#
1
ATI PHARMACOLOGY PROCTORED CME –
# # # #
2024 MODIFIED SECTION 1 $ 2 COMBINED
# # # # # #
ACTUAL EXAM WITH 500 QUESTIONS AND
# # # # #
DETAILED CORRECT ANSWERS/ALREADY
# #
GRADED A+ #
SECTION#1
A#provider#prescribes#phenobarbital#for#a#client#wo#has#a#seizure#disorder.#The
medication#has#a#long#half-life#of#4#days.#How#many#times#per#day#should#the#nurse
expect#to#administer#this#medication?
a.#One
b.#Two
c.#Three
d.#Four#-#ANSWER#A.#One
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#-#ANSWER#Liver#failure
Concurrent#use#of#medication#the#same#pathway#metabolizes
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.#-#ANSWER#B,#D,#E
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?
,#
2
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."#-#ANSWER#c.#"I#will#apply#the
patch#to#an#area#of#skin#with#no#hair."
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.# -
ANSWER#a.#Obtain#a#blood#specimen#immediately#prior#to#administering#the#next#dose
of#medication
A#nurse#is#preparing#a#client's#medications.#Which#of#the#following#actions#should
the#nurse#take#I#following#legal#practice#guidelines?#(Select#all#that#apply.)
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.#-#ANSWER#A,#C,#D
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#you,#so#you#really#should#take#it."
b.#"Well,#let's#just#get#it#over#quickly#then."
c.#"Okay,#I'll#just#give#you#your#other#medications."
d.#"Tell#me#our#concerns#about#taking#this#medication."#-#ANSWER#d.#"Tell#me#our
concerns#about#taking#this#medication."
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.#-#ANSWER#C.#A#medication#is#approved#for#ages#12#and
older,#and#the#client#is#8#years#old
A#nurse#is#assessing#a#client#before#administering#medications.#Which#of#the
following#data#should#the#nurse#obtain?#(Select#all#that#apply.)
,#
3
a.#Use#of#herbal#products
b.#Daily#fluid#intake
c.#Ability#to#swallow
d.#Previous#surgical#history
e.#Allergies#-#ANSWER#A,#C,#E
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#the#usual#dosage#range.
d.#Relying#on#another#nurse#to#clarify#a#medication#prescription.#-#ANSWER#b.#Checking
the#prescription#when#a#single#dose#requires#administration
of#multiple#tablets.
A#nurse#is#preparing#to#administer#vancomycin#1g#by#intermittent#IV#bolus.#Available#is
vancomycin#1g#in#100#mL#of#dextrose#5%#in#water#(D5W)#to#infuse#over#45#min.#the
drop#factor#of#the#manual#IV#tubing#is#10gtt/mL.#The#nurse#should#adjust#the#manual#IV
infusion#to#deliver#how#many#gtt/min?#(Round#the#answer#to#the#nearest#whole#number.
Do#not#use#a#trailing#zero.)#-#ANSWER#22gtt/min
A#nurse#is#preparing#to#administer#clindamycin#200mg#by#intermittent#IV#bolus.#The
amount#available#is#clindamycin#injection#200mg#in#100mL#0.9%#NaCl#to#infuse#over#30
min.#The#nurse#should#set#the#IV#pump#to#deliver#how#many#mL/hr?
(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER#200mL/hr
A#nurse#is#preparing#to#administer#furosemide#80mg#PO#daily.#The#amount#available#is
furosemide#oral#solution#10mg/1mL.#How#many#mL#should#the#nurse#administer?
(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER#8#mL
A#nurse#is#preparing#to#administer#haloperidol#2mg#PO#every#12#hr.#The#amount
available#is#haloperidol#1mg/tablet.#How#many#tablets#should#the#nurse
administer?#(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)# -
ANSWER#2#tablets
A#nurse#is#preparing#to#administer#amoxicillin#20mg/kg/day#PO#to#divide#equally
every#12#hr#to#a#preschooler#who#weighs#44lb.#The#amount#available#is#amoxicillin
suspension#250mg/5mL.#How#many#mL#should#the#nurse#administer
per#dose?#(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER
4 mL
A#nurse#is#preparing#to#administer#heparin#15,000#units#subcutaneously#every#12#hr.
The#amount#available#is#heparin#injection#20,000#units/mL.#How#many#mL#should#the
nurse#administer#per#dose?#(Round#to#the#nearest#tenth.#Do#not#use#a#trailing
zero.)#-#ANSWER#0.8#mL
,#
4
A#nurse#is#preparing#to#administer#acetaminophen#650mg#PO#every#6#hr#PRN#for#pain.
The#amount#available#is#acetaminophen#liquid#500#mg/5mL.#how#many#mL#should#the
nurse#administer#per#dose?#(Round#to#the#nearest#tenth.#Use#a#leading
zero#if#applies.#Do#not#use#a#trailing#zero.)#-#ANSWER#6.5#mL
A#nurse#is#preparing#to#administer#dextrose#5%#in#water#(D5W)#750#mL#IV#to#infuse#over
6 hr.#The#nurse#should#set#the#IV#pump#to#deliver#how#many#mL/hr?#(Round#the#answer
to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER#125#mL/hr
A#nurse#is#caring#for#a#client#experiencing#IV#extravasation.#The#facility#requires#the
administration#of#an#antidote#for#the#prescribed#IV#solution.#After#stropping#the#IV
infusion,#which#of#the#following#actions#should#the#nurse#take#first?
a.#Remove#the#IV#catheter.
b.#Withdraw#the#solution#from#the#IV#access.
c.#Administer#the#antidote#to#the#vesicant.
d.#Insert#a#new#IV#access#in#a#different#extremity.#-#ANSWER#b.#Withdraw#the#solution
from#the#IV#access.
A#nurse#is#preparing#to#initiate#IV#therapy#for#an#older#adult#client.#Which#of#the#following
actions#should#the#nurse#plan#to#take?
a.#Use#a#disposable#razor#to#remove#excess#hair#on#the#extremity.
b.#Select#the#back#of#the#client's#hand#to#insert#the#IV#catheter.
c.#Distend#the#veins#by#using#BP#cuff.
d.#Direct#the#client#to#raise#their#arm#above#the#heart.#-#ANSWER#c.#Distend#the#veins#by
using#BP#cuff.
A#nurse#assessing#the#IV#catheter#insertion#site#for#a#client#receiving#a#nonvesicant
solution#and#notes#swelling#at#the#site#with#decreased#skin#temperature.#Which#of
the#following#actions#should#the#nurse#take?#(Select#all#that#apply.)
a.#Stop#the#infusion.
b.#Start#a#new#IV#access#distal#to#this#site.
c.#Apply#warm#compresses#to#the#insertion.
d.#Elevate#the#client's#arm.
e.#Obtain#a#specimen#for#culture#at#the#insertion#site.#-#ANSWER#A,#C,#D
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.#e.#A#client#who#has#a#prosthetic#heart#valve,#takes#warfarin,#and
reports
1
ATI PHARMACOLOGY PROCTORED CME –
# # # #
2024 MODIFIED SECTION 1 $ 2 COMBINED
# # # # # #
ACTUAL EXAM WITH 500 QUESTIONS AND
# # # # #
DETAILED CORRECT ANSWERS/ALREADY
# #
GRADED A+ #
SECTION#1
A#provider#prescribes#phenobarbital#for#a#client#wo#has#a#seizure#disorder.#The
medication#has#a#long#half-life#of#4#days.#How#many#times#per#day#should#the#nurse
expect#to#administer#this#medication?
a.#One
b.#Two
c.#Three
d.#Four#-#ANSWER#A.#One
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#-#ANSWER#Liver#failure
Concurrent#use#of#medication#the#same#pathway#metabolizes
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.#-#ANSWER#B,#D,#E
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?
,#
2
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."#-#ANSWER#c.#"I#will#apply#the
patch#to#an#area#of#skin#with#no#hair."
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.# -
ANSWER#a.#Obtain#a#blood#specimen#immediately#prior#to#administering#the#next#dose
of#medication
A#nurse#is#preparing#a#client's#medications.#Which#of#the#following#actions#should
the#nurse#take#I#following#legal#practice#guidelines?#(Select#all#that#apply.)
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.#-#ANSWER#A,#C,#D
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#you,#so#you#really#should#take#it."
b.#"Well,#let's#just#get#it#over#quickly#then."
c.#"Okay,#I'll#just#give#you#your#other#medications."
d.#"Tell#me#our#concerns#about#taking#this#medication."#-#ANSWER#d.#"Tell#me#our
concerns#about#taking#this#medication."
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.#-#ANSWER#C.#A#medication#is#approved#for#ages#12#and
older,#and#the#client#is#8#years#old
A#nurse#is#assessing#a#client#before#administering#medications.#Which#of#the
following#data#should#the#nurse#obtain?#(Select#all#that#apply.)
,#
3
a.#Use#of#herbal#products
b.#Daily#fluid#intake
c.#Ability#to#swallow
d.#Previous#surgical#history
e.#Allergies#-#ANSWER#A,#C,#E
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#the#usual#dosage#range.
d.#Relying#on#another#nurse#to#clarify#a#medication#prescription.#-#ANSWER#b.#Checking
the#prescription#when#a#single#dose#requires#administration
of#multiple#tablets.
A#nurse#is#preparing#to#administer#vancomycin#1g#by#intermittent#IV#bolus.#Available#is
vancomycin#1g#in#100#mL#of#dextrose#5%#in#water#(D5W)#to#infuse#over#45#min.#the
drop#factor#of#the#manual#IV#tubing#is#10gtt/mL.#The#nurse#should#adjust#the#manual#IV
infusion#to#deliver#how#many#gtt/min?#(Round#the#answer#to#the#nearest#whole#number.
Do#not#use#a#trailing#zero.)#-#ANSWER#22gtt/min
A#nurse#is#preparing#to#administer#clindamycin#200mg#by#intermittent#IV#bolus.#The
amount#available#is#clindamycin#injection#200mg#in#100mL#0.9%#NaCl#to#infuse#over#30
min.#The#nurse#should#set#the#IV#pump#to#deliver#how#many#mL/hr?
(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER#200mL/hr
A#nurse#is#preparing#to#administer#furosemide#80mg#PO#daily.#The#amount#available#is
furosemide#oral#solution#10mg/1mL.#How#many#mL#should#the#nurse#administer?
(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER#8#mL
A#nurse#is#preparing#to#administer#haloperidol#2mg#PO#every#12#hr.#The#amount
available#is#haloperidol#1mg/tablet.#How#many#tablets#should#the#nurse
administer?#(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)# -
ANSWER#2#tablets
A#nurse#is#preparing#to#administer#amoxicillin#20mg/kg/day#PO#to#divide#equally
every#12#hr#to#a#preschooler#who#weighs#44lb.#The#amount#available#is#amoxicillin
suspension#250mg/5mL.#How#many#mL#should#the#nurse#administer
per#dose?#(Round#to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER
4 mL
A#nurse#is#preparing#to#administer#heparin#15,000#units#subcutaneously#every#12#hr.
The#amount#available#is#heparin#injection#20,000#units/mL.#How#many#mL#should#the
nurse#administer#per#dose?#(Round#to#the#nearest#tenth.#Do#not#use#a#trailing
zero.)#-#ANSWER#0.8#mL
,#
4
A#nurse#is#preparing#to#administer#acetaminophen#650mg#PO#every#6#hr#PRN#for#pain.
The#amount#available#is#acetaminophen#liquid#500#mg/5mL.#how#many#mL#should#the
nurse#administer#per#dose?#(Round#to#the#nearest#tenth.#Use#a#leading
zero#if#applies.#Do#not#use#a#trailing#zero.)#-#ANSWER#6.5#mL
A#nurse#is#preparing#to#administer#dextrose#5%#in#water#(D5W)#750#mL#IV#to#infuse#over
6 hr.#The#nurse#should#set#the#IV#pump#to#deliver#how#many#mL/hr?#(Round#the#answer
to#the#nearest#whole#number.#Do#not#use#a#trailing#zero.)#-#ANSWER#125#mL/hr
A#nurse#is#caring#for#a#client#experiencing#IV#extravasation.#The#facility#requires#the
administration#of#an#antidote#for#the#prescribed#IV#solution.#After#stropping#the#IV
infusion,#which#of#the#following#actions#should#the#nurse#take#first?
a.#Remove#the#IV#catheter.
b.#Withdraw#the#solution#from#the#IV#access.
c.#Administer#the#antidote#to#the#vesicant.
d.#Insert#a#new#IV#access#in#a#different#extremity.#-#ANSWER#b.#Withdraw#the#solution
from#the#IV#access.
A#nurse#is#preparing#to#initiate#IV#therapy#for#an#older#adult#client.#Which#of#the#following
actions#should#the#nurse#plan#to#take?
a.#Use#a#disposable#razor#to#remove#excess#hair#on#the#extremity.
b.#Select#the#back#of#the#client's#hand#to#insert#the#IV#catheter.
c.#Distend#the#veins#by#using#BP#cuff.
d.#Direct#the#client#to#raise#their#arm#above#the#heart.#-#ANSWER#c.#Distend#the#veins#by
using#BP#cuff.
A#nurse#assessing#the#IV#catheter#insertion#site#for#a#client#receiving#a#nonvesicant
solution#and#notes#swelling#at#the#site#with#decreased#skin#temperature.#Which#of
the#following#actions#should#the#nurse#take?#(Select#all#that#apply.)
a.#Stop#the#infusion.
b.#Start#a#new#IV#access#distal#to#this#site.
c.#Apply#warm#compresses#to#the#insertion.
d.#Elevate#the#client's#arm.
e.#Obtain#a#specimen#for#culture#at#the#insertion#site.#-#ANSWER#A,#C,#D
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.#e.#A#client#who#has#a#prosthetic#heart#valve,#takes#warfarin,#and
reports
