ATI Pharmacology Proctored ACTUAL EXAM 80 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A.
A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following statements should
the nurse identify as an indication that the client understands the instructions?
A) "I will clean the site with an alcohol swab before I apply the patch."
B) "I will rotate the application sites weekly."
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."
Correct Answer: C
Rationale
The client should apply the patch to a hairless area of skin to promote
adequate absorption of the medication. Hair can interfere with the adhesion of
the patch and the absorption of the medication through the skin. Option A is
incorrect because the skin should be clean and dry, but alcohol can be drying
and irritating; soap and water are preferred. Option B is incorrect because
application sites should be rotated with each new patch, not weekly, to prevent
skin irritation. Option D is incorrect because the new patch should be applied
to a different site to prevent skin breakdown and irritation. The nurse should
also instruct the client to remove the old patch before applying a new one and
to dispose of used patches properly.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
,A nurse reviewing a client's medical record notes a new prescription 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 next dose
of medication.
B) Verify that the client has been taking the medication for 24 hours before
obtaining a blood specimen.
C) Ask the client to provide a urine specimen after the next dose of medication.
D) Administer the medication, and obtain a blood specimen 30 minutes later.
Correct Answer: A
Rationale
To verify trough levels of a medication, the nurse should obtain a blood
specimen immediately before administering the next dose of medication. The
trough level represents the lowest concentration of the medication in the
blood and helps determine if the dosing interval is appropriate. Option B is
incorrect because trough levels are not dependent on a 24-hour period; they
are drawn just before the next dose. Option C is incorrect because trough levels
are measured in blood, not urine. Option D is incorrect because drawing blood
after administration would measure peak levels, not trough levels. The nurse
should ensure that the timing of the trough level is accurate to guide
appropriate dosing decisions.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A nurse is preparing a client's medications. Which of the following actions
should the nurse take in following legal practice guidelines? (Select all that
apply.)
A) Maintain skill competency.
B) Determine the dosage.
,C) Monitor for adverse effects.
D) Safeguard medications.
E) Identify the client's diagnosis.
Correct Answers: A, C, D
Rationale
Maintaining skill competency (Option A) is a legal responsibility of the nurse to
ensure safe medication administration. Monitoring for adverse effects (Option
C) is a legal responsibility of the nurse, as the nurse must observe and
document any side effects or adverse reactions. Safeguarding medications
(Option D), particularly controlled substances, is a legal responsibility of the
nurse to prevent diversion and ensure proper storage and disposal. Option B,
determining the dosage, is the responsibility of the prescribing provider, not
the nurse. Option E, identifying the client's diagnosis, is part of the assessment
process but is not a legal responsibility specific to medication administration.
The nurse should follow the five rights of medication administration and
adhere to facility policies and state regulations.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
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 which of the
following types of prescription?
A) Single
B) Stat
C) Routine
D) Standing
Correct Answer: C
Rationale
A routine or standard prescription identifies medications to be given on a
, regular schedule with or without a termination date or a specific number of
doses. The nurse will administer this medication every day until the provider
discontinues it. Option A, a single order, is for one dose only. Option B, a stat
order, is for immediate administration. Option D, a standing order, may include
parameters for administration (e.g., PRN) but is not the same as a routine
order. The nurse should understand the different types of prescriptions to
ensure accurate medication administration.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
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 of the prescription with the
provider?
A) Name
B) Dosage
C) Route
D) Frequency
Correct Answer: D
Rationale
This prescription does not include the time or frequency of medication
administration. The nurse must clarify this with the prescribing provider to
ensure safe and effective administration. Option A, the name (Ondansetron), is
clear and correct. Option B, the dosage (4 mg), is specified. Option C, the route
(PO), is indicated. The nurse should ensure that all components of a
prescription are complete, including the frequency, before administering the
medication.
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A.
A nurse is completing discharge teaching for a client who has a new
prescription for transdermal patches. Which of the following statements should
the nurse identify as an indication that the client understands the instructions?
A) "I will clean the site with an alcohol swab before I apply the patch."
B) "I will rotate the application sites weekly."
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."
Correct Answer: C
Rationale
The client should apply the patch to a hairless area of skin to promote
adequate absorption of the medication. Hair can interfere with the adhesion of
the patch and the absorption of the medication through the skin. Option A is
incorrect because the skin should be clean and dry, but alcohol can be drying
and irritating; soap and water are preferred. Option B is incorrect because
application sites should be rotated with each new patch, not weekly, to prevent
skin irritation. Option D is incorrect because the new patch should be applied
to a different site to prevent skin breakdown and irritation. The nurse should
also instruct the client to remove the old patch before applying a new one and
to dispose of used patches properly.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
,A nurse reviewing a client's medical record notes a new prescription 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 next dose
of medication.
B) Verify that the client has been taking the medication for 24 hours before
obtaining a blood specimen.
C) Ask the client to provide a urine specimen after the next dose of medication.
D) Administer the medication, and obtain a blood specimen 30 minutes later.
Correct Answer: A
Rationale
To verify trough levels of a medication, the nurse should obtain a blood
specimen immediately before administering the next dose of medication. The
trough level represents the lowest concentration of the medication in the
blood and helps determine if the dosing interval is appropriate. Option B is
incorrect because trough levels are not dependent on a 24-hour period; they
are drawn just before the next dose. Option C is incorrect because trough levels
are measured in blood, not urine. Option D is incorrect because drawing blood
after administration would measure peak levels, not trough levels. The nurse
should ensure that the timing of the trough level is accurate to guide
appropriate dosing decisions.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A nurse is preparing a client's medications. Which of the following actions
should the nurse take in following legal practice guidelines? (Select all that
apply.)
A) Maintain skill competency.
B) Determine the dosage.
,C) Monitor for adverse effects.
D) Safeguard medications.
E) Identify the client's diagnosis.
Correct Answers: A, C, D
Rationale
Maintaining skill competency (Option A) is a legal responsibility of the nurse to
ensure safe medication administration. Monitoring for adverse effects (Option
C) is a legal responsibility of the nurse, as the nurse must observe and
document any side effects or adverse reactions. Safeguarding medications
(Option D), particularly controlled substances, is a legal responsibility of the
nurse to prevent diversion and ensure proper storage and disposal. Option B,
determining the dosage, is the responsibility of the prescribing provider, not
the nurse. Option E, identifying the client's diagnosis, is part of the assessment
process but is not a legal responsibility specific to medication administration.
The nurse should follow the five rights of medication administration and
adhere to facility policies and state regulations.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
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 which of the
following types of prescription?
A) Single
B) Stat
C) Routine
D) Standing
Correct Answer: C
Rationale
A routine or standard prescription identifies medications to be given on a
, regular schedule with or without a termination date or a specific number of
doses. The nurse will administer this medication every day until the provider
discontinues it. Option A, a single order, is for one dose only. Option B, a stat
order, is for immediate administration. Option D, a standing order, may include
parameters for administration (e.g., PRN) but is not the same as a routine
order. The nurse should understand the different types of prescriptions to
ensure accurate medication administration.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
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 of the prescription with the
provider?
A) Name
B) Dosage
C) Route
D) Frequency
Correct Answer: D
Rationale
This prescription does not include the time or frequency of medication
administration. The nurse must clarify this with the prescribing provider to
ensure safe and effective administration. Option A, the name (Ondansetron), is
clear and correct. Option B, the dosage (4 mg), is specified. Option C, the route
(PO), is indicated. The nurse should ensure that all components of a
prescription are complete, including the frequency, before administering the
medication.
