ATI PHARMACOLOGY PROCTORED FINAL EXAM
NEWEST 2024 -2025 TEST BANK COMPLETE 300
ACTUAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
When a patient is taking an adrenergic drug, the nurse expects to
observe which effect?
a. Increased heart rate
b. Bronchial constriction
c. Constricted pupils
d. Increased intestinal peristalsis - ANS: A
Increased heart rate is one of the effects of adrenergic drugs. Sympathetic
nervous system stimulation also results in bronchodilation, dilated pupils,
and decreased gastrointestinal mobility, depending upon which receptors
are stimulated.
The nurse is administering a stat dose of epinephrine.
Epinephrine is appropriate for which situation?
a. Severe hypertension
b. Angina
c. Cardiac arrest
d. Tachycardia - Correct Answer - ANS: C
Treatment of cardiac arrest is an indication for the use of epinephrine.
pg. 1
,A patient reports having adverse effects with nicotinic acid (niacin).
The nurse can suggest performing which action to minimize these
undesirable effects?
a. Take the drug on an empty stomach.
b. Take the medication every other day until the effects subside.
c. Take an aspirin tablet 30 minutes before taking the drug.
d. Take the drug with large amounts of fiber. - ANS: C
The undesirable effects of nicotinic acid can be minimized by starting with a
low initial dose, taking the drug with meals, and taking small doses of
aspirin with the drug to minimize cutaneous flushing. Fiber intake has no
effect on niacin's adverse effects, and it is not within the nurse's scope of
practice to suggest a change of medication dosage.
The nurse will monitor a patient for signs and symptoms of
hyperkalemia if the patient is taking which of these diuretics?
a. Hydrochlorothiazide (HydroDIURIL)
b. Furosemide (Lasix)
c. Acetazolamide (Diamox)
d. Spironolactone (Aldactone) - ANS: D
Spironolactone (Aldactone) is a potassium-sparing diuretic, and patients
taking this drug must be monitored for signs of hyperkalemia.
During a blood transfusion, the patient begins to have chills and
back pain. What is the nurse's priority action?
a. Observe for other symptoms.
b. Slow the infusion rate of the blood.
pg. 2
,c. Discontinue the infusion immediately, and notify the prescriber.
d. Tell the patient that these symptoms are a normal reaction to the blood
product. - ANS: C
Because of the possibility of a transfusion reaction, the infusion should be
discontinued immediately and the prescriber notified. The intravenous line
should be kept patent with isotonic normal saline solution infusing at a slow
rate, and the health care institution's protocol for transfusion reactions
should always be followed.
An 8-year-old child has been diagnosed with true pituitary dwarfism
and is being treated with somatropin. In follow-up visits, the nurse will
monitor for which expected outcome?
a. Increased growth
b. Decreased urinary output
c. Increased muscle strength
d. Increased height when the child reaches puberty - ANS: A
In patients for whom somatropin is indicated, increased growth is expected.
A patient, newly diagnosed with hypothyroidism, has received a
prescription for thyroid replacement therapy. The nurse will instruct
the patient to take this medication at which time of day?
a. In the morning
b. With the noon meal
c. With the evening meal
d. At bedtime - ANS: A
If possible, it is best to administer thyroid drugs taken once daily in the
morning so as to decrease the likelihood of insomnia that may result
from evening dosing.
pg. 3
, After starting treatment for type 2 diabetes mellitus 6 months earlier,
a patient is in the office for a follow-up examination. The nurse will
monitor which laboratory test to evaluate the patient's adherence to
the antidiabetic therapy over the past few months?
a. Hemoglobin levels
b. Hemoglobin A1C level
c. Fingerstick fasting blood glucose level
d. Serum insulin levels - ANS: B
The hemoglobin A1C level reflects the patient's adherence to the therapy
regimen for several months previously, thus evaluating how well the patient
has been doing with diet and drug therapy.
When a patient is receiving vasopressin (Pitressin), the nurse will
monitor for which therapeutic response?
a. Improved appetite
b. Increased serum albumin levels
c. Increased serum potassium levels
d. Decreased urinary output - ANS: D
Decreased severe thirst and decreased urinary output are the therapeutic
responses expected with vasopressin.
A 78-year-old patient is in the recovery room after having a lengthy
surgery on his hip. As he is gradually awakening, he requests pain
medication. Within 10 minutes after receiving a dose of morphine
sulfate, he is very lethargic and his respirations are shallow, with a
rate of 7 per minute. The nurse prepares for which priority action at
this time?
a. Assessment of the patient's pain level
pg. 4
NEWEST 2024 -2025 TEST BANK COMPLETE 300
ACTUAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
When a patient is taking an adrenergic drug, the nurse expects to
observe which effect?
a. Increased heart rate
b. Bronchial constriction
c. Constricted pupils
d. Increased intestinal peristalsis - ANS: A
Increased heart rate is one of the effects of adrenergic drugs. Sympathetic
nervous system stimulation also results in bronchodilation, dilated pupils,
and decreased gastrointestinal mobility, depending upon which receptors
are stimulated.
The nurse is administering a stat dose of epinephrine.
Epinephrine is appropriate for which situation?
a. Severe hypertension
b. Angina
c. Cardiac arrest
d. Tachycardia - Correct Answer - ANS: C
Treatment of cardiac arrest is an indication for the use of epinephrine.
pg. 1
,A patient reports having adverse effects with nicotinic acid (niacin).
The nurse can suggest performing which action to minimize these
undesirable effects?
a. Take the drug on an empty stomach.
b. Take the medication every other day until the effects subside.
c. Take an aspirin tablet 30 minutes before taking the drug.
d. Take the drug with large amounts of fiber. - ANS: C
The undesirable effects of nicotinic acid can be minimized by starting with a
low initial dose, taking the drug with meals, and taking small doses of
aspirin with the drug to minimize cutaneous flushing. Fiber intake has no
effect on niacin's adverse effects, and it is not within the nurse's scope of
practice to suggest a change of medication dosage.
The nurse will monitor a patient for signs and symptoms of
hyperkalemia if the patient is taking which of these diuretics?
a. Hydrochlorothiazide (HydroDIURIL)
b. Furosemide (Lasix)
c. Acetazolamide (Diamox)
d. Spironolactone (Aldactone) - ANS: D
Spironolactone (Aldactone) is a potassium-sparing diuretic, and patients
taking this drug must be monitored for signs of hyperkalemia.
During a blood transfusion, the patient begins to have chills and
back pain. What is the nurse's priority action?
a. Observe for other symptoms.
b. Slow the infusion rate of the blood.
pg. 2
,c. Discontinue the infusion immediately, and notify the prescriber.
d. Tell the patient that these symptoms are a normal reaction to the blood
product. - ANS: C
Because of the possibility of a transfusion reaction, the infusion should be
discontinued immediately and the prescriber notified. The intravenous line
should be kept patent with isotonic normal saline solution infusing at a slow
rate, and the health care institution's protocol for transfusion reactions
should always be followed.
An 8-year-old child has been diagnosed with true pituitary dwarfism
and is being treated with somatropin. In follow-up visits, the nurse will
monitor for which expected outcome?
a. Increased growth
b. Decreased urinary output
c. Increased muscle strength
d. Increased height when the child reaches puberty - ANS: A
In patients for whom somatropin is indicated, increased growth is expected.
A patient, newly diagnosed with hypothyroidism, has received a
prescription for thyroid replacement therapy. The nurse will instruct
the patient to take this medication at which time of day?
a. In the morning
b. With the noon meal
c. With the evening meal
d. At bedtime - ANS: A
If possible, it is best to administer thyroid drugs taken once daily in the
morning so as to decrease the likelihood of insomnia that may result
from evening dosing.
pg. 3
, After starting treatment for type 2 diabetes mellitus 6 months earlier,
a patient is in the office for a follow-up examination. The nurse will
monitor which laboratory test to evaluate the patient's adherence to
the antidiabetic therapy over the past few months?
a. Hemoglobin levels
b. Hemoglobin A1C level
c. Fingerstick fasting blood glucose level
d. Serum insulin levels - ANS: B
The hemoglobin A1C level reflects the patient's adherence to the therapy
regimen for several months previously, thus evaluating how well the patient
has been doing with diet and drug therapy.
When a patient is receiving vasopressin (Pitressin), the nurse will
monitor for which therapeutic response?
a. Improved appetite
b. Increased serum albumin levels
c. Increased serum potassium levels
d. Decreased urinary output - ANS: D
Decreased severe thirst and decreased urinary output are the therapeutic
responses expected with vasopressin.
A 78-year-old patient is in the recovery room after having a lengthy
surgery on his hip. As he is gradually awakening, he requests pain
medication. Within 10 minutes after receiving a dose of morphine
sulfate, he is very lethargic and his respirations are shallow, with a
rate of 7 per minute. The nurse prepares for which priority action at
this time?
a. Assessment of the patient's pain level
pg. 4
