ATI Pharmacology Proctored Comprehensive Final
Review 2026 | High-Yield Study Guide
1. Discuss why short-term use of antitussives like Codeine and
Dextromethorphan is advised in clinical practice.
Short-term use is necessary to prevent the development of tolerance.
Short-term use is recommended to ensure maximum therapeutic
effect.
Short-term use is required to avoid interactions with other medications.
Short-term use is advised to minimize the risk of dependency and
abuse associated with these medications.
2. A patient on lithium therapy reports increased thirst and frequent urination.
What should be the primary concern regarding these symptoms?
Allergic reaction
Potential lithium toxicity
Dehydration
Increased appetite
3. The nurse is caring for a patient with chronic hypertension. The patient is
receiving losartan. Which patient manifestations would the nurse conclude is
an adverse effect of this medication?
Headache and dizziness
Sleepiness and slurred speech
Irritability and tremors
Pruritus and rash
,4. If a pregnant patient presents with a protozoal infection, what would be the
recommended course of action regarding Metronidazole treatment?
Prescribe Metronidazole as it is safe for all infections.
Refer the patient for surgery instead.
Avoid using Metronidazole due to its contraindication in pregnancy.
Administer Metronidazole with caution.
5. A patient with a history of liver disease and a prolonged QT interval is
prescribed Erythromycin. What should the healthcare provider do?
Increase the dosage of Erythromycin.
Reassess the prescription and consider alternative antibiotics.
Continue with the prescription as planned.
Monitor the patient for side effects only.
6. Describe why it is important to monitor for gastrointestinal upset when using
Meropenem or Imipenem.
Monitoring for gastrointestinal upset is unnecessary as these
antibiotics do not affect the digestive system.
Monitoring for gastrointestinal upset is only relevant for patients with
pre-existing conditions.
Monitoring for gastrointestinal upset is important to ensure the
effectiveness of the antibiotics.
Monitoring for gastrointestinal upset is important because these
antibiotics can disrupt normal gut flora, leading to side effects.
,7. A patient taking Hydrochlorothiazide reports feeling dizzy and lightheaded.
What could be a likely explanation for these symptoms?
Improved kidney function
Hypotension due to dehydration
Allergic reaction to the medication
Increased blood sugar levels
8. What serious condition can occur in children who take Aspirin during viral
infections?
Scarlet fever
Chickenpox
Reye's syndrome
Measles
9. Which of the following is a common adverse effect of opioid agonists?
Respiratory depression
Insomnia
Hypertension
Increased appetite
10. Describe the types of adverse effects that can occur with the use of
Dextromethorphan.
Dextromethorphan has no known adverse effects.
Dextromethorphan primarily causes gastrointestinal issues.
Dextromethorphan is known for its stimulant effects.
, Adverse effects of Dextromethorphan can include nausea,
dizziness, sedation, and dystonia.
11. What types of allergies should be monitored when administering Cefazolin
or Ceftriaxone?
Penicillin or cephalosporin allergies
Sulfa allergies
Opioid allergies
Aspirin allergies
12. What skin condition is linked to the use of lamotrigine?
Stevens-Johnson syndrome
Eczema
Acne
Psoriasis
13. Describe why pregnancy is considered a contraindication for Codeine use
as an antitussive.
Pregnancy is safe for Codeine use as it has no effects on the fetus.
Pregnancy is considered a contraindication because Codeine can
affect fetal development and may lead to dependency in the
newborn.
Pregnancy is contraindicated due to the risk of hypertension.
Pregnancy is contraindicated because it enhances the effectiveness
of Codeine.
Review 2026 | High-Yield Study Guide
1. Discuss why short-term use of antitussives like Codeine and
Dextromethorphan is advised in clinical practice.
Short-term use is necessary to prevent the development of tolerance.
Short-term use is recommended to ensure maximum therapeutic
effect.
Short-term use is required to avoid interactions with other medications.
Short-term use is advised to minimize the risk of dependency and
abuse associated with these medications.
2. A patient on lithium therapy reports increased thirst and frequent urination.
What should be the primary concern regarding these symptoms?
Allergic reaction
Potential lithium toxicity
Dehydration
Increased appetite
3. The nurse is caring for a patient with chronic hypertension. The patient is
receiving losartan. Which patient manifestations would the nurse conclude is
an adverse effect of this medication?
Headache and dizziness
Sleepiness and slurred speech
Irritability and tremors
Pruritus and rash
,4. If a pregnant patient presents with a protozoal infection, what would be the
recommended course of action regarding Metronidazole treatment?
Prescribe Metronidazole as it is safe for all infections.
Refer the patient for surgery instead.
Avoid using Metronidazole due to its contraindication in pregnancy.
Administer Metronidazole with caution.
5. A patient with a history of liver disease and a prolonged QT interval is
prescribed Erythromycin. What should the healthcare provider do?
Increase the dosage of Erythromycin.
Reassess the prescription and consider alternative antibiotics.
Continue with the prescription as planned.
Monitor the patient for side effects only.
6. Describe why it is important to monitor for gastrointestinal upset when using
Meropenem or Imipenem.
Monitoring for gastrointestinal upset is unnecessary as these
antibiotics do not affect the digestive system.
Monitoring for gastrointestinal upset is only relevant for patients with
pre-existing conditions.
Monitoring for gastrointestinal upset is important to ensure the
effectiveness of the antibiotics.
Monitoring for gastrointestinal upset is important because these
antibiotics can disrupt normal gut flora, leading to side effects.
,7. A patient taking Hydrochlorothiazide reports feeling dizzy and lightheaded.
What could be a likely explanation for these symptoms?
Improved kidney function
Hypotension due to dehydration
Allergic reaction to the medication
Increased blood sugar levels
8. What serious condition can occur in children who take Aspirin during viral
infections?
Scarlet fever
Chickenpox
Reye's syndrome
Measles
9. Which of the following is a common adverse effect of opioid agonists?
Respiratory depression
Insomnia
Hypertension
Increased appetite
10. Describe the types of adverse effects that can occur with the use of
Dextromethorphan.
Dextromethorphan has no known adverse effects.
Dextromethorphan primarily causes gastrointestinal issues.
Dextromethorphan is known for its stimulant effects.
, Adverse effects of Dextromethorphan can include nausea,
dizziness, sedation, and dystonia.
11. What types of allergies should be monitored when administering Cefazolin
or Ceftriaxone?
Penicillin or cephalosporin allergies
Sulfa allergies
Opioid allergies
Aspirin allergies
12. What skin condition is linked to the use of lamotrigine?
Stevens-Johnson syndrome
Eczema
Acne
Psoriasis
13. Describe why pregnancy is considered a contraindication for Codeine use
as an antitussive.
Pregnancy is safe for Codeine use as it has no effects on the fetus.
Pregnancy is considered a contraindication because Codeine can
affect fetal development and may lead to dependency in the
newborn.
Pregnancy is contraindicated due to the risk of hypertension.
Pregnancy is contraindicated because it enhances the effectiveness
of Codeine.
