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ATI Pharmacology Proctored Exam Study Guide (2026) – Comprehensive Review Notes

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This document contains a comprehensive study guide for the ATI Pharmacology Proctored Exam (2026), focusing on essential pharmacological principles and nursing responsibilities. It covers key topics such as drug classifications, mechanisms of action, side effects, dosage calculations, medication administration, and patient education. The material is structured to reinforce core concepts, enhance clinical understanding, and support effective exam preparation.

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ATI Pharmacology Proctor Exam Study
Guide 2026
A nurse is assessing a client who reports using several herbal and vitamin supplements
daily, including saw palmetto. The nurse should recognize that saw palmetto is a
supplement used by clients to elicit which of the following therapeutic effects

A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness - A. urinary health promotion

Saw palmetto is used primarily for manifestations related to prostatic conditions, such as
benign prostatic hypertrophy (BPH). Its effectiveness has not been scientifically proven,
however. The nurse should teach the client to check with the provider about interactions
between saw palmetto and other medications.

A nurse is providing teaching to a group of new parents about medications. The nurse
should include that aspirin is contraindicated for children who have a viral infection due
to the risk of developing which of the following adverse effects?

a. Reye's syndrome
b. Visual disturbances
c. Diabetes mellitus
d. Wilm's tumor - a. Reye's syndrome

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula
for hemodialysis and new prescription for epoetin alfa. Which of the following
therapeutic effects of epoetin alfa should the nurse include in the teaching?

a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils - c. Promotes RBC production

A nurse is caring for a client who has peptic ulcer disease and reports a headache.
Which of the following medications should the nurse plan to administer?

a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)

, m
c. Aspirin
m(NSAIDS)

d. mAcetaminophen (anlagesics)
m -
m d.
m Acetaminophen
m

m(anlagesics)
m

A mnurse mis mcaring mfor ma mclient mwho mhas mprescription mfor mclopidogrel. mThe mnurse
mshould m
m
monitor mthe mclient mfor mwhich mof mthe mfollowing madverse
meffects?
m
a.
mInsomnia
m
b.
mHypotension
m
c.
mBleeding
m
d. mConstipation m- mc.
mBleeding
m

A mnurse mis mteaching ma mnewly mlicensed mnurse mabout mcontraindications mto mceftriaxone.
mThe mnurse mshould minclude ma msevere mallergy mto mwhich mof mthe mfollowing mmedications

mas mcontraindication mto mceftriaxone? ma. mGentamicin m

b. Clindamycin m
c. Piperacillin m
d. Sulfamethoxazole-trimethroprim m- mc. mPiperacillin m
m

A mnurse mis mproviding mteaching mto ma mnewly mlicensed mnurse mabout mmetoclopramide.
mThe m
m
nurse mshould minclude min mthe mteaching mthat mwhich mof mthe mfollowing mconditions
mis ma
m
contraindication mto mthis

mmedication?
m
m
a.
mHyperthyroidism
m
b. mIntestinal

mobstruction
m
c.
mGlaucoma


d. mLow mblood mpressure m- b.
m Intestinal
m

mobstruction
m

A mnurse mis massessing ma mclient mwho mhas ma mnew mprescription mfor mchlorpromazine
mto mtreat mschizophrenia. mThe mclient mhas ma mmask mlike mfacial mexpression mand mis

mexperiencing minvoluntary mmovements mand mtremors. mWhich mof mthe mfollowing

mmedications mshould mthe mnurse manticipate madministering? ma. mAmantadine m

,b. Bupropion m(aytpical mantidepressant) m
c. Phenelzine m(MAOI) m
d. Hydroxyzine m(Antihistamine) m- ma. mAmantadine m
m

A mnurse mis madministering msubQ mepinephrine mfor ma mclient mwho mis mexperiencing
manaphylaxis. mThe mnurse mshould mmonitor mthe mclient mfor mwhich mof mthe mfollowing

madverse meffects? ma. mHypotension m

b. Hyperthermia m
c. Hypoglycemia m
d. Tachycardia m- md. mTachycardia m
m

A mnurse mis mproviding mteaching mto ma mclient mwho mhas mUTI mand mnew mprescription mfor
mphenazopyridine mand mciprofloxacin. mWhich mof mthe mfollowing mstatements mby mthe mclient

mindicates mthe mneed mfor mfurther mteaching? m
m

a. mIf mthe mphenazopyridine mupsets mmy mstomach, mI mcan mtake mit mwith mmeals. m
m

b. mThe mphenazopyridine mwill mrelieve mmy mdiscomfort, mbut mthe mcipro mwill mget mrid
mof mthe
m
infections.
m

c. mI mneed mto mdrink2 mliters mof mfluid mper mday mwhile mI mam mtaking mcipro. m
m

d. mI mshould mnotify mmy mprovider mimmediately mif mmy murine mturns man morange mcolor. m- md. mI
mshould m
m
notify mmy mprovider mimmediately mif mmy murine mturns man morange
mcolor.
m

A mnurse mis mcaring mfor man molder madult mclient mwho mhas ma mprescription mfor mzolpidem mat
mbedtime mto mpromote msleep. mThe mnurse mshould mplan mto mmonitor mthe mclient mfor mwhich

mof mthe mfollowing madverse meffects? ma. mEcchymosis m

b. Decreased murine moutput m
c. Increased mblood mpressure m
d. Dizziness m- md. mDizziness m
m

A mnurse mis mreviewing mlaboratory mvalues mfor ma mclient mwho mreports mfatigue mand mcold
mintolerance. mThe mclient mhas man mincreased mthyroid mstimulating mhormone m(TSH) mlevel

mand ma mdecreased mtotal mT3 mand mT4 mlevel. mThe mnurse mshould manticipate ma mprescription

mfor mwhich mof mthe mfollowing mmedications? m
m

a. Methimazole m
b. Somatropin m
c. Levothyroxine m
d. Propylthiouracil m- mc. mLevothyroxine m
m

A mnurse mis mproviding mteaching mto ma mclient mwho mhas ma mnew mprescription mfor
mhydrochlorothiazide m50mg mpo mdaily mto mtreat mhypertension. mWhich mof mthe mfollowing

minstructions mshould mthe mnurse minclude min mthe mteaching? m
m

, a. Take mthe mhydrochlorothiazide mas mneeded mfor medema m
m

b. Check myour mweight monce meach mweek m
m

c. Take mthe mhydrochlorothiazide mon man mempty mstomach m
m

d. mTake mthe mhydrochlorothiazide min mthe mmorning. m- md. mTake mthe mhydrochlorothiazide min
mthe m
m
morning.
m

A mnurse mis mcaring mfor ma mclient mwho mis mat m28 mweeks mof mgestation mand mis mexperiencing
mpreterm mlabor. mWhich mof mthe mfollowing mmedications mshould mthe mnurse mplan mto

madminister? ma. mOxytocin m

b. Nifedipine m
c. Dinoprostone m
d. Misoprostol m- mb. mNifedipine m
A mnurse mis mproviding mteaching mto ma mclient mwho mhas mcirrhosis mand mnew mprescription mfor
mlactulose. mThe mnurse mshould minstruct mthe mclient mthat mlactulose mhas mwhich mof mthe

mfollowing mtherapeutic meffects? m
m
m
a. mIncreases mblood

mpressure
m
b. mPrevents mesophageal

mbleeding
m
c. mDecreases mheart
mrate


d. mReduce mammonia mlevels m- md. mReduce mammonia
mlevels
m

A mnurse mis mcaring mfor man molder madult mclient mwho mhas ma mnew mprescription mfor
mamitriptyline mto m
m
treat mdepression. mWhich mof mthe mfollowing mdiagnostic mtests mshould mthe mnurse
mplan mto
m
perform mprior mto mstarting mthe mclient mon mthis
mmedication?
m

a. Hearing mexamination m
b. Glucose mtolerance mtest m
c. Electrocardiogram m
d. Pulmonary mfunction mtest m- mc. mElectrocardiogram m
m

A mnurse mis mproviding mteaching mto ma mclient mwho mhas mgout mand mnew mprescription
mfor mallopurinol. mThe mnurse mshould minstruct mclient mto mdiscontinue mtaking mthe

mmedications mfor mwhich mof mthe mfollowing madverse meffects? ma. mNausea m

b. Metallic mtaste m
c. Fever m
d. Drowsiness m- mc. mFever m
m

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August 5, 2026
Number of pages
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