ATI PHARMACOLOGY PROCTORED NGN - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Question: A nurse is working in an emergency
department is caring for a client who has benzodiazepam 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:
Correct answer: B
Question 2: 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 Question: 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 shallowing"
Answer:
Correct answer: C
,Question 3: When discontinuing escitalopram, the client should
taper the medication slowly according to a prescribed tapered
dosing schedule to reduce the risk of withdrawal syndrome
Question: 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 in 24hrs"
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency"
Answer:
Correct answer: D
Question 4: Buspirone has a low risk for physical or psychological
dependence or tolerance Question: A nurse is teaching a client
who has obsessive compulsive disorder and has a new
prescription for paroxetine. Which of the following instructions
should the nurse include?
A. "It can take several weeks before you feel like the medication is
helping"
B. "Take the medication just before bedtime to promote sleep"
C. "You should take the medication when needed for obsessive
urges"
D. "Monitor for weight gain while taking this medication"
Answer:
Correct answer: A
Question 5: Paroxetine can take 1 to 4 weeks before the client
reaches full therapeutic benefit Question: A nurse is caring for a
client who takes paroxetine to treat post traumatic stress disorder
,and reports that he grinds his teeth during the night. The nurse
should identify which of the following interventions to manage
bruxism? (select all that apply)
A. Concurrent admin of buspirone
B. Admin of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medications
E. Increasing the dose of paroxetine
Answer:
Correct answer: A C D
Question 6:
A. Concurrent admin of a low dose of buspirone is an effective
measure to manage the adverse effects of paroxetine
C. Using a mouth guard during sleep can decrease the risk for oral
damage resulting from bruxism
D. Changing to different class of antidepressant medications that
does not have the adverse effects of bruxism is an effective measure
Question: A nurse is caring for a client who has new prescription for
phenelzine for the treatment of depression. Which of the following
indicates that the client has developed an adverse effect of this
medication?
A. Orthostatic hypotension
B. Hearing loss
C. GI bleeding
D. Weight loss
Answer:
Correct answer: A
Question 7:
, A. Orthostatic hypotension is an adverse effect of MAOIs, including
phenelzine
B. Phenelzine is more likely to cause blurred vision
C. Clients taking phenelzine are at risk for multiple adverse effects.
However, these do not include GI bleeding
D. Clients taking phenelzine are at risk for weight gain rather than
weight loss Question: A nurse is providing teaching to a client who
has a new prescription for amitriptyline for treatment of depression.
Which of the following should the nurse include in the teaching?
(Select all that apply)
A. Expect therapeutic effects in 24 to 48 hr
B. Discontinue the medication after a week of improved mood
C. Change positions slowly to minimize dizziness
D. Decrease dietary fiber intake to control diarrhea
E. Chew sugarless to prevent dry mouth
Answer:
Correct answers: C E
Question 8:
A. Therapeutic effects are expected after several weeks of taking
amitriptyline
B. Stopping amitriptyline abruptly can result in relapse
C. Changing positions slowly helps prevent orthostatic hypotension,
which is an adverse effect
D. Clients should increase dietary fiber to prevent constipation
E. Chewing sugarless gum can minimize dry mouth, which is an
adverse effect Question: A nurse is providing discharge teaching to a
client who has a new prescription for fluoxetine for posttraumatic
stress disorder. Which of the following statements should the nurse
include in the teaching?
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Question: A nurse is working in an emergency
department is caring for a client who has benzodiazepam 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:
Correct answer: B
Question 2: 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 Question: 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 shallowing"
Answer:
Correct answer: C
,Question 3: When discontinuing escitalopram, the client should
taper the medication slowly according to a prescribed tapered
dosing schedule to reduce the risk of withdrawal syndrome
Question: 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 in 24hrs"
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency"
Answer:
Correct answer: D
Question 4: Buspirone has a low risk for physical or psychological
dependence or tolerance Question: A nurse is teaching a client
who has obsessive compulsive disorder and has a new
prescription for paroxetine. Which of the following instructions
should the nurse include?
A. "It can take several weeks before you feel like the medication is
helping"
B. "Take the medication just before bedtime to promote sleep"
C. "You should take the medication when needed for obsessive
urges"
D. "Monitor for weight gain while taking this medication"
Answer:
Correct answer: A
Question 5: Paroxetine can take 1 to 4 weeks before the client
reaches full therapeutic benefit Question: A nurse is caring for a
client who takes paroxetine to treat post traumatic stress disorder
,and reports that he grinds his teeth during the night. The nurse
should identify which of the following interventions to manage
bruxism? (select all that apply)
A. Concurrent admin of buspirone
B. Admin of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medications
E. Increasing the dose of paroxetine
Answer:
Correct answer: A C D
Question 6:
A. Concurrent admin of a low dose of buspirone is an effective
measure to manage the adverse effects of paroxetine
C. Using a mouth guard during sleep can decrease the risk for oral
damage resulting from bruxism
D. Changing to different class of antidepressant medications that
does not have the adverse effects of bruxism is an effective measure
Question: A nurse is caring for a client who has new prescription for
phenelzine for the treatment of depression. Which of the following
indicates that the client has developed an adverse effect of this
medication?
A. Orthostatic hypotension
B. Hearing loss
C. GI bleeding
D. Weight loss
Answer:
Correct answer: A
Question 7:
, A. Orthostatic hypotension is an adverse effect of MAOIs, including
phenelzine
B. Phenelzine is more likely to cause blurred vision
C. Clients taking phenelzine are at risk for multiple adverse effects.
However, these do not include GI bleeding
D. Clients taking phenelzine are at risk for weight gain rather than
weight loss Question: A nurse is providing teaching to a client who
has a new prescription for amitriptyline for treatment of depression.
Which of the following should the nurse include in the teaching?
(Select all that apply)
A. Expect therapeutic effects in 24 to 48 hr
B. Discontinue the medication after a week of improved mood
C. Change positions slowly to minimize dizziness
D. Decrease dietary fiber intake to control diarrhea
E. Chew sugarless to prevent dry mouth
Answer:
Correct answers: C E
Question 8:
A. Therapeutic effects are expected after several weeks of taking
amitriptyline
B. Stopping amitriptyline abruptly can result in relapse
C. Changing positions slowly helps prevent orthostatic hypotension,
which is an adverse effect
D. Clients should increase dietary fiber to prevent constipation
E. Chewing sugarless gum can minimize dry mouth, which is an
adverse effect Question: A nurse is providing discharge teaching to a
client who has a new prescription for fluoxetine for posttraumatic
stress disorder. Which of the following statements should the nurse
include in the teaching?
