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
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
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
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
