ATI RN Pharmacology Proctored Exam 2026

A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?

A. PT

B. Total iron-binding capacity

C. WBC

D. PTT

A. PT

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

A. Client experiences a seizure.

B. A client vomits after receiving an oral medication.

C. A client receives their insulin 1 hours before scheduled.

D. A client receives their meal tray 20 min late.

C. A client receives their insulin 1 hour before scheduled.

A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?

A. Oxycodone blocks the sodium channel suspending nerve conduction.

B. Oxycodone promotes vasodilation of cranial arteries.

C. Oxycodone causes central nervous system depression.

D. Oxycodone inhibits prostaglandin synthesis.

C. Oxycodone causes central nervous system depression.

A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

50gtt/min

A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?

A. Dose

B. Route

C. Frequency

D. Reason

D. Reason

1. A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

A. Blood pressure

B. Respiratory rate

C. Temperature

D. Oxygen saturation

A. Blood pressure

A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

A. Blurred vision

B. Insomnia

C. Metallic taste

D. Tachypnea

A. Blurred vision

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

A. Potassium level

B. BUN

C. INR

D. WBC count

D. WBC count

A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

A. Discontinue the infusion.

B. Administer IV dextrose.

C. Warm formula to room temperature.

D. Obtain arterial blood gases.

B. Administer IV dextrose.

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

A. Headache

B. Hypotension

C. Chest pain

D. Extravasation

B. Hypotension

A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?

A. Ginkgo biloba

B. Coenzyme

C. Valerian

D. Probiotics

A. Ginkgo biloba

A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?

A. Heart rate of 56/min

B. Sa02 95% on 2 L/min of oxygen

C. Respirations 22/min

D. Blood pressure 106/68 mm Hg

A. HR of 56/min

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

A. An older adult client living in a long-term care facility.

B. A young adult who has an allergy to eggs C. A child who recently received the human papillomavirus vaccine.

D. A client who has AIDS

D. A client who has AIDS

A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?

A. Propafenone

B. Simvastatin

C. Prochlorperazine

D. Metformin

C. Prochlorperazine

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

325mcg per day.

A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?

A. Administer epinephrine IM.

B. Replace the infusion with 0.9% sodium chloride.

C. Give diphenhydramine IM.

D. Elevate the client's legs and feet.

A. Administer epinephrine IM.

A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

A. The client will administer insulin glargine before each meal.

B. The client will use the deltoid muscle as an injection site.

C. The client will take an additional dose of insulin glargine prior to exercise.

D. The client will wear his reading glasses when drawing up a dose of insulin glargine.

D. The client will wear his reading glasses when drawing up a dose of insulin glargine.

A nurse is preparing to administer medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

A. Have the client take the medication on an empty stomach to avoid interactions.

B. Consult a drug reference guide for possible interactions.

C. Ask another nurse if they are aware of potential interactions.

D. Check the client's medical record for medication and food interactions.

B. Consult a drug reference guide for possible interactions.

A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?

A. Ginkgo biloba

B. Calcium

C. Vitamin C

D. Zinc

B. Calcium

A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?

A. Obtain the client's weight three times a week.

B. Check the client's WBC count daily.

C. Keep the solution refrigerated until 1 hr before infusion.

D. Change the solution every 36 hrs.

C. Keep the solution refrigerated until 1 hr before infusion.

A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

A. Ask another nurse to check the medication dosage prior to administration.

B. Verify a written order with the medication administration record.

C. Use two client identifiers prior to administering the medication.

D. Document the full name of the prescribed medication after administration.

C. Use two client identifiers prior to administering the medication.

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

A. Inject air into the vial to withdraw the short-acting insulin.

B. Administer the insulin within 20 min of preparing it.

C. Ensure the NPH insulin is drawn into the syringe first.

D. use two separate syringes to mix the insulin.

A. Inject air into the vial to withdraw the short-acting insulin.

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

A. Sildenafil

B. Gemfibrozil

C. Lansoprazole

D. Diazepam

A. Sildenafil

A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

A. Nalbuphine

B. Acetaminophen

C. Ondansetron

D. Insulin Glargine

A. Nalbuphine

A nurse is administering medications to a client who weighs 132 lb. The prescription reads chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100 mg/mL. How many mL should the nurse give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

7.5mL

A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads, "filgrastim 5 mcg/kg, subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

1.5mL

A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?

A. Pallor

B. Dyspepsia

C. Bradycardia

D. Urticaria

D. Urticaria

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

A. Hypomagnesemia

B. Hypocalcemia

C. Hyponatremia

D. Hypokalemia

C. Hyponatremia

A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

A. Endocarditis

B. Kidney transplant

C. Seizures

D. Hypokalemia

A. Endocarditis

A nurse is caring for a client in the clinic.

Vital Signs 1 week ago:

Temp 37 HR 64/min RR 12/min

BP 118/72 mm Hg

Today: Temp 37.2 HR 82/min

RR 16/min

BP 110/68 mm Hg.

Which of the following client statements indicates to the nurse the teaching was effective?

A. "I will consume foods that are soft or semisolid."

B. "I will avoid consuming alcoholic beverages."

C. "I will perform oral hygiene using a firm-bristle toothbrush."

D. "I will avoid taking folic acid supplements while taking this medication.

A. "I will consume foods that are soft or semisolid."

A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication?

A. Increase in serum sodium.

B. Decrease in urine output

C. Increase in heart rate

D. Decrease in blood pressure

B. Decrease in urinary output.

A nurse in a provider's office is caring for a client. Nurses' Notes

3 months ago: Client seen in provider's office for routine physical.

Today: Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void. What actions should the nurse take? (SATA).

A. Advise the client to change positions slowly.

B. Check the client for orthostatic hypotension.

C. Monitor the client for dysrhythmias.

D. Advise the client to restrict potassium intake.

E. Advise the client to take the medication before bedtime.

A. Advise the client to change positions slowly.

B. Check the client for orthostatic hypotension.

A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?

A. Urinary retention

B. Leg weakness

C. Hypotension

D. Temperature 39°C (102.2°F)

C. Hypotension

A nurse is caring for a client in a provider's office. Nurses' Notes Day 1:

Client presents for evaluation of neurological changes, including stiffness of lower extremities, and shaking of hands. Client is married, has no known allergies, and no surgical history. Client is a retired airline pilot and the parent of five adult children.

Day 7:

Client reports having trouble sleeping due to nightmares and states, "I'm not sure this medication is doing what it's supposed to do." Client reports daily nausea.

Which of the following statements should the nurse include when teaching the client about the prescribed medication? (SATA).

A. "Consumption of a high protein meal can reduce the effectiveness of the medication. B. "You may notice your urine becomes lighter in color."

C. "You may initially notice an increase in involuntary movements."

D. "You can experience vivid nightmares.

E. "The medication can cause nausea, s

B, C, D, E

A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

A. Inject air into the NPH vial.

B. Withdraw the regular insulin from the vial. C. Inject air into the regular insulin vial.

D. Withdraw the NPH insulin from the vial

A. inject air into the NPH vial.

A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?

A. The client has a history of anaphylaxis following a bee sting.

B. The client has a first-degree relative who has Paget's disease.

C. The client is postmenopausal.

D. The client has immobility that restricts her to a supine position.

D. The client has immobility that restricts her to a supine position.

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

A. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose. "

B. "Plan to self-administer this medication for the next 6 months."

C. "Lie down for 1 hour after administering the medication. "

D. "Administer the medication into one nostril once per week."

D. " Administer the medication into one nostril once per week."

A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin transdermal patches 0.8 mg/hr daily. Which of the following statements by the client indicates an understanding of the teaching?

A. "I can cut the patches in half to save money. "

B. "I will apply a new patch to the same site whenever I replace it. "

C. "I will take the patch off after dinner every night. "

D. "I can put a second patch on if I have chest pain."

C. " I will take the patch off after dinner every night."

A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

A. Leg tenderness

B. Cramps

C. Nausea

D. Abdominal bloating

A. leg tenderness

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

A. Insomnia

B. Fluid retention

C. Tinnitus

D. Orthostatic hypotension

B. Fluid retention

A nurse in the emergency department is caring for a client who reports a severe headache. The client's blood pressure is 280/160 mm Hg. The nurse should plan to administer which of the following medications?

A. Dobutamine

B. Epinephrine

C. Dexamethasone

D. Nitroprusside

D. Nitroprusside

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

A. Respiratory rate

B. HR

C. Pain level

D. Temperature

B. HR

A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication?

A. Constipation

B. Weight loss

C. Bruising

D. Blurred vision

C. Bruising

A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?

A. "You may crush the medication and mix it with applesauce. "

B. "You will need liver function tests before beginning therapy. "

C. "Avoid consuming dairy products while taking this medication. "

D. "You should take the medication in the morning."

B. "You will need liver function tests before beginning therapy."

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

A. Bruxism

B. Confusion

C. Insomnia

D. Weight loss

B. Confusion

A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

A. "You will be weighed twice a week while receiving TPN."

B. "Your blood sugar will be checked once a day."

C. "You will have a central line placed to receive TPN."

D. "Your intake and output will be measured every 2 days."

C. "You will have a central line placed to receive TPN."

A nurse is caring for a client who has a life-threatening ventricular dysrhythmia. Which of the following medications should the nurse anticipate administering?

A. Verapamil

B. Digoxin

C. Dopamine

D. Amiodarone

D. Amiodarone

A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation. Which of the following assessments is the nurse's priority?

A. Heart rate

B. Oxygen saturation

C. Level of consciousness

D. Temperature

D. Level of consciousness

A nurse is obtaining a medical history from a client who is to start warfarin therapy and currently uses herbal supplements at home. The nurse should inform the client that which of the following herbal supplements can interact adversely with warfarin?

A. Black cohosh

B. Echinacea

C. Feverfew

D. Flaxseed

C. Feverfew

A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?

A. Prevents dysrhythmias

B. Relieves pain

C. Dissolves blood clots

D. Slows intestinal motility

A. Prevents dysrhythmias

A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?

A. A headache is likely due to the anxiety about the chest pain.

B. A headache indicates tolerance to the medication.

C. A headache is an expected adverse effect of the medication.

D. A headache is an indication of an allergy to the medication.

C. A Headache is an expected adverse effect of the medication.

A nurse is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include?

A. Reduce intake of potassium-rich foods.

B. Avoid grapefruit juice.

C. Take this medication before bedtime.

D. Monitor for leg cramps.

D. Monitor for leg cramps

A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing a hemolytic reaction?

A. Vomiting

B. Flushing

C. Dyspnea

D. Hypotension

C. Dyspnea

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching?

A. "I should take this medication with food." B. "I should expect to have facial swelling when taking this medication."

C. "I should report a cough to my provider." D. "I should increase my intake of potassium-rich foods."

C. " I should report a cough to my provider."

A charge nurse is supervising a newly licensed nurse who is caring for a client who is receiving a transfusion of packed RBCs. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?

A. The nurse collects a urine specimen.

B. The nurse sends a blood specimen to the laboratory.

C. The nurse initiates an infusion of 0.9% sodium chloride.

D. The nurse starts the transfusion of another unit of blood product.

D. The nurse starts the transfusion of another unit of blood product.

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?

A. Atropine

B. Epinephrine

C. Vitamin K

D. Protamine

C. Vitamin K

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

A. Weigh the client.

B. Measure the client's blood pressure.

C. Measure the client's apical pulse.

D. Offer the client a light snack.

C. Measure the client's apical pulse.

A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?

A. Blurred vision

B. Orthostatic hypotension

C. Urinary retention Muscle

D. muscle weakness

D. muscle weakness

A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

A. "The extra letters after the name of the medication mean it is a stronger dose. "

B. "I will not have to do anything different because it is the same medication."

C. "Now I will not have to diet to lose weight."

D. "With the new medication, I should experience fewer side effects."

D. "With the new medication, I should experience fewer side effects."

A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

A. "Take only one dose of nitroglycerin to reduce the risk of getting a headache."

B. "We will ask the provider to prescribe a different medication for you."

C. "There's nothing that can be done to relieve the headaches that nitroglycerin causes."

D. "Try taking a mild analgesic to relieve the headache."

D. "Try taking a mild analgesic to relieve the headache."

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?

A. Blood pressure 160/94 mm Hg

B. Heart rate 46/min

C. Oxygen saturation 95%

D. Respiratory rate 18/min

B. Heart rate 46/min

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

A. Ataxia

B. Anorexia

C. Photosensitivity

D. Jaundice

B. Anorexia

A nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. Which of the following complications should the nurse suspect?

A. Catheter occlusion

B. Catheter migration

C. Catheter dislodgment

D. Catheter rupture

C. Catheter dislodgment

A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following medications should the nurse plan to administer for DVT prophylaxis?

A. Warfarin PO

B. Enoxaparin subcutaneous

C. Aspirin PO

D. Heparin infusion

B. Enoxaparin subcutaneous

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

A. Apply a new transdermal patch when chest pain is experienced.

B. Apply the transdermal patch in the morning.

C. Apply the transdermal patch in the same location as the previous patch.

D. Apply a new transdermal patch once a week.

B. Apply the transdermal patch in the morning.

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?

A. Give the medication in the morning daily. B. Administer the granules mixed with 20 oz of water.

C. Give the medication at the onset of wheezing.

D. Administer the medication 2 hr before exercise.

A. Give the medication in the morning daily.

A nurse is teaching a client who reports taking gingko biloba to improve his memory. Which of the following adverse effects should the nurse include in the teaching?

A. Bleeding gums

B. Decreased alertness

C. Breast enlargement

D. Bad breath-

A. Bleeding gums

A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide?

A. Expect to gain weight while taking this medication.

B. Do not use salt substitutes while taking this medication.

C. Count your pulse rate before taking the medication.

D. Take the medication with food.

B. Do not use salt substitutes while taking this medication.

A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemolytic reaction?

A. Distended neck veins

B. Client report of low back pain

C. A productive cough

D. Client report of tinnitus.

B. Client report of low back pain

A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following severe reactions to this medication?

A. Ototoxicity

B. Hypokalemia

C. Tachycardia

D. Postural hypotension.

D. Postural hypotension

A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking warfarin. For which of the following results should the nurse notify the provider?

A. Platelets 190,000/mm3

B. Hct 44%

C. PT 45 seconds

D. Hgb 16 g/dL

C. PT 45 seconds

A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose?

A. Vitamin K

B. Glucagon

C. Protamine

D. Iron

C. Protamine

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

A. The client states, "I see purple bugs crawling on the wall."

B. The client tells the nurse that he is too tired to attend the group meeting.

C. The client tells the nurse he is a government agent.

D. The client states "my heart is pounding out of my chest."

D. The client states, "my heart is pounding out of my chest."

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

A. In the nurses' station while reviewing the provider's prescription.

B. At the client's bedside before administration.

C. At the time of documentation.

D. In the area where the nurse obtained the medication.

B. At the client's bedside before administration.

A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects should the nurse include in the teaching?

A. Constipation

B. Weight gain

C. Tinnitus

D. Hyperkalemia

C. Tinnitus

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)

A. Urinary retention and constipation

B. Tongue thrusting and lip smacking

C. Fine hand tremors and pill rolling

D. Facial grimacing and eye blinking

E. Involuntary pelvic rocking and hip thrusting movements.

B. Tongue thrusting and lip smacking

D. Facial grimacing and eye blinking

E. Involuntary pelvic rocking and hip thrusting movements

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

A. Metronidazole

B. Phenytoin

C. Prednisone

D. Isosorbide

D. Isosobide

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

A. Check the client's vital signs.

B. Administer the medication to the correct client.

C. Fill out an occurrence form.

D. Notify the client's provider.

A. Check the client's vital signs.

A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse?

A. Glass of whole milk

B. Celery sticks

C. Bologna sandwich

D. Sliced apples

C. Bologna sandwich

A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer?

A. Methadone

B. disulfiram

C. Risperidone

D. Lithium Carbonate

A. Methadone

A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?

A. "Were you trying to kill yourself by taking an overdose?"

B. "I'm glad you called, and I want to send an ambulance to help you."

C. "Do you know how many pills were in the bottle?"

D. "You must have been feeling pretty depressed to do that."

B. "I'm glad you called, and I want to send an ambulance to help you."

A nurse is caring for a newborn who has respiratory depression. Which of the following medications should the nurse anticipate administering?

A. Flumazenil

B. Physostigmine

C. Terbutaline

D. Naloxone

D. Naloxone

A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

A. Check the results of the client's most recent CBC.

B. Assess the client for a hypersensitivity reaction.

C. Evaluate the client for hypercalcemia.

D. Examine the client for hepatomegaly.

A. Check the results of the client's most recent CBC.

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

A. "I will take the antiemetic as soon as the chemo is complete.

B. "I will run my toothbrush in the dishwasher every month."

C. I'll call my doctor is i notice any unusual menstrual bleeding."

D. "I will avoid crowds to keep from infecting others."

C. "I'll call my doctor if I notice any unusual menstrual bleeding."

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?

A. Pitting edema

B. Fatigue

C. Dyspnea

D. Oliguria

B. Fatigue

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

A. Systolic blood pressure is increased.

B. Radial heart rate is increased.

C. Cardiac output is reduced.

D. Urine output is reduced.

A. Systolic blood pressure is increased.

A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?

A. Monitor for increased muscle spasms.

B. Discontinue medication if nausea occurs.

C. Avoid driving until effects are known.

D. Expect urine to turn orange.

C. Avoid driving until effects are known.

A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client. Which of the following is the priority assessment the nurse should complete?

A. Apical pulse rate

B. Blood pressure

C. Level of consciousness

D. Respiratory rate

D. Respiratory rate

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

A. Hyperthermia

B. Hypotension

C. Ototoxicity

D. Muscle Pain

B. Hypotension

A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?

A. "Avoid taking herbal supplements while taking this medication."

B. "Monitor for the presence of black, tarry stools."

C. "Take this medication when you have pain."

D. "You might have to stop taking this medication five days before any planned surgeries."

D. "You might have to stop taking this medication five days before any planned surgeries."

A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." Which of the following responses should the nurse make?

A. "This pill is probably from a different lot number than yours at home."

B. "This hospital might use a different manufacturer, but the medication is the same."

C." This is the medication prescribed by your provider."

D. "Describe what the pill looks like."

D. "Describe what the pill looks like."

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?

A. Morphine sulfate 2mg IV bolus every 2 hr PRN pain.

B. Laboratory testing of serum potassium upon admission.

C. 0.9% normal saline IV at 50 mL/hr continuous.

D. Bumetanide 1 mg IV bolus every 12 hr

C. 0.9% normal saline IV at 50mL/hr continuous.

A nurse is teaching a client who has a prescription for a long-term use of oral prednisone for chronic

asthma. The nurse should instruct the client to monitor for which of the following adverse effects?

A. Weight Gain

B. Nervousness

C. Bradycardia

D. Constipation

A. weight gain

Which drug goes through extensive first-pass hepatic metabolism?

A. Heparin

B. Insulin

C. Propranolol

D. Nitroglycerine

E. Warfarin

C. Propranolol

ACE Inhibitors are used in the treatment of all EXCEPT:

a. Hypertension

b. Heart Failure

c. Hypotension

d. Diabetic nephropathy

C. hypotension

What is the correct definition for absorption of a drug?

A. Movement of drug from site of administration to various tissues of the body.

B. Describes the absorption, distribution, metabolism & excretion of drugs.

C. These types of drugs can be taken over the counter.

D. This addresses how various drugs affect different forms of the body

A. movement of drug from site of administration to various tissues of the body.

What do you assess for in a patient who is on Valproate? Select all that apply.

A. Suicidal thoughts

B. Monitor for seizures.

C. Bipolar disorder.

D. Migraines.

E. Anorexia

A. Suicidal thoughts

B. Monitor for seizures

C. Bipolar disorder

D. Migraines.

Which of the following is used to treat migraine headaches?

a. Beta-blockers

b. Cholinesterase Inhibitors

c. ACE inhibitors

d. Anti-epileptic drugs (AEDs)

A. beta-blockers

A nurse is caring for a patient who is taking Digoxin. The nurse should instruct the patient to monitor

and report which of the following adverse effects? ( select all the apply)

A. Fatigue

B. Constipation

C. Anorexia

D. Rash

E. Diplopia

A. Fatigue

C. Anorexia

E. Diplopia

When administering a Serotonin Antagonist it is important to monitor for?

a. Intake and output

b. Mental status changes

c. Respiratory rate

d. Anorexia

B. mental status