ATI PHARM PROCTORED EXAM SET QUESTIONS
AND VERIFIED ANSWERS (CORRECT SOLUTIONS);
GET IT 100% ACCURATE!!
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which
of the following medications should the nurse expect to administer?
Bupropion
Disulfiram
Modafinil
Methadone - ANS-Methadone
explanation
The nurse should expect to administer methadone for treatment of opioid use disorder.
Methadone can be administered for withdrawal and to assist with maintenance and
suppressive therapy.
A nurse is caring for a client on a medical-surgical unit.
Exhibit 1 Exhibit 2 Exhibit 3 Complete the following sentence by using the lists of
options.
The nurse should first address the client's Select....(vitals, pain, glucose). followed by
the client's Select.. (CVAD, albumin level, bowel sound)..
Nurses' Notes Yesterday: Client was admitted 1 week ago with a Crohn's disease
exacerbation. A central venous access device (CVAD) was placed in the client's right
subclavian vein. Total parental nutrition (TPN) and lipids initiated 3 days ago. The client
is NPO. The client reports abdominal pain as 5 on a scale of 0 to 10. Bowel sounds are
hyperactive and lower right quadrant is tender to palpation.
Today: The 24-hr bag of TPN infusion was complete 1 hr ago, pharmacy notified and
waiting for a new bag. CVAD dressing is clean, dry. and intact. CVAD is difficult to flush.
The client reports abdominal pain as 4 on a s - ANS-The nurse should first address the
client's Select....(vitals, pain, glucose). followed by the client's Select.. (CVAD, albumin
level, bowel sound)..
Glucose, CVAD
explanation:
,When analyzing cues, the nurse should identify that the client is developing
hypoglycemia and experiencing a complication with the central venous line (CVL).
Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become occluded
or infected. Findings of a CVL complication can include difficulty flushing, pain while
flushing, fever, or chills.
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the
following actions should the nurse take prior to administering the medication?
Ask the client to drink 8 oz of water.
Review the client's most recent Hgb level.
Obtain the client's blood pressure.
Determine if the client is allergic to NSAIDs - ANS-Obtain blood pressure
explnation HCTZ is a thiazide diuretic administered to promote urine output and reduce
blood pressure and edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
Which of the following adverse effects should the nurse monitor the client for?
Weight loss Increased
intraocular pressure
Auditory hallucinations
Bibasilar crackles - ANS-Bibasilar crackles
explanation-Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary
edema. Therefore, the nurse should recognize lung crackles as an indicator of a
potential complication and stop the infusion.
A nurse is caring for a client who is taking nitroglycerin for angina and reports feeling
faint when standing up. Which of the following actions should the nurse take?
inform the client that feeling faint is caused by rapid constriction of the blood vessels in
the legs.
Assist the client into bed, elevate the lower extremities, and check their blood pressure.
Request a prescription for dobutamine from the client's provider.
Check the client's blood pressure while they're still standing - ANS-Assist the client into
bed, elevate the lower extremities, check their blood pressure
explanation- The nurse should first assist the client into bed to prevent injuries from a
fall. The nurse should elevate the client's legs on pillows to enhance venous return from
the lower extremities. The nurse should then check the client's blood pressure.
A nurse is preparing medication instructions for a client who is receiving end-of-life care
and their family. The client has a prescription for fentanyl patches. Which of the
,following information regarding the manifestations and use of fentanyl should the nurse
include in the instructions?
Respiratory depression as a result of fentamyl use will cause a need for an at home
nefazodone prescription.
Removing the patch will immediataly reverse any adverse effects of fentanyl
An increase in urinary output should be expected
Taking a stool softener daily will be needed - ANS-Taking a stool softener
explanation- Constipation is an adverse effect of opioid use. Stool softeners can
decrease the severity of this adverse effect.
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for famotidine. Which of the following instructions should the nurse include?
"Take the medication on an empty stomach for full effectiveness."
"You may discontinue this medication when stomach discomfort subsides." "Report
yellowing of the skan."
"You will be taking this medication for 2 weeks." - ANS-report yellowing of skin
explanation- Famotidine can be hepatotoxic and cause jaundice. The nurse should
instruct the client to monitor for and report yellowing of the skin or eyes to the provider.
A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry- flavored lozenges on a stick.
Which of the following information should the nurse include in the teaching?
Chew on the medication stick to release the medication.
Leave the medication stick in one location of the mouth until melted.
Allow the medication 1 hr for analgesia effects to begin.
Store unused medication sticks in a storage container - ANS-Store unused medication
sticks in a storage container
explanation- The nurse should instruct the client to store unused, used, or partially used
medication sticks in the safe storage container that comes in the kit when the
medication is initially prescribed.
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and
discovers the antibiotic is not present in the client's medication drawer. The nurse
should identify that administration of the medication can occur at which of the following
time periods without requiring an Incident report? 1000
0900
0830
1200 - ANS-0830
explanation- The nurse should identify that an antibiotic can be administered 30 min
before or after the scheduled time to maintain therapeutic blood levels without requiring
an incident report.
, A nurse is caring for a client who is receiving filgrastim. Which of the following findings
should the nurse document to indicate the effectiveness of the therapy?
Increased RBC count
increased neutrophil count
Decreased prothrombin time
Decreased triglycerides - ANS-increased neutrophils
explanation- Filgrastim stimulates the bone marrow to produce neutrophils. For clients
receiving chemotherapy, the risk of infection is minimized.
A nurse is teaching a client who has a new prescription for docusate sodium about the
medication's mechanism of action. Which of the following Information should the nurse
include in the teaching?
Docusate sodium reduces the surface tension of the stools to change their consistency.
Docusate sodium causes rectal contractions.
Docusate sodium acts as a fiber agent, increasing bulk in the intestines. Docusate
sodium stimulates the motility of the intestines - ANS-Docusate sodium reduces the
surface tension of the stools to change their consistency.
explanation- Docusate sodium is a surfactant that softens stool by reducing surface
tension, allowing water to penetrate the stool more easily.
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following information should the nurse
include in the teaching?
Decreases stomach acid secretion
Neutralizes acids in the stomach
Forms a protective barrier over ulcers
Treats ulcers by eradicating H. pylori - ANS-Forms a protective area over ulcers
explanation- Secretions by the parietal and chief cells, hydrochloric acid and pepsin,
can further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like
substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin.
A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The
amount available is amoxicillin oral suspension 200 mg/5 ml. How many mL should the
nurse administer per dose?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) PREVIOUS mL - ANS-6.25 --> 6.3
200/5= 40
250/40= 6.25
AND VERIFIED ANSWERS (CORRECT SOLUTIONS);
GET IT 100% ACCURATE!!
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which
of the following medications should the nurse expect to administer?
Bupropion
Disulfiram
Modafinil
Methadone - ANS-Methadone
explanation
The nurse should expect to administer methadone for treatment of opioid use disorder.
Methadone can be administered for withdrawal and to assist with maintenance and
suppressive therapy.
A nurse is caring for a client on a medical-surgical unit.
Exhibit 1 Exhibit 2 Exhibit 3 Complete the following sentence by using the lists of
options.
The nurse should first address the client's Select....(vitals, pain, glucose). followed by
the client's Select.. (CVAD, albumin level, bowel sound)..
Nurses' Notes Yesterday: Client was admitted 1 week ago with a Crohn's disease
exacerbation. A central venous access device (CVAD) was placed in the client's right
subclavian vein. Total parental nutrition (TPN) and lipids initiated 3 days ago. The client
is NPO. The client reports abdominal pain as 5 on a scale of 0 to 10. Bowel sounds are
hyperactive and lower right quadrant is tender to palpation.
Today: The 24-hr bag of TPN infusion was complete 1 hr ago, pharmacy notified and
waiting for a new bag. CVAD dressing is clean, dry. and intact. CVAD is difficult to flush.
The client reports abdominal pain as 4 on a s - ANS-The nurse should first address the
client's Select....(vitals, pain, glucose). followed by the client's Select.. (CVAD, albumin
level, bowel sound)..
Glucose, CVAD
explanation:
,When analyzing cues, the nurse should identify that the client is developing
hypoglycemia and experiencing a complication with the central venous line (CVL).
Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become occluded
or infected. Findings of a CVL complication can include difficulty flushing, pain while
flushing, fever, or chills.
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the
following actions should the nurse take prior to administering the medication?
Ask the client to drink 8 oz of water.
Review the client's most recent Hgb level.
Obtain the client's blood pressure.
Determine if the client is allergic to NSAIDs - ANS-Obtain blood pressure
explnation HCTZ is a thiazide diuretic administered to promote urine output and reduce
blood pressure and edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
Which of the following adverse effects should the nurse monitor the client for?
Weight loss Increased
intraocular pressure
Auditory hallucinations
Bibasilar crackles - ANS-Bibasilar crackles
explanation-Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary
edema. Therefore, the nurse should recognize lung crackles as an indicator of a
potential complication and stop the infusion.
A nurse is caring for a client who is taking nitroglycerin for angina and reports feeling
faint when standing up. Which of the following actions should the nurse take?
inform the client that feeling faint is caused by rapid constriction of the blood vessels in
the legs.
Assist the client into bed, elevate the lower extremities, and check their blood pressure.
Request a prescription for dobutamine from the client's provider.
Check the client's blood pressure while they're still standing - ANS-Assist the client into
bed, elevate the lower extremities, check their blood pressure
explanation- The nurse should first assist the client into bed to prevent injuries from a
fall. The nurse should elevate the client's legs on pillows to enhance venous return from
the lower extremities. The nurse should then check the client's blood pressure.
A nurse is preparing medication instructions for a client who is receiving end-of-life care
and their family. The client has a prescription for fentanyl patches. Which of the
,following information regarding the manifestations and use of fentanyl should the nurse
include in the instructions?
Respiratory depression as a result of fentamyl use will cause a need for an at home
nefazodone prescription.
Removing the patch will immediataly reverse any adverse effects of fentanyl
An increase in urinary output should be expected
Taking a stool softener daily will be needed - ANS-Taking a stool softener
explanation- Constipation is an adverse effect of opioid use. Stool softeners can
decrease the severity of this adverse effect.
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for famotidine. Which of the following instructions should the nurse include?
"Take the medication on an empty stomach for full effectiveness."
"You may discontinue this medication when stomach discomfort subsides." "Report
yellowing of the skan."
"You will be taking this medication for 2 weeks." - ANS-report yellowing of skin
explanation- Famotidine can be hepatotoxic and cause jaundice. The nurse should
instruct the client to monitor for and report yellowing of the skin or eyes to the provider.
A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry- flavored lozenges on a stick.
Which of the following information should the nurse include in the teaching?
Chew on the medication stick to release the medication.
Leave the medication stick in one location of the mouth until melted.
Allow the medication 1 hr for analgesia effects to begin.
Store unused medication sticks in a storage container - ANS-Store unused medication
sticks in a storage container
explanation- The nurse should instruct the client to store unused, used, or partially used
medication sticks in the safe storage container that comes in the kit when the
medication is initially prescribed.
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and
discovers the antibiotic is not present in the client's medication drawer. The nurse
should identify that administration of the medication can occur at which of the following
time periods without requiring an Incident report? 1000
0900
0830
1200 - ANS-0830
explanation- The nurse should identify that an antibiotic can be administered 30 min
before or after the scheduled time to maintain therapeutic blood levels without requiring
an incident report.
, A nurse is caring for a client who is receiving filgrastim. Which of the following findings
should the nurse document to indicate the effectiveness of the therapy?
Increased RBC count
increased neutrophil count
Decreased prothrombin time
Decreased triglycerides - ANS-increased neutrophils
explanation- Filgrastim stimulates the bone marrow to produce neutrophils. For clients
receiving chemotherapy, the risk of infection is minimized.
A nurse is teaching a client who has a new prescription for docusate sodium about the
medication's mechanism of action. Which of the following Information should the nurse
include in the teaching?
Docusate sodium reduces the surface tension of the stools to change their consistency.
Docusate sodium causes rectal contractions.
Docusate sodium acts as a fiber agent, increasing bulk in the intestines. Docusate
sodium stimulates the motility of the intestines - ANS-Docusate sodium reduces the
surface tension of the stools to change their consistency.
explanation- Docusate sodium is a surfactant that softens stool by reducing surface
tension, allowing water to penetrate the stool more easily.
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following information should the nurse
include in the teaching?
Decreases stomach acid secretion
Neutralizes acids in the stomach
Forms a protective barrier over ulcers
Treats ulcers by eradicating H. pylori - ANS-Forms a protective area over ulcers
explanation- Secretions by the parietal and chief cells, hydrochloric acid and pepsin,
can further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like
substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin.
A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The
amount available is amoxicillin oral suspension 200 mg/5 ml. How many mL should the
nurse administer per dose?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) PREVIOUS mL - ANS-6.25 --> 6.3
200/5= 40
250/40= 6.25
