Pharm ATI proctored exam questions with
correct answers
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 - correct answersMethadone
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 - correct answersThe 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 - correct answersObtain 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 - correct answersBibasilar 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 - correct answersAssist 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 - correct answersTaking 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." - correct answersreport 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 - correct answersStore 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
correct answers
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 - correct answersMethadone
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 - correct answersThe 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 - correct answersObtain 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 - correct answersBibasilar 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 - correct answersAssist 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 - correct answersTaking 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." - correct answersreport 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 - correct answersStore 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
