ATI MODULE 1

Question 1

A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities?

Answer 1

They have similar mechanisms of actions.

Question 2

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client what?

Answer 2

Drug toxicity develops when the amount of a drug that is taken is greater than its rate of excretion, and it results in the drug accumulating in the body. A client who has renal insufficiency might have delayed or impaired excretion of the drug. The drug dosage should be reduced if toxicity occurs.

Question 3

Client is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be higher that the IV dose for which reason?

Answer 3

The oral form has decreased bioavailability because of the first-pass effect/. Oral doses are often larger than IV doses of the same drug because of the first-pass effect by the liver, which reduces the bioavailability of the drug. Enzymes in the liver metabolize drugs, making less of the drug available for use by the body.

Question 4

Client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge pain

Answer 4

As soon as possible/. Instruction should start at the beginning of care and when the client is receptive to learning.

Question 5

Indicators of anaphylactic reactions

Answer 5

Low blood pressure, wheezing and difficulty swallowing

Question 6

taking over the counter drugs effect a newborn. What should the nurse consider when recommending a drug for the client?

Answer 6

The newborn’s weight,
How much breast milk the newborn consumes each day, Whether or not the benefits to the client outweigh the risks to the newborn, The properties of the drug

Question 7

Anaphylaxis represents which of the following results of the drug

Answer 7

Adverse effect

Question 8

Nurse is preparing to administer a drug to a client. What section of a drug handbook should the nurse look to determine if the client can receive the drug?

Answer 8

Contraindications./ The nurse should review the contraindications section in the drug handbook to determine if a client can receive the drug. This section lists pre-existing diseases or clinical situations that could make it unsafe to administer a drug.

Question 9

Client reports no allergies but had experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse male?

Answer 9

Itching can indicate a hypersensitivity to amoxicillin./ Itching can be an indication of drug hypersensitivity, and a more severe allergic reaction can develop with future exposures. The client might be allergic to amoxicillin and other penicillins.

Question 10

Client takes loratadine (over the counter drug). The nurse should identify what about over the counter drugs?

Answer 10

They do not require the supervision of a nurse, they can interact with other drugs, They should be included in the client’s drug history assessment

Question 11

Nurse is teaching a client about adverse effects. Which of the following statements should the nurse include in the teaching?

Answer 11

“Contact your provider if adverse effects occur.”/ Adverse effects can be severe and life-threatening. The client should contact their provider if adverse effects occur.

Question 12

Client is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates

Answer 12

Therapeutic effect./ Drowsiness is a therapeutic effect of diphenhydramine for a client who is taking the drug to treat insomnia.

Question 13

Nurse is preparing to teach a client about a newly prescribed drug. Prior to teaching the nurse should review the precautions section of a drug handbook for the following reason

Answer 13

To determine if dosage modification is indicated,/ The precautions section includes diseases or clinical situations in which drug use involves particular risks or dosage modification might be necessary, such as the presence of a client condition or restrictions due to the client’s age.

Question 14

Nurse is teaching a client who has a new prescription for a frug with a high potential for toxicity. What information should the nurse include?

Answer 14

Periodic laboratory tests are essential to measure serum drug levels, Monitoring for indications of toxicity is important is,
Taking the smallest effective dose is crucial

Question 15

Characteristics of addictive drug interactions

Answer 15

Clients can achieve desired effects with the use of lower dosages, Both drugs have similar actions

Question 16

Absorption

Answer 16

The movement of a drug from the site of administration into the circulatory system

Question 17

Metabolism

Answer 17

Change of a drug into a more less potent or more soluble from after it passes through the liver, kidneys, intestinal mucosa or other body part

Question 18

Excretion

Answer 18

Removal of the drug or its metabolites through the kidneys, gastrointestinal tract, skin, or lungs

Question 19

Distribution

Answer 19

Movement of a drug by the circulatory system to its intended site of action

Question 20

Onset of action

Answer 20

Time it takes a drug to demonstrate a therapeutic response

Question 21

Peak drug level

Answer 21

Time it takes a drug to demonstrate its dull therapeutic effect

Question 22

Duration of action

Answer 22

The length of time the drugs therapeutic effect lasts

Question 23

Through drug level

Answer 23

The pint in time when a drug is at its lowest level in the body

Question 24

Action of an agonist on a receptor

Answer 24

Activates the receptor

Question 25

Antagonistic effect

Answer 25

One drug reduces the effect of another drug

Question 26

Primary care providers prescribe drug dosages for children using what type of info

Answer 26

Body surface area, age, weight and drug properties

Question 27

Sumatriptan is indicated for what condition

Answer 27

Presence of migraine headache

Question 28

Occur as a result of the interactions between valproic acid and phenytoin drugs

Answer 28

Phenytoin toxicity

Question 29

Adverse effect of donepezil

Answer 29

Nausea

Question 30

Adverse effect of amphetamine sulfate

Answer 30

Tachycardia

Question 31

How to avoid adverse effect interferon beta.

Answer 31

Premedicate with acetaminophen

Question 32

Adverse effect of methohexital sodium

Answer 32

Respitory depression

Question 33

Adverse effect for valproic acid (to treat a seizure disorder)

Answer 33

Drowsiness, headache, rash

Question 34

Drug used to reverse the effects of fentanyl

Answer 34

Naloxone

Question 35

Drug interactionsn between selegiline and merperdine can result in

Answer 35

Muscle rigidity

Question 36

Instructions to avoid adverse effects for carbamazepine

Answer 36

Begin taking the drug at a low dosage

Question 37

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity?

Answer 37

Tremors, confusion, nausea and muscle weakness

Question 38

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. What instructions should the nurse include?

Answer 38

Avoid taking NSAIDs

Question 39

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine?

Answer 39

Phenelzine

Question 40

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication?

Answer 40

Blood pressure

Question 41

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification?

Answer 41

Renal function impairment

Question 42

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders?

Answer 42

Asthma

Question 43

A nurse is providing teaching to a client about the adverse e!ects of drug therapy. The nurse
should include that orthostatic hypotension is a common adverse reaction of which of the
following drugs?

Answer 43

Imipramine

Question 44

A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse e!ects is the client at increased risk?

Answer 44

Seizure activity

Question 45

A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? (Select all that apply.)

Answer 45

Change positions slowly from sitting or lying to standing,
Do not stop taking the drug abruptly, Take the drug at bedtime to prevent daytime drowsiness and, Increase fiber and fluid intake

Question 46

A nurse is providing teaching to a client who has a prescription of bus-irons to treat anxiety. Which of the following instructions should the nurse include?

Answer 46

“Take a missed dose as soon as you remember.”

Question 47

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam?

Answer 47

Anxiety

Question 48

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply.)

Answer 48

Seasonal affective disorder/ Nicotine addiction and depression

Question 49

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse e!ects should the nurse include in the teaching?

Answer 49

Bradycardia/ Betaxolol and timolol can cause bradycardia because of the blockade of cardiac beta1 receptors. Clients should check their pulse rate regularly and report any sustained decreases.

Question 50

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse e!ects should the nurse monitor? (Select all that apply.)

Answer 50

Respiratory depression/ Sedation/ Anxiety

Question 51

A nurse is caring for a client who has a prescription for !uoxetine and who reports self- administering St. John’s wort daily for the past 2 weeks. Which of the following “ndings should the nurse report to the provider as an indication of serotonin syndrome?

Answer 51

Hallucinations/ Hallucinations are an expected finding of serotonin syndrome. SSRIs are contraindicated with St. John’s wort because the combination can increase the risk of developing serotonin syndrome.