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ATI Pharmacological and Parenteral Therapies Practice Test detailed correct answers /revis, Exams of Pharmacology

Cheyney University of PennsylvaniaPharmacology

ATI Pharmacological and Parenteral Therapies Practice Test detailed correct answers /revised

Typology: Exams

2024/2025

Available from 07/06/2025

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ATI Pharmacological and Parenteral
Therapies Practice Test detailed correct
answers /revised
1. A charge nurse is observing a nurse performing a Mantoux tuberculin
skin test for a client. Which of the following should prompt the charge
nurse to intervene?: Withdrawing the needle and massaging the site gently
2. A nurse is preparing to administer dextromethorphan 30 mg PO. The
amount available is dextromethorphan oral liquid 7.5mg/5mL. How
many mL should the nurse administer?: 20mL
3. A nurse is preparing to administer methylnatrexone 12 mg
subcutaneously to a client who has opioid-induced constipation.
Available is methylnatrexone 8mg/0.4mL. How many mL should the
nurse administer?: 0.6mL
4. A nurse is preparing to administer amoxicillin 500 mg PO four times
each day to a client. The amount available is amoxicillin suspension
250mg/5mL. How many mL should the nurse administer per dose?:
10mL
5. 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?: At
the bedside before administration
6. A nurse is caring for an adult client who is scheduled for surgery.
Which of the following sites should the nurse assess for possible
placement of an IV catheter?: -Cephalic Vein
-Basilic Vein
7. A nurse is preparing to administer an IV fluid bolus of 500 mL 0.9%
sodium chloride over 60 min. The drop factor of the manual IV tubing is
10gtt/mL. The nurse should set the manual IV infusion to deliver how
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ATI Pharmacological and Parenteral

Therapies Practice Test detailed correct

answers /revised

  1. A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client. Which of the following should prompt the charge nurse to intervene?: Withdrawing the needle and massaging the site gently
  2. A nurse is preparing to administer dextromethorphan 30 mg PO. The amount available is dextromethorphan oral liquid 7.5mg/5mL. How many mL should the nurse administer?: 20mL
  3. A nurse is preparing to administer methylnatrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnatrexone 8mg/0.4mL. How many mL should the nurse administer?: 0.6mL
  4. A nurse is preparing to administer amoxicillin 500 mg PO four times each day to a client. The amount available is amoxicillin suspension 250mg/5mL. How many mL should the nurse administer per dose?: 10mL
  5. 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?: At the bedside before administration
  6. A nurse is caring for an adult client who is scheduled for surgery. Which of the following sites should the nurse assess for possible placement of an IV catheter?: -Cephalic Vein -Basilic Vein
  7. A nurse is preparing to administer an IV fluid bolus of 500 mL 0.9% sodium chloride over 60 min. The drop factor of the manual IV tubing is 10gtt/mL. The nurse should set the manual IV infusion to deliver how

many gtt/min?- : 83gtt/min

  1. A nurse is preparing to administer levothyroxine 0.175mg PO once a day. The amount available is levothyroxine 88mcg/tablet. How many tablets should the nurse administer per dose?: 2 tablets
  2. A nurse is preparing to administer clindamycin 900 mg by intermittent IV bo- lus over 30 min. Available is clindamycin 900 mg in 100mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?: 200mL/hr
  3. A nurse is caring for a client who is 1 day postoperative following gyne- cologic surgery and reports incisional pain. Which of the following actions should the nurse take first?: Ask the client to rate her pain on a scale from 0 to 10.
  4. A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600, units/mL. How many mL should the nurse administer?: 2mL
  5. A nurse is preparing to administer hydrochlorothiazide 25 mg PO daily to a client. Available is hydrochlorothiazide 50mg/5mL. How many mL should the nurse administer?: 2.5mL
  6. A nurse is preparing to administer clonidine 0.3 mg at bedtime to a client. The amount available is clondine 0.1mg/tablet. How many tablets should the nurse administer per dose?: 3 tablets
  7. A nurse is preparing to administer digoxin 1.5mg PO to a client. The amount available is digoxin 0.5mg/tablet. How many tablets should the nurse administer?: 3 tablets
  8. A nurse is preparing to administer lorazepam 1 mg PO at bedtime. The amount available is lorazepam 2 mg tablets. How many tablets should the nurse administer per dose?: 0.5 tablets
  9. A nurse arrives for her shift and is preparing to count the controlled substances in the secure cabinet. Which of the following actions should the nurse take?: Verify that the amounts of each medication she counts match the amounts on the inventory record.
  10. A nurse is administering 1 mg hydromorphone IV to a client. The available dose is 2mg/1mL. What should the nurse do with the
  1. A nurse is assessing an IV infusion site on an infant's left hand. Which of the following findings should the nurse identify as an indication of an infiltration?: Edema in the palm of the hand
  2. A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?: 0.45% sodium chloride
  3. A nurse is preparing to administer digoxin 12mcg/kg/day PO to divide equally every 12 hr to a school-age child who weighs 66 lb. Available is digoxin elixir 0.05mg/mL. How many mL should the nurse administer per dose?: 3.6mL
  4. A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr?: 250mL/hr
  5. A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?: Shake the inhaler for 3 to 5 seconds
  6. A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?: Inject 20 units of air into the NPH insulin vial
  7. A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75mg/mL. How many mL should the nurse administer per dose?: 0.5mL
  8. 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?: Adminis- ter the medication under the client's tongue
  9. A nurse is administering an 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?: "I will take your medication order again."
  10. A nurse is preparing to administer meperidine 75 mg IM to a client who reports postoperative pain. Available is meperidine 100mg/mL. How many mL should the nurse administer?: 0.8 mL
  1. A nurse withdraws morphine 2 mg from a 40mg/mL vial to inject IMf for a client. Which of the following actions should the nurse take for wasting the excess medication?: Have a second nurse witness the disposal of the excess medication
  2. A nurse is planning care for a client who is postoperative. Which of the fol- lowing statements about pain management should then nurse consider when implementing client care?: -Each client's expression of pain may be different an individualized -Patient-controlled analgesia (PCA) offers a constant level of opioids within thera- peutic range -Pain level and pain tolerance can be assessed using a scale from 0 to 10. -The client will express the feeling of pain both verbally and nonverbally
  3. A nurse is preparing to administer naproxen 500 mg PO BID for a client who has osteoarthritis. The amount available is naproxen 125mg/5mL oral suspension. How many mL should the nurse administer per dose?: 20 mL
  4. A nurse is preparing to administer acetaminophen 650 mg PO every 4 hr PRN to a client. The amount available is acetaminophen 325mg/tablet. How many tablets should the nurse administer?: 2 tablets
  5. A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the fol- lowing actions should the nurse take?: Remove the catheter and insert another into a different site
  6. A nurse is planning to administer an IM injection into a client's deltoid muscle. Which of the following actions should the nurse take?: Inject the medication at a 90 degree angle
  7. A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?: Dextrose 10% in water
  8. A nurse is preparing medication for a client when another client has an emergency. Which of the following actions should the nurse
  1. A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?: "I will clean and dry the area before applying the patch"
  2. A nurse is preparing to administer atenolol 50 mg PO daily to a client. The amount available is atenolol 100 mg/tablet. How many tablets should the nurse administer per dose?: 0.5 tablets
  3. A nurse is monitoring a client who is postoperative and unable to respond to questions. Which of the following nonverbal behaviors should the nurse identify as an indication that the client has pain?: - Restlessness
  • Grimacing
  • Clenching
  1. A nurse is inserting an IV catheter for an older adult client in preparation for an outpatient procedure. Which of the following veins should the nurse select?: Median vein in the forearm
  2. A nurse is preparing to administer ranitidine 300 mg PO daily to a client. The amount available is ranitidine 150mg/tablet. How many tablets should the nurse administer?: 2 tablets
  3. A nurse is preparing to administer moxifloxacin 400 mg by intermittent IV bolus over 60 min. Available is moxifloxacin 400 mg in 250 mL dextrose 5% (D5W). The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?: 63 gtt/min
  4. A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water?: -After each medication -Prior to administering each medication -After giving multiple medications
  5. 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?: Respiratory Rate
  6. A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has neuropathic pain. The amount available is

gabapentin 300 mg/capsule. How many capsules should the nurse administer per dose?: 3 capsules

  1. A nurse is preparing to administer clindamycin palitate 225 mg PO every 8 hr to a client. The amount available is clindamycin palmitate oral suspension 74mg/5 mL. How many mL should the nurse administer?: 15mL
  2. A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has an opioid -induced respiratory depression. Available is naloxone injection 0.2mg/mL. How many mL should the nurse administer per dose?: 2 mL
  3. A nurse is preparing to administer phenyton 75 mg PO every 6 hr. Available is phenytoin 25 mg/5mL. How many mL should the nurse administer?: 15 mL
  4. A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr?: 83mL/hr
  5. A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid mus- cle?: Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm
  6. A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/5mL. How many mL should the nurse administer per dose?: 4 mL
  7. A nurse is preparing to administer an IV fluid bolus of 200 mL dextrose 5% in water over 30 min. The drop factor of the manual IV tubing is 15 gtt/min. The nurse should set the manual IV infusion to deliver how many gtt/min?: 100 gtt/min