(Ngn)Ati P armacology Proctored Exam,
P armacology Ati Proctored Final Exam
2025/26
Actual Exam Wit Verified Answers And
Rationales Alredy Graded A+
A provider prescribes p enobarbital for a client w o as a seizure disorder. T e medication as
a long alf-life of 4 days. ow many times per day s ould t e nurse expect to administer t is
medication?
A. One
B. Two
C. T ree
D. Four
A. One
RATIONALE :( Medications wit long alf-lives remain at t eir t erapeutic levels
between doses for long periods of time. T e nurse s ould expect to administer t is
medication once a day.)
A staff educator is reviewing medication dosages and factors t at influence medication
metabolism wit a group of nurses at an in-service presentation.
W ic of t e following factors s ould t e educator include as a reason to administer lower
medication dosages? (Select all t at apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Perip eral vascular disease
E. Concurrent use of medication t e same pat way metabolizes
C. Liver failure
E. Concurrent use of medication t e same pat way metabolizes
RATIONALE :C. Liver failure decreases metabolism and t us increases t e concentration
of a medication. T is requires decreasing t e dosage.
E. W en t e same pat way metabolizes two medications, t ey compete for metabolism,
t ereby increasing t e concentration of one or bot medications. T is requires decreasing
t e dosage of one or bot
,A nurse is preparing to administer eye drops to a client. W ic of t e following actions s ould
t e nurse take? (Select all t at apply.)
A. ave t e client lie on er side.
B. Ask t e client to look up at t e ceiling.
C. Tell t e client to blink w en t e drops enter er eye.
D. Drop t e medication into t e center of t e client's conjunctival sac. E. Instruct t e
client to close er eye gently after instillation
B. Ask t e client to look up at t e ceiling.
D. Drop t e medication into t e center of t e client's conjunctival sac.
E. Instruct t e client to close er eye gently after instillation
RATIONALE : (B. T e client s ould look upward to keep t e drops from falling onto er
cornea.
D. T e nurse s ould drop t e medication into t e center of t e
conjunctival sac to promote distribution.
E. T e client s ould close er eye gently to promote distribution of t e
medication)
A nurse is completing disc arge teac ing for a client w o as a new prescription for
transdermal patc es. W ic of t e following statements s ould t e nurse identify as an
indication t at t e client understands t e instructions?
A. "I will clean t e site wit an alco ol swab before I apply t e patc ."
B. "I will rotate t e application sites weekly."
C. "I will apply t e patc to an area of skin wit no air."
D. "I will place t e new patc on t e site of t e old patc .
C. "I will apply t e patc to an area of skin wit no air."
RATIONALE: (T e client s ould apply t e patc to a airless area of skin to promote
absorption of t e medication.)
A nurse reviewing a client's medical record notes a new prescription for verifying t e troug level
of t e client's medication. W ic of t e following actions s ould t e nurse take?
A. Obtain a blood specimen immediately prior to administering t e next dose of medication.
B. Verify t at t e client as been taking t e medication for 24 r before obtaining a blood
specimen.
C. Ask t e client to provide a urine specimen after t e next dose of medication.
D. Administer t e medication,and obtain a blood specimen 30 min late
A. Obtain a blood specimen immediately prior to administering t e next dose of medication.
RATIONALE: (To verify troug levels of a medication, t e nurse s ould obtain a blood
specimen immediately before administering t e next dose of medication.)
A nurse is preparing a client's medications. W ic of t e following actions s ould t e nurse
take in following legal practice guidelines? (Select all t at apply.)
,A. Maintain skill competency.
B. Determine t e dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify t e client's diagnosis
A. Maintain skill competency.
C. Monitor for adverse effects.
D. Safeguard medications.
RATIONALE : (A.maintaining skill competency and using appropriate administration
tec niques are
, legal responsibilities of t e nurse
C. A nurse is legally responsible for monitoring for side and adverse effects of medication
D. Safeguarding of medications, suc as controlled substances, is a legal responsibility of
t e nurse)
A nurse reviewing a client's ealt record notes a new prescription for Lisinopril 10 mg PO
once every day. T e nurse s ould identify t is as w ic of t e following types of
prescription?
A. Single
B. Stat
C. Routine
D. Standing
C. Routine
RATIONALE: (A routine or standard prescription identifies medications to give on a regular
sc edule wit or wit out a termination date or a specific number of doses. T e nurse will
administer t is medication every day until t e provider discontinues it.)
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting
for a client w o as yperemesis Gravidarum. T e nurse s ould clarify w ic of t e
following parts of t e prescription wit t e provider?
A. Name
B. Dosage
C. Route
D. Frequency
D. Frequency
RATIONALE : (T is prescription does not include t e time or frequency of medication
administration. T e nurse must clarify t is wit t e prescribing provide)
A nurse is admitting a client and completing a preassessment before administering
medications. W ic of t e following data s ould t e nurse include in t e preassessment?
(Select all t at apply.)
A. Use of erbal teas
B. Daily fluid intake
C. Current ealt status
D. Previous surgical istory
E. Food allergies
A. Use of erbal teas
C. Current ealt status
E. Food allergies
P armacology Ati Proctored Final Exam
2025/26
Actual Exam Wit Verified Answers And
Rationales Alredy Graded A+
A provider prescribes p enobarbital for a client w o as a seizure disorder. T e medication as
a long alf-life of 4 days. ow many times per day s ould t e nurse expect to administer t is
medication?
A. One
B. Two
C. T ree
D. Four
A. One
RATIONALE :( Medications wit long alf-lives remain at t eir t erapeutic levels
between doses for long periods of time. T e nurse s ould expect to administer t is
medication once a day.)
A staff educator is reviewing medication dosages and factors t at influence medication
metabolism wit a group of nurses at an in-service presentation.
W ic of t e following factors s ould t e educator include as a reason to administer lower
medication dosages? (Select all t at apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Perip eral vascular disease
E. Concurrent use of medication t e same pat way metabolizes
C. Liver failure
E. Concurrent use of medication t e same pat way metabolizes
RATIONALE :C. Liver failure decreases metabolism and t us increases t e concentration
of a medication. T is requires decreasing t e dosage.
E. W en t e same pat way metabolizes two medications, t ey compete for metabolism,
t ereby increasing t e concentration of one or bot medications. T is requires decreasing
t e dosage of one or bot
,A nurse is preparing to administer eye drops to a client. W ic of t e following actions s ould
t e nurse take? (Select all t at apply.)
A. ave t e client lie on er side.
B. Ask t e client to look up at t e ceiling.
C. Tell t e client to blink w en t e drops enter er eye.
D. Drop t e medication into t e center of t e client's conjunctival sac. E. Instruct t e
client to close er eye gently after instillation
B. Ask t e client to look up at t e ceiling.
D. Drop t e medication into t e center of t e client's conjunctival sac.
E. Instruct t e client to close er eye gently after instillation
RATIONALE : (B. T e client s ould look upward to keep t e drops from falling onto er
cornea.
D. T e nurse s ould drop t e medication into t e center of t e
conjunctival sac to promote distribution.
E. T e client s ould close er eye gently to promote distribution of t e
medication)
A nurse is completing disc arge teac ing for a client w o as a new prescription for
transdermal patc es. W ic of t e following statements s ould t e nurse identify as an
indication t at t e client understands t e instructions?
A. "I will clean t e site wit an alco ol swab before I apply t e patc ."
B. "I will rotate t e application sites weekly."
C. "I will apply t e patc to an area of skin wit no air."
D. "I will place t e new patc on t e site of t e old patc .
C. "I will apply t e patc to an area of skin wit no air."
RATIONALE: (T e client s ould apply t e patc to a airless area of skin to promote
absorption of t e medication.)
A nurse reviewing a client's medical record notes a new prescription for verifying t e troug level
of t e client's medication. W ic of t e following actions s ould t e nurse take?
A. Obtain a blood specimen immediately prior to administering t e next dose of medication.
B. Verify t at t e client as been taking t e medication for 24 r before obtaining a blood
specimen.
C. Ask t e client to provide a urine specimen after t e next dose of medication.
D. Administer t e medication,and obtain a blood specimen 30 min late
A. Obtain a blood specimen immediately prior to administering t e next dose of medication.
RATIONALE: (To verify troug levels of a medication, t e nurse s ould obtain a blood
specimen immediately before administering t e next dose of medication.)
A nurse is preparing a client's medications. W ic of t e following actions s ould t e nurse
take in following legal practice guidelines? (Select all t at apply.)
,A. Maintain skill competency.
B. Determine t e dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify t e client's diagnosis
A. Maintain skill competency.
C. Monitor for adverse effects.
D. Safeguard medications.
RATIONALE : (A.maintaining skill competency and using appropriate administration
tec niques are
, legal responsibilities of t e nurse
C. A nurse is legally responsible for monitoring for side and adverse effects of medication
D. Safeguarding of medications, suc as controlled substances, is a legal responsibility of
t e nurse)
A nurse reviewing a client's ealt record notes a new prescription for Lisinopril 10 mg PO
once every day. T e nurse s ould identify t is as w ic of t e following types of
prescription?
A. Single
B. Stat
C. Routine
D. Standing
C. Routine
RATIONALE: (A routine or standard prescription identifies medications to give on a regular
sc edule wit or wit out a termination date or a specific number of doses. T e nurse will
administer t is medication every day until t e provider discontinues it.)
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting
for a client w o as yperemesis Gravidarum. T e nurse s ould clarify w ic of t e
following parts of t e prescription wit t e provider?
A. Name
B. Dosage
C. Route
D. Frequency
D. Frequency
RATIONALE : (T is prescription does not include t e time or frequency of medication
administration. T e nurse must clarify t is wit t e prescribing provide)
A nurse is admitting a client and completing a preassessment before administering
medications. W ic of t e following data s ould t e nurse include in t e preassessment?
(Select all t at apply.)
A. Use of erbal teas
B. Daily fluid intake
C. Current ealt status
D. Previous surgical istory
E. Food allergies
A. Use of erbal teas
C. Current ealt status
E. Food allergies
