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ATI PHARMACOLOGY PROCTORED EXAM
2024/2026 QUESTIONS AND ANSWERS
1. A provider prescribes phenobarbital for a client who has a seizure
disorder. The medication has a long half-life of 4 days. How many
times per day should the nurse expect to administer this
medication?
A. One
B.Two
C.Three
D. Four: A. One
(Medications with long half-lives remain at their therapeutic levels
between doses for long periods of time. The nurse should expect to
administer this medication once a day.)
2. A staff educator is reviewing medication dosages and factors
that influence medication metabolism with a group of nurses at an
in-service presentation. Which of the following factors should the
educator include as a reason to administer lower medication
dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes: C.
Liver failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete
for metabo- lism, thereby increasing the concentration of one or both
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medications. This requires decreasing the dosage of one or both
3. A nurse is preparing to administer eye drops to a client.
Which of the following actions should the nurse take? (Select all
that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C.Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation: B.
Ask the client to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her
cornea.
D. The nurse should drop the medication into the center of the
conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the
medication)
4. A nurse is completing discharge teaching for a client who
has a new pre- scription for transdermal patches. Which of the
following statements should the nurse identify as an indication that
the client understands the instruc- tions?
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.: C. "I
will apply the patch to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote
absorption of the medication.)
5. 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
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the next dose of medication.
B. Verify that the client has been taking the medication for 24 hr
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
min late: A. Obtain a blood specimen immediately prior to administering
the next dose of med- ication.
(To verify trough levels of a medication, the nurse should obtain a blood
specimen immediately before administering the next dose of
medication.)
6. 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: A. Maintain skill competency.
C. Monitor for adverse effects.
D. Safeguard medications.
(A.maintaining skill competency and using appropriate administration
techniques are legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse
effects of medication
D. Safeguarding of medications, such as controlled substances, is a legal
responsi- bility of the nurse)
7. 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
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C. Routine
D. Standing: C. Routine
(A routine or standard prescription identifies medications to give 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.)
8. 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: D. Frequency
(This prescription does not include the time or frequency of medication
administra- tion. The nurse must clarify this with the prescribing provide)
9. A nurse is admitting a client and completing a preassessment
before admin- istering medications. Which of the following data
should the nurse include in the preassessment? (Select all that
apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies: A. Use of herbal teas
C. Current health status
E. Food allergies
(A. The nurse should inquire about the client's use of herbal products,
which often contain caffeine, prior to medication administration because
caffeine can affect medication biotransformation
C. The nurse should review the client's current health status because
new prescrip- tions can cause alterations in current health status
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