ATI Pharmacology Proctored Practice A & B: Diverse
Questions with Correct Solutions Compiled by
Global Authorities from Top-Tier Universities
A nurse is caring for a client who is in labor and receiving IV Opioid analgesics. Which of the
following actions should the nurse take?
A. Instruct the client to self-ambulate every 2 hr.
B. Offer oral hygiene every 2 hr.
C. Anticipate medication administration 2 hr prior to delivery.
D. Monitor fetal heart rate every 2 hr - -correct ans- -B (Oral hygiene should be offered on a
regular basis to a client receiving opioid analgesics due to the adverse effects of dry mouth,
nausea, and vomiting)
A nurse is providing teaching to a female client who is taking Testosterone to treat
advanced breast cancer. The nurse should tell the client that which of the following are
adverse effects of this medication? (Select all that apply.)
A. Deepening voice
B. Weight gain
C. Low blood pressure
D. Dry mouth
E. Facial hair - -correct ans- -a, b, e
(A. Virilization, the development of adult male characteristics in a female, is an adverse
effect of testosterone. The nurse should tell the client that a deepening voice is an adverse
effect of testosterone.
B. Edema and weight gain are adverse effects of testosterone
,E. Virilization is an adverse effect of testosterone.
The nurse should tell the client that the development of facial hair is an adverse effect of
testosterone)
A nurse is caring for a client who has angina and asks about obtaining a prescription for
sildenafil to treat erectile dysfunction. Which of the following medications is
contraindicated with Sildenafil?
A. Aspirin
B. Isosorbide
C. Clopidogrel
D. Atorvastatin - -correct ans- -B (Isosorbide is an organic nitrate that manages pain from
angina. Concurrent use of it is contraindicated because fatal hypotension can occur. The
client should avoid taking a nitrate medication for 24 hr after taking isosorbide.)
A nurse is caring for a client who has a new prescription for Oxytocin to stimulate uterine
contractions. Which of the following interventions should the nurse make? (Select all that
apply.)
A. Use an infusion pump for medication administration.
B. Obtain vital signs frequently and with every dosage change.
C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds.
D. Increase medication infusion rate rapidly.
E. Monitor fetal heart rate continuously - -correct ans- -a, b, e
(A. Oxytocin must be administered by an infusion pump to ensure precise dosage.
B. Vital signs are monitored to assess for
hypertension, an adverse effect of oxytocin.
, E. Continuous FHR monitoring is
required to assess for fetal distress)
A nurse is teaching a client about Terbutaline. Which of the following statements by the
client indicates understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - -correct ans- -A
(Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle
relaxation)
A nurse is caring for a client who has Preeclampsia and is receiving Magnesium Sulfate IV
continuous infusion. Which of the following findings should the nurse report to the
provider?
A. 2+ deep tendon reflexes
B. 2+ pedal edema
C. 24 mL/hr urinary output
D. Respirations 12/mi - -correct ans- -C (Urine output less than 25 to 30 mL/hr is
associated with magnesium sulfate toxicity and should be reported to the provider)
A nurse is explaining the mechanism of action of combination oral contraceptives to a
group of clients. The nurse should tell the clients that which of the following actions occur
with the use of combination oral contraceptives? (Select all that apply.)
Questions with Correct Solutions Compiled by
Global Authorities from Top-Tier Universities
A nurse is caring for a client who is in labor and receiving IV Opioid analgesics. Which of the
following actions should the nurse take?
A. Instruct the client to self-ambulate every 2 hr.
B. Offer oral hygiene every 2 hr.
C. Anticipate medication administration 2 hr prior to delivery.
D. Monitor fetal heart rate every 2 hr - -correct ans- -B (Oral hygiene should be offered on a
regular basis to a client receiving opioid analgesics due to the adverse effects of dry mouth,
nausea, and vomiting)
A nurse is providing teaching to a female client who is taking Testosterone to treat
advanced breast cancer. The nurse should tell the client that which of the following are
adverse effects of this medication? (Select all that apply.)
A. Deepening voice
B. Weight gain
C. Low blood pressure
D. Dry mouth
E. Facial hair - -correct ans- -a, b, e
(A. Virilization, the development of adult male characteristics in a female, is an adverse
effect of testosterone. The nurse should tell the client that a deepening voice is an adverse
effect of testosterone.
B. Edema and weight gain are adverse effects of testosterone
,E. Virilization is an adverse effect of testosterone.
The nurse should tell the client that the development of facial hair is an adverse effect of
testosterone)
A nurse is caring for a client who has angina and asks about obtaining a prescription for
sildenafil to treat erectile dysfunction. Which of the following medications is
contraindicated with Sildenafil?
A. Aspirin
B. Isosorbide
C. Clopidogrel
D. Atorvastatin - -correct ans- -B (Isosorbide is an organic nitrate that manages pain from
angina. Concurrent use of it is contraindicated because fatal hypotension can occur. The
client should avoid taking a nitrate medication for 24 hr after taking isosorbide.)
A nurse is caring for a client who has a new prescription for Oxytocin to stimulate uterine
contractions. Which of the following interventions should the nurse make? (Select all that
apply.)
A. Use an infusion pump for medication administration.
B. Obtain vital signs frequently and with every dosage change.
C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds.
D. Increase medication infusion rate rapidly.
E. Monitor fetal heart rate continuously - -correct ans- -a, b, e
(A. Oxytocin must be administered by an infusion pump to ensure precise dosage.
B. Vital signs are monitored to assess for
hypertension, an adverse effect of oxytocin.
, E. Continuous FHR monitoring is
required to assess for fetal distress)
A nurse is teaching a client about Terbutaline. Which of the following statements by the
client indicates understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - -correct ans- -A
(Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle
relaxation)
A nurse is caring for a client who has Preeclampsia and is receiving Magnesium Sulfate IV
continuous infusion. Which of the following findings should the nurse report to the
provider?
A. 2+ deep tendon reflexes
B. 2+ pedal edema
C. 24 mL/hr urinary output
D. Respirations 12/mi - -correct ans- -C (Urine output less than 25 to 30 mL/hr is
associated with magnesium sulfate toxicity and should be reported to the provider)
A nurse is explaining the mechanism of action of combination oral contraceptives to a
group of clients. The nurse should tell the clients that which of the following actions occur
with the use of combination oral contraceptives? (Select all that apply.)
