ATI Pharmacology Proctored Exam
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new
prescription for sucralfate. Which of the following actions of sucralfate should the nurse
include in the teaching?
A. Decreases stomach acid secretion
B. Neutralizes acids in the stomach
C. Forms a protective barrier over ulcers
D. Treats ulcers by eradicating H. pylori
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription
for methylprednisolone. Which of the following instructions should the nurse include?
(SATA)
A. Blood glucose levels will be monitored during therapy.
B. Avoid contact with people who have known infections.
C. Take the medication 1 hr before breakfast.
D. Decrease dietary intake of foods containing potassium.
E. Grapefruit juice can increase the effects of this medication.
A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of
the following information should the nurse include in the teaching?
A. Chew on the medication stick to release the medication.
B. Leave the medication stick in on location of the mouth until melted.
C. Allow the medication 1 hr for analgesia effects to begin.
D. Store unused medication sticks in a storage container.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The
nurse should identify which of the following as an indication of hypokalemia?
A. Tall, tented T-waves
B. Presence of U-waves
C. Widened QRS complex
D. ST elevation
The nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium. The nurse should instruct the client that takin the docusate sodium daily can
minimize which of the following adverse effects of morphine?
A. Constipation
B. Drowsiness
C. Facial flushing
D. Itching
A nurse is planning care for a client who is receiving mannitol via IV continuous infusion. The
nurse should monitor the client for which of the following adverse effects?
A. Weight loss
B. Increase intraocular pressure
, C. Auditory hallucinations
D. Bibasilar crackles *
A nurse is providing teaching to a client who has gastric ulcer and a new prescription for
ranitidine. Which of the following instructions should the nurse include?
A. "Take the medication on an empty stomach for full effectiveness."
B. "You may discontinue this medication when stomach discomfort subsides."
C. "Report yellowing of the skin."
D. "Store the medication in the refrigerator."
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse
notes the client has anxiety, hypotension, and dyspnea. Which of the following medications
should the nurse administer first?
A. Diphenhydramine
B. ALbuterol inhaler
C. Epinephrine
D. Prednisone
A nurse is planning care for a client who has hypertension and is to start taking metoprolol.
Which of the following interventions should the nurse include in the plan of care?
A. Weigh the client weekly
B. Determine apical pulse prior to administering
C. Administer the medication 30 min prior to breakfast.
D. Monitor the client for jaundice
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who
weighs 44 lb. How many mg should the nurse administer per dose?
300 mg
A nurse in an emergency department is caring for a client whose family reports the client
has taken large amounts of diazepam. Which of the following medications should the nurse
anticipate administering?
A. Ondansetron
B. Magnesium sulfate
C. Flumazenil
D. Protamine sulfate
A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV
infusion for DVT. The nurse should discontinue the medication infusion for which of the
following client findings?
A. Potassium 5.0
B. aPTT 2x the control
C. Hemoglobin 15
D. Platelets 96,000
A nurse is reviewing the medication administration record of a client who has hypocalcemia
and a new prescription for IV calcium gluconate. The nurse should identify that which of the
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new
prescription for sucralfate. Which of the following actions of sucralfate should the nurse
include in the teaching?
A. Decreases stomach acid secretion
B. Neutralizes acids in the stomach
C. Forms a protective barrier over ulcers
D. Treats ulcers by eradicating H. pylori
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription
for methylprednisolone. Which of the following instructions should the nurse include?
(SATA)
A. Blood glucose levels will be monitored during therapy.
B. Avoid contact with people who have known infections.
C. Take the medication 1 hr before breakfast.
D. Decrease dietary intake of foods containing potassium.
E. Grapefruit juice can increase the effects of this medication.
A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of
the following information should the nurse include in the teaching?
A. Chew on the medication stick to release the medication.
B. Leave the medication stick in on location of the mouth until melted.
C. Allow the medication 1 hr for analgesia effects to begin.
D. Store unused medication sticks in a storage container.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The
nurse should identify which of the following as an indication of hypokalemia?
A. Tall, tented T-waves
B. Presence of U-waves
C. Widened QRS complex
D. ST elevation
The nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium. The nurse should instruct the client that takin the docusate sodium daily can
minimize which of the following adverse effects of morphine?
A. Constipation
B. Drowsiness
C. Facial flushing
D. Itching
A nurse is planning care for a client who is receiving mannitol via IV continuous infusion. The
nurse should monitor the client for which of the following adverse effects?
A. Weight loss
B. Increase intraocular pressure
, C. Auditory hallucinations
D. Bibasilar crackles *
A nurse is providing teaching to a client who has gastric ulcer and a new prescription for
ranitidine. Which of the following instructions should the nurse include?
A. "Take the medication on an empty stomach for full effectiveness."
B. "You may discontinue this medication when stomach discomfort subsides."
C. "Report yellowing of the skin."
D. "Store the medication in the refrigerator."
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse
notes the client has anxiety, hypotension, and dyspnea. Which of the following medications
should the nurse administer first?
A. Diphenhydramine
B. ALbuterol inhaler
C. Epinephrine
D. Prednisone
A nurse is planning care for a client who has hypertension and is to start taking metoprolol.
Which of the following interventions should the nurse include in the plan of care?
A. Weigh the client weekly
B. Determine apical pulse prior to administering
C. Administer the medication 30 min prior to breakfast.
D. Monitor the client for jaundice
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who
weighs 44 lb. How many mg should the nurse administer per dose?
300 mg
A nurse in an emergency department is caring for a client whose family reports the client
has taken large amounts of diazepam. Which of the following medications should the nurse
anticipate administering?
A. Ondansetron
B. Magnesium sulfate
C. Flumazenil
D. Protamine sulfate
A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV
infusion for DVT. The nurse should discontinue the medication infusion for which of the
following client findings?
A. Potassium 5.0
B. aPTT 2x the control
C. Hemoglobin 15
D. Platelets 96,000
A nurse is reviewing the medication administration record of a client who has hypocalcemia
and a new prescription for IV calcium gluconate. The nurse should identify that which of the
