ATI PHARMACOLOGY 2023
ASSESSMENT B EXAMS QUESTIONS
WITH CORRECT ANSWERS
Save
The gVnurse gVis gVcaring gVfor gVa gVclient gVin gVa gVmental gVhealth gVclinic.
Provider gVPrescriptions
1230:
Bupropion gVXR gV150 gVmg gVdaily gVonce gVdaily gVin gVAM gVfor gVthree gVdays gVthen
gVincrease gVto gV150 gVmg gVtwice gVdaily.
Assessment
1200:
Client gVhere gVfor gVscheduled gVvisit gVto gVdiscuss gVmood. gVClient gVreports gVthey
gVwere gVpreviously gVprescribed gVsertraline gVfor gVdepression, gVhowever gVtapered gVoff
gVthat gVmedication gV6 gVmonths gVago. gVClient gVstates gV"It gVmade gVme gVgain gVweight
gVand gVit gVcompletely gVtook gVaway gVmy gVsex gVdrive, gVso gVI gVstopped gVtaking gVit."
gVThe gVclient gVreports gV"My gVdepression gVhas gVjust gVgotten gVso gVbad. gVI gVhave
gVbeen gVseeing gVa gVcounselor gVand gVthey gVencouraged gVme gVto gVsee gVa gVprovider
gVabout gVtrying gVa gVdifferent gVmedication."
1230:
Provider gVPrescriptions gVreceived. gVVisit gVsummary gVreviewed gVwith gVclient gVto
gVdiscuss gVthe gVnewly gVprescribed gVmedication. gVClient gVhas gVa gVfollow-up gVvisit
gVwith gVprovider gVin gV3 gVweeks gVand gVcontinues gVwith gVweekly gVcounseling.
For gVeach gVbody gVsystem gVbelow, gVclick gVto gVspecify gVthe gVadver gV- gVANS--
Genitourinary- gVchanges gVin gVlibido gV
GI- gVconstipation gVmetabolic- gVwt gVloss
Rationale: gV
When gVtaking gVaction, gVthe gVnurse gVshould gVeducate gVthe gVclient gVabout gVpotential
gVadverse gVeffects gVof gVbupropion. gVCommon gVadverse gVeffects gVof gVthis
gVmedication gVinclude gVchanges gVin gVlibido, gVconstipation, gVand gVweight gVloss.
A gVnurse gVis gVcaring gVfor gVa gVclient gVin gVa gVclinic.
Nurses' gVNotes
3 gVmonths gVago:
Client gVwas gVeducated gVon gVnon-pharmacological gVinterventions gVto gVlower gVblood
gVpressure gVsuch gVas gVexercise gVand gVa gVlow-fat, gVlow-sodium gVdiet gVwith gVfresh
,gVfruits gVand gVvegetables. gVClient gVto gVreturn gVto gVoffice gVfor gVa gVfollow-up gVvisit
gVin gV3 gVmonths.
Today:
Blood gVpressure gVis gVstill gVelevated. gVProvider gVnotified gVand gVprescription gVgiven
gVto gVthe gVclient. gVThe gVclient gVwas gVeducated gVon gVthe gVmedication.
Vital gVSigns
3 gVmonths gVago:
Temperature gV36.7° gVC gV(98° gVF)
Pulse gV75/min
Respiratory gVRate gV16/min
Blood gVPressure gV130/81 gVmm gVHg
Oxygen gVSaturation gV99% gVon gVroom gVair
Today:
Temperature gV36.4° gVC gV(97.5° gVF)
Pulse gV77/min
Respiratory gVRate gV16/min
Blood gVPressure gV148/90 gVmm gVHg
Oxygen gVSaturation gV98% gVon gVroom gVair
Provider gVPrescriptions
Today:
Captopril gV12.5 gVmg gVtwice gVa gVday gVby gVmouth
Which gVclient gVstatements gVindicate gVan gVunderstanding gVof gVthe gVteaching? gVClick
gVto gVspecify gVif gVthe gVclient gVstatement gVindicates gVan gVunderst gV- gVANS--"I gVwill
gVnotify gVmy gVprovider gVif gVI gVfeel gVsick."-Understanding
"I gVwill gVeat gVfoods gVhigh gVin gVpotassium."
-Need gVfor gVfurther gVeducation
"I gVshould gVtake gVthis gVmedication gVwith gVmeals."
-Need gVfor gVfurther gVeducation
"Coughing gVis gVexpected gVwhile gVtaking gVthis gVmedication."-Need gVfor gVfurther
gVeducation
"I gVshould gVtake gVacetaminophen gVinstead gVof gVibuprofen gVfor gVa gVheadache." gV-
Understanding
Rationale: gV
When gVevaluating gVoutcomes, gVthe gVnurse gVshould gVidentify gVthat gVthe gVclient's
gVstatements: gV"I gVwill gVnotify gVmy gVprovider gVif gVI gVfeel gVsick" gVand gV"I gVshould
gVtake gVacetaminophen gVinstead gVof gVibuprofen gVfor gVa gVheadache" gVindicate gVan
gVunderstanding gVof gVteaching. gVCaptopril gVcan gVcause gVneutropenia. gVIf gVa gVclient
gVdevelops gVmanifestations gVof gVinfection gVsuch gVas gVa gVfever gVor gVsore gVthroat,
,gVthe gVprovider gVshould gVbe gVnotified. gVNSAIDS gVsuch gVas gVibuprofen gVmay
gVreduce gVthe gVeffectiveness gVof gVcaptopril gVand gVshould gVbe gVavoided. gVThe
gVnurse gVshould gVidentify gVthat gVthe gVclient's gVstatements: gV"I gVwill gVeat gVfoods
gVhigh gVin gVpotassium," gV"Coughing gVis gVexpected gVwhile gVtaking gVthis
gVmedication," gVand gV"I gVshould gVtake gVthis gVmedication gVwith gVmeals gVindicate gVa
gVneed gVfor gVfurther gVeducation. gVHyperkalemia gVis gVan gVadverse gVeffect gVof
gVcaptopril. gVThe gVclient gVshould gVavoid gVpotassium gVsupplements gVand
gVpotassium-sparing gVsupplements. gVCoughing gVis gVan gVadverse gVeffect gVof
gVcaptopril gVand gVthe gVnurse gVshould gVnotify gVthe gVprovider. gVCaptopril gVshould gVbe
gVgiven gVone gVhour gVbefore gVmeals gVor gVtwo gVhours gVafter gVmeals.
A gVnurse gVis gVcaring gVfor gVa gVclient gVin gVa gVclinic gVand gVis gVreviewing gVtheir
gVelectronic gVmedical gVrecord gV(EMR).
Nurses' gVNotes
3 gVmonths gVago:
Client gVwas gVprescribed gVatorvastatin gVby gVprovider. gVClient gVwas gVeducated gVto
gVcontinue gVeating gVa gVdiet gVlow gVin gVsaturated gVfats gVand gVto gVparticipate gVin
gVregular gVexercise. gVClient gVis gVto gVreturn gVto gVthe gVoffice gVin gV3 gVmonths gVfor gVa
gVfollow-up gVvisit.
Today:
Client gVhere gVfor gVa gVfollow-up gVvisit. gVClient gVreports gVlast gVbowel gVmovement
gVwas gV1 gVday gVago, gVincreased gVappetite, gVand gVdark gVurine gVupon gVurination.
gVClient gVreports gVhaving gVsome gVmuscle gVweakness gVwhen gVworking gVoutside.
gVSkin gVis gVwarm, gVdry, gVand gVintact. gVColor gVconsistent gVwith gVgenetic
gVbackground. gVClient gVstates, gV"I gVam gVsleeping gVso gVmuch gVbetter gVand gVseem
gVto gVhave gVincreased gVenergy, gVbut gVI gVsometimes gVget gVlightheaded." gVClient
gVdenies gVheadache. gVWill gVreport gVassessment gVfindings gVto gVthe gVprovider.
Provider gVPrescriptions
3 gVmonths gVago:
Atorvastatin gV40 gVmg gVonce gVdaily gVby gVmouth
For gVeach gVbody gVsystem gVbelow, gVcli gV- gVANS--Gastrointestinal/Genitourinary-
gVurine gVcharacteristics
Musculoskeletal/Integumentary- gVmuscle gVweakness
Neurological- gVdizziness
Rationale:
When gVrecognizing gVcues gVfor gVa gVclient gVwho gVis gVtaking gVatorvastatin, gVthe
gVnurse gVshould gVidentify gVthat gVthe gVfindings gVof gVthe gVclient's gVurine
gVcharacteristics, gVmuscle gVweakness, gVand gVdizziness gVindicate gVan gVadverse
gVreaction gVto gVthe gVmedication. gVAtorvastatin gVcan gVcause gVdark gVurine, gVmuscle
gVpain, gVmuscle gVspasms, gVand gVweakness, gVwhich gVcould gVbe gVan gVindication gVof
gVinjury gVto gVthe gVmuscle gVtissue. gVAtorvastatin gVcan gValso gVcause gVneurological
gVsymptoms gVsuch gVas gVdizziness, gVheadache, gVconfusion, gVand gVfatigue.
, A gVnurse gVis gVpreparing gVto gVadminister gVPO gVsodium gVpolystyrene gVsulfonate gVto
gVa gVclient gVwho gVhas gVhyperkalemia. gVWhich gVof gVthe gVfollowing gVactions gVshould
gVthe gVnurse gVplan gVto gVtake?
A. gVHold gVthe gVclient's gVother gVoral gVmedications gVfor gV8 gVhr gVpost gVadministration.
B. gVInform gVthe gVclient gVthat gVthis gVmedication gVcan gVturn gVstool gVa gVlight gVtan
gVcolor.
C. gVKeep gVthe gVclient's gVsolution gVin gVthe gVrefrigerator gVfor gVup gVto gV72 gVhr.
D. gVMonitor gVthe gVclient gVfor gVconstipation. gV- gVANS--D. gVMonitor gVthe gVclient gVfor
gVconstipation.
Rationale: gV
-The gVnurse gVshould gVmonitor gVthe gVclient gVfor gVthe gVadverse gVeffect gVof
gVconstipation gVand gVreport gVit gVto gVthe gVprovider gVbecause gVthis gVcan gVlead gVto
gVfecal gVimpaction.
-The gVnurse gVshould gVhold gVthe gVclient's gVother gVoral gVmedications gVfor gV6 gVhr
gVbefore gVand gVafter gVadministration gVof gVsodium gVpolystyrene gVsulfonate.
-Sodium gVpolystyrene gVsulfonate gVwill gVnot gValter gVthe gVcolor gVof gVthe gVclient's
gVstool.
-Sodium gVpolystyrene gVsulfonate gVsolution gVis gVstable gVfor gV24 gVhr gVwhen
gVrefrigerated.
A gVnurse gVis gVplanning gVcare gVfor gVa gVclient gVwho gVhas gVhypertension gVand gVis
gVto gVstart gVtaking gVmetoprolol. gVWhich gVof gVthe gVfollowing gVinterventions gVshould
gVthe gVnurse gVinclude gVin gVthe gVplan gVof gVcare?
A. gVWeigh gVthe gVclient gVweekly.
B. gVDetermine gVapical gVpulse gVprior gVto gVadministering.
C. gVAdminister gVthe gVmedication gV30 gVmin gVprior gVto gVbreakfast.
D. gVMonitor gVthe gVclient gVfor gVjaundice. gV- gVANS--B. gVDetermine gVapical gVpulse
gVprior gVto gVadministering.
Rationale: gV
Life-threatening gVbradycardia gVis gVan gVadverse gVeffect gVthat gVmight gVaffect gVthis
gVclient. gVTherefore, gVthe gVnurse gVshould gVassess gVthe gVclient's gVapical gVpulse
gVprior gVto gVadministering gVthe gVmedication. gVIf gVthe gVclient's gVpulse gVrate gVis gVless
gVthan gV60/min, gVthe gVnurse gVshould gVwithhold gVthe gVmedication gVand gVnotify gVthe
gVprovider.
The gVnurse gVshould gVweigh gVthe gVclient gVdaily gVto gVmonitor gVfor gVthe
gVdevelopment gVof gVheart gVfailure gVand gVweight gVgain.
The gVnurse gVshould gVadminister gVmetoprolol gVfollowing gVmeals gVor gVat gVbedtime gVif
gVorthostatic gVhypotension gVoccurs.
The gVnurse gVshould gVmonitor gVthe gVclient gVfor gVadverse gVeffects, gVsuch gVas
gVhypotension. gVHowever, gVjaundice gVis gVnot gVassociated gVwith gVthis gVmedication.
ASSESSMENT B EXAMS QUESTIONS
WITH CORRECT ANSWERS
Save
The gVnurse gVis gVcaring gVfor gVa gVclient gVin gVa gVmental gVhealth gVclinic.
Provider gVPrescriptions
1230:
Bupropion gVXR gV150 gVmg gVdaily gVonce gVdaily gVin gVAM gVfor gVthree gVdays gVthen
gVincrease gVto gV150 gVmg gVtwice gVdaily.
Assessment
1200:
Client gVhere gVfor gVscheduled gVvisit gVto gVdiscuss gVmood. gVClient gVreports gVthey
gVwere gVpreviously gVprescribed gVsertraline gVfor gVdepression, gVhowever gVtapered gVoff
gVthat gVmedication gV6 gVmonths gVago. gVClient gVstates gV"It gVmade gVme gVgain gVweight
gVand gVit gVcompletely gVtook gVaway gVmy gVsex gVdrive, gVso gVI gVstopped gVtaking gVit."
gVThe gVclient gVreports gV"My gVdepression gVhas gVjust gVgotten gVso gVbad. gVI gVhave
gVbeen gVseeing gVa gVcounselor gVand gVthey gVencouraged gVme gVto gVsee gVa gVprovider
gVabout gVtrying gVa gVdifferent gVmedication."
1230:
Provider gVPrescriptions gVreceived. gVVisit gVsummary gVreviewed gVwith gVclient gVto
gVdiscuss gVthe gVnewly gVprescribed gVmedication. gVClient gVhas gVa gVfollow-up gVvisit
gVwith gVprovider gVin gV3 gVweeks gVand gVcontinues gVwith gVweekly gVcounseling.
For gVeach gVbody gVsystem gVbelow, gVclick gVto gVspecify gVthe gVadver gV- gVANS--
Genitourinary- gVchanges gVin gVlibido gV
GI- gVconstipation gVmetabolic- gVwt gVloss
Rationale: gV
When gVtaking gVaction, gVthe gVnurse gVshould gVeducate gVthe gVclient gVabout gVpotential
gVadverse gVeffects gVof gVbupropion. gVCommon gVadverse gVeffects gVof gVthis
gVmedication gVinclude gVchanges gVin gVlibido, gVconstipation, gVand gVweight gVloss.
A gVnurse gVis gVcaring gVfor gVa gVclient gVin gVa gVclinic.
Nurses' gVNotes
3 gVmonths gVago:
Client gVwas gVeducated gVon gVnon-pharmacological gVinterventions gVto gVlower gVblood
gVpressure gVsuch gVas gVexercise gVand gVa gVlow-fat, gVlow-sodium gVdiet gVwith gVfresh
,gVfruits gVand gVvegetables. gVClient gVto gVreturn gVto gVoffice gVfor gVa gVfollow-up gVvisit
gVin gV3 gVmonths.
Today:
Blood gVpressure gVis gVstill gVelevated. gVProvider gVnotified gVand gVprescription gVgiven
gVto gVthe gVclient. gVThe gVclient gVwas gVeducated gVon gVthe gVmedication.
Vital gVSigns
3 gVmonths gVago:
Temperature gV36.7° gVC gV(98° gVF)
Pulse gV75/min
Respiratory gVRate gV16/min
Blood gVPressure gV130/81 gVmm gVHg
Oxygen gVSaturation gV99% gVon gVroom gVair
Today:
Temperature gV36.4° gVC gV(97.5° gVF)
Pulse gV77/min
Respiratory gVRate gV16/min
Blood gVPressure gV148/90 gVmm gVHg
Oxygen gVSaturation gV98% gVon gVroom gVair
Provider gVPrescriptions
Today:
Captopril gV12.5 gVmg gVtwice gVa gVday gVby gVmouth
Which gVclient gVstatements gVindicate gVan gVunderstanding gVof gVthe gVteaching? gVClick
gVto gVspecify gVif gVthe gVclient gVstatement gVindicates gVan gVunderst gV- gVANS--"I gVwill
gVnotify gVmy gVprovider gVif gVI gVfeel gVsick."-Understanding
"I gVwill gVeat gVfoods gVhigh gVin gVpotassium."
-Need gVfor gVfurther gVeducation
"I gVshould gVtake gVthis gVmedication gVwith gVmeals."
-Need gVfor gVfurther gVeducation
"Coughing gVis gVexpected gVwhile gVtaking gVthis gVmedication."-Need gVfor gVfurther
gVeducation
"I gVshould gVtake gVacetaminophen gVinstead gVof gVibuprofen gVfor gVa gVheadache." gV-
Understanding
Rationale: gV
When gVevaluating gVoutcomes, gVthe gVnurse gVshould gVidentify gVthat gVthe gVclient's
gVstatements: gV"I gVwill gVnotify gVmy gVprovider gVif gVI gVfeel gVsick" gVand gV"I gVshould
gVtake gVacetaminophen gVinstead gVof gVibuprofen gVfor gVa gVheadache" gVindicate gVan
gVunderstanding gVof gVteaching. gVCaptopril gVcan gVcause gVneutropenia. gVIf gVa gVclient
gVdevelops gVmanifestations gVof gVinfection gVsuch gVas gVa gVfever gVor gVsore gVthroat,
,gVthe gVprovider gVshould gVbe gVnotified. gVNSAIDS gVsuch gVas gVibuprofen gVmay
gVreduce gVthe gVeffectiveness gVof gVcaptopril gVand gVshould gVbe gVavoided. gVThe
gVnurse gVshould gVidentify gVthat gVthe gVclient's gVstatements: gV"I gVwill gVeat gVfoods
gVhigh gVin gVpotassium," gV"Coughing gVis gVexpected gVwhile gVtaking gVthis
gVmedication," gVand gV"I gVshould gVtake gVthis gVmedication gVwith gVmeals gVindicate gVa
gVneed gVfor gVfurther gVeducation. gVHyperkalemia gVis gVan gVadverse gVeffect gVof
gVcaptopril. gVThe gVclient gVshould gVavoid gVpotassium gVsupplements gVand
gVpotassium-sparing gVsupplements. gVCoughing gVis gVan gVadverse gVeffect gVof
gVcaptopril gVand gVthe gVnurse gVshould gVnotify gVthe gVprovider. gVCaptopril gVshould gVbe
gVgiven gVone gVhour gVbefore gVmeals gVor gVtwo gVhours gVafter gVmeals.
A gVnurse gVis gVcaring gVfor gVa gVclient gVin gVa gVclinic gVand gVis gVreviewing gVtheir
gVelectronic gVmedical gVrecord gV(EMR).
Nurses' gVNotes
3 gVmonths gVago:
Client gVwas gVprescribed gVatorvastatin gVby gVprovider. gVClient gVwas gVeducated gVto
gVcontinue gVeating gVa gVdiet gVlow gVin gVsaturated gVfats gVand gVto gVparticipate gVin
gVregular gVexercise. gVClient gVis gVto gVreturn gVto gVthe gVoffice gVin gV3 gVmonths gVfor gVa
gVfollow-up gVvisit.
Today:
Client gVhere gVfor gVa gVfollow-up gVvisit. gVClient gVreports gVlast gVbowel gVmovement
gVwas gV1 gVday gVago, gVincreased gVappetite, gVand gVdark gVurine gVupon gVurination.
gVClient gVreports gVhaving gVsome gVmuscle gVweakness gVwhen gVworking gVoutside.
gVSkin gVis gVwarm, gVdry, gVand gVintact. gVColor gVconsistent gVwith gVgenetic
gVbackground. gVClient gVstates, gV"I gVam gVsleeping gVso gVmuch gVbetter gVand gVseem
gVto gVhave gVincreased gVenergy, gVbut gVI gVsometimes gVget gVlightheaded." gVClient
gVdenies gVheadache. gVWill gVreport gVassessment gVfindings gVto gVthe gVprovider.
Provider gVPrescriptions
3 gVmonths gVago:
Atorvastatin gV40 gVmg gVonce gVdaily gVby gVmouth
For gVeach gVbody gVsystem gVbelow, gVcli gV- gVANS--Gastrointestinal/Genitourinary-
gVurine gVcharacteristics
Musculoskeletal/Integumentary- gVmuscle gVweakness
Neurological- gVdizziness
Rationale:
When gVrecognizing gVcues gVfor gVa gVclient gVwho gVis gVtaking gVatorvastatin, gVthe
gVnurse gVshould gVidentify gVthat gVthe gVfindings gVof gVthe gVclient's gVurine
gVcharacteristics, gVmuscle gVweakness, gVand gVdizziness gVindicate gVan gVadverse
gVreaction gVto gVthe gVmedication. gVAtorvastatin gVcan gVcause gVdark gVurine, gVmuscle
gVpain, gVmuscle gVspasms, gVand gVweakness, gVwhich gVcould gVbe gVan gVindication gVof
gVinjury gVto gVthe gVmuscle gVtissue. gVAtorvastatin gVcan gValso gVcause gVneurological
gVsymptoms gVsuch gVas gVdizziness, gVheadache, gVconfusion, gVand gVfatigue.
, A gVnurse gVis gVpreparing gVto gVadminister gVPO gVsodium gVpolystyrene gVsulfonate gVto
gVa gVclient gVwho gVhas gVhyperkalemia. gVWhich gVof gVthe gVfollowing gVactions gVshould
gVthe gVnurse gVplan gVto gVtake?
A. gVHold gVthe gVclient's gVother gVoral gVmedications gVfor gV8 gVhr gVpost gVadministration.
B. gVInform gVthe gVclient gVthat gVthis gVmedication gVcan gVturn gVstool gVa gVlight gVtan
gVcolor.
C. gVKeep gVthe gVclient's gVsolution gVin gVthe gVrefrigerator gVfor gVup gVto gV72 gVhr.
D. gVMonitor gVthe gVclient gVfor gVconstipation. gV- gVANS--D. gVMonitor gVthe gVclient gVfor
gVconstipation.
Rationale: gV
-The gVnurse gVshould gVmonitor gVthe gVclient gVfor gVthe gVadverse gVeffect gVof
gVconstipation gVand gVreport gVit gVto gVthe gVprovider gVbecause gVthis gVcan gVlead gVto
gVfecal gVimpaction.
-The gVnurse gVshould gVhold gVthe gVclient's gVother gVoral gVmedications gVfor gV6 gVhr
gVbefore gVand gVafter gVadministration gVof gVsodium gVpolystyrene gVsulfonate.
-Sodium gVpolystyrene gVsulfonate gVwill gVnot gValter gVthe gVcolor gVof gVthe gVclient's
gVstool.
-Sodium gVpolystyrene gVsulfonate gVsolution gVis gVstable gVfor gV24 gVhr gVwhen
gVrefrigerated.
A gVnurse gVis gVplanning gVcare gVfor gVa gVclient gVwho gVhas gVhypertension gVand gVis
gVto gVstart gVtaking gVmetoprolol. gVWhich gVof gVthe gVfollowing gVinterventions gVshould
gVthe gVnurse gVinclude gVin gVthe gVplan gVof gVcare?
A. gVWeigh gVthe gVclient gVweekly.
B. gVDetermine gVapical gVpulse gVprior gVto gVadministering.
C. gVAdminister gVthe gVmedication gV30 gVmin gVprior gVto gVbreakfast.
D. gVMonitor gVthe gVclient gVfor gVjaundice. gV- gVANS--B. gVDetermine gVapical gVpulse
gVprior gVto gVadministering.
Rationale: gV
Life-threatening gVbradycardia gVis gVan gVadverse gVeffect gVthat gVmight gVaffect gVthis
gVclient. gVTherefore, gVthe gVnurse gVshould gVassess gVthe gVclient's gVapical gVpulse
gVprior gVto gVadministering gVthe gVmedication. gVIf gVthe gVclient's gVpulse gVrate gVis gVless
gVthan gV60/min, gVthe gVnurse gVshould gVwithhold gVthe gVmedication gVand gVnotify gVthe
gVprovider.
The gVnurse gVshould gVweigh gVthe gVclient gVdaily gVto gVmonitor gVfor gVthe
gVdevelopment gVof gVheart gVfailure gVand gVweight gVgain.
The gVnurse gVshould gVadminister gVmetoprolol gVfollowing gVmeals gVor gVat gVbedtime gVif
gVorthostatic gVhypotension gVoccurs.
The gVnurse gVshould gVmonitor gVthe gVclient gVfor gVadverse gVeffects, gVsuch gVas
gVhypotension. gVHowever, gVjaundice gVis gVnot gVassociated gVwith gVthis gVmedication.
