Text Book: ATI PN Pharmacology for Nursing Edition 10.0 Chapter 3,4,14,15,30,31,32,33 Exam Questions on the Chapters Provider

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Sample questions from Text Book: ATI PN Pharmacology for Nursing Edition 10.0 Chapter 3,4,14,15,30,31,32,33 Exam Questions on the Chapters Provider

This material has 60 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit, a client taking an oral medication reports that its effect seems weaker after several days of vomiting and diarrhea. Which pharmacokinetic change is the most likely explanation?

   • A.Increased medication excretion
   • B.Increased distribution into body tissues
   • C.Reduced absorption of the medication
   • D.Reduced medication metabolism

   Rationale: Vomiting and diarrhea can reduce the amount of an oral medication absorbed into the bloodstream, decreasing its effect. Changes in distribution, metabolism, and excretion can also alter drug response, but the reported gastrointestinal losses most directly suggest impaired absorption. The practical takeaway is to report persistent gastrointestinal symptoms that could affect medication effectiveness rather than advising the client to take extra doses.

2. 2.At change of shift, a nurse receives report on four clients. Which client should the practical nurse report to the registered nurse first?

   • A.A client who reports mild nausea after the first dose of an oral antibiotic
   • B.A client with a new rash and swelling of the lips shortly after receiving a medication
   • C.A client who reports that a prescribed medication causes mild drowsiness
   • D.A client who asks whether a medication can be taken with breakfast

   Rationale: A new rash with lip swelling shortly after medication administration may indicate a serious allergic reaction and requires prompt reporting and response. Mild nausea and drowsiness can be medication effects that warrant monitoring and reporting according to policy, but they are less urgent without additional concerning findings. A question about food can be addressed by checking the medication instructions, but it does not take priority over possible airway involvement.

3. 3.In a pediatric clinic, a parent asks how to give a prescribed liquid medication to an infant. Which instructions should the practical nurse reinforce? Select all that apply.

   • A.Use the measuring cup from another medication if it has similar markings.
   • B.Keep the medication in its original labeled container.
   • C.Use an oral syringe marked in milliliters to measure each dose.
   • D.If the infant spits out part of a dose, repeat the full dose.
   • E.Ask the pharmacist or prescriber how to proceed if the infant vomits after a dose.
   • F.Check the medication label and the infant's prescribed dose before each administration.

   Rationale: An oral syringe provides a more accurate measurement for a small liquid dose, and checking the label against the prescribed dose helps prevent errors. The parent should seek medication-specific guidance after vomiting because repeating a dose could result in an overdose. The original labeled container supports correct identification and storage; a different medication's cup may be inaccurate, and a full replacement dose should not be given automatically after spitting out medication.

4. 4.A provider prescribes a medication for a client with chronic kidney disease. Which information is most important for the practical nurse to verify before administering the medication?

   • A.Whether the medication has a distinctive taste
   • B.Whether the client prefers tablets or capsules
   • C.The time the client usually eats lunch
   • D.The client's recent kidney function results and the prescribed dose

   Answer and rationale are in the full material.

5. 5.In a long-term care facility, an older adult tells the practical nurse, "I feel dizzy when I stand up after taking my new medication." Which response is most appropriate?

   • A.Assist the client to sit or lie down, check for injury or ongoing symptoms, and report the change to the registered nurse.
   • B.Explain that dizziness is expected with all new medications and needs no follow-up.
   • C.Tell the client to stop taking the medication until the next appointment.
   • D.Advise the client to take the next dose with twice as much water.

   Answer and rationale are in the full material.