NEW CMS ATI PHARMACOLOGY PROCTORED 2024-
2025 EXAM REAL EXAM WITH
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse is teaching a client who has a new prescription for
Escitalopram for treatment of generalized Anxiety
disorder. Which of the following statements by the client
indicates understanding of the teaching?
A. "I should take the medication on an empty
stomach."
B. "I will follow a low‑sodium diet while taking this
medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before
swallowing." - ANS-C. "I need to discontinue this
medication slowly."
RATIONALE-(When discontinuing escitalopram, the client
should taper the medication slowly according to a
prescribed tapered dosing schedule to reduce the risk of
withdrawal syndrome.)
1|Page
,A nurse is admitting a client and completing a
preassessment before administering medications. Which
of the following data should the nurse include in the
preassessment? (Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - ANS-A. Use of herbal teas
C. Current health status
E. Food allergies
RATIONALE-(A. The nurse should inquire about the
client's use of herbal products, which often contain
caffeine, prior to medication administration because
caffeine can affect medication biotransformation
C. The nurse should review the client's current health
status because new prescriptions can cause alterations
in current health status
E. The nurse should inquire about food allergies during
the preassessment to identify any potential reactions or
interactions)
2|Page
,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 - ANS-A. One
RATIONALE-(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
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, D. Peripheral vascular disease
E. Concurrent use of medication the same pathway
metabolizes - ANS-C. Liver failure
E. Concurrent use of medication the same pathway
metabolizes
RATIONALE-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 - ANS-B. Ask the client to look up at the
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2025 EXAM REAL EXAM WITH
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse is teaching a client who has a new prescription for
Escitalopram for treatment of generalized Anxiety
disorder. Which of the following statements by the client
indicates understanding of the teaching?
A. "I should take the medication on an empty
stomach."
B. "I will follow a low‑sodium diet while taking this
medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before
swallowing." - ANS-C. "I need to discontinue this
medication slowly."
RATIONALE-(When discontinuing escitalopram, the client
should taper the medication slowly according to a
prescribed tapered dosing schedule to reduce the risk of
withdrawal syndrome.)
1|Page
,A nurse is admitting a client and completing a
preassessment before administering medications. Which
of the following data should the nurse include in the
preassessment? (Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - ANS-A. Use of herbal teas
C. Current health status
E. Food allergies
RATIONALE-(A. The nurse should inquire about the
client's use of herbal products, which often contain
caffeine, prior to medication administration because
caffeine can affect medication biotransformation
C. The nurse should review the client's current health
status because new prescriptions can cause alterations
in current health status
E. The nurse should inquire about food allergies during
the preassessment to identify any potential reactions or
interactions)
2|Page
,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 - ANS-A. One
RATIONALE-(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
3|Page
, D. Peripheral vascular disease
E. Concurrent use of medication the same pathway
metabolizes - ANS-C. Liver failure
E. Concurrent use of medication the same pathway
metabolizes
RATIONALE-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 - ANS-B. Ask the client to look up at the
4|Page
