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ATI - capstone pharm assessment exam
questions with solution
1. 1. The first action the nurse should take is to assess the client for injury due to medication error.: Assess the
client
2. 2. A nurse is reviewing the medical record of a client who received medica- tions 1 hr ago and reports having
chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medication?
A. Albuterol
B. Furosemide
C. Digoxin
D. Atenolol: A. Albuterol
3. 3. A nurse is providing teaching to a client who has a new prescription for ranitidine for the treatment of
Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions?
A. It decreases stomach motility
B. It reduces gastric acid production
C. It forms a protective barrier in the stomach lining.
D. It neutralizes gastric acid.: B. It reduces gastric acid production
4. 4. A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior
to administering the first dose, the nurse should ask the client if they have allergy to which of the following medication classifications?
A. Nitrates
B. Sulfa-based medications
C. Antilipemic agents
D. Proton pump inhibitors: B. Sulfa-based medications
5. 5. A nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. The client
asks why they must take both medications. Which of the following response should the nurse make?
A. If you take the two medications together, it will shorten the duration of you....
B. Taking the two medications together keeps you from becoming resistant to either of them.
C. Taking the two medication together keeps you from developing toxicity from either of them
D. Zidovudine will help protect you from the possible adverse effects of ritonavir: B. Taking the two medications
together keeps you from becoming resistant to either of them.
6. 6. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate
release exenatide. Which of the following client statements indicates an understanding of the teaching? A. I will discard the open injector pen after two months B. I will inject the medication into the muscle of my thigh C. I will store open injector pens at room temperature D. I will take this medication one hour before morning and evening meals.: D. I will take this medication one hour before morning and evening meals.
A. 0.45% sodium chloride
B. 0.9% sodium chloride
C. 3% sodium chloride
D. Lactated ringers: A. 0.45% sodium chloride
11. 11. A nurse in an emergency department is caring for a client who has a new prescription for
acetylcysteine. For which of the following condition should the nurse expect to administer this medication?
A. Gastrointestinal bleed
B. Acute bronchospasm
C. Morphine toxicity
D. Acetaminophen toxicity: D. Acetaminophen toxicity
12. 12. A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following
finding should the nurse identify as an adverse effect of the medication?
A. Respiratory rate 20/min
B. Oral temperature 37.8 C
C. Blood pressure 118/
D. Apical pulse 50/min: D. Apical pulse 50/min
13. 13. A nurse is providing teaching to a client who has neuropathic pain and a new prescription for
amitriptyline once per day. Which of the following information should the nurse include in the teaching?
A. Increase fluids while taking the medication
B. Expect an elevation in blood pressure with initial doses of the medication
C. Stop the medication immediately if urine becomes orange in color
D. Take the medication in the morning: A. Increase fluids while taking the med- ication
14. 14. A nurse is providing teaching to a client who has a new prescription for oral extended-release
potassium chloride tablets. Which of the following instructions should the nurse include in the teaching?
A. Do not crush this medication
B. Dissolve the tablet in your mouth
C. Take this medication on an empty stomach
D. Take this medication every other day: A. Do not crush this medication
15. 15. A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the
following statements by the client indications an understanding of the teaching? A. I should take this medication with food B. I will take three doses each day C. I might not realize the full effect of the medication for several weeks D. I might gain weight while taking this medication if I do not exercise: C. I might not realize the full effect of the medication for several weeks
16. 16. While assessing a client at the beginning of the shift a nurse notes that the client
received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error?
A. After the end of the current shift
B. After contacting risk management
C. As soon as the assessment is complete
irritation when I put these drops in my eyes
20. 20 nurse is caring for a client who has varicella- zoster virus. Which of the following medications should the
nurse expect to administer?
A. Acyclovir
B. Vancomycin
C. Gentamicin
D. Quinine: A. Acyclovir
21. 21. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse
should expect to administer which of the following medications if the client experiences acute heparin toxicity.
A. Vitamin K
B. Physostigmine
C. Protamine
D. Calcium gluconate: C. Protamine
22. 22. A nurse is providing teaching to a client who has Parkinson's disease and has a new prescription for
carbidopa/levodopa. Which of the following instructions should the nurse include in the teaching?
A. "Stop taking the medication if your urine becomes dark."
B. "Take this medication at the first sign of tremors."
C. "Increase your intake of foods high in protein."
D. "Move slowly when you stand up.": D. "Move slowly when you stand up."
23. 23. A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer.
Which of the following information should the nurse include in the teaching?
A. Increase calcium intake.
B. Keep the solution cold for administration.
C. Monitor for low blood glucose levels.
D. This medication can cause constipation.: A. Increase calcium intake.
24. 24. A nurse is reviewing the laboratory findings for a client who is taking zidovudine to treat HIV. Which of
the following findings should the nurse report to the provider?
A. Platelets 165,000/mm
B. Neutrophil count 650/mm
C. Hgb 15 g/dL
D. Albumin 4 g/dL: B. Neutrophil count 650/mm
25. 25. A nurse is teaching a group of newly licensed nurses about the pre- vention of medication errors. Which
of the following factors should the nurse identify as the most frequent cause of fatal medication errors?
A. Incorrect packaging, such as a topical medication packaged as an oral medication
B. Delivery device problems, such as an infusion pump malfunction
C. Name confusion between two medications with similar sounding names
D. Incorrect labeling of a medication dispensed by the pharmacy: C. Name confusion between two medications
with similar sounding names
26. 26. A nurse in an intensive care unit is caring for a client who has a sudden onset of sustained
supraventricular tachycardia (SVT). Which of the following medications should the nurse plan to administer?
A. Atropine
D. Increased drowsiness: C. Decreased respirations
30. 30. A nurse is providing teaching to a client who has a new prescription for allopurinol
to treat gout. Which of the following instructions should the nurse include in the teaching?
A. "Expect to experience a harmless rash while taking this medication."
B. "Increase your fluid intake."
C. "Increase your dietary beer intake to prevent constipation."
D. "Take one dose every hour until the pain subsides: B. "Increase your fluid intake."
31. 31. A nurse is teaching a client who has asthma about using a beclometha- sone inhaler
along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler?
A. "You should gargle with water after each use of this inhaler."
B. "There is no need to use a spacer for this inhaler."
C. "You should use this inhaler for any acute incidents of shortness of breath."
D. "Use the beclomethasone inhaler before using your albuterol inhaler to increase absorption.": A. "You
should gargle with water after each use of this inhaler."
32. 32. A nurse is reviewing laboratory results prior to administering ketorolac to a client.
Which of the following findings should the nurse report to the provider prior to administration?
A. Sodium 140 mEq/L
B. Creatinine 1.6 mg/dL
C. Aspartate aminotransferase (AST) 33 units/L
D. Lactic acid 6 mg/dL: B. Creatinine 1.6 mg/dL
33. 33. A nurse is providing teaching to a client who has a new prescription for transdermal
nitroglycerin patches to treat angina pectoris. Which of the following instruc- tions should the nurse include in the teaching?
A. "Remove the patch for two to four hours daily."
B. "Cover the patch with plastic wrap."
C. "Apply a new patch each day after waking up."
D. "Replace the existing patch with a new patch as soon as anginal pain begins.": C. "Apply a new patch
each day after waking up."
34. 34. A nurse is assessing a client who reports taking spironolactone 50 mg PO twice daily
for several months. For which of the following manifestations should the nurse withhold the prescribed dose of spironolactone and notify the provider?
A. Muscle weakness
B. BUN 15 mg/dL
C. Gynecomastia
D. BP 118/78: A. Muscle weakness
35. 35. A nurse is caring for four clients who have peptic ulcer disease. The nurse
should recognize that misoprostol is contraindicated for which of the follow- ing clients?
D. I should always keep this medication with me in case I have an acute asthma attack: C. I will take this medication every day to control my exercise induced asthma
38. 38. A nurse is caring for a client who is experiencing respiratory depres- sion after taking
an excessive dose of oxycodone. Which of the following medication should the nurse expect administer?
A. Bisacodyl
B. Naloxone
C. Flumazenil
D. Pentazocin: B. Naloxone
39. 39. A nurse is teaching the partner of a client who has diabetes mellitus how to
manager episodes of severe hypoglycemia when the clients is unresponsive, which of the following actions should the nurse instruct the partner to take first?
A. Administer glucagon IM to the client
B. Call emergency medical services
C. Check the clients blood glucose level
D. Transport the client to the emergency department: A. Administer glucagon IM to the client
40. 40. A nurse is planning a staff education session about adverse effects of medications.
Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? (Select all that apply.)
A. Blurred vision
B. Polyuria
C. Productive cough
D. Tachycardia
E. Constipation: A. Blurred vision
D. Tachycardia E. Constipation
41. 41. A nurse is reviewing medical records for a group of clients. Which of the following
findings should the nurse report to the provider?
that this medication is indicated for which of the following disorders. (Select all that apply)
A. Hypertension
B. Heart failure
C. Male pattern baldness
D. Benign prostatic hypertrophy
E. Erectile dysfunction: A. Hypertension
D. Benign prostatic hypertrophy
45. 45. A nurse for a client who has a prescription for vancomycin 1 g Iv intermittent
infusion over 30 min every 12 hr. Which of the following actions should the nurse take?
A. Request a serum through level blood draw for 60 min after completion of infusion
B. Change the infusion site after each dose administration
C. Contact the provider for prescription clarification
D. Request a serum peak level to be draw 30 min prior infusion.: C. Contact the provider for prescription
clarification
46. 46. A nurse is preparing to administer mannitol IV to a client. The nurse should
monitor the client for which of the following manifestations as an expected outcome of this medication?
A. Decreased tyramine levels
B. Correction of arterial
C. Reduced intracranial pressure
D. Increased hemoglobin levels: C. Reduced intracranial pressure
47. 47. A nurse is providing teaching to a client who has a new prescription for ciprofloxacin. Which of the
following client statements indicate an understand- ing of the teaching?
A. "I will stop taking this medication when I feel better."
B. "I should wear protective clothing when I go outdoors."
C. "I should take my medication daily in the morning with milk."
D. "I should stop taking my birth control pills while I'm taking this medica- tion.": B. "I should wear
protective clothing when I go outdoors."
48. 48. A nurse is providing teaching for a client who has a new prescription for oral
metronidazole. Which of the following teaching points is the priority for the nurse to include?
A. "You should report a rash to your provider"
B. "You should take the medication with food or milk, if you experience gastrointestinal upset"
C. "You might have a metallic taste in your mouth while taking this medica- tion."
D. "You urine might become brownish color white taking this medication.": A. "You should report a rash to your
provider"
49. 49. A nurse is assessing a client who has heart failure and is taking digoxin.
Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?
A. Vomiting
therapeutic eects should the nurse expect the client to experience? A. A decrease in the amount of gastric acid production B. A decrease in the frequency of defecation C. An increase in gastric motility D. An increase in the absorption of water into the intestine: B. A decrease in the frequency of defecation
