ATI Pharmacology

COMPREHENSIVE Study Guide {Q & A}

1. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The

client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of

thefollowing medications should the nurse anticipate administering?

Amantadine

Bupropion

Phenelzine

Hydroxyzine

2. A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse

should monitor the client for which of the following adverse effects?

Hypotension

Hyperthermia

Hypoglycemia

Tachycardia

3. A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for

phenazopyridine and ciprofloxacin. Which of the following statements by the client indicatesthe need

forfurther teaching?

"If the phenazopyridine upsets my stomach, I can take it with meals."

"The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of the infection."

"I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin."

"I should notify my provider immediately if my urine turns an orange color."

 1 / 4

4. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote

sleep.The nurse should plan to monitor the client for which of the following adverse effects?

Ecchymosis

Decreased urine output

Increased blood pressure

Dizziness

5. A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client

has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse

shouldanticipate a prescription for which of the following medications?

Methimazole

Somatropin

Levothyroxine

Propylthiouracil

6. A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO

dailyto treat hypertension. Which of the following instructions should the nurse include in the teaching?

"Take hydrochlorothiazide as needed for edema."

"Check your weight once each week."

"Take the hydrochlorothiazide on an empty stomach."

"Take the hydrochlorothiazide in the morning."

7. A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which

ofthe following medications should the nurse plan to administer?

Oxytocin

Nifedipine

Dinoprostone

Misoprostol

8. A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The

nurseshould instruct the client that lactulose has which of the following therapeutic effects?

Increases blood pressure

Prevents esophageal bleeding

Decrease’s heart rate

Reduces ammonia levels

 2 / 4

9. A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat

depression.Which of the following diagnostic tests should the nurse plan to perform prior to starting the

client on this medication?

Hearing examination

Glucose tolerance test

Electrocardiogram

Pulmonary function tests

10. A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The

nurseshould instruct the client to discontinue taking the medication for which of the following adverse

effects?

Nausea

Metallic taste

Fever

Drowsiness

11. A nurse is assessing a client who is receiving IV gentamicin three times daily. Which of the

followingfindings indicates that the client is experiencing an adverse effect of this medication?

Hypoglycemia

Proteinuria

Nasal congestion

Visual disturbances

12. A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription

forpropranolol. Which of the following information should the nurse include in the teaching?

A. Increases the risk for seizure activity

B. Provides a form of aversion therapy

C. Decreases cravings

D. Can increase blood pressure

13. A charge nurse is planning a staff education session to discuss medications used during the care of a

clientexperiencing alcohol withdrawal. Which of the following medications should the charge nurse

include the discus (Select all that apply)

A. Lorazepam

B. Diazepam

C. Disulfiram

D. Naltrexone

E. Acamprosate

 3 / 4

14. A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of

abstinence from opioids. The nurse should instruct the client to monitor for which of the following

adverseeffects?

A. Diarrhea

B. Dry mouth

C. Insomnia

D. Hypertension

15. A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which

ofthe following statements by the client indicates understanding of the teaching?

A. "I should avoid eating right before I chew a piece of nicotine gum."

B. "I will need to stop using the nicotine gum after 1 year."

C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant."

D. "I must chew the nicotine gum quickly for about 15 minutes."

16. A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from

opioid use and has a new prescription for clonidine. Which of the following actions should the nurse

identify as the priority?

A. Administer the clonidine on the prescribed schedule.

B. Provide ice chips at the client's bedside.

C. Educate the client on the effects of clonidine.

D. Obtain baseline vital signs.

17. A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing

neuromuscular blocking agent and has muscle weakness. The nurse should expect a prescription for which

ofthe following medications?

A. Neostigmine

B. Naloxone

C. Dantrolene

D. Vecuronium

18. A nurse is providing information to a client who has early Parkinson's disease and a new prescription

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

of thismedication?

A. Hallucinations

B. Increased salivation

C. Diarrhea

D. Discoloration of urine

Powered by qwivy(www.qwivy.org)

 4 / 4