ATI Pharmacology Proctored
exam questions and answers
(LATEST UPDATE)
,A provider prescribes phenobarbital for a client who has a seizure
disorder. The medication has a long half-life of 4 days. How many times A. One
per day should the nurse expect to administer this medica- tion?
(Medications with long half-lives remain at their therapeutic levels
A. One between doses for long periods of time. The nurse should expect to
B. Two administer this medication once a day.)
C. Three
D. Four
A staff educator is reviewing medication dosages and factors that C. Liver failure
influence medication metabolism with a group of nurses at an in- E. Concurrent use of medication the same pathway metabolizes
service presentation. Which of the following factors should the
educator include as a reason to administer lower medication dosages? C. Liver failure decreases metabolism and thus increases the con- centratio
(Select all that apply.) of a medication. This requires decreasing the dosage.
A. Increased renal secretion
E. When the same pathway metabolizes two medications, they compete
B. Increased medication-metabolizing enzymes
for metabolism, thereby increasing the concentration of one or both
C. Liver failure
medications. This requires decreasing the dosage of one or both
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes B. Ask the client to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival
A nurse is preparing to administer eye drops to a client. Which of
the following actions should the nurse take? (Select all that apply.) sac.
E. Instruct the client to close her eye gently after instillation
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling. (B. The client should look upward to keep the drops from falling onto
C. Tell the client to blink when the drops enter her eye. her cornea.
D. Drop the medication into the center of the client's conjunctival sac. D. The nurse should drop the medication into the center of
E. Instruct the client to close her eye gently after instillation the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the
A nurse is completing discharge teaching for a client who has a new medication)
prescription for transdermal patches. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
C. "I will apply the patch to an area of skin with no hair."
A. "I will clean the site with an alcohol swab before I apply the
patch." (The client should apply the patch to a hairless area of skin to promote
B. "I will rotate the application sites weekly." absorption of the medication.)
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch.
A nurse reviewing a client's medical record notes a new prescrip- tion
for verifying the trough level of the client's medication. Which of the
following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the
A. Obtain a blood specimen immediately prior to administering the next dose of medication. next
dose of medication.
B. Verify that the client has been taking the medication for 24 hr (To verify trough levels of a medication, the nurse should obtain a blood
before obtaining a blood specimen. specimen immediately before administering the next dose of
C. Ask the client to provide a urine specimen after the next dose of medication.)
medication.
D. Administer the medication,and obtain a blood specimen 30 min late
A nurse is preparing a client's medications. Which of the following A. Maintain skill competency.
actions should the nurse take in following legal practice guide- lines? C. Monitor for adverse effects.
(Select all that apply.) D. Safeguard medications.
(A.maintaining skill competency and using appropriate adminis- tration
techniques are legal responsibilities of the nurse
, A. Maintain skill competency.
C. A nurse is legally responsible for monitoring for side and ad- verse
B. Determine the dosage.
effects of medication
C. Monitor for adverse effects.
D. Safeguard medications.
D. Safeguarding of medications, such as controlled substances, is a legal
E. Identify the client's diagnosis
responsibility of the nurse)
A nurse reviewing a client's health record notes a new prescription for
Lisinopril 10 mg PO once every day. The nurse should identify this as C. Routine
which of the following types of prescription?
(A routine or standard prescription identifies medications to give on a
A. Single regular schedule with or without a termination date or a specific
B. Stat number of doses. The nurse will administer
C. Routine this medication every day until the provider discontinues it.)
D. Standing
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN
for nausea and vomiting for a client who has Hyperemesis
Gravidarum. The nurse should clarify which of the following parts D. Frequency of the
prescription with the provider?
(This prescription does not include the time or frequency of med- ication
A. Name administration. The nurse must clarify this with the pre- scribing provide
B. Dosage
C. Route
D. Frequency A. Use of herbal teas
C. Current health status
E. Food allergies
A nurse is admitting a client and completing a preassessment before
administering medications. Which of the following data should the (A. The nurse should inquire about the client's use of herbal products,
nurse include in the preassessment? (Select all that apply.) which often contain caffeine, prior to medication admin- istration
because caffeine can affect medication biotransformation
A. Use of herbal teas
B. Daily fluid intake C. The nurse should review the client's current health status be- cause
C. Current health status new prescriptions can cause alterations in current health status
D. Previous surgical history
E. Food allergies E. The nurse should inquire about food allergies during the pre-
assessment to identify any potential reactions or interactions)
A nurse orienting a newly licensed nurse is reviewing the proce- dure
for taking a telephone prescription. Which of the following statements
should the nurse identify as an indication that the newly licensed nurse
B. "Another nurse should listen to the phone call."
understands the process?
(A second nurse should listen to a telephone prescription to pre- vent
A. "A second nurse enters the prescription into the client's medical
errors in communication.)
record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the
health record."
D. "I should omit the 'read back' if this is a one time prescription
A nurse is preparing to administer vancomycin 1 g by intermittent IV
bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water
22
(D5W) to infuse over 45 min. The drop factor of the manual IV tubing
is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number.
Do not use a trailing zero.
A nurse is preparing to administer clindamycin 200 mg by inter-
200
mittent IV bolus. The amount available is clindamycin injection 200 mg
in 100 mL 0.9% sodium chloride (0.9% NaCl) to infuse over 30 min.
The nurse should set the IV pump to deliver how many
, mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.
A nurse is preparing to administer furosemide 80 mg PO daily. The
amount available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? 8
(Round the answer to the nearest whole number. Do not use a trailing
zero.)
A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr.
The amount available is haloperidol 1 mg/tablet. how many tablets
2
should the nurse administer? (Round the answer to the nearest whole
number. Do not use a trailing zero.
A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to
divide equally every 12 hr to a preschooler who weighs 44
lb. The amount available is amoxicillin suspension 250 mg/5 mL. how 4
many mL should the nurse administer per dose? (Round the answer to
the nearest whole number. Do not use a trailing zero.)
A nurse is preparing to administer heparin 15,000 units subcu-
taneously every 12 hr. The amount available is heparin injection
20,000 units/mL. How many mL should the nurse administer per dose? 0.8
(Round the answer to the nearest tenth. Do not use a trailing zero.
A nurse is preparing to administer acetaminophen 650 mg PO every 6
hr PRN for pain. The amount available is acetaminophen liquid 500
mg/5 mL.
how many mL should
6.5
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.
A nurse is preparing to administer dextrose 5% in water (D5W) 750
mL IV to infuse over 6 hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole
number. Do not use a trailing zero. 125
A nurse is assessing a client's IV infusion site. Which of the
following findings should the nurse identify as an indication of
phlebitis? (Select all that apply.)
A. Pallor C. Erythema
E. Pain
B. Dampness (C. Erythema at the insertion site is a manifestation of phlebitis. E.Pain
C. Erythema the insertion site is a manifestation of phlebitis.)
D. Coolness
E. Pain
A nurse manager is reviewing the facility's policies for IV therapy
with the members of his team. The nurse manager should remind the team
D. Avoiding reinserting the needle into an IV catheter
that which of the following techniques helps minimize the
risk of catheter embolism?
(The nurse manager should remind the members of the team to avoid
reinserting the stylet needle into an IV catheter. This action can result in
A. Performing hand hygiene before and after IV insertion
severing the end of the catheter and consequently cause a catheter
B. Rotating IV sites at least every 72 hr
embolism)
C. Minimizing tourniquet time
D. Avoiding reinserting the needle into an IV catheter
A nurse is preparing to initiate IV therapy for an older adult client.
Which of the following actions should the nurse plan to take?
C. Distend the veins by using a blood pressure cuff.
A. Use a disposable razor to remove excess hair on the extremity.
(The nurse should distend the veins using a blood pressure cuff to
B. Select the back of the client's hand to insert the IV catheter.
reduce overfilling of the vein,which can result in a hematoma)
C. Distend the veins by using a blood pressure cuff.
D. Direct the client to raise his arm above his heart
exam questions and answers
(LATEST UPDATE)
,A provider prescribes phenobarbital for a client who has a seizure
disorder. The medication has a long half-life of 4 days. How many times A. One
per day should the nurse expect to administer this medica- tion?
(Medications with long half-lives remain at their therapeutic levels
A. One between doses for long periods of time. The nurse should expect to
B. Two administer this medication once a day.)
C. Three
D. Four
A staff educator is reviewing medication dosages and factors that C. Liver failure
influence medication metabolism with a group of nurses at an in- E. Concurrent use of medication the same pathway metabolizes
service presentation. Which of the following factors should the
educator include as a reason to administer lower medication dosages? C. Liver failure decreases metabolism and thus increases the con- centratio
(Select all that apply.) of a medication. This requires decreasing the dosage.
A. Increased renal secretion
E. When the same pathway metabolizes two medications, they compete
B. Increased medication-metabolizing enzymes
for metabolism, thereby increasing the concentration of one or both
C. Liver failure
medications. This requires decreasing the dosage of one or both
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes B. Ask the client to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival
A nurse is preparing to administer eye drops to a client. Which of
the following actions should the nurse take? (Select all that apply.) sac.
E. Instruct the client to close her eye gently after instillation
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling. (B. The client should look upward to keep the drops from falling onto
C. Tell the client to blink when the drops enter her eye. her cornea.
D. Drop the medication into the center of the client's conjunctival sac. D. The nurse should drop the medication into the center of
E. Instruct the client to close her eye gently after instillation the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the
A nurse is completing discharge teaching for a client who has a new medication)
prescription for transdermal patches. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
C. "I will apply the patch to an area of skin with no hair."
A. "I will clean the site with an alcohol swab before I apply the
patch." (The client should apply the patch to a hairless area of skin to promote
B. "I will rotate the application sites weekly." absorption of the medication.)
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch.
A nurse reviewing a client's medical record notes a new prescrip- tion
for verifying the trough level of the client's medication. Which of the
following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the
A. Obtain a blood specimen immediately prior to administering the next dose of medication. next
dose of medication.
B. Verify that the client has been taking the medication for 24 hr (To verify trough levels of a medication, the nurse should obtain a blood
before obtaining a blood specimen. specimen immediately before administering the next dose of
C. Ask the client to provide a urine specimen after the next dose of medication.)
medication.
D. Administer the medication,and obtain a blood specimen 30 min late
A nurse is preparing a client's medications. Which of the following A. Maintain skill competency.
actions should the nurse take in following legal practice guide- lines? C. Monitor for adverse effects.
(Select all that apply.) D. Safeguard medications.
(A.maintaining skill competency and using appropriate adminis- tration
techniques are legal responsibilities of the nurse
, A. Maintain skill competency.
C. A nurse is legally responsible for monitoring for side and ad- verse
B. Determine the dosage.
effects of medication
C. Monitor for adverse effects.
D. Safeguard medications.
D. Safeguarding of medications, such as controlled substances, is a legal
E. Identify the client's diagnosis
responsibility of the nurse)
A nurse reviewing a client's health record notes a new prescription for
Lisinopril 10 mg PO once every day. The nurse should identify this as C. Routine
which of the following types of prescription?
(A routine or standard prescription identifies medications to give on a
A. Single regular schedule with or without a termination date or a specific
B. Stat number of doses. The nurse will administer
C. Routine this medication every day until the provider discontinues it.)
D. Standing
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN
for nausea and vomiting for a client who has Hyperemesis
Gravidarum. The nurse should clarify which of the following parts D. Frequency of the
prescription with the provider?
(This prescription does not include the time or frequency of med- ication
A. Name administration. The nurse must clarify this with the pre- scribing provide
B. Dosage
C. Route
D. Frequency A. Use of herbal teas
C. Current health status
E. Food allergies
A nurse is admitting a client and completing a preassessment before
administering medications. Which of the following data should the (A. The nurse should inquire about the client's use of herbal products,
nurse include in the preassessment? (Select all that apply.) which often contain caffeine, prior to medication admin- istration
because caffeine can affect medication biotransformation
A. Use of herbal teas
B. Daily fluid intake C. The nurse should review the client's current health status be- cause
C. Current health status new prescriptions can cause alterations in current health status
D. Previous surgical history
E. Food allergies E. The nurse should inquire about food allergies during the pre-
assessment to identify any potential reactions or interactions)
A nurse orienting a newly licensed nurse is reviewing the proce- dure
for taking a telephone prescription. Which of the following statements
should the nurse identify as an indication that the newly licensed nurse
B. "Another nurse should listen to the phone call."
understands the process?
(A second nurse should listen to a telephone prescription to pre- vent
A. "A second nurse enters the prescription into the client's medical
errors in communication.)
record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the
health record."
D. "I should omit the 'read back' if this is a one time prescription
A nurse is preparing to administer vancomycin 1 g by intermittent IV
bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water
22
(D5W) to infuse over 45 min. The drop factor of the manual IV tubing
is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number.
Do not use a trailing zero.
A nurse is preparing to administer clindamycin 200 mg by inter-
200
mittent IV bolus. The amount available is clindamycin injection 200 mg
in 100 mL 0.9% sodium chloride (0.9% NaCl) to infuse over 30 min.
The nurse should set the IV pump to deliver how many
, mL/hr? (Round
the answer to the nearest whole number. Do not use a trailing zero.
A nurse is preparing to administer furosemide 80 mg PO daily. The
amount available is furosemide oral
solution 10 mg/1 mL. how many mL should the nurse administer? 8
(Round the answer to the nearest whole number. Do not use a trailing
zero.)
A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr.
The amount available is haloperidol 1 mg/tablet. how many tablets
2
should the nurse administer? (Round the answer to the nearest whole
number. Do not use a trailing zero.
A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to
divide equally every 12 hr to a preschooler who weighs 44
lb. The amount available is amoxicillin suspension 250 mg/5 mL. how 4
many mL should the nurse administer per dose? (Round the answer to
the nearest whole number. Do not use a trailing zero.)
A nurse is preparing to administer heparin 15,000 units subcu-
taneously every 12 hr. The amount available is heparin injection
20,000 units/mL. How many mL should the nurse administer per dose? 0.8
(Round the answer to the nearest tenth. Do not use a trailing zero.
A nurse is preparing to administer acetaminophen 650 mg PO every 6
hr PRN for pain. The amount available is acetaminophen liquid 500
mg/5 mL.
how many mL should
6.5
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.
A nurse is preparing to administer dextrose 5% in water (D5W) 750
mL IV to infuse over 6 hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole
number. Do not use a trailing zero. 125
A nurse is assessing a client's IV infusion site. Which of the
following findings should the nurse identify as an indication of
phlebitis? (Select all that apply.)
A. Pallor C. Erythema
E. Pain
B. Dampness (C. Erythema at the insertion site is a manifestation of phlebitis. E.Pain
C. Erythema the insertion site is a manifestation of phlebitis.)
D. Coolness
E. Pain
A nurse manager is reviewing the facility's policies for IV therapy
with the members of his team. The nurse manager should remind the team
D. Avoiding reinserting the needle into an IV catheter
that which of the following techniques helps minimize the
risk of catheter embolism?
(The nurse manager should remind the members of the team to avoid
reinserting the stylet needle into an IV catheter. This action can result in
A. Performing hand hygiene before and after IV insertion
severing the end of the catheter and consequently cause a catheter
B. Rotating IV sites at least every 72 hr
embolism)
C. Minimizing tourniquet time
D. Avoiding reinserting the needle into an IV catheter
A nurse is preparing to initiate IV therapy for an older adult client.
Which of the following actions should the nurse plan to take?
C. Distend the veins by using a blood pressure cuff.
A. Use a disposable razor to remove excess hair on the extremity.
(The nurse should distend the veins using a blood pressure cuff to
B. Select the back of the client's hand to insert the IV catheter.
reduce overfilling of the vein,which can result in a hematoma)
C. Distend the veins by using a blood pressure cuff.
D. Direct the client to raise his arm above his heart
