ATI PHARMACOLOGY
PROCTORED EXAM 2025/2026
QUESTIONS WITH CORRECT
ANSWERS
A nurse is caring for a client who is receiving daily doses of Oprelvekin. Which
of the following laboratory values should the nurse monitor to determine
effectiveness of this medication?
A. Hemoglobin
B. Absolute neutrophil count
C. Platelet count
D. Total white blood count - C (The expected outcome for oprelvekin is a
platelet count greater than 50,000/mm^3.)
A nurse is preparing to administer Filgrastim for the first time to a client who
has just undergone a bone marrow transplant. Which of the following
interventions is appropriate?
,A. Administer Im in a large muscle mass to prevent injury.
B. Ensure that the medication is refrigerated until just prior to administration.
C. Shake vial gently to mix well before withdrawing dose.
D. Discard vial after removing one dose of the medication - D (Only one dose
of filgrastim should be withdrawn from the vial and the vial should then be
discarded.)
A nurse is monitoring a client who is receiving Epoetin alfa for adverse effects.
The nurse should identify which of the following findings as an adverse effect
of this medication? (Select all that apply)
A. Leukocytosis
B. Hypertension
C. Edema
D. Blurred vision
E. Headache - b, e
(B.hypertension is an adverse effect of epoetin alfa
that the nurse should monitor for throughout treatment.
E.headache is an adverse effect of epoetin alfa)
A nurse is assessing a client who has chronic Neutropenia and who has been
receiving Gilgrastim. Which of the following actions should the nurse take to
assess for an adverse effect of filgrastim?
A. Assess for bone pain.
B. Assess for right lower quadrant pain.
C. Auscultate for crackles in the bases of the lungs.
,D. Auscultate the chest to listen for a heart murmur - A (Bone pain is a
dose-related adverse effect of Filgrastim. It can be treated with acetaminophen
and, if necessary, an opioid analgesic)
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.)
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
metabolism, thereby increasing the concentration of one or both medications.
This requires decreasing the dosage of one or both
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.
PROCTORED EXAM 2025/2026
QUESTIONS WITH CORRECT
ANSWERS
A nurse is caring for a client who is receiving daily doses of Oprelvekin. Which
of the following laboratory values should the nurse monitor to determine
effectiveness of this medication?
A. Hemoglobin
B. Absolute neutrophil count
C. Platelet count
D. Total white blood count - C (The expected outcome for oprelvekin is a
platelet count greater than 50,000/mm^3.)
A nurse is preparing to administer Filgrastim for the first time to a client who
has just undergone a bone marrow transplant. Which of the following
interventions is appropriate?
,A. Administer Im in a large muscle mass to prevent injury.
B. Ensure that the medication is refrigerated until just prior to administration.
C. Shake vial gently to mix well before withdrawing dose.
D. Discard vial after removing one dose of the medication - D (Only one dose
of filgrastim should be withdrawn from the vial and the vial should then be
discarded.)
A nurse is monitoring a client who is receiving Epoetin alfa for adverse effects.
The nurse should identify which of the following findings as an adverse effect
of this medication? (Select all that apply)
A. Leukocytosis
B. Hypertension
C. Edema
D. Blurred vision
E. Headache - b, e
(B.hypertension is an adverse effect of epoetin alfa
that the nurse should monitor for throughout treatment.
E.headache is an adverse effect of epoetin alfa)
A nurse is assessing a client who has chronic Neutropenia and who has been
receiving Gilgrastim. Which of the following actions should the nurse take to
assess for an adverse effect of filgrastim?
A. Assess for bone pain.
B. Assess for right lower quadrant pain.
C. Auscultate for crackles in the bases of the lungs.
,D. Auscultate the chest to listen for a heart murmur - A (Bone pain is a
dose-related adverse effect of Filgrastim. It can be treated with acetaminophen
and, if necessary, an opioid analgesic)
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.)
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
metabolism, thereby increasing the concentration of one or both medications.
This requires decreasing the dosage of one or both
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.
