Pharm ATI PROCTORED EXAM QUESTIONS
WITH SOLUTION
1. 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 |scientif- |ically |proven, |however. |The |nurse |should |teach |the |client |to |check |with |the |provider
|
about |interactions |between |saw |palmetto |and |other |medications.
|
2. 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 |
1 |/ |36
,d. Wilm's tumor: a. Reye's syndrome
| | | |
3. 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
| | | | | | |
4. 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) |
c. Aspirin (NSAIDS) |
d. Acetaminophen (anlagesics): d. Acetaminophen (anlagesics) | | | |
5. A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for
| | | | | | | | | | | | | | | | | |
which |of |the |following |adverse |effects?
|
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation: c. Bleeding | |
2 |/ |36
,6. A nurse is teaching a newly licensed nurse about contraindications to cef- triaxone. The nurse should include
| | | | | | | | | | | | | | | | | a
severe |allergy |to |which |of |the |following |medications |as |contraindication |to |ceftriaxone?
|
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim: c. Piperacillin | |
7. A nurse is providing teaching to a newly licensed nurse about metoclo- pramide. The nurse should include in
| | | | | | | | | | | | | | | | |
the |teaching |that |which |of |the |following |conditions |is |a
|
contraindication |to |this |medication?
a. Hyperthyroidism
b. Intestinal obstruction
|
c. Glaucoma
d. Low blood pressure: b. Intestinal obstruction
| | | | |
8. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client
| | | | | | | | | | | | | | | | |
has |a |mask |like |facial |expression |and |is |experiencing |involuntary |movements |and |tremors. |Which |of |the |following
|
medications |should |the |nurse |anticipate |administering?
|
a. Amantadine
b. Bupropion (aytpical antidepressant)
| |
c. Phenelzine (MAOI) |
d. Hydroxyzine (Antihistamine): a. Amantadine
| | |
3 |/ |36
, 9. A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
| | | | | | | | | | | |
The |nurse |should |monitor |the |client |for |which |of |the |following |adverse |ef- |fects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia: d. Tachycardia | |
10. A nurse is providing teaching to a client who has UTI and new prescription for
| | | | | | | | | | | | | |
phenazopyridine |and |ciprofloxacin. |Which |of |the |following |statements |by |the |client |indicates |the |need |for |further
| teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
| | | | | | | | | | |
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
| | | | | | | | | | | | |
| infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
| | | | | | | | | | | | |
d. I should notify my provider immediately if my urine turns an orange color.: d. I should notify my provider
| | | | | | | | | | | | | | | | | |
|immediately |if |my |urine |turns |an |orange |color.
11. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep.
| | | | | | | | | | | | | | | | | | |
The |nurse |should |plan |to |monitor |the |client |for |which |of |the |following |adverse
| effects?
a. Ecchymosis
4 |/ |36
WITH SOLUTION
1. 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 |scientif- |ically |proven, |however. |The |nurse |should |teach |the |client |to |check |with |the |provider
|
about |interactions |between |saw |palmetto |and |other |medications.
|
2. 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 |
1 |/ |36
,d. Wilm's tumor: a. Reye's syndrome
| | | |
3. 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
| | | | | | |
4. 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) |
c. Aspirin (NSAIDS) |
d. Acetaminophen (anlagesics): d. Acetaminophen (anlagesics) | | | |
5. A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for
| | | | | | | | | | | | | | | | | |
which |of |the |following |adverse |effects?
|
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation: c. Bleeding | |
2 |/ |36
,6. A nurse is teaching a newly licensed nurse about contraindications to cef- triaxone. The nurse should include
| | | | | | | | | | | | | | | | | a
severe |allergy |to |which |of |the |following |medications |as |contraindication |to |ceftriaxone?
|
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim: c. Piperacillin | |
7. A nurse is providing teaching to a newly licensed nurse about metoclo- pramide. The nurse should include in
| | | | | | | | | | | | | | | | |
the |teaching |that |which |of |the |following |conditions |is |a
|
contraindication |to |this |medication?
a. Hyperthyroidism
b. Intestinal obstruction
|
c. Glaucoma
d. Low blood pressure: b. Intestinal obstruction
| | | | |
8. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client
| | | | | | | | | | | | | | | | |
has |a |mask |like |facial |expression |and |is |experiencing |involuntary |movements |and |tremors. |Which |of |the |following
|
medications |should |the |nurse |anticipate |administering?
|
a. Amantadine
b. Bupropion (aytpical antidepressant)
| |
c. Phenelzine (MAOI) |
d. Hydroxyzine (Antihistamine): a. Amantadine
| | |
3 |/ |36
, 9. A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
| | | | | | | | | | | |
The |nurse |should |monitor |the |client |for |which |of |the |following |adverse |ef- |fects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia: d. Tachycardia | |
10. A nurse is providing teaching to a client who has UTI and new prescription for
| | | | | | | | | | | | | |
phenazopyridine |and |ciprofloxacin. |Which |of |the |following |statements |by |the |client |indicates |the |need |for |further
| teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
| | | | | | | | | | |
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
| | | | | | | | | | | | |
| infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
| | | | | | | | | | | | |
d. I should notify my provider immediately if my urine turns an orange color.: d. I should notify my provider
| | | | | | | | | | | | | | | | | |
|immediately |if |my |urine |turns |an |orange |color.
11. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep.
| | | | | | | | | | | | | | | | | | |
The |nurse |should |plan |to |monitor |the |client |for |which |of |the |following |adverse
| effects?
a. Ecchymosis
4 |/ |36
