ATI Pharmacology Proctor 2024-2025
Study Guide|Already graded A+
A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following should the
nurse take?
a. Administer the medication into the client's abdomen
b. Inject the medication into a muscle
c. Massage the site after administering the medication
d. Use a 22 gauge needle to administer the medication - ansa. Administer the medication into the client's
abdomen
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) - ansa. Amantadine
A nurse is assessing a client who has hypothyroidism and takes Levothyroxine. Which of the following
findings should alert the nurse that the client is experiencing acute Levothyroxine overdose?
A. bradycardia
B. cold intolerance
C. tremor
D. hypothermia - ansC. tremor
Tremor and anxiety are expected findings in acute levothyroxine overdose. These findings are similar to
those seen in hyperthyroidism.
A nurse is assessing a client who has oral Theophylline for relief of chronic bronchitis. The nurse should
recognize that which of the following findings indicates toxicity to Theophylline?
A. constipation
B. tremors
C. fatigue
D. bradycardia - ansB. tremors
Theophylline is a xanthine derivative bronchodilator. An early manifestation of toxicity is CNS stimulation,
often seen as tremors. Seizures can occur if blood levels continue to rise.
A nurse is assessing a client who is receiving IV gentamicin 3 x daily. Which of the following findings
indicates that the client is experiencing an adverse effect of this medication?
a. Hypoglycemia
b. Proteinuria
c. Nasal congestion
d. Visual disturbances - ansb. Proteinuria
,ATI Pharmacology Proctor 2024-2025
Study Guide|Already graded A+
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 - ansA. 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 caring for a client and realizes after administering the 0900 medications that she administered
digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following
actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. assess the client's apical pulse
D. complete an incident report - ansC. assess the client's apical pulse
Caring for this client requires application of the nursing process priority-setting framework. The nurse can
use the nursing process to plan client care and prioritize nursing actions. Each step of the nursing
process builds on the previous step, beginning with assessment. Before the nurse can formulate a plan of
action, implement a nursing intervention, or notify a provider about a change in the client's status, she
must first collect adequate data from the client. Assessing will provide the nurse with knowledge to make
an appropriate decision. Therefore, the first action the nurse should take is to assess the client.
A nurse is caring for a client who had a new prescription for enalapril. The nurse should monitor the client
for which of the following adverse effects of this medication?
a. Ecchymosis
b. Jaundice
c. Hypotension
d. Hypokalemia - ansc. Hypotension
A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7
days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse
effects?
a. Allergic response
b. Superinfection
c. Renal toxicity
d. Hepatotoxicity - ansb. Superinfection
A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to
monitor the client for which of the following adverse effects?
a. Hyperkalemia
b. Hypertension
c. Constipation
,ATI Pharmacology Proctor 2024-2025
Study Guide|Already graded A+
d. Nephrotoxicity - ansd. Nephrotoxicity
A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that
ergotamine is administered to treat which of the following conditions?
a. Raynaud's phenomenon
b. Migraine headaches
c. Ulcerative colitis
d. Anemia - ansb. Migraine headaches
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that
tamoxifen has which of the following therapeutic effects?
a. Antiestrogenic
b. Antimicrobial
c. Androgenic
d. Anti-inflammatory - ansa. Antiestrogenic
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for
Isoniazid. The nurse should teach the client that which of the following laboratory values should be
monitored while taking Isoniazid?
A. thyroid stimulating hormone level
B. asperate aminotransferase
C. potassium
D. sodium - ansB. aspartate aminotransferase
Isoniazid can be toxic to the liver. Therefore, it is important to monitor liver enzymes, such as AST, during
therapy with isoniazid. In addition, the nurse should instruct the client to notify the provider of jaundice,
nausea, dark-colored urine or other findings indicating hepatitis.
A nurse is caring for a client who has a prescription for chlorothiazide to treat
hypertension. The nurse should plan to monitor the client for which of the following adverse effects?
a. Thrombophlebitis
b. Hyperactive reflexes
c. Muscle weakness
d. Hypoglycemia - ansc. Muscle weakness
A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures
following a motor-vehicle crash. A few hours after admission, the client develops restlessness and
tremors. Which of the following medications should the nurse anticipate administering to the client first?
A. acamprosate
B. naltrexone
C. chlordiazepoxide
D. disulfiram - ansC. chlordiazepoxide
Chlordiazepoxide, a long-acting oral benzodiazepine, is a first-line medication to use for a client who is
experiencing manifestations of acute alcohol withdrawal. For clients who are nauseated or vomiting,
another benzodiazepine, such as lorazepam, can be administered via IV. The nurse should apply the
acute versus chronic priority-setting framework when caring for this client. Using this framework, acute
needs (manifestations of acute alcohol withdrawal) are typically the priority need because they pose more
, ATI Pharmacology Proctor 2024-2025
Study Guide|Already graded A+
of a threat to the client. Because chronic needs usually develop over a period of time, the client has more
of an opportunity to adapt to the alteration in health.
A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of
active pulmonary TB. The client reports his urine is an orange color.
Which of the following statements should the nurse make?
a. Stop taking isoniazid for 3 days and the discoloration should go away.
b. Rifampin can turn body fluids orange.
c. I'll make an appointment for you to see the provider this afternoon.
d. Isoniazid can cause bladder distention. - ansb. Rifampin can turn body fluids orange.
A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports
nausea and refused to eat breakfast. Which of the following actions should the nurse take first?
A. encourage the client to eat the toast on the breakfast tray
B. administer the antiemetic
C. inform the client's provider
D. check the client's apical pulse - ansD. check the client's apical pulse
Nausea, anorexia, fatigue, visual effects, and cardiac dysrhythmias, often caused by a slow pulse rate,
are possible findings in digoxin toxicity. Caring for this client requires application of the nursing process
priority-setting framework. The nurse can use the nursing process to plan client care and prioritize nursing
actions. Each step of the nursing process builds on the previous step, beginning with assessment. Before
the nurse can formulate a plan of action, implement a nursing intervention, or notify the provider about a
change in the client's status, she must first collect adequate data from the client. Assessing will provide
the nurse with knowledge to make an appropriate decision.
A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of
the following adverse effects should the client be taught to monitor and notify the provider if it occurs?
A. nasal congestion
B. tremors
C. tinnitus
D. frontal headache - ansC. tinnitus
Loop diuretics, such as furosemide, can cause ototoxicity. The client should be taught to notify the
provider if tinnitus, a full feeling in the ears, or hearing loss occurs.
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) - ansd. Acetaminophen (anlagesics)
Study Guide|Already graded A+
A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following should the
nurse take?
a. Administer the medication into the client's abdomen
b. Inject the medication into a muscle
c. Massage the site after administering the medication
d. Use a 22 gauge needle to administer the medication - ansa. Administer the medication into the client's
abdomen
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) - ansa. Amantadine
A nurse is assessing a client who has hypothyroidism and takes Levothyroxine. Which of the following
findings should alert the nurse that the client is experiencing acute Levothyroxine overdose?
A. bradycardia
B. cold intolerance
C. tremor
D. hypothermia - ansC. tremor
Tremor and anxiety are expected findings in acute levothyroxine overdose. These findings are similar to
those seen in hyperthyroidism.
A nurse is assessing a client who has oral Theophylline for relief of chronic bronchitis. The nurse should
recognize that which of the following findings indicates toxicity to Theophylline?
A. constipation
B. tremors
C. fatigue
D. bradycardia - ansB. tremors
Theophylline is a xanthine derivative bronchodilator. An early manifestation of toxicity is CNS stimulation,
often seen as tremors. Seizures can occur if blood levels continue to rise.
A nurse is assessing a client who is receiving IV gentamicin 3 x daily. Which of the following findings
indicates that the client is experiencing an adverse effect of this medication?
a. Hypoglycemia
b. Proteinuria
c. Nasal congestion
d. Visual disturbances - ansb. Proteinuria
,ATI Pharmacology Proctor 2024-2025
Study Guide|Already graded A+
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 - ansA. 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 caring for a client and realizes after administering the 0900 medications that she administered
digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following
actions should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. assess the client's apical pulse
D. complete an incident report - ansC. assess the client's apical pulse
Caring for this client requires application of the nursing process priority-setting framework. The nurse can
use the nursing process to plan client care and prioritize nursing actions. Each step of the nursing
process builds on the previous step, beginning with assessment. Before the nurse can formulate a plan of
action, implement a nursing intervention, or notify a provider about a change in the client's status, she
must first collect adequate data from the client. Assessing will provide the nurse with knowledge to make
an appropriate decision. Therefore, the first action the nurse should take is to assess the client.
A nurse is caring for a client who had a new prescription for enalapril. The nurse should monitor the client
for which of the following adverse effects of this medication?
a. Ecchymosis
b. Jaundice
c. Hypotension
d. Hypokalemia - ansc. Hypotension
A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7
days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse
effects?
a. Allergic response
b. Superinfection
c. Renal toxicity
d. Hepatotoxicity - ansb. Superinfection
A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to
monitor the client for which of the following adverse effects?
a. Hyperkalemia
b. Hypertension
c. Constipation
,ATI Pharmacology Proctor 2024-2025
Study Guide|Already graded A+
d. Nephrotoxicity - ansd. Nephrotoxicity
A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that
ergotamine is administered to treat which of the following conditions?
a. Raynaud's phenomenon
b. Migraine headaches
c. Ulcerative colitis
d. Anemia - ansb. Migraine headaches
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that
tamoxifen has which of the following therapeutic effects?
a. Antiestrogenic
b. Antimicrobial
c. Androgenic
d. Anti-inflammatory - ansa. Antiestrogenic
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for
Isoniazid. The nurse should teach the client that which of the following laboratory values should be
monitored while taking Isoniazid?
A. thyroid stimulating hormone level
B. asperate aminotransferase
C. potassium
D. sodium - ansB. aspartate aminotransferase
Isoniazid can be toxic to the liver. Therefore, it is important to monitor liver enzymes, such as AST, during
therapy with isoniazid. In addition, the nurse should instruct the client to notify the provider of jaundice,
nausea, dark-colored urine or other findings indicating hepatitis.
A nurse is caring for a client who has a prescription for chlorothiazide to treat
hypertension. The nurse should plan to monitor the client for which of the following adverse effects?
a. Thrombophlebitis
b. Hyperactive reflexes
c. Muscle weakness
d. Hypoglycemia - ansc. Muscle weakness
A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures
following a motor-vehicle crash. A few hours after admission, the client develops restlessness and
tremors. Which of the following medications should the nurse anticipate administering to the client first?
A. acamprosate
B. naltrexone
C. chlordiazepoxide
D. disulfiram - ansC. chlordiazepoxide
Chlordiazepoxide, a long-acting oral benzodiazepine, is a first-line medication to use for a client who is
experiencing manifestations of acute alcohol withdrawal. For clients who are nauseated or vomiting,
another benzodiazepine, such as lorazepam, can be administered via IV. The nurse should apply the
acute versus chronic priority-setting framework when caring for this client. Using this framework, acute
needs (manifestations of acute alcohol withdrawal) are typically the priority need because they pose more
, ATI Pharmacology Proctor 2024-2025
Study Guide|Already graded A+
of a threat to the client. Because chronic needs usually develop over a period of time, the client has more
of an opportunity to adapt to the alteration in health.
A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of
active pulmonary TB. The client reports his urine is an orange color.
Which of the following statements should the nurse make?
a. Stop taking isoniazid for 3 days and the discoloration should go away.
b. Rifampin can turn body fluids orange.
c. I'll make an appointment for you to see the provider this afternoon.
d. Isoniazid can cause bladder distention. - ansb. Rifampin can turn body fluids orange.
A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports
nausea and refused to eat breakfast. Which of the following actions should the nurse take first?
A. encourage the client to eat the toast on the breakfast tray
B. administer the antiemetic
C. inform the client's provider
D. check the client's apical pulse - ansD. check the client's apical pulse
Nausea, anorexia, fatigue, visual effects, and cardiac dysrhythmias, often caused by a slow pulse rate,
are possible findings in digoxin toxicity. Caring for this client requires application of the nursing process
priority-setting framework. The nurse can use the nursing process to plan client care and prioritize nursing
actions. Each step of the nursing process builds on the previous step, beginning with assessment. Before
the nurse can formulate a plan of action, implement a nursing intervention, or notify the provider about a
change in the client's status, she must first collect adequate data from the client. Assessing will provide
the nurse with knowledge to make an appropriate decision.
A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of
the following adverse effects should the client be taught to monitor and notify the provider if it occurs?
A. nasal congestion
B. tremors
C. tinnitus
D. frontal headache - ansC. tinnitus
Loop diuretics, such as furosemide, can cause ototoxicity. The client should be taught to notify the
provider if tinnitus, a full feeling in the ears, or hearing loss occurs.
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) - ansd. Acetaminophen (anlagesics)
