ATI Pharmacology Proctored Exam: Complete
Solutions from Leading Educators Worldwide,
Structured for Success in Every Exam
A nurse is preparing to perform a follow-up assessment on a client who takes
Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the
greatest improvement in which of the following manifestations? (Select all that apply.)
A. Disorganized speech
B. Bizarre behavior
C. Impaired social interactions
D. Hallucinations
E. Decreased motivation - CORRECT ANSWER- -A. Disorganized speech
B. Bizarre behavior
D. Hallucinations
(A. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as disorganized speech.
B. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as bizarre behavior
D. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as hallucinations.)
A nurse is teaching the parents of a child who has a new prescription for Desipramine. The nurse
should instruct the parents that which of the following adverse effects is the priority to report to
the provider?
,A. Constipation
B. Suicidal thoughts
C. Photophobia
D. Dry mouth - CORRECT ANSWER- -B. Suicidal thoughts
(The greatest risk to this client is injury from a suicide attempt; therefore, this is the priority.
Desipramine can cause suicidal thoughts and behaviors which puts the client at risk. The parents
should monitor and report any indication of increased depression or thoughts of suicidal
behavior.)
A nurse is teaching an adolescent client who has a new prescription for Clomipramine for OCD.
Which of the following instructions should the nurse include to minimize an adverse effect of his
medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die - CORRECT ANSWER- -A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic effect
associated with TCA use)
A nurse is caring for a school-age child who has a new prescription for Atomoxetine. The nurse
should monitor the client for which of the following adverse effects of this medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency - CORRECT ANSWER- -B. Liver damage
, (Liver damage is an adverse effect of atomoxetine. The nurse should monitor for manifestations
such as jaundice, upper abdominal tenderness, darkening of urine, and elevated liver enzymes)
A nurse is teaching the parents of a school-age child about transdermal Methylphenidate.
Which of the following instructions should the nurse include?
A. Apply one patch twice per day.
B. Leave the patch on for 9 hr.
C. Apply the patch to the child's waist.
D. Use opened tray within 6 months. - CORRECT ANSWER- -B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
A nurse is teaching a school-age child and his parents about a new prescription for
Lisdexamfetamine. Which of the following information should the nurse include in the teaching?
(Select all that apply.)
A. An adverse effect of this medication is CNS stimulation.
B. Administer the medication before bedtime.
C. Monitor blood pressure while taking this medication.
D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
E. This medication raises the levels of dopamine in the brain - CORRECT ANSWER- -A. An
adverse effect of this medication is CNS stimulation.
C. Monitor blood pressure while taking this medication.
E. This medication raises the levels of dopamine in the brain
Solutions from Leading Educators Worldwide,
Structured for Success in Every Exam
A nurse is preparing to perform a follow-up assessment on a client who takes
Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the
greatest improvement in which of the following manifestations? (Select all that apply.)
A. Disorganized speech
B. Bizarre behavior
C. Impaired social interactions
D. Hallucinations
E. Decreased motivation - CORRECT ANSWER- -A. Disorganized speech
B. Bizarre behavior
D. Hallucinations
(A. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as disorganized speech.
B. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as bizarre behavior
D. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as hallucinations.)
A nurse is teaching the parents of a child who has a new prescription for Desipramine. The nurse
should instruct the parents that which of the following adverse effects is the priority to report to
the provider?
,A. Constipation
B. Suicidal thoughts
C. Photophobia
D. Dry mouth - CORRECT ANSWER- -B. Suicidal thoughts
(The greatest risk to this client is injury from a suicide attempt; therefore, this is the priority.
Desipramine can cause suicidal thoughts and behaviors which puts the client at risk. The parents
should monitor and report any indication of increased depression or thoughts of suicidal
behavior.)
A nurse is teaching an adolescent client who has a new prescription for Clomipramine for OCD.
Which of the following instructions should the nurse include to minimize an adverse effect of his
medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die - CORRECT ANSWER- -A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic effect
associated with TCA use)
A nurse is caring for a school-age child who has a new prescription for Atomoxetine. The nurse
should monitor the client for which of the following adverse effects of this medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency - CORRECT ANSWER- -B. Liver damage
, (Liver damage is an adverse effect of atomoxetine. The nurse should monitor for manifestations
such as jaundice, upper abdominal tenderness, darkening of urine, and elevated liver enzymes)
A nurse is teaching the parents of a school-age child about transdermal Methylphenidate.
Which of the following instructions should the nurse include?
A. Apply one patch twice per day.
B. Leave the patch on for 9 hr.
C. Apply the patch to the child's waist.
D. Use opened tray within 6 months. - CORRECT ANSWER- -B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
A nurse is teaching a school-age child and his parents about a new prescription for
Lisdexamfetamine. Which of the following information should the nurse include in the teaching?
(Select all that apply.)
A. An adverse effect of this medication is CNS stimulation.
B. Administer the medication before bedtime.
C. Monitor blood pressure while taking this medication.
D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
E. This medication raises the levels of dopamine in the brain - CORRECT ANSWER- -A. An
adverse effect of this medication is CNS stimulation.
C. Monitor blood pressure while taking this medication.
E. This medication raises the levels of dopamine in the brain
