings
should nurse monitor?
A. Paresthesia
B. Increased blood pressure
C. Fever
D. Respiratory depression Ans- Increased blood pressure
Rationale: The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in
an increase in a client's blood pressure. If the client's hematocrit 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.
Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of following actions
should nurse take prior to administering the medication?
A. Ask the client to drink 8oz of water
B. Review the client's most recent Hgb level
C. Obtain the client's blood pressure
D. Determine if the client is allergic to NSAIDs Ans- Obtain the client's blood pressure.
Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure
and edema. The nurse should obtain the client's blood pressure prior to administration of the
medication.
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of following
medications should nurse expect to administer?
, A. Bupropion
B. Disulfiram
C. Methadone
D. Modafinil Ans- Methadone
Rationale: The nurse should expect to administer methadone for treatment of opioid use disorder.
Methadone can be administered for withdrawal and to assist with maintenance and suppressive
therapy.
The nurse should administer bupropion to assist the client with smoking cessation.
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.
A nurse is reviewing medical record of a client who has hypertension. The nurse should identify which of
following findings as a contraindication for receiving propranolol?
A. Cholelithiasis
B. Asthma
C. Angina pectoris
D. Tachycardia Ans- Asthma
Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic
antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to
serious airway resistance and possibly respiratory arrest.
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