ati pharm proctored exam questions
with correct answers Latest update
2026 GRADED A+
An immunizing agent that confers active immunity protects by: - correct answerproviding
antibodies obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale?
- correct answerAntacids may interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because it: - correct
answercan cause "red man syndrome", a hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: - correct answernarcan.
The most serious adverse reaction to oral contraceptives is: - correct
answerthromboembolism.
When a client develops tolerance to a drug, the nurse would expect: - correct
answerhigher dose needed to achieve same effect.
Antihyperglycemic agents are prescribed for clients with: - correct answerType 2
diabetes mellitus.
The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic
mannitol is started. Which finding represents an early adverse effect of mannitol? -
correct answerBounding pulse
Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers: -
correct answerare less likely to cause bronchoconstriction.
A client who experiences motion sickness during airplane flights obtains a prescription
for meclizine (Antivert). When is the best time to take the drug? - correct answerOne
hour before the flight
Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to
penicillin. Why is this important to assess? - correct answerA client who is allergic to
penicillin can have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in children? - correct
answerTetracyclines
,In a walk-in clinic, clients are often given intramuscular injections. Which drug should be
readily available in case a client has an anaphylactic reaction? - correct
answerEpinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: - correct
answerdecrease tubular reabsorption of sodium and water.
Which of the statements by the nurse most accurately describes the effects of declined
plasma albumin levels in older adults? - correct answer"There is an increased risk for
adverse effects."
To prevent oral fungal infections, the nurse should instruct the client who uses a
beclomethasone inhaler to take which action? - correct answerRinse the mouth after
each use.
A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She
calls the clinic and relates that she missed her medication yesterday. Which instructions
will the nurse give? - correct answer"Take two pills today then continue on a daily
basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: - correct
answerfacilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which class of
anti-hypertensive drugs? - correct answerAngiotensin converting enzyme (ACE)
inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which condition? -
correct answerProtracted muscle spasticity
Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client who has
anxiety and muscle spasms. Which nursing intervention is appropriate for the care of
this client? - correct answerAssess for incoordination and daytime drowsiness.
The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the client with
chronic bronchitis. With which disorder would the nurse practitioner reconsider the use
of this medication? - correct answerHypertension
When a client is receiving intravenous fluid with supplementary potassium chloride, it is
especially important for the nurse to monitor for which potential adverse effect? - correct
answerCardiac dsyrhythmias
Which adverse effect is common for a client being treated with the antidepressant
fluoxetine (Prozac)? - correct answerSexual dysfunction
, After giving a dose of dextromethorphan, an antitussive, which data reflects evaluation
of the drug's effectiveness? - correct answerClient states that cough has been relieved.
Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If the rate is
62 bpm and regular, which is the appropriate nursing action? - correct answerGive the
drug and document the heart rate.
Digoxin is started for a client with an atrial arrhythmia. Within three days, the client's
heart rate has decreased from 94 to 74. What action of digitalis explains this change? -
correct answerSlowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is to: - correct
answerdilate peripheral blood vessels.
There are many agents that are useful in the treatment of gastric ulcers. Which agent
reacts with hydrochloric acid to form a viscous protective barrier over the ulcer? -
correct answerSucralfate (Carafate)
A client whose asthma has been poorly controlled is prescribed cromolyn sodium (Intal)
for inhalation. Client teaching should include which statement by the nurse? - correct
answer"Using this drug regularly will reduce the frequency of acute attacks."
The combination of aluminum and magnesium in many antacids decreases the risk of: -
correct answerdiarrhea or constipation.
A client who is taking one daily dose of a thiazide diuretic should be instructed to: -
correct answertake the medication in morning to avoid nighttime voiding.
Which phase of pharmacokinetics is affected most by abnormal liver function? - correct
answerMetabolism
A medication order is written for ciprofloxacin (Cipro). For which client should the nurse
question use of this medication? - correct answerChild age 10
A home health client tells the nurse that she is taking triamterene (Dyrenium) for fluid
retention. She tells the nurse she is using a salt substitute so she will not retain so much
water. What is the most appropriate nursing response? - correct answer"Using a salt
substitute with this medication could cause you to have too much potassium."
Orders are written for anticholinergic drugs for each of the following clients. Which order
should the nurse question? - correct answerAtropine combined with opioid analgesics to
relieve pain in a 30-year-old client with urinary calculi.
A client with Type I diabetes mellitus is given an injection of neutral protamine hagedorn
(NPH) insulin at 7:00 a.m. In order to prevent a hypoglycemic reaction, the client should
have: - correct answera mid-afternoon snack.
with correct answers Latest update
2026 GRADED A+
An immunizing agent that confers active immunity protects by: - correct answerproviding
antibodies obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale?
- correct answerAntacids may interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because it: - correct
answercan cause "red man syndrome", a hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: - correct answernarcan.
The most serious adverse reaction to oral contraceptives is: - correct
answerthromboembolism.
When a client develops tolerance to a drug, the nurse would expect: - correct
answerhigher dose needed to achieve same effect.
Antihyperglycemic agents are prescribed for clients with: - correct answerType 2
diabetes mellitus.
The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic
mannitol is started. Which finding represents an early adverse effect of mannitol? -
correct answerBounding pulse
Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers: -
correct answerare less likely to cause bronchoconstriction.
A client who experiences motion sickness during airplane flights obtains a prescription
for meclizine (Antivert). When is the best time to take the drug? - correct answerOne
hour before the flight
Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to
penicillin. Why is this important to assess? - correct answerA client who is allergic to
penicillin can have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in children? - correct
answerTetracyclines
,In a walk-in clinic, clients are often given intramuscular injections. Which drug should be
readily available in case a client has an anaphylactic reaction? - correct
answerEpinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: - correct
answerdecrease tubular reabsorption of sodium and water.
Which of the statements by the nurse most accurately describes the effects of declined
plasma albumin levels in older adults? - correct answer"There is an increased risk for
adverse effects."
To prevent oral fungal infections, the nurse should instruct the client who uses a
beclomethasone inhaler to take which action? - correct answerRinse the mouth after
each use.
A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She
calls the clinic and relates that she missed her medication yesterday. Which instructions
will the nurse give? - correct answer"Take two pills today then continue on a daily
basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: - correct
answerfacilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which class of
anti-hypertensive drugs? - correct answerAngiotensin converting enzyme (ACE)
inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which condition? -
correct answerProtracted muscle spasticity
Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client who has
anxiety and muscle spasms. Which nursing intervention is appropriate for the care of
this client? - correct answerAssess for incoordination and daytime drowsiness.
The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the client with
chronic bronchitis. With which disorder would the nurse practitioner reconsider the use
of this medication? - correct answerHypertension
When a client is receiving intravenous fluid with supplementary potassium chloride, it is
especially important for the nurse to monitor for which potential adverse effect? - correct
answerCardiac dsyrhythmias
Which adverse effect is common for a client being treated with the antidepressant
fluoxetine (Prozac)? - correct answerSexual dysfunction
, After giving a dose of dextromethorphan, an antitussive, which data reflects evaluation
of the drug's effectiveness? - correct answerClient states that cough has been relieved.
Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If the rate is
62 bpm and regular, which is the appropriate nursing action? - correct answerGive the
drug and document the heart rate.
Digoxin is started for a client with an atrial arrhythmia. Within three days, the client's
heart rate has decreased from 94 to 74. What action of digitalis explains this change? -
correct answerSlowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is to: - correct
answerdilate peripheral blood vessels.
There are many agents that are useful in the treatment of gastric ulcers. Which agent
reacts with hydrochloric acid to form a viscous protective barrier over the ulcer? -
correct answerSucralfate (Carafate)
A client whose asthma has been poorly controlled is prescribed cromolyn sodium (Intal)
for inhalation. Client teaching should include which statement by the nurse? - correct
answer"Using this drug regularly will reduce the frequency of acute attacks."
The combination of aluminum and magnesium in many antacids decreases the risk of: -
correct answerdiarrhea or constipation.
A client who is taking one daily dose of a thiazide diuretic should be instructed to: -
correct answertake the medication in morning to avoid nighttime voiding.
Which phase of pharmacokinetics is affected most by abnormal liver function? - correct
answerMetabolism
A medication order is written for ciprofloxacin (Cipro). For which client should the nurse
question use of this medication? - correct answerChild age 10
A home health client tells the nurse that she is taking triamterene (Dyrenium) for fluid
retention. She tells the nurse she is using a salt substitute so she will not retain so much
water. What is the most appropriate nursing response? - correct answer"Using a salt
substitute with this medication could cause you to have too much potassium."
Orders are written for anticholinergic drugs for each of the following clients. Which order
should the nurse question? - correct answerAtropine combined with opioid analgesics to
relieve pain in a 30-year-old client with urinary calculi.
A client with Type I diabetes mellitus is given an injection of neutral protamine hagedorn
(NPH) insulin at 7:00 a.m. In order to prevent a hypoglycemic reaction, the client should
have: - correct answera mid-afternoon snack.
