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ATI CAPSTONE PHARMACOLOGY PRE-ASSESSMENT EXAM 2025: ACTUAL QUESTIONS, ANSWERS, AND RATIONALES FOR NURSING STUDENTS.

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This comprehensive document contains the complete set of questions and answers from the 2025 ATI Capstone Pharmacology Pre-Assessment Exam, designed to help nursing students prepare for their licensure exams. Each question is accompanied by the correct answer and a clear, concise rationale explaining the underlying pharmacological principles, nursing considerations, and clinical reasoning. Key features include: Actual exam-style questions covering a wide range of pharmacologic classes, including cardiovascular, endocrine, CNS, antimicrobial, and more. Detailed rationales that reinforce essential concepts such as drug mechanisms, side effects, contraindications, nursing interventions, and patient education. Clinical scenarios that reflect real-world nursing practice and decision-making. Focus on high-yield topics commonly tested on the NCLEX and ATI exams, including insulin administration, opioid safety, anticoagulant monitoring, and medication errors. Ideal for nursing students reviewing for the ATI Pharmacology exam, NCLEX-RN preparation, or anyone seeking to strengthen their medication management skills. This resource ensures a thorough understanding of key drug therapies and safe administration practices.

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Uploaded on
September 26, 2025
Number of pages
60
Written in
2025/2026
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ATI CAPSTONE PHARMACOLOGY PRE-ASSESSMENT EXAM
2025: ACTUAL QUESTIONS, ANSWERS, AND RATIONALES FOR
NURSING STUDENTS.


A client is prescribed propanolol. Which of the following client history findings

would require the nurse to clarify this medication prescription?

1) Asthma

2) Hypertension

3) Tachydysrhythmias

4) Urolithiasis - answer1) Asthma




Clients with asthma should avoid Beta2 Blockade agents such as propanolol.

Brochoconstriction can occur. Clients with asthma should be administered a beta1

selective agent




A nurse is caring for a client prescribed montelukast. Which of the following should

the nurse include in teaching related to this medication?

1) Advise client to take the medication once daily at bedtime

,2) This medication is for acute management of asthma

3) Avoid dairy products while taking this medication

4) If the client forgets to take the medication for a few days he can double up on

doses to catch up - answer1) Advise client to take the medication once daily at

bedtime




Clients should take montelukast once daily at bedtime




A 45-year-old client is taking methylprednisolone. What pharmacologic action

should the nurse expect with this therapy?

1) Suppression of beta2 receptors

2)Suppression of airway mucus production

3) Fortification of bones

4) Suppression of candidiasis - answer2) Suppression of airway mucus production




Corticosteroids, such as methylprenisolone will suppress airway mucus production

,A nurse has just administered a wrong medication to a client. Which of the following

actions should the nurse take next?

1) No action is needed

2) Report error to the provider

3) Complete an institutional incident report

4) Inform the client that the wrong medication was given - answer2) Report the

error to the provider




The nurse should acknowledge the error and report it to the provider for further

orders. The nurse should also monitor the client for adverse effects. The nurse should

also complete an incident report per institutional policy after notifying the health

care provider




A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the

following instructions should the nurse include in client education regarding taking

the first dose of this medication?

1) Change positions slowly and lie down if dizziness occurs

2) There is no need to avoid normal activities

, 3) Avoid dairy products while taking this medication

4) Do not eat green leafy vegetables - answer1) Change positions slowly and lie

down if dizziness occurs




First-dose orthostatic hypotension can occur with doxazosin. The nurse should instruct

clients to change position slowly and to lie down if feeling dizzy, lightheaded or

faint




A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia.

Which of the following instructions should be included in client teaching about this

medication?

1) Take the medication on an empty stomach to maximize absorption

2) Notify your provider if your stool becomes dark green

3) Decrease dietary fiber intake while taking this medication

4) Take prescribed antacids at the same time as this medication - answer1) Take

this medication on an empty stomach to maximize absorption

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