PHARM ATI PROCTORED PRACTICE ASSESSMENT TEST
QUESTIONS WITH VERIFIED CORRECT ANSWERS
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
VITALS
Temperature 37.7°C (99.9°F) Heart rate 110/min Respiratory rate 20/min Blood pressure
126/74 mmHg SaO2 95% on room air
NURSE NOTE
Adult female client is here for 3 month follow up visit after receiving a new prescription 3
months ago. Client reports feeling nervous and being irritable. Client is alert and oriented to
person place and time. Skin moist and intact some sweating noted on forehead. Heart rate
regular and fast. Respirations even and non-labored. Bowel sounds hyperactive in all 4
quadrants. Reports occasional loose stools that have increased lately
LABS
3 months ago:TSH 6 mU/L (0.3 to 5 mU/L) Triiodothyronine 78 ng/dL (70 to 205 ng/dL)
Thyroxine 0.8 ng/dL (0.8 to 2 ng/dL) Today:WBC 4,500/mm3 (5,000 to 10,000/mm3)
Hemoglobin 11 g/dL (12 g/dL to 16 g/dL) Hematocrit 46% (37% to 47%) Casual b - ---
Answer----Hyperthyroidism evidence by blood thyroxine
explanation the nurse should determine that the client is likely experiencing hyperthyroidism
as evidenced by the client's blood thyroxine level. Levothyroxine is thyroid hormone that is
used to treat clients who have hyperthyroidism.
A client is prescribed a second dose of IV ceftriaxone postoperatively. The nurse notes
urticaria and dyspnea. Which of the following actions should the nurse prioritize?
Administer oxygen.
Administer diphenhydramine.
Notify the charge nurse.
Discontinue the infusion. - ---Answer----Discontinue infusion
explanation- The greatest risk to the client is anaphylaxis. Therefore, the priority intervention
is to stop the medication.
A murse is assessing a client who has myasthenia gravis and is taking neostigmine. Which
of the following findings should indicate to the nurse that the client is experiencing an
adverse effect?
,Tachycardia
Oliguria
Xerostomia
Micuis - ---Answer----Miosis
explanation- Miosis, which is pupillary constriction, is a common adverse effect of
neostigmine due to the excessive muscarinic stimulation that causes difficulty with visual
accommodation.
A murse is teaching a client who is taking allopurinol for the treatment of gout. Which of the
following information should teaching?
Plan to increase the dosage each week by 200 mg increments.
Prolonged use of the medication can cause glaucoma.
Drink 2 L of water daty.
A fine red rash is transient and can be treated with antihistamines. - ---Answer----Drink 2 L
water daily
explanation- The nurse should instruct the client to drink at least 2 L of water each day to
prevent renal stone formation and kidney injury, because allopurinol is eliminated through
the kidneys.
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse
should identify which of the following client findings as Indication that they should complete
an incident report?
The client reports shortness of breath.
The client is also taking lisinopril.
The client's pulse rate is 60min.
The dient's WBC count is 14,000mm³ (5,000 το 10,000mm - ---Answer----The client reports
shortness of breath.
explanation- A severe penicillin allergy is a contraindication for taking ceftazidime, a
cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can
indicate the client is developing anaphylaxis.
A nurse assessing a client who has received atropine eye drops during an eye exam. Which
of the following findings should the nurse expect as an effect of the medication?
,difficulty to see in dark
pinpoint pupils
blurred vision
excessive tearing - ---Answer----blurred vision
explanation- Blurred vision is an expected finding following the administration of atropine eye
drops. This is due to the cycloplegic effects of the medication, which cause near objects to
appear blurry to the client.
A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse effect of
the medication?
Tingling toes
Absence of dreams
Sexual dysfunction
Pica - ---Answer----Sexual dysfunction
explanation- Sexual dysfunction, including a decreased libido, impotence, and delayed
orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70%
of clients who take this SSRI antidepressant.
A nurse at an urgent care clinic is collecting a history from a client who has a urinary tract
infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify
that which of the following client statements indicates a contraindication for administering
this medication?
I have tendonitis, so I haven't been able to exercise."
I take a stool softener for chronic constipation,"
take medicine for my thyroid."
"I am allergic to sulfa." - ---Answer----I have tendonitis, so I have to exercise
explanation The nurse should identify tendonitis as a contraindication for taking ciprofloxacin
due to the risk of tendon rupture.
A nurse contacts a client's provider on the telephone to obtain a prescription for pain
medication. Which of the following actions should the nurse take?
, Write the order on a prescription pad designated for the client's provider. Have the provider
spell out the unfamiliar medication names.
Read the prescription back to the provider using abbreviations.
Consult with a second nurse for any questions regarding dosage. - ---Answer----Have the
provider spell out unfamiliar medication names.
explanation- The nurse should ask the provider to spell out the name of the medication if the
stated name is one the nurse is not familiar with.
A nurse in a provider's office is assessing a client who has been taking aspirin daily for the
past year. For which of the following findings should the nurse immediately notify the
provider?
Hyperventilation
Heartburn
Anorexia
Swollen ankles - ---Answer----Hyperventilation
explanation- When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is hyperventilation. This finding indicates the client might
have acute salicylate poisoning, which causes respiratory alkalosis in the early stages.
A nurse in an emergency department is caring for a client who has myasthenia gravis and is
in a cholinergic crisis. Which of the following medications should the nurse plan to
administer?
Potassium iodide
Glucagon
Atropine
Protamine - ---Answer----Atropine
explanation- A cholinergic crisis is caused by an excess amount of cholinesterase inhibitor,
such as neostigmine. The nurse should plan to administer atropine, an anticholinergic agent,
to reverse cholinergic toxicity.
A nurse in an emergency department is caring for a client whose family reports the client has
taken large amounts of diazepam. Which of the following medications should the nurse
anticipate administering? Ondansetron
Magnesium sulfate
QUESTIONS WITH VERIFIED CORRECT ANSWERS
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
VITALS
Temperature 37.7°C (99.9°F) Heart rate 110/min Respiratory rate 20/min Blood pressure
126/74 mmHg SaO2 95% on room air
NURSE NOTE
Adult female client is here for 3 month follow up visit after receiving a new prescription 3
months ago. Client reports feeling nervous and being irritable. Client is alert and oriented to
person place and time. Skin moist and intact some sweating noted on forehead. Heart rate
regular and fast. Respirations even and non-labored. Bowel sounds hyperactive in all 4
quadrants. Reports occasional loose stools that have increased lately
LABS
3 months ago:TSH 6 mU/L (0.3 to 5 mU/L) Triiodothyronine 78 ng/dL (70 to 205 ng/dL)
Thyroxine 0.8 ng/dL (0.8 to 2 ng/dL) Today:WBC 4,500/mm3 (5,000 to 10,000/mm3)
Hemoglobin 11 g/dL (12 g/dL to 16 g/dL) Hematocrit 46% (37% to 47%) Casual b - ---
Answer----Hyperthyroidism evidence by blood thyroxine
explanation the nurse should determine that the client is likely experiencing hyperthyroidism
as evidenced by the client's blood thyroxine level. Levothyroxine is thyroid hormone that is
used to treat clients who have hyperthyroidism.
A client is prescribed a second dose of IV ceftriaxone postoperatively. The nurse notes
urticaria and dyspnea. Which of the following actions should the nurse prioritize?
Administer oxygen.
Administer diphenhydramine.
Notify the charge nurse.
Discontinue the infusion. - ---Answer----Discontinue infusion
explanation- The greatest risk to the client is anaphylaxis. Therefore, the priority intervention
is to stop the medication.
A murse is assessing a client who has myasthenia gravis and is taking neostigmine. Which
of the following findings should indicate to the nurse that the client is experiencing an
adverse effect?
,Tachycardia
Oliguria
Xerostomia
Micuis - ---Answer----Miosis
explanation- Miosis, which is pupillary constriction, is a common adverse effect of
neostigmine due to the excessive muscarinic stimulation that causes difficulty with visual
accommodation.
A murse is teaching a client who is taking allopurinol for the treatment of gout. Which of the
following information should teaching?
Plan to increase the dosage each week by 200 mg increments.
Prolonged use of the medication can cause glaucoma.
Drink 2 L of water daty.
A fine red rash is transient and can be treated with antihistamines. - ---Answer----Drink 2 L
water daily
explanation- The nurse should instruct the client to drink at least 2 L of water each day to
prevent renal stone formation and kidney injury, because allopurinol is eliminated through
the kidneys.
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse
should identify which of the following client findings as Indication that they should complete
an incident report?
The client reports shortness of breath.
The client is also taking lisinopril.
The client's pulse rate is 60min.
The dient's WBC count is 14,000mm³ (5,000 το 10,000mm - ---Answer----The client reports
shortness of breath.
explanation- A severe penicillin allergy is a contraindication for taking ceftazidime, a
cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can
indicate the client is developing anaphylaxis.
A nurse assessing a client who has received atropine eye drops during an eye exam. Which
of the following findings should the nurse expect as an effect of the medication?
,difficulty to see in dark
pinpoint pupils
blurred vision
excessive tearing - ---Answer----blurred vision
explanation- Blurred vision is an expected finding following the administration of atropine eye
drops. This is due to the cycloplegic effects of the medication, which cause near objects to
appear blurry to the client.
A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse effect of
the medication?
Tingling toes
Absence of dreams
Sexual dysfunction
Pica - ---Answer----Sexual dysfunction
explanation- Sexual dysfunction, including a decreased libido, impotence, and delayed
orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70%
of clients who take this SSRI antidepressant.
A nurse at an urgent care clinic is collecting a history from a client who has a urinary tract
infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify
that which of the following client statements indicates a contraindication for administering
this medication?
I have tendonitis, so I haven't been able to exercise."
I take a stool softener for chronic constipation,"
take medicine for my thyroid."
"I am allergic to sulfa." - ---Answer----I have tendonitis, so I have to exercise
explanation The nurse should identify tendonitis as a contraindication for taking ciprofloxacin
due to the risk of tendon rupture.
A nurse contacts a client's provider on the telephone to obtain a prescription for pain
medication. Which of the following actions should the nurse take?
, Write the order on a prescription pad designated for the client's provider. Have the provider
spell out the unfamiliar medication names.
Read the prescription back to the provider using abbreviations.
Consult with a second nurse for any questions regarding dosage. - ---Answer----Have the
provider spell out unfamiliar medication names.
explanation- The nurse should ask the provider to spell out the name of the medication if the
stated name is one the nurse is not familiar with.
A nurse in a provider's office is assessing a client who has been taking aspirin daily for the
past year. For which of the following findings should the nurse immediately notify the
provider?
Hyperventilation
Heartburn
Anorexia
Swollen ankles - ---Answer----Hyperventilation
explanation- When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is hyperventilation. This finding indicates the client might
have acute salicylate poisoning, which causes respiratory alkalosis in the early stages.
A nurse in an emergency department is caring for a client who has myasthenia gravis and is
in a cholinergic crisis. Which of the following medications should the nurse plan to
administer?
Potassium iodide
Glucagon
Atropine
Protamine - ---Answer----Atropine
explanation- A cholinergic crisis is caused by an excess amount of cholinesterase inhibitor,
such as neostigmine. The nurse should plan to administer atropine, an anticholinergic agent,
to reverse cholinergic toxicity.
A nurse in an emergency department is caring for a client whose family reports the client has
taken large amounts of diazepam. Which of the following medications should the nurse
anticipate administering? Ondansetron
Magnesium sulfate
