PHARMACOLOGY PROCTORED ATI EXAM QUESTIONS AND ANSWERS #2
1. A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client
has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client
statements should the nurse consider administering alprazolam?: The client states, "My heart is
pounding out of my chest."
2. A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final
medication check. At which of the following times or places should the nurse perform this final
check?: At the client's bedside before administration
3. A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse
effects should the nurse include in the teaching?: Tinni- tus
4. A nurse is caring for a client who was admitted with acute psychosis and is being treated with
haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when
the client exhibits which of the following? (Select all that apply.): Tongue thrusting and lip
smacking,
Facial grimacing and eye blinking, Involuntary pelvic rocking and hip thrusting
movements
5. A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a
prescription for sildenafil. Which of the following medications currently prescribed for the client is a
contraindication to taking sildenafil?: Isosorbide
6. A nurse is caring for four clients. After administering morning medications, she realizes that the
nifedipine prescribed for one client was inadvertently administered to another client. Which of the
following actions should the nurse take first?: Check the client's vital signs.
7. A nurse is providing dietary teaching for a client who has a new prescription for a monoamine
oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items
requires intervention by the nurse?-
: Bologna sandwich
8. A nurse is caring for a client who is withdrawing from opioids. Which of the following medications
should the nurse prepare to administer?: Methadone
9. A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of
amitriptyline." Which of the following responses should the nurse make?: "I'm glad you called, and I
want to send an ambulance to help you."
10.A nurse is caring for a newborn who has respiratory depression. Which of the following
medications should the nurse anticipate administering?: Nalox- one
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, PHARMACOLOGY PROCTORED ATI EXAM QUESTIONS AND ANSWERS #2
11.A nurse is caring for a client who is receiving cisplatin to treat bladder can- cer. After several
treatments, the client reports fatigue. Which of the following actions should the nurse take?: Check
the results of the client's most recent CBC.
12. A nurse is providing teaching to a client who has breast cancer about
the adverse effects of chemotherapy. Which of the following client statements indicates an
understanding of the teaching?: "I'll call my doctor if I notice any unusual menstrual bleeding."
13.A home health nurse is making a home visit to a client who takes a daily diuretic for heart
failure. Which of the following manifestations should the nurse identify as indicating the client is
hypokalemic?: Fatigue
14.A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which
of the following findings should indicate to the nurse that the medication is having a therapeutic
effect?: Systolic blood pressure is increased
15.A nurse is teaching a client who has a new prescription for cycloben- zaprine. Which of the
following information should the nurse include in the teaching?: Avoid driving until effects are
known.
16.A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client.
Which of the following is the priority assessment the nurse should complete?: Respiratory rate
17.A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac
dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this
medication?: hypotension
18.A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following
instructions should the nurse include?: "You might have to stop taking this medication 5 days
before any planned surgeries."
19.A nurse is preparing to administer a medication to a client who states, "That looks different
from the pill I usually take." Which of the following responses should the nurse make?: "Describe
what the pill looks like."
20.A nurse is admitting a client who has acute heart failure following my- ocardial infarction (MI).
The nurse recognizes that which of the following prescriptions by the provider requires
clarification?: 0.9% normal saline IV at 50 mL/hr continuous
21.A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following
findings is a priority to report?: Dry cough
22.A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which
of the following instructions should the nurse includ- ed?: "Avoid activities that require alertness
such as driving."
2/9
1. A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client
has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client
statements should the nurse consider administering alprazolam?: The client states, "My heart is
pounding out of my chest."
2. A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final
medication check. At which of the following times or places should the nurse perform this final
check?: At the client's bedside before administration
3. A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse
effects should the nurse include in the teaching?: Tinni- tus
4. A nurse is caring for a client who was admitted with acute psychosis and is being treated with
haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when
the client exhibits which of the following? (Select all that apply.): Tongue thrusting and lip
smacking,
Facial grimacing and eye blinking, Involuntary pelvic rocking and hip thrusting
movements
5. A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a
prescription for sildenafil. Which of the following medications currently prescribed for the client is a
contraindication to taking sildenafil?: Isosorbide
6. A nurse is caring for four clients. After administering morning medications, she realizes that the
nifedipine prescribed for one client was inadvertently administered to another client. Which of the
following actions should the nurse take first?: Check the client's vital signs.
7. A nurse is providing dietary teaching for a client who has a new prescription for a monoamine
oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items
requires intervention by the nurse?-
: Bologna sandwich
8. A nurse is caring for a client who is withdrawing from opioids. Which of the following medications
should the nurse prepare to administer?: Methadone
9. A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of
amitriptyline." Which of the following responses should the nurse make?: "I'm glad you called, and I
want to send an ambulance to help you."
10.A nurse is caring for a newborn who has respiratory depression. Which of the following
medications should the nurse anticipate administering?: Nalox- one
1/9
, PHARMACOLOGY PROCTORED ATI EXAM QUESTIONS AND ANSWERS #2
11.A nurse is caring for a client who is receiving cisplatin to treat bladder can- cer. After several
treatments, the client reports fatigue. Which of the following actions should the nurse take?: Check
the results of the client's most recent CBC.
12. A nurse is providing teaching to a client who has breast cancer about
the adverse effects of chemotherapy. Which of the following client statements indicates an
understanding of the teaching?: "I'll call my doctor if I notice any unusual menstrual bleeding."
13.A home health nurse is making a home visit to a client who takes a daily diuretic for heart
failure. Which of the following manifestations should the nurse identify as indicating the client is
hypokalemic?: Fatigue
14.A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which
of the following findings should indicate to the nurse that the medication is having a therapeutic
effect?: Systolic blood pressure is increased
15.A nurse is teaching a client who has a new prescription for cycloben- zaprine. Which of the
following information should the nurse include in the teaching?: Avoid driving until effects are
known.
16.A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client.
Which of the following is the priority assessment the nurse should complete?: Respiratory rate
17.A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac
dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this
medication?: hypotension
18.A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following
instructions should the nurse include?: "You might have to stop taking this medication 5 days
before any planned surgeries."
19.A nurse is preparing to administer a medication to a client who states, "That looks different
from the pill I usually take." Which of the following responses should the nurse make?: "Describe
what the pill looks like."
20.A nurse is admitting a client who has acute heart failure following my- ocardial infarction (MI).
The nurse recognizes that which of the following prescriptions by the provider requires
clarification?: 0.9% normal saline IV at 50 mL/hr continuous
21.A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following
findings is a priority to report?: Dry cough
22.A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which
of the following instructions should the nurse includ- ed?: "Avoid activities that require alertness
such as driving."
2/9
