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ATI PHARMACOLOGY PROCTORED EXAM 1 2025 EXAMINATION 2025
UPDATED 2025 – 2026 WITH QUESTIONS WITH CORRECT ANSWERS
VERIFIED 100% GRADED A+
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For
which of the following client outcomes should the nurse administer
chlordiazepoxide?
-Minimize diaphoresis
-Maintain abstinence
-Lessen craving
-Prevent delirium tremens
Correct: Prevent delirium tremens
The client should take chlordiazepoxide to prevent delirium tremens during acute
alcohol withdrawal.
Other info:
-The client should take clonidine or a beta-adrenergic blocker, such as atenolol, to
minimize autonomic components, such as diaphoresis, during alcohol withdrawal.
-The client should take acamprosate to help maintain abstinence from alcohol by
decreasing anxiety and other uncomfortable manifestations.
-The client should take propranolol to decrease cravings during alcohol withdrawal.
Medication to prevent delirium tremens during acute alcohol withdrawal The
client should take chlordiazepoxide to prevent delirium tremens during acute
alcohol withdrawal.
Medications to minimize diaphoresis (and other autonomic components)
during alcohol withdrawal
The client should take clonidine or a beta-adrenergic blocker, such as atenolol, to
minimize autonomic components, such as diaphoresis, during alcohol withdrawal
Medication to help maintain abstinence from alcohol
The client should take acamprosate to help maintain abstinence from alcohol by
decreasing anxiety and other uncomfortable manifestations.
Medication to decrease cravings during alcohol withdrawal
The client should take propranolol to decrease cravings during alcohol withdrawal. A
nurse is teaching a client about the use of risedronate for the treatment of
osteoporosis. The nurse should identify which of the following statements as
an indication that the client understands the teaching?
-"I will drink a glass of milk when I take the risedronate."
-"I will take the risedronate 15 minutes after my evening meal."
-"I should take an antacid with the risedronate to avoid nausea."
-"I should sit up for 30 minutes after taking the risedronate."
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Correct: "I should sit up for 30 minutes after taking the risedronate."
Sitting upright for at least 30 min after taking risedronate will reduce the adverse
gastrointestinal effects of esophagitis and dyspepsia. Risedronate is contraindicated
for a client who cannot sit or stand upright for this length of time.
Other info:
-The nurse should reinforce that risedronate should be taken with a full glass of
water, rather than any other liquid.
-Although the delayed release form of the medication can be taken after eating, the
immediate release form of the medication should be taken at least 30 min prior to
consuming food or other liquids. Both forms of medication should be taken in the
morning.
-The absorption of risedronate, a bisphosphonate, will be reduced if it is taken with
antacids containing calcium, aluminum, or magnesium. The nurse should instruct the
client to take the antacid 2 hr after taking risedronate.
Education for patients taking risedronate:
Sitting upright for at least 30 min after taking risedronate will reduce the adverse
gastrointestinal effects of esophagitis and dyspepsia. Risedronate is contraindicated
for a client who cannot sit or stand upright for this length of time.
The nurse should reinforce that risedronate should be taken with a full glass of water,
rather than any other liquid.
The delayed release form of the medication can be taken after eating, the immediate
release form of the medication should be taken at least 30 min prior to consuming
food or other liquids. Both forms of medication should be taken in the morning. The
absorption of risedronate, a bisphosphonate, will be reduced if it is taken with
antacids containing calcium, aluminum, or magnesium. The nurse should instruct the
client to take the antacid 2 hr after taking risedronate.
A nurse is assessing a client 1 hr after administering morphine for pain. The
nurse should identify which of the following findings as the best indication
that the morphine has been effective?
-The client's vital signs are within normal limits.
-The client has not requested additional medication.
-The client is resting comfortably with eyes closed.
-The client rates pain as 3 on a scale from 0 to 10.
Correct: The client rates pain as 3 on a scale from 0 to 10.
The client's description of the pain is the most accurate assessment of pain.
Other info:
-Vital signs can be within normal limits for clients who have pain (not the best
indicator)
-Clients often do not request medicine even when they are experiencing pain (not
the best indicator)
-The client might rest with their eyes closed as a method to try to manage pain.
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However, this does not indicate that the pain is controlled.
A nurse is administering donepezil to a client who has Alzheimer's disease.
Which of the following findings should the nurse report to the provider
immediately?
-Dyspepsia
-Diarrhea
-Dizziness
-Dyspnea
Correct: Dyspnea
When using the airway, breathing, circulation approach to client care, the nurse
should report the adverse effect of dyspnea, caused by bronchoconstriction, to the
provider first. Bronchoconstriction, dyspepsia, diarrhea, and dizziness are caused by
the increase in acetylcholine levels, which is a primary effect of donepezil.
-The nurse should report dyspepsia to the provider because dyspepsia can cause
discomfort and irritation to the esophageal tissues. However, the nurse should report
another finding first.
-The nurse should report diarrhea to the provider because diarrhea can result in
electrolyte and fluid imbalances. However, the nurse should report another finding
first.
-The nurse should report dizziness to the provider because dizziness can place the
client at an increased risk for falls. However, the nurse should report another finding
first.
Side effects of donepezil
Bronchoconstriction, dyspepsia, diarrhea, and dizziness are caused by the increase
in acetylcholine levels, which is a primary effect of donepezil. Define dyspepsia
Indigestion.
A nurse is caring for a client who is taking acetazolamide for chronic
openangle glaucoma. For which of the following adverse effects should the
nurse instruct the client to monitor and report?
-Tingling of fingers
-Constipation
-Weight gain
-Oliguria
Correct: Tingling of fingers
The nurse should instruct the client to report the adverse effect of paresthesia, a
tingling sensation in the extremities when taking acetazolamide.
Other info:
-Diarrhea is an adverse effect of acetazolamide due to gastrointestinal disturbances.
-Weight loss is an adverse effect of acetazolamide due to gastrointestinal
disturbances causing reduced appetite.
-Polyuria is an adverse effect of acetazolamide.
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Adverse effects of acetazolamide:
Paresthesia, diarrhea (due to gastrointestinal disturbances), weight loss (due to
gastrointestinal disturbances causing reduced appetite), polyuria A nurse is
teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include
in the teaching?
-The medication should be taken 1 hr prior to eating.
-It takes 48 hr for therapeutic effects to occur.
-Tablets should not be crushed or chewed.
-Decreased respirations might occur.
Correct: Decreased respirations might occur.
The nurse should instruct the client that hydrocodone with acetaminophen might
cause respiratory depression, which is an adverse effect of the medication. The
client should avoid taking over-the-counter medications or newly prescribed
medications without consulting their provider to avoid increased respiratory
depression.
Other info:
-The client should take hydrocodone and acetaminophen with food or milk to
decrease gastric irritation.
-The nurse should instruct the client that they should experience the effects of
hydrocodone with acetaminophen within 20 min of administration and that pain relief
should last for 4 to 6 hr.
-The client should avoid crushing, chewing, or breaking the extended release or
immediate release hydrocodone tablets to prevent an immediate increase in CNS
effects. Hydrocodone with acetaminophen tablets can be crushed if needed.
Education for a patient who is to start taking hydrocodone with
acetaminophen:
Hydrocodone with acetaminophen might cause respiratory depression. The client
should avoid taking over-the-counter medications or newly prescribed medications
without consulting their provider to avoid increased respiratory depression. The
client should take hydrocodone and acetaminophen with food or milk to decrease
gastric irritation.
The nurse should instruct the client that they should experience the effects of
hydrocodone with acetaminophen within 20 min of administration and that pain relief
should last for 4 to 6 hr.
The client should avoid crushing, chewing, or breaking the extended release or
immediate release hydrocodone tablets to prevent an immediate increase in CNS
effects.
Otherwise, Hydrocodone with acetaminophen tablets can be crushed if needed A
nurse is providing teaching to a client who has a gastric ulcer and a new
prescription for ranitidine. Which of the following instructions should the
nurse include?
-"Take the medication on an empty stomach for full effectiveness."
ATI PHARMACOLOGY PROCTORED EXAM 1 2025 EXAMINATION 2025
UPDATED 2025 – 2026 WITH QUESTIONS WITH CORRECT ANSWERS
VERIFIED 100% GRADED A+
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For
which of the following client outcomes should the nurse administer
chlordiazepoxide?
-Minimize diaphoresis
-Maintain abstinence
-Lessen craving
-Prevent delirium tremens
Correct: Prevent delirium tremens
The client should take chlordiazepoxide to prevent delirium tremens during acute
alcohol withdrawal.
Other info:
-The client should take clonidine or a beta-adrenergic blocker, such as atenolol, to
minimize autonomic components, such as diaphoresis, during alcohol withdrawal.
-The client should take acamprosate to help maintain abstinence from alcohol by
decreasing anxiety and other uncomfortable manifestations.
-The client should take propranolol to decrease cravings during alcohol withdrawal.
Medication to prevent delirium tremens during acute alcohol withdrawal The
client should take chlordiazepoxide to prevent delirium tremens during acute
alcohol withdrawal.
Medications to minimize diaphoresis (and other autonomic components)
during alcohol withdrawal
The client should take clonidine or a beta-adrenergic blocker, such as atenolol, to
minimize autonomic components, such as diaphoresis, during alcohol withdrawal
Medication to help maintain abstinence from alcohol
The client should take acamprosate to help maintain abstinence from alcohol by
decreasing anxiety and other uncomfortable manifestations.
Medication to decrease cravings during alcohol withdrawal
The client should take propranolol to decrease cravings during alcohol withdrawal. A
nurse is teaching a client about the use of risedronate for the treatment of
osteoporosis. The nurse should identify which of the following statements as
an indication that the client understands the teaching?
-"I will drink a glass of milk when I take the risedronate."
-"I will take the risedronate 15 minutes after my evening meal."
-"I should take an antacid with the risedronate to avoid nausea."
-"I should sit up for 30 minutes after taking the risedronate."
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Correct: "I should sit up for 30 minutes after taking the risedronate."
Sitting upright for at least 30 min after taking risedronate will reduce the adverse
gastrointestinal effects of esophagitis and dyspepsia. Risedronate is contraindicated
for a client who cannot sit or stand upright for this length of time.
Other info:
-The nurse should reinforce that risedronate should be taken with a full glass of
water, rather than any other liquid.
-Although the delayed release form of the medication can be taken after eating, the
immediate release form of the medication should be taken at least 30 min prior to
consuming food or other liquids. Both forms of medication should be taken in the
morning.
-The absorption of risedronate, a bisphosphonate, will be reduced if it is taken with
antacids containing calcium, aluminum, or magnesium. The nurse should instruct the
client to take the antacid 2 hr after taking risedronate.
Education for patients taking risedronate:
Sitting upright for at least 30 min after taking risedronate will reduce the adverse
gastrointestinal effects of esophagitis and dyspepsia. Risedronate is contraindicated
for a client who cannot sit or stand upright for this length of time.
The nurse should reinforce that risedronate should be taken with a full glass of water,
rather than any other liquid.
The delayed release form of the medication can be taken after eating, the immediate
release form of the medication should be taken at least 30 min prior to consuming
food or other liquids. Both forms of medication should be taken in the morning. The
absorption of risedronate, a bisphosphonate, will be reduced if it is taken with
antacids containing calcium, aluminum, or magnesium. The nurse should instruct the
client to take the antacid 2 hr after taking risedronate.
A nurse is assessing a client 1 hr after administering morphine for pain. The
nurse should identify which of the following findings as the best indication
that the morphine has been effective?
-The client's vital signs are within normal limits.
-The client has not requested additional medication.
-The client is resting comfortably with eyes closed.
-The client rates pain as 3 on a scale from 0 to 10.
Correct: The client rates pain as 3 on a scale from 0 to 10.
The client's description of the pain is the most accurate assessment of pain.
Other info:
-Vital signs can be within normal limits for clients who have pain (not the best
indicator)
-Clients often do not request medicine even when they are experiencing pain (not
the best indicator)
-The client might rest with their eyes closed as a method to try to manage pain.
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However, this does not indicate that the pain is controlled.
A nurse is administering donepezil to a client who has Alzheimer's disease.
Which of the following findings should the nurse report to the provider
immediately?
-Dyspepsia
-Diarrhea
-Dizziness
-Dyspnea
Correct: Dyspnea
When using the airway, breathing, circulation approach to client care, the nurse
should report the adverse effect of dyspnea, caused by bronchoconstriction, to the
provider first. Bronchoconstriction, dyspepsia, diarrhea, and dizziness are caused by
the increase in acetylcholine levels, which is a primary effect of donepezil.
-The nurse should report dyspepsia to the provider because dyspepsia can cause
discomfort and irritation to the esophageal tissues. However, the nurse should report
another finding first.
-The nurse should report diarrhea to the provider because diarrhea can result in
electrolyte and fluid imbalances. However, the nurse should report another finding
first.
-The nurse should report dizziness to the provider because dizziness can place the
client at an increased risk for falls. However, the nurse should report another finding
first.
Side effects of donepezil
Bronchoconstriction, dyspepsia, diarrhea, and dizziness are caused by the increase
in acetylcholine levels, which is a primary effect of donepezil. Define dyspepsia
Indigestion.
A nurse is caring for a client who is taking acetazolamide for chronic
openangle glaucoma. For which of the following adverse effects should the
nurse instruct the client to monitor and report?
-Tingling of fingers
-Constipation
-Weight gain
-Oliguria
Correct: Tingling of fingers
The nurse should instruct the client to report the adverse effect of paresthesia, a
tingling sensation in the extremities when taking acetazolamide.
Other info:
-Diarrhea is an adverse effect of acetazolamide due to gastrointestinal disturbances.
-Weight loss is an adverse effect of acetazolamide due to gastrointestinal
disturbances causing reduced appetite.
-Polyuria is an adverse effect of acetazolamide.
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Adverse effects of acetazolamide:
Paresthesia, diarrhea (due to gastrointestinal disturbances), weight loss (due to
gastrointestinal disturbances causing reduced appetite), polyuria A nurse is
teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include
in the teaching?
-The medication should be taken 1 hr prior to eating.
-It takes 48 hr for therapeutic effects to occur.
-Tablets should not be crushed or chewed.
-Decreased respirations might occur.
Correct: Decreased respirations might occur.
The nurse should instruct the client that hydrocodone with acetaminophen might
cause respiratory depression, which is an adverse effect of the medication. The
client should avoid taking over-the-counter medications or newly prescribed
medications without consulting their provider to avoid increased respiratory
depression.
Other info:
-The client should take hydrocodone and acetaminophen with food or milk to
decrease gastric irritation.
-The nurse should instruct the client that they should experience the effects of
hydrocodone with acetaminophen within 20 min of administration and that pain relief
should last for 4 to 6 hr.
-The client should avoid crushing, chewing, or breaking the extended release or
immediate release hydrocodone tablets to prevent an immediate increase in CNS
effects. Hydrocodone with acetaminophen tablets can be crushed if needed.
Education for a patient who is to start taking hydrocodone with
acetaminophen:
Hydrocodone with acetaminophen might cause respiratory depression. The client
should avoid taking over-the-counter medications or newly prescribed medications
without consulting their provider to avoid increased respiratory depression. The
client should take hydrocodone and acetaminophen with food or milk to decrease
gastric irritation.
The nurse should instruct the client that they should experience the effects of
hydrocodone with acetaminophen within 20 min of administration and that pain relief
should last for 4 to 6 hr.
The client should avoid crushing, chewing, or breaking the extended release or
immediate release hydrocodone tablets to prevent an immediate increase in CNS
effects.
Otherwise, Hydrocodone with acetaminophen tablets can be crushed if needed A
nurse is providing teaching to a client who has a gastric ulcer and a new
prescription for ranitidine. Which of the following instructions should the
nurse include?
-"Take the medication on an empty stomach for full effectiveness."
