ATI Pharmacology for Nursing
a provider prescribes phenobarbital for a client who 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 - ANS A. One
A nurse educator is reviewing medication metabolism at an in-service presentation. Which of
the following factors should the nurse educator include as a reason to administer a lower
medication dose? 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 - ANS C. liver failure
E. concurrent use of medication the same pathway metabolizes
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
D. drop the medication into the client's conjunctival sac
E. instruct the client to close eye gently after instillation - ANS B. ask the client to look up at the
ceiling
D. drop the medication into the client's conjunctival sac
E. instruct the client to close eye gently after instillation
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 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 - ANS C. I will apply the patch to an
area of skin with no hair
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 24 hours 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 - ANS A. obtain a blood
specimen immediately prior to administering the next dose of medication
A nurse is preparing a client's medications. Which of the following actions should the nurse take
in following legal practice guidelines? select all that apply
A. teach the client about the medication
B. determine the dose
C. monitor for adverse effects
D. lock compartments for controlled substances
E. determine the client's insurance status - ANS A. teach the client about the medication
C. monitor for adverse effects
D. lock compartments for controlled substances
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 your concerns about taking this medication - ANS D. tell me your concerns about
taking this medication
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 anti-anxiety medication that has an adverse effect of drowsiness is prescribed as a
preoperative sedative - ANS C. a medication is approved for ages 12 and older and the client is
8 years old
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 hx
E. allergies - ANS A. use of herbal products
C. ability to swallow
E. allergies
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