ATI LPN · Drug Administration Questions and Answers
Question 1 of 82
The nurse assumes care of a patient who has been receiving intermittent enteral feedings of 240 mL of a polymeric formula every 4 hours for the past 48 hours. The patient is in bed with the head of the bed elevated 60 degrees. The enteral tubing is intact, and the enteral pump is infusing at 320 mL per hour. The nurse notes 60 mL of solution left in the bag. The tubing is not labeled. What will the nurse do?
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Question 2 of 82
Nitrofurantoin is known to discolor urine
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Question 3 of 82
The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?
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Question 4 of 82
A teenager has acne that requires treatment. The physician does not want to use retinoids because of the adverse effects. Which of the following medication regimens will likely be most effective?
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Question 5 of 82
Risk factors that increase the likelihood of developing depression include:
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Question 6 of 82
A nurse is caring for a client with a tracheostomy that has been diagnosed with a respiratory infection. The client is receiving vancomycin hydrochloride (Vancocin) 500 mg intravenously every 12 hours. Which of the following would indicate to the nurse that the client is experiencing an adverse effect of the medication?
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Question 7 of 82
Sam, from the previous scenario, would most likely be treated initially with:
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Question 8 of 82
The patient with suspected glaucoma would have what diagnostic test initially?
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Question 9 of 82
Risk factors for peripheral artery disease include:
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Question 10 of 82
Start of insulin therapy in a patient with type 2 diabetes should occur:
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Question 11 of 82
The nurse is caring for a patient who will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L. The nurse performs a drug history prior to beginning the infusion. Which drug taken by the patient would cause concern?
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Question 12 of 82
The nurse is teaching a patient about the oral administration of iron preparations. What will increase the absorption of iron?
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Question 13 of 82
Concerning hormones and hormonal therapy, the nurse understands that hormone analogues are:
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Question 14 of 82
What is required on a handwritten prescription for a controlled substance?
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Question 15 of 82
Sallie has been diagnosed with osteoporosis and is asking about the 'once a month' pill to treat her condition. How do bisphosphonates treat osteoporosis?
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Question 16 of 82
Fiber supplements are great options for elderly patients who have the concurrent problem of:
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Question 17 of 82
A patient has been prescribed timolol maleate (Timoptic®) eye drops. What should the nurse tell the patient to do to apply these eye drops properly?
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Question 18 of 82
Patient factors that contribute to antiretroviral therapy (ART) failure include:
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Question 19 of 82
A patient has been using Viagra on an intermittent basis for several years. However, he has cited delays in the onset and peak of action as the occasional source of frustration. What PDE5 inhibitor may be of particular benefit to this patient's needs?
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Question 20 of 82
The nurse is caring for a postoperative patient who is receiving alteplase tPA (Activase) after developing a blood clot. The nurse notes a heart rate of 110 beats per minute and a blood pressure of 90/60 mm Hg. The nurse will perform which action?
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Question 21 of 82
A woman of childbearing age is diagnosed with breast cancer. She is currently taking hormonal contraceptives. What information should the woman be given regarding the hormonal contraceptives?
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Question 22 of 82
The nurse is caring for a 70-year-old patient who has recently begun taking amlodipine (Norvasc) 5 mg/day to control hypertension. The nurse notes mild edema of the patient's ankles, a blood pressure of 130/70 mm Hg, and a heart rate of 80 beats per minute. The patient reports flushing and dizziness. The nurse will notify the provider and:
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Question 23 of 82
A 22-year-old woman began using oral contraceptives several months ago and has presented for an appointment to discuss recent worrisome changes in her health status. Which of the following changes in the woman's health may the nurse potentially attribute to the use of oral contraceptives?
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Question 24 of 82
A nurse has taught a client taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu?
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Question 25 of 82
A pediatric nurse is providing inpatient care for a child who was diagnosed with necrotizing otitis externa. The child is currently being treated with ciprofloxacin. What microorganism is the most likely cause of this child's infection?
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Question 26 of 82
An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be:
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Question 27 of 82
The major site of drug excretion is:
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Question 28 of 82
Patients who are at risk of a fatal asthma attack include patients:
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Question 29 of 82
A patient on long-term corticosteroid therapy is monitored for Cushing's syndrome, which is manifested by
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Question 30 of 82
A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication. The nurse will recommend which changes?
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Question 31 of 82
Education of patients with COPD who use inhaled corticosteroids includes:
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Question 32 of 82
Which of these findings, from a client taking steroids, should the nurse report immediately?
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Question 33 of 82
Which of these drugs is known to cause 'hand-foot syndrome'?
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Question 34 of 82
What is the route of administration for eye drops?
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Question 35 of 82
The nurse is administering medications to a patient who is in liver failure due to end-stage cirrhosis. The nurse is aware that patients with liver failure are most likely to have problems with which pharmacokinetic phase?
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Question 36 of 82
A client is discharged from the hospital with a prescription for trimethoprim/sulfamethoxazole. What must the nurse include in the discharge teaching?
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Question 37 of 82
A patient asks about saw palmetto for prostate health. The nurse explains it interacts with:
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Question 38 of 82
What would one expected assessment finding be for hyperglycemic hyperosmolar syndrome?
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Question 39 of 82
A patient is diagnosed with a fungal infection of the eye. What of the following medications is the most likely the cause of the fungal infection of the eye?
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Question 40 of 82
The stepwise approach to asthma therapy begins with:
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Question 41 of 82
The nurse is preparing for an acute medication intervention, which route is understood to provide the most rapid delivery in to the circulation of blood?
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Question 42 of 82
The nurse is caring for a newly admitted patient who has severe gastroenteritis. The patient's electrolytes reveal a serum sodium level of 140 mEq/L and a serum potassium level of 3.5 mEq/L. The nurse receives an order for intravenous 5% dextrose and normal saline with 20 mEq/L potassium chloride to infuse at 125 mL/h. Which action is necessary prior to administering this fluid?
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Question 43 of 82
The nurse is performing tuberculin testing on a patient, which action by the nurse is correct?
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Question 44 of 82
A pregnant client stopped using a prescription medication she takes for asthma because she doesn't want to harm her baby. What will the nurse tell the client?
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Question 45 of 82
Which is an effect of colony-stimulating factors (CSFs)?
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Question 46 of 82
Treatment failure in patients with peptic ulcer disease associated with H. pylori may be because of:
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Question 47 of 82
Caffeine, exercise, and smoking should be avoided for at least how many minutes before blood pressure measurement?
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Question 48 of 82
The nurse is administering an IV push medication through an IV lock. After injecting the medication, which action will be taken next?
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Question 49 of 82
A patient is admitted to the emergency department with a suspected pulmonary embolism. The nurse anticipates an order for which anticoagulant?
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Question 50 of 82
The longer-term Xanax patient comes in and states they need a higher dose of the medication. They deny any additional, new, or accelerating triggers of their anxiety. What is the probable reason?
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Question 51 of 82
Goals when treating hypothyroidism with thyroid replacement include:
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Question 52 of 82
A patient reports taking large doses of vitamin C to prevent upper respiratory infections. The nurse will perform which action?
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Question 53 of 82
Which of the following drugs works by irreversibly inhibiting the H+/K+-ATPase pump in order to reduce acid secretion?
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Question 54 of 82
The nurse will be administering an antitussive medication containing codeine to a patient. The priority assessment assessment of the patient would be:
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Question 55 of 82
A patient with a diagnosis of renal failure is being treated with epoetin alfa (Epogen). Frequent assessment of which of the following laboratory values should be prioritized before and during treatment?
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Question 56 of 82
James is a 45-year-old patient with an LDL level of 120 and normal triglycerides. Appropriate first-line therapy for James may include diet counseling, increased physical activity, and:
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Question 57 of 82
The patient with cluster headache would most likely be treated initially with:
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Question 58 of 82
Rapid-acting nitrates are important for all angina patients. Which of the following are true statements about their use?
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Question 59 of 82
A patient who has long abused alcohol is being treated with disulfiram (Antabuse). The patient currently takes phenytoin (Dilantin) for an underlying seizure disorder. Based on the interaction of these two medications, what will need to be adjusted in the medication administration?
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Question 60 of 82
Meperidine should not be used in the elderly or in patients with renal dysfunction because it:
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Question 61 of 82
A nurse is caring for a client receiving streptogramin (Synercid) by intravenous intermittent infusion for the treatment of a bone infection develops diarrhea. Which nursing action would the nurse implement?
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Question 62 of 82
Nicolas is a football player who presents to the clinic with athlete's foot. Patients with tinea pedis may be treated with:
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Question 63 of 82
A patient is being assessed before starting a newly ordered antilipemic medication. Which condition would be a potential contraindication?
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Question 64 of 82
Monitoring patients with sickle cell anemia includes monitoring:
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Question 65 of 82
In the following structure (CH3-CH2-CH2-N=N-CH-(CH3)2) Azo bond is:
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Question 66 of 82
A patient has received a rubella immunization. The patient was unaware that she was pregnant. What risk is associated with the administration of the rubella immunization in this patient?
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Question 67 of 82
Drug therapy for a patient with latent tuberculosis infection includes:
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Question 68 of 82
The chemicals that promote the spread of pain locally include:
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Question 69 of 82
The drugs recommended for older adults with type 2 diabetes include:
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Question 70 of 82
A client with type 1 diabetes is eating breakfast at 7:30 am. Blood sugars are on a sliding scale and are ordered before a meal and at bedtime. The client's blood sugar level is 317 mg/dL. Which insulin should the nurse prepare to administer?
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Question 71 of 82
A client with Parkinson's disease has begun therapy with levodopa (L-dopa). The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for:
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Question 72 of 82
The preferred type of drugs is :
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Question 73 of 82
A patient receiving total parenteral nutrition (TPN) begins having cough and dyspnea. The nurse auscultates rales and notes neck vein engorgement and weight gain. The nurse suspects that the patient is experiencing which condition?
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Question 74 of 82
A resident of a long-term care facility was referred to an outpatient ophthalmology clinic for assessment, and the nurse has received the clinical report. The nurse reads that the resident's intraocular pressure was elevated above clinical norms. The nurse should recognize that the resident is at risk of:
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Question 75 of 82
A nurse is teaching the family of a child with ADHD about her diet and medications. The child is prescribed methylphenidate (Ritalin) every day. In teaching about the client's diet, it is most important that the nurse encourage the child to avoid which foods and/or drinks?
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Question 76 of 82
The nurse is monitoring a patient who has been on amiodarone for 6 months. Which potential adverse effect should the nurse assess for?
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Question 77 of 82
A nurse is caring for a client and her newborn immediately after delivery. The client's medication history includes prenatal vitamins throughout pregnancy, one or two glasses of wine before knowing she is pregnant, occasional use of an albuterol inhaler in her last trimester, and intravenous morphine during labor. What is the nurse's most appropriate action?
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Question 78 of 82
Which of the following antibacterial drugs works by disrupting cell wall synthesis?
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Question 79 of 82
Insulin preparations are divided into categories based on onset, duration, and intensity of action following subcutaneous injection. Which of the following insulin preparations has the shortest onset and duration of action?
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Question 80 of 82
Oral emergency contraception (Plan B) is contraindicated in women who:
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Question 81 of 82
When providing a health promotion presentation to a group of seniors, how often should you instruct the senior group to obtain influenza vaccines?
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Question 82 of 82
What should the nurse advise a client on spironolactone regarding necessary self-care?
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