ATI
pharmacology
Exam 2
QUESTIONS AND ANSWERS
Question 1:
A nurse is teaching a client who is taking metronidazole. Which of the following sense
alterations should the nurse Include as an adverse effect of metronidazole?
A. Hearing Loss
B. Alterations in touch
C. Metallic taste
D. Olfactory changes
Question 2:
A nurse is teaching a client who has a new prescription for erythromycin. Which of the
following Information should the nurse include?
A. 'Monitor for ringing in your ears."
B. Expect your skin to turn yellow.
C. Increase fiber intake to prevent constipation.
D. "Take this mediation with a glass of grapefruit juice.”
Question 3:
A nurse is caring for a client who has a bacterial infection and is receiving gentamicin.
Which of the following actions should the nurse take to minimize the risk of an adverse
effect of the medication?
A. Administer the medicine with food.
B. Monitor the serum medication levels.
C. Limit the client’s fluid intake.
D. Instruct the client to report agitation.
E. Instruct the client to report agitation.
Question 4:
A nurse is caring for a client who has a bacterial infection and is receiving gentamicin.
Which of the following actions should the nurse take to minimize the risk of an adverse
effect of the medication?
A. Administer the medicine with food.
B. Monitor the serum medication levels.
C. Limit the client’s fluid intake.
D. Instruct the client to report agitation.
Question 5:
A nurse manager is providing an educational program on antibiotic sensitivity to bacterial
infections. The nurse should include in the teaching that metronidazole is Indicated for
which of the following infections?
A. Pseudomonas aeruginosa
B. klebsiella
C. Candida
D. Trichomoniasis vaginalis
Question 6:
A nurse at an ophthalmology clinic Is providing teaching to a client who has open-angle
glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the
following instructions should the nurse provide?
A. Administer the medications by touching the tip of the dropper to the sclera of the eye
B. Hold the pressure on the conjunctiva sac for 2 mm following application of drops
C. Administer the mediations 5 mm apart.
D. It is not necessary to remove contact lenses before administering medications.
Question 7:
A nurse is caring for a client who has developed gout. Which of the following medications
should the nurse prepare to administer?
A. Alprazolam
B. Spironolactone
C. Zolpidem
D. Allopurinol
Question 8:
A nurse is preparing to administer medications to a client who states. "I don't want to take
those drugs.’ Which of the following actions should the nurse take?
A. Explain the purpose for the medications.
B. Tell the client the physician wants him to take the medications.
C. Ask the client why he is refusing to take the medication.
D. Document that the client refuses the medication.
Question 9:
A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of
the following prescriptions with the provider?
A. Erythromycin
B. Gentamicin
C. Amoxicillin-clavulanate
D. Amphotericin B
Question 10:
Which assessment is most important for the nurse to obtain when a patient is being treated
with a neuromuscular-blocking agent?
A. Respiratory assessment for patent airway.
B. Skin assessment for rash
C. Blood pressure assessment for orthostatic hypotension
D. Assessment far fluid volume overload
Question 10:
Which assessment is most important for the nurse to obtain when a patient is being treated
with a neuromuscular-blocking agent?
A. Respiratory assessment for patent airway.
B. Skin assessment for rash
C. Blood pressure assessment for orthostatic hypotension
D. Assessment far fluid volume overload
Question 11:
A nurse is preparing to administer cephalexin oral suspension to an older adult client who
has difficulty swallowing pills. Which of the following actions should the nurse take?
A. Store the medication at room temperature
B. Avoid shading the medication Before administering
C. Check the client for a penicillin allergy
D. Monitor the client for constipation
Question 12:
A nurse is teaching a client who has multiple sclerosis and a new prescription for
dantrolene. Which of the following statements by the client indicates an understanding of
the teaching?
A. I can take an over-the-counter antihistamine for allergies when I’m taking this drug
B. I should take this medication when my spasms are bad.
C. My muscle strength should improve a lot in 2 to 3 days
D. I need to apply a sunscreen when I go outside
Question 13:
A nurse manager is providing an educational program on antibiotic sensitivity to bacterial
infection. The nurse should include in the teaching that vancomycin is Indicated for which
of the following infections?
A. Pseudomonas aeruginosa
B. Klebsiella
C. Methicillin resistant staphylococcus succus
D. candida
Question 14:
A nurse in a community health clinic is administering seasonal inactive influenza vaccine.
Before
administering it, the nurse must confirm that the client is not allergic to which of the
following:
A. Eggs
B. Yeast
C. Gelatin
D. Shellfish
Question 15:
A nurse is reviewing the medical record of a client who is to receive the first dose of
cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should
the nurse Identify as a contraindication for the client to receive cefoxitin and report to the
provider?
A. A recent history of diarrhea for 3 days.
B. Serum creatinine 0.8 mg/dL.
C. Severe allergy to amoxicillin.
D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium
chloride.
Question 16:
A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should identify that
prophylactic antibiotic therapy is not recommended for which of the following clients?
A. A client who bn a fever of unknown origin
B. A client who has a prosthetic heart valve is having dental surgery
C. A client who had an emergency cesarean section
D. A client following total hip arthroplasty.
Question 17:
A nurse is providing teaching to a client who has a skin infection and a new prescription
for gentamicin topical cream. Which of the following instructions should the nurse
provide?
A. Wash the affected area with soap and water before applying cream.
B. Apply a heavy layer of cream well beyond the border of the affected site.
C. The meditation might cause temporary blurted vision.
D. Increase intake of fluids while using this medication
Question 18:
A nurse is administering oral medication to an older adult client. The client states, "The
pill I always take is green. I don't take an orange pill." Which of the following responses
should the nurse make?
A. "Let me check your medication order again."
B. "This is the medication that your doctor wants you to take."
C. "Let me explain the purpose of the medication."
D. "Sometimes the same pill comes in a different colour."
Question 19:
A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following
manifestations indicate to the nurse that the client has developed a systemic anticholinergic
effect?
A. Hypothermia
B. Bradycardia
C. Seizures
D. Constipation
Question 20:
A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should
recognize which of the following findings is a manifestation of an allergic reaction?
A. Fever
B. Pruritus
C. Amber urine
D. Diarrhea
Question 21:
A nurse is caring for a client who has a fungal infection and is given a new prescription for
amphotericin B. Which of the following laboratory values should the nurse report to the
provider before initiating the medication?
A. Potassium 5.0 mEq/L (3.5-5.0)
B. Glucose 120 mg/dL (70-110)
C. Sodium 140 mEq/L (135-145)
D. BUN 55 mg/dL (6-24)
Question 22:
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the
client that which of the following is an adverse effect of this medication?
A. Headache
B. Constipation
C. Bradycardia
D. Hypertension
Question 23:
The nurse is preparing a medication for a client and observes the date of expiration on the
vial occurred 2 months ago. Which of the following actions should the nurse take?
A. Return the medication to the pharmacy.
B. Notify the provider.
C. Give the medication.
D. Discard the medication.
Question 24:
A nurse is teaching a client who has a urinary tract infection (UTI) and is taking
ciprofloxacin. Which of the following instructions should the nurse give to the client?
A. This medication can cause photophobia, so be sure to wear sunglasses outdoors.
B. Limit your daily fluid intake while taking this medication.
C. If the medicine causes an upset stomach, take an antacid at the same time
D. You should report any tendon discomfort you experience while taking this medication.
Question 25:
A nurse is providing teaching to a client who has gout and a new prescription for
allopurinol. Which of the following statements by the client indicates an understanding of
the teaching?
A. If I get a fever while taking this medication, I will take some aspirin.
B. I need to increase my fluid intake while taking this medication.
C. I should take this medicine on an empty stomach.
D. If I get a rash from this medication, I will take my usual antihistamine.
Question 26:
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the
following actions should the nurse take?
A. Protect the distal portion of the eyedropper using clean technique.
B. Wipe the eye from the outer canthus to the inner canthus before instillation.C. Apply pressure
to the bridge of the nose after administration.
D. Drop prescribed amount of medication into the conjunctival sac.
Question 27:
What is the action of timolol maleate (Timoptic), a beta-adrenergic blocking agent?
A. Increases the outflow of aqueous humor.
B. Increases the production of aqueous humor.
C. Draws aqueous humor from the eye into the circulatory network.
D. Decreases the production of aqueous humor.
Question 28:
A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat
pharyngitis. Which of the following statements by the client indicates an understanding of
the teaching?
A. I will take this medication until my sore throat goes away.
B. I will stop taking this medication if I develop itching.
C. I should take this medication on an empty stomach.
D. I will double my dose if I miss one.
Question 29:
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle
glaucoma and a new prescription for timolol eye drops. Which of the following instructions
should the nurse provide?
A. This medication is to be applied when the client is experiencing eye pain.
B. The medication is to be used for approximately 10 days, followed by a gradual tapering off.
C. The medication will be used until the client’s intraocular pressure returns to normal.
D. The medication should be applied on a regular schedule for the rest of the client’s life.
Question 30:
A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB)
about the use of antitubercular medications. Which of the following information should the
nurse include in the teaching?
A. The client’s family will also need to take medications to prevent infection.
B. A typical course of treatment involves 6 to 9 months of consistent medication use.
C. Medications will need to be taken until the Mantoux test is negative.
D. Medications will need to be taken for the rest of the client’s life even if the client feels better.
Question 31:
A nurse is caring for a client who has difficulty swallowing medications and is prescribed
enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to
make it easier to swallow. Which of the following responses should the nurse provide?
A. Crushing the medication would release all the medication at once, rather than over time.
B. Crushing the medication is a good idea and I can mix it in some soft cream for you.
C. Crushing the medication might cause you to have stomach-ache or indigestion.
D. Crushing is unsafe as it destroys the ingredients in the medication.
Question 32:
Why are sublingual and buccal medications rapidly absorbed?
A. They are metabolized in the liver.
B. Their action is located in the mouth.
C. These drugs pass directly into systemic circulation.
D. Blood flow is diminished in these sites.
Question 33:
A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and
pyrazinamide. Which of the following laboratory tests should the nurse instruct, the client
will be required while on this medication regimen?
A. Gallbladder studies.
B. Liver function tests.
C. Blood glucose levels.
D. Kidney function studies.
Question 34:
A nurse is preparing to admit a client to the PACU who received a competitive
neuromuscular blocking agent. Which of the following items should the nurse place at the
client’s bedside?
A. Chest tube equipment.
B. Central venous catheter tray.
C. Suction device and equipment.
D. Defibrillator machine.E. Defibrillator machine.
Question 35:
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new
prescription for IV rifampin. The nurse should instruct the client that they should expect to
experience which of the following manifestations while taking this medication?
A. staining of teeth.
B. Red-coloured urine.
C. Constipation.
D. Black-coloured stools
Question 36:
A nurse is preparing to administer ophthalmic solution to a client. Which of the following
actions should the nurse take?
A. Ask the client to look down when instilling the solution.
B. Instil the drops into the superior canthus.
C. Approach the client’s eye from below it.
D. Hold the ophthalmic solution 2 cm (3/4 inch) above the lower conjunctival sac.
Question 37:
A provider prescribes a sublingual medication for a client who has an NG tube in place.
Which of the following actions should the nurse take?
A. Administer the crushed medication through the NG tube.
B. Dissolve the medication in water and give it through the NG tube.
C. Administer the medication under the client’s tongue.
D. Request a prescription for an oral formulation of the medication.
Question 38:
Which medication route provides the most rapid onset of a medication but also poses the
greatest risk of adverse effect if administered incorrectly?
A. Subcutaneous (SQ).
B. Intradermal.
C. Intramuscular (IM).
D. Intravenous (IV).
Question 39:
A nurse is caring for a client who has an infection and a prescription for gentamicin
Intermittent IV bolus every 8 hr. A peak and trough are required with the next dose.
Which of the following actions should the nurse take to obtain an accurate gentamicin
serum level?
A. Draw a peak level 90 min prior to administering the medication and a trough level 90 min
after the dose.
B. Draw a trough level immediately prior to administering the medication and a peak level 30
min after the dose has been administered.
C. Draw a trough level at 0900 and a peak level at 2100.
Question 40:
Which symptoms will be most important for the nurse to assess for early signs of
respiratory distress in the patient who has been given a neuromuscular-blocking agent?
A. Dyspnea, increased respiratory rate, and cyanosis.
B. Restlessness, anxiety, and lethargy.
C. Nasal flaring and retraction of intercostal muscles.
D. Pallor, stridor, and diaphoresis.
