ATI Pharmacology Practice A Questions with Correct
Answers
A nurse is instructing a client on the application of nitroglycerin
transdermal patches. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I should apply a patch every 5 minutes if I develop chest pain."
B. "I will take the patch off right after my evening meal."
C. "I will leave the patch off at least 1 day each week."
D. "I should discard the used patch by flushing it down the toilet."
Correct Answer-Answer: B
B. Clients should remove the patch each evening for a medication free
time of 12 to 14 hr before applying a new patch to avoid developing a
tolerance to the medication's effects.
A nurse receives a verbal order from the provider to administer
morphine five milligrams every 4 hours subcutaneously for severe pain
as needed. The nurse should identify which of the following entries as
the correct format for the medication administration record (MAR)?
A. MSO4 5 mg subcut every 4 hr PRN severe pain
B. Morphine 5 mg subcut every 4 hr PRN severe pain
C. MSO4 5 mg SQ every 4 hr PRN severe pain
D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain Correct
Answer-Answer: B
,B. The nurse should identify this entry as the correct format for the
MAR. The medication name is spelled out and there are not any
abbreviations from The Joint Commission's "Do Not Use" list included
in the transcription.
A nurse is caring for a client who is taking acetazolamide for chronic
open-angle glaucoma. For which of the following adverse effects should
the nurse instruct the client to monitor and report?
A. Tingling of fingers
B. Constipation
C. Weight gain
D. Oliguria Correct Answer-Answer: A
A. The nurse should instruct the client to report the adverse effect of
paresthesia, a tingling sensation in the extremities, when taking
acetazolamide.
A nurse administers a dose of metformin to a client instead of the
prescribed dose of metoclopramide. Which of the following actions
should the nurse take first?
A. Report the incident to the charge nurse.
B. Notify the provider.
C. Check the client's blood glucose.
,D. Fill out an incident report. Correct Answer-Answer: C
C. The first action the nurse should take using the nursing process is to
assess the client. The client is at risk for hypoglycemia. The nurse
should monitor the client's blood glucose and provide the client with a
snack to reduce the risk for hypoglycemia.
A nurse is caring for a client who has cancer and is taking oral morphine
and docusate sodium. The nurse should instruct the client that taking the
docusate sodium daily can minimize which of the following adverse
effects of morphine?
A. Constipation
B. Drowsiness
C. Facial flushing
D. Itching Correct Answer-Answer: A
A. Constipation is a common adverse effect of morphine that can be
minimized by taking docusate sodium, a stool softener that promotes
easier evacuation of stool by increasing water and fat in the intestine.
A nurse is assessing a client's vital signs prior to the administration of
PO digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and
respiratory rate is 20/min. The nurse should withhold the medication and
contact the provider for which of the following findings?
, A. Diastolic BP
B. Systolic BP
C. Heart rate
D. Respiratory rate Correct Answer-Answer: C
C. Digoxin slows the conduction rate through the SA and AV nodes,
thereby decreasing the heart rate. The nurse should withhold the
medication and notify the provider for a heart rate of 55/min because
this is an early indication of digoxin toxicity.
A nurse is caring for a client who received 0.9% sodium chloride 1 L
over 4 hr instead of over 8 hr as prescribed. Which of the following
information should the nurse enter as a complete documentation of the
incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client
tolerated fluids well, provider notified.
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable,
provider notified.
C. 1 L of 0.9% sodium chloride completed at 0900. Client denies
shortness of breath.
D. IV fluid initiated at 0500. Lungs clear to auscultation. Correct
Answer-Answer: B
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