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PN Pharmacology Quiz 2025 A-ATI
A nurse is monitoring a client who received their first dose of an antibiotic. For which of the following findings should the nurse call the rapid response team? - Hypotension A nurse discovers that a client received a dose of furosemide instead of the famotidine the provider prescribed. For which of the following findings should the nurse monitor the client? - Hypotension A nurse is preparing an insulin injection for a client who has type 1 diabetes mellitus. Which of the following insulins can the nurse combine in the syringe? - NPH and regular A nurse is reinforcing teaching with a client who has a new prescription for bus-irons. The nurse should instruct the client to avoid drinking which of the following beverages while taking this mediation? - Grapefruit juice A nurse in a long-term care facility is performing medication reconciliation for a client who is being transferred from an acute care facility. Which of the following actions should the nurse take? - Compare a list of the client's current medications with the medications they will receive in the long-term care facility. A nurse is reviewing the laboratory results of a client who is taking lithium and has a lithium level of 2. mEq/L. For which of the following findings should the nurse monitor the client? - Seizure activity A nurse is preparing a liquid medication from a multidose bottle to administer to a client. Which of the following actions should the nurse take? - Measure the liquid at the base of the meniscus in a medication cup A nurse is preparing to administer several medications through a client's NG tube for a client who is receiving enteral feedings. All of the medications are crushable tablets. Which of the following actions should the nurse take? - Flush the tube with water before and after medication administration. A nurse is preparing to administer ear drops to a client. Which of the following actions should the nurse take? - Place the client in a lateral position after administration of the medication.
A nurse is administering 1.5 mg of hydromorphone IM from a 2-mg/mL vial to manage a client's postoperative pain. Which of the following action should the nurse take when handling the remainder of the medication in the vial? - Have a second nurse witness the disposal of the medication. A nurse is monitoring a client who is receiving 0.9% sodium chloride IV. For which of the following findings should the nurse slow or stop the infusion rate and notify the provider? - Crackles A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following instructions should the nurse include? - "Inject the medication once per week." A nurse is caring for a client who has a cancer-related pain and is receiving an around-the-clock analgesic. The client has an additional prescription for a PRN analgesic. Which of the following actions should the nurse take to determine when to administer the PRN analgesic? - Have the client rate their pain using a standard scale. A nurse is reviewing the medical record of a client who is to start therapy with epoetin alfa. Which of the following findings should the nurse report to the provider as a contraindication for receiving the medication? - Uncontrolled high blood pressure. A nurse is caring for a client who is receiving oxycodone and has a respiratory rate of 8/min. For which of the following medications should the nurse expect a stat prescription? - Naloxone A nurse is caring for a client who is receiving lisinopril. The nurse should withhold the next dose and notify the provider when the client reports which of the following adverse effects of the medication? - Swollen tongue A nurse is caring for a client who has type 1 diabetes mellitus and just refined consciousness following administration of .5 mg of glucagon subcutaneously. Which of the following findings should the nurse identify as an indication that the medication was effective? - Blood glucose 82 mg/dL A nurse is reviewing the medication administration record of a client who has a new prescription for vancomycin to treat a Clostridium difficile infection. The nurse should monitor the client's intake,
the nurse provide the client about the role of a case manager? - "The case manager will coordinate and plan your care while you recover from your surgery." A nurse manager observes a nurse entering the room of a client who is on contact precautions without donning personal protective equipment (PPE). which of the following is the priority action for the nurse manager to take? - Have the nurse exit the room and don proper PPE A school nurse is assisting with the care of a child who has multiple bruises to his trunk and ext. The child reports he fell out of a tree 2 days ago. The nurse's clinical findings show patterns of bruising not typically sustained during a fall from a tree. Which of the following actions should the nurse take? - Report the findings to local police and social service agencies A nurse receives morning change-of-shift report and delegates several tasks to an AP on the team. Which of the following tasks should the nurse instruct the AP to perform first? - Obtain the morning capillary blood glucose tests A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about completing a living will. Which of the following statements should the nurse make? - "I will provide you with the information you need to complete advance directives" A nurse is contributing to the plan of care for several clients. Which of the following clients should the nurse refer to a case manager? - Client who has neurologic deficits following a stroke. A nurse is reinforcing teaching with newly licensed nurse about the informed consent process for client scheduled for a surgical procedure. Which of the following information should the nurse include in the teaching? - The person who will perform the procedure is responsible for obtaining informed consent. A nurse finds a client standing next to his bed with the side rails up. The client is visibly confused, not wearing an identification bracelet, and his IV is detached. The client states, "I can't remember my name." After assisting the client back to bed, which of the following actions should the nurse take next?
- Check the client for injury A nurse manager is planning to discipline a nurse who has been absent from work 6 times in the past 6 weeks for various reasons. Because this is the first instance of a potential problem with the employee, the nurse manager decides to take a nonpunitive approach to the absenteeism. Which of the following
actions should the nurse manager plan to take? - Verbally remind the employee about the facility's employment standards A charge nurse is providing teaching to a new staff nurse regarding delegation to AP. Which of the following information should the charge nurse include in the teaching? - The nurse should be familiar with the task she plans to delegate. A 13-y/o female adolescent tells the charge nurse in the pediatric unit that she does not want a male nurse assigned to care for her. Which of the following responses should the nurse make? - "I'll change the assignment so a female nurse is caring for you today." A nurse is planning to perform a negotiation to manage a conflict between herself and another staff member. what action should the nurse plan to take? - create a solution in which all parties are satisfied. Etanercept for rheumatoid arthritis... adverse effects? - Rhinitis Theophylline therapeutic response... - "I have fewer asthma attacks" Used for asthma or lung problems A nurse is caring for a client who has a vitamin k deficiency. Which of the following manifestations should the nurse expect? - Excessive bruising Acute gout attack medication... - Colchicine Doxycycline (a tetracycline antibiotic) - the nurse should reinforce with the client the need to monitor for which of the following adverse effects? - Photosensitivity Drop rate formula - Volume (mL)/minutes x drop factor (gtt/mL)= gtt/min.
Acetaminophen antidote - acetylcysteine Prednisone - Steroid/glucocorticoid Take with morning meal Adverse effects: stress fractures Vitamin K deficiency cardinal sign - Excessive bruising Fludrocortisone - Corticosteroid Adverse effect: hypokalemia Risedronate - Helps reduce bone loss and bone pain Take with 8 oz of water A nurse is talking with the father of a 12-year-old boy who is concerned that he hasn't observed any indications that his son is approaching puberty. The nurse should explain that the first sign of sexual maturation in boys is A. the appearance of downy hair on the upper lip. B. hair growth in the axillae. C. enlargement of the testes and the scrotum. D. deepening of the voice. - C. CORRECT: The first prepubescent change in boys is an increase in the size of the testicles along with a thinning and expanding of the scrotum. A. INCORRECT: Emerging facial hair is a later pubescent change. B. INCORRECT: Hair growth in nongenital areas is a later pubescent change. D. INCORRECT: Changing vocal quality is a later pubescent change. NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions
A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions are appropriate for this client? (Select all that apply.) A. Suggest that his parents room in with him. B. Provide a television and DVDs for him to watch. C. Limit visitors to immediate family. D. Devise a regular schedule for inpatient routines. E. Allow him to perform his own morning care. - B. CORRECT: Nonviolent DVDs are appropriate diversional activities for an adolescent. E. CORRECT: Allowing him to perform his own morning care helps promote a sense of independence. A. INCORRECT: Rooming in is more appropriate for younger children. C. INCORRECT: There is no reason to restrict visitors. Allowing his friends to visit helps prevent feelings of isolation. D. INCORRECT: Flexible routines and activities, such as wearing his own clothes and having his favorite snacks on hand, help adolescents feel more comfortable in inpatient settings. NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions A nurse is talking with an adolescent who describes having difficulty dealing with several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment and intervention? A. "I kind of like this girl in my class. She doesn't like me back, though, not that way." B. "I like hanging out with the guys in the science club, but the jocks pick on them." C. "I just don't seem to be any good at anything. I can't play any sports at all." D. "My dad wants me to be a lawyer like him, but I don't want to learn all that stuff." - C. CORRECT: When using the urgent vs. nonurgent approach to client care, the nurse determines that the counseling priority is the problem that reflects a lack of completion of the previous stage and progression to the current stage of development. According to Erikson, it is a task of the school-age years to develop industry (such as by learning new skills and experiencing achievements in them) vs. inferiority. This adolescent is still struggling with this task and needs assistance in working through that dilemma.
A nurse is preparing a wellness presentation for families at a community center. When discussing health screenings for adolescents, which of the following information about scoliosis should the nurse include? (Select all that apply.) A. Scoliosis is more common among girls than it is among boys. B. Loss of height is often the first sign of scoliosis. C. Scoliosis screening is essential during the adolescent growth spurt. D. Slouching is a common cause of scoliosis, especially in adolescents. E. Scoliosis is a forward curvature of the spine. - A. CORRECT: Girls are more likely than boys to have adolescent idiopathic scoliosis. C. CORRECT: Idiopathic scoliosis is most noticeable during the adolescent growth spurt. B. INCORRECT: Loss of height is often the first sign of osteoporosis. Asymmetry in shoulder or hip height is a sign of scoliosis. D. INCORRECT: In most cases, scoliosis has no apparent cause. E. INCORRECT: Scoliosis is a lateral curvature of the spine. NCLEX® Connection: Health Promotion and Maintenance, Health Screening A nurse on a pediatric unit is reviewing with a group of nursing students the cognitive developmental milestones to expect from adolescent clients. Use the ATI Active Learning Template: Growth and Development to complete this item. Under Cognitive Development, list at least five cognitive development expectations during adolescence. - ● Cognitive Development ◯ Think at an adult level ◯ Think abstractly and deal with principles ◯ Evaluate the quality of their own thinking ◯ Have a longer attention span ◯ Are highly imaginative and idealistic ◯ Make decisions through logical operations ◯ Are future-oriented ◯ Are capable of deductive reasoning ◯ Understand how actions of an individual influence others
NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions A nurse is caring for a client receiving enteral tube feedings due to dysphagia. Which of the following bed positions is appropriate for safe care of this client? A. Supine B. Semi-Fowler's C. Semi-prone D. Trendelenburg - B. CORRECT: In the semi-Fowler's position, the client lies supine with the head of the bed elevated approximately 30°. This position is frequently used to prevent regurgitation and aspiration in clients who have difficulty swallowing. This is the safest position for the client receiving a tube feeding. A. INCORRECT: In the supine position, the client lies on his back with his head and shoulders elevated on a pillow. This angle is not adequate to prevent regurgitation. C. INCORRECT: In the semi-prone or Sims' position, the client is on his side halfway between lateral and prone positions. This position is not safe because it may promote regurgitation. D. INCORRECT: In the Trendelenburg position, the entire bed is tilted with the head of the bed lower than the foot of the bed. This position is not safe because it may promote regurgitation. NCLEX® Connection: Reduction of Risk Potential, Potential for Complications of Diagnostic Tests/ Treatments/Procedures A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following is the priority action for the nurse to take at this time? A. Obtain a walker for the client to use to transfer back to bed. B. Call for additional personnel to assist with the transfer. C. Use a transfer belt and assist the client to bed. D. Assess the client's ability to help with the transfer. - D. CORRECT: The first action the nurse should take using the nursing process is to assess/collect data from the client. The nurse should assess the
B. Avoid twisting the spine or bending at the waist. C. Keep the knees slightly lower than the hips when sitting for long periods of time. D. Use smooth movements when lifting and moving clients. E. Take a break from repetitive movements every 2 to 3 hr to flex and stretch joints and muscles. - A. CORRECT: It is preferred that two or more personnel assist with any positioning in order to reduce the risk of injury. B. CORRECT: Twisting the spine or bending at the waist (flexion) increases the nurse's risk for injury. D. CORRECT: Using smooth movements instead of sudden or jerky muscle movements is recommended to prevent injury C. INCORRECT: When sitting for long periods of time, the nurse should keep knees slightly higher than, not lower than, the hips in order to decrease strain on the lower back E. INCORRECT: The nurse should take a break every 15 to 20 min, not every 2 to 3 hr, from repetitive movements to flex and stretch joints and muscles. NCLEX® Connection: Safety and Infection Control, Ergonomic Principles A nurse educator is teaching a module on proper body mechanics during employee orientation. Which of the following statements by a newly hired nurse indicates the need for further teaching? A. "My line of gravity should fall outside my base of support." B. "The lower my center of gravity, the more stability I have." C. "To broaden my base of support, I should spread my feet apart." D. "When I lift an object, I should hold it as close to my body as possible." - A. CORRECT: The line of gravity should fall within the base of support, not outside, which increases the risk of falling. B. INCORRECT: Being closer to the ground causes a lower center of gravity, which leads to greater stability and balance. C. INCORRECT: Spreading the feet apart increases and widens the base of support. D. INCORRECT: Holding an object as close to the body as possible helps avoid displacement of the center of gravity, which can prevent injury and instability.
NCLEX® Connection: Safety and Infection Control, Ergonomic Principles A nurse educator is teaching basic principles of proper lifting techniques to a group of newly hired nurses. Use the ATI Active Learning Template: Basic Concept to complete this item. Under the section Underlying Principles, list four key elements of proper lifting techniques. - Underlying Principles ◯ Use the major muscle groups to prevent back strain, and tighten the abdominal muscles to increase support to the back muscles. ◯ Distribute the weight between the large muscles of the arms and legs to decrease the strain on any one muscle group and avoid strain on smaller muscles. ◯ When lifting an object from the floor, flex the hips, knees, and back. Get the object to thigh level, keeping the knees bent and the back straightened. Stand up while holding the object as close as possible to the body, bringing the load to the center of gravity to increase stability and decrease back strain. ◯ Use assistive devices whenever possible, and seek assistance whenever it is needed. NCLEX® Connection: Safety and Infection Control, Ergonomic Principles
