ATI RN PHARMACOLOGY PROCTORED QUESTION BANK ACTUAL EXAM 250 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI RN PHARMACOLOGY PROCTORED 2023-2024

QUESTION BANK ACTUAL EXAM 250 REAL EXAM

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

A nurse is caring for a client who is taking oral Oxycodone The client states he 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 serum levels of ibuprofen, possibly leading to a need for

increased doses of this medication

B. A decrease in serum 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 - ANSWER- C.

An increase in the expected therapeutic effect of both medications

Rationale: (These medications work together to increase the pain‑relieving

effects of both medications. Oxycodone is a narcotic analgesic, and ibuprofen

is an NSAID. They work by different mechanisms, but pain is better relieved

when they are taken together)

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. - ANSWER- B.

Infants have immature liver function.

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

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

Rationale: (B. Infants have immature liver function until 1 year of age. The

nurse should administer medications the liver metabolizes in smaller dosages.

C. Infants have a poorly developed blood‑brain barrier, which places them at

risk for adverse effects from medications that pass through the blood‑brain

barrier. The nurse should administer these medications in smaller dosages.

D. Because infants have more blood flowing to the skin and their skin is thin,

their medication absorption is increased, making them prone to toxicity from

topical medications)

A nurse in a provider's office is reviewing the medical record of a client who is

pregnant and is at her first prenatal visit. Which of the following immunizations

may the nurse administer safely to this client?

A. Varicella vaccine

B. Rubella vaccine

C. Inactivated influenza vaccine

D. Measles vaccine - ANSWER- C. Inactivated influenza vaccine

Rationale: (During influenza season, providers recommend the inactivated

influenza vaccine for women who are pregnant)

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 - ANSWER- C. Reduced hepatic function

Rationale: (Older adults have reduced hepatic function, which can prolong

the effects of medications the liver metabolizes. The client probably needs a

lower dosage of the hypnotic medication)

A nurse working in an emergency department is caring for a client who has

Benzodiazepine toxicity due to an overdose. Which of the following actions is the

nurse's priority?

A. Administer flumazenil.

B. Identify the client's level of orientation.

C. Infuse IV fluids.

D. Prepare the client for gastric lavage - ANSWER- B. Identify the client's level of

orientation.

Rationale: (The first action the nurse should take when using the nursing

process is to assess the client. Identifying the client's level of orientation is the

priority action.)

A nurse is teaching a client who has a new prescription for Escitalopram for

treatment of generalized Anxiety disorder. Which of the following statements by

the client indicates understanding of the teaching?

A. "I should take the medication on an empty stomach."

B. "I will follow a low‑sodium diet while taking this medication."

C. "I need to discontinue this medication slowly."

D. "I should not crush this medication before swallowing." - ANSWER- C. "I need

to discontinue this medication slowly."

Rationale: (When discontinuing escitalopram, the client should taper the

medication slowly according to a prescribed tapered dosing schedule to

reduce the risk of withdrawal syndrome.)

A nurse is providing teaching to a client who has a new prescription for Buspirone

to treat Anxiety. Which of the following information should the nurse include?

A. "Take this medication on an empty stomach"

B. "Expect optimal therapeutic effects within 24 hr."

C. "Take this medication when needed for anxiety"

D. "This medication has a low risk for dependency." - ANSWER- D. "This

medication has a low risk for dependency."

Rationale: (Buspirone has a low risk for physical or psychological dependence

or tolerance.)