ATI PHARMACOLOGY PROCTORED EXAM 2020 -STUDY GUIDE

Pharmacology

1. A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long halflife of 4 days. How many times per day should the nurse expect to administer this medication?

A. One

B. Two

C. Three

D. Four

2. A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following

factors should the educator include as a reason to administer lower medication dosages? (Select all that

apply.)

A. Increased renal excretion

B. Increased medication-metabolizing enzymes

C. Liver failure

D. Peripheral vascular disease

E. Concurrent use of medication the same pathway metabolizes

3. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse

take? (Select all that apply.)

A. Have the client lie on one side.

B. Ask the client to look up at the ceiling.

C. Tell the client to blink when the drops enter the eye.

D. Drop the medication into the client's conjunctival sac.

E. Instruct the client to close the eye gently after instillation.

4. A nurse is teaching a client about transdermal patches. Which of the following statements should the nurse

identify as an indication that the client understands?

A. "I will clean the site with an alcohol swab before I apply the patch."

B. "I will rotate the application sites weekly."

C. "I will apply the patch to an area of skin with no hair."

D. "I will place the new patch on the site of the old patch."

5. A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the

client's medication. Which of the following actions should the nurse take?

A. Obtain a blood specimen immediately prior to administering the next dose of medication.

B. Verify that the client has been taking the medication for 24hr before obtaining a blood specimen.

C. Ask the client to provide a urine specimen after the next dose of medication.

D. Administer the medication, and obtain a blood specimen 30 min later.

6. A nurse is preparing a client's medications. Which the of following actions should the nurse take in

following legal practice guidelines? (Select all that apply.)

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A. Teach the client about the medication.

B. Determine the dosage.

C. Monitor for adverse effects.

D. Lock compartments for controlled substances.

E. Determine the client's insurance status.

7. A nurse is preparing to administer digoxin to a client who states, "I don't want to take that medication. I do

not want one more pill." Which of the following responses should the nurse make?

A. "Your physician prescribed it for so you really should take it."

B. "Well, let's just get it over quickly then." you,

C. "Okay, I'll just give you your other medications."

D. "Tell me your concerns about taking this medication."

8. A nurse is reviewing a client's prescribed medications. Which of the following situations represents a

contraindication to medication administration?

A. The client drank grapefruit juice, which could reduce a medication's effectiveness.

B. The medication has orthostatic hypotension as an adverse effect.

C. A medication is approved for ages 12 and older, and the client is 8 years old.

D. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a preoperative sedative.

9. A nurse is assessing a client before administering medications. Which of the following data should the

nurse obtain? (Select all that apply.)

A. Use of herbal products

B. Daily fluid intake

C. Ability to swallow

D. Previous surgical history

E. Allergies

10. A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the

following actions should the nurse identify as an indication that the newly hired nurse understands medication

error prevention?

A. Taking all medications out of the unit-dose wrappers before entering the client's room

B. Checking the prescription when a single dose requires administration of multiple tablets

C. Administering a medication, then looking up the usual dosage range

D. Relying on another nurse to clarify a medication prescription

11. A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential

contraindication to a medication for which of the following clients? (Select all that apply.)

A. A client at 8 weeks of gestation who asks for an influenza immunization

B. A client who takes prednisone and has a possible fungal infection

C. A client who has chronic liver disease and is taking hydrocodone / acetaminophen

D. A client who has peptic ulcer disease, takes sucralfate, and has started taking OTC aluminum hydroxide

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E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy

12. A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The

client states when they took penicillin 3 years ago, they developed a rash. Which of the following actions

should the nurse take?

A. Administer the prescribed dose.

B. Withhold the medication.

C. Ask the provider to change the prescription to an oral form.

D. Administer an oral antihistamine the same time.

13. A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive

medication. Which of the following statements should the nurse give?

A. "Be sure to limit your potassium intake while taking the medication."

B. "You should check your blood pressure every 8 hours while taking this medication."

C. "Your medication dosage will be increased if you develop tachycardia."

D. "Change positions slowly when you move from sitting to standing."

14. A nurse is reviewing a client's health record and notes that the client experienced permanent

extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication

affected which of the following systems in the client?

A. Cardiovascular

B. Immune

C. Central nervous

D. Gastrointestinal

15. A nurse is caring for a client who is taking oral oxycodone. The client is also taking ibuprofen in three

recommended doses daily. The nurse should identify that an interaction between these two medications will

cause which of the following findings?

A. A decrease in blood levels of ibuprofen, possibly leading to a need for increased doses of this medication

B. A decrease in blood levels of oxycodone, possibly leading to a need for increased doses of this medication.

C. An increase in the expected therapeutic effect of both medications

D. An increase in expected adverse effects for both medications

16. A nurse is preparing to administer medications to a 4-month-old infant. Which of the following

pharmacokinetic principles should the nurse consider when administering medications to this client? (Select

all that apply.)

A. Infants have a more rapid gastric emptying time.

B. Infants have immature liver function.

C. Infants' blood-brain barrier is poorly developed.

D. Infants have an increased ability to absorb topical medications.

E. Infants have an increased number of protein-binding sites.

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17. A nurse in a provider's office is reviewing the medical record of a client who is pregnant and at the first

prenatal visit. Which of the following immunizations can the nurse administer safely to this client?

A. Varicella vaccine

B. Rubella vaccine

C. Inactivated influenza vaccine

D. Measles vaccine

18. A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The

next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following

factors should the nurse identify as a possible reason for the client's drowsiness?

A. Reduced cardiac function

B. First-pass effect

C. Reduced hepatic function

D. Increased gastric motility

19. A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. Which of

the following herbal supplements should the nurse report to the provider as the potential cause?

A. Glucosamine

B. Saw palmetto

C. Kava

D. St. John's Wort

2. A nurse is caring for a client who requests information on the use of feverfew. Which of the tallowing

responses should the nurse make?

A. "It is used to treat skin infections."

B. "It can decrease the frequency of migraine headaches."

C. "It can lessen the nasal congestion in the common cold."

D. "It can relieve nausea of morning sickness during pregnancy."

20. A nurse is reviewing a client's current medications. The client states, "I also take ginkgo biloba." Which of

the following medications has the potential to interact with ginkgo biloba?

A. Acetaminophen

B. Warfarin

C. Digoxin

D. Lisinopril

21. A nurse is caring for a client who asks about the potential adverse effects of smoking cannabis. Which of

the following manifestations should the nurse include in the response? (Select all that apply.)

A. Decreased heart rate

B. Dry mouth

C. Hallucinations

D. Hypertension

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