Pharm ATI PROCTORED
QUESTIONS AND ANSWERS
GRADE A+ SOLUTIONS
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)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics)
d. Acetaminophen (anlagesics)
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
A nurse is teaching a newly licensed nurse about contraindications
to ceftriaxone. 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
A nurse is providing teaching to a newly licensed nurse about
metoclopramide. 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
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
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 effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia
d. Tachycardia
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.
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
b. Decreased urine output
c. Increased blood pressure
d. Dizziness
d. Dizziness
A nurse is reviewing laboratory values for a client who reports
fatigue and cold intolerance. The client has an increased thyroid
stimulating hormone (TSH) level and a decreased total T3 and T4
level. The nurse should anticipate a prescription for which of
the following medications?
a. Methimazole
b. Somatropin
QUESTIONS AND ANSWERS
GRADE A+ SOLUTIONS
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)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics)
d. Acetaminophen (anlagesics)
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
A nurse is teaching a newly licensed nurse about contraindications
to ceftriaxone. 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
A nurse is providing teaching to a newly licensed nurse about
metoclopramide. 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
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
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 effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia
d. Tachycardia
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.
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
b. Decreased urine output
c. Increased blood pressure
d. Dizziness
d. Dizziness
A nurse is reviewing laboratory values for a client who reports
fatigue and cold intolerance. The client has an increased thyroid
stimulating hormone (TSH) level and a decreased total T3 and T4
level. The nurse should anticipate a prescription for which of
the following medications?
a. Methimazole
b. Somatropin
