ATI PHARM MIDTERM COMPLETE LATEST FINAL EXAM UPDATED FOR 2026- 2027
ACTUAL QUESTIONS WITH 100% CERTIFIED, ELABORATED & VERIFIED
SOLUTIONS
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check you blood pressure every 8 hours while taking this medication."
C. "Your medication dosage will be increased if you develop tachycardia."
D. "Change positions slowly when you move from sitting to standing."
D
A nurse is reviewing a client's health record and notes that the client experiences permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize that the
medication affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal
C
A nurse is caring for a client who is taking oral oxycodone. The client states he is also taking
ibuprofen in three recommended doses daily. The nurse should identify that an interaction
between these two medications will cause which of the following findings?
A. a decrease in serum level of ibuprofen, possibly leading to a need for increased doses of this
medication
B. a decrease in serum levels of oxycodone, possibly leading to a need for increased doses of
this medication
C. an increase in the expected therapeutic effect of both medications
D. an increase in expected adverse effects for both medications
C
A nurse is preparing to administer medications to a 4-month-old infant. Which of the following
pharmacokinetic principles should the nurse consider when administering medications to this
client? (select all that apply)
A. infants have a more rapid gastric emptying time
B. infants have immature liver function
,C. infants' blood-brain barrier is poorly developed
D. infants have an increased ability to absorb topical medications
E. infants have an increased number of protein-binding sites
B
C
D
A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at
her first prenatal visit. Which of the following immunizations may the nurse administer safely to
this client?
A. varicella vaccine
B. Rubella vaccine
C. inactivated influenza vaccine
D. measles vaccine
C
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at
2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast.
Which of the following factors should the nurse identify as a possible reason for the client's
drowsiness?
A. reduced cardiac function
B. first-pass effect
C. reduced hepatic function
D. increased gastric motility
C
A nurse in the operating room is caring for a client who received a dose of succinylcholine.
During the operation, the client suddenly develops rigidity, and his body temperature begins to
rise. The nurse should anticipate a prescription for which of the following medications?
A. Neostigmine
B. Naloxone
C. Dantrolene
D. Vecuronium
C
A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant
hyperthermia. Which of the following actions should the nurse take? (select all that apply)
A. Place a cooling blanket on the client
,B. Administer oxygen at 100%
C. administer iced 0.9% sodium chloride
D. administer potassium chloride IV
E. monitor core body temperature
A
B
C
E
A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms.
Which of the following statements by the client indicates an understanding of the teaching?
(select all that apply)
A. "I will top taking this medication right away if I develop dizziness."
B. "I know the doctor will gradually increase my dose of this medication for a while."
C. "I should increase fiber to prevent constipation from this medication."
D. "I won't be able to drink alcohol while I'm taking this medication."
E. "I should take this medication on an empty stomach each morning."
B
C
D
A nurse is reviewing the health care record of a client who reports urinary incontinence and
asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is
contraindicated in the presence of which of the following conditions?
A. Bursitis
B. Sinusitis
C. Depression
D. Glaucoma
D
A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention.
The nurse should recognize that which of the following findings is a manifestation of muscarinic
stimulation?
A. dry mouth
B. hypertension
C. excessive perspiration
D. fecal impaction
C
, A nurse is providing teaching for a client who has gout and a new prescription for allopurinol.
For which of the following adverse effects should the client be taught to monitor? (select all
that apply)
A. stomatitis
B. insomnia
C. nausea
D. rash
E. increased gout pain
C
D
E
A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid
arthritis. Based on the route of administration of adalimumab, which of the following should
the nurse plan to monitor?
A. the vein for thrombophlebitis during IV administration
B. the subcutaneous site for redness following injection
C. the oral mucosa for ulceration after oral administration
D. the skin for irritation following removal of transdermal patch
B
A nurse is preparing to administer belimumab for a client who has systemic lupus
erythematosus. Which of the following actions should the nurse plan to take?
A. warm the medication to room temperature over 1 hr before administering
B. administer the medication by IV bolus over 5 min
C. dilute the medication in 5 % dextrose and water solution
D. monitor the client for hypersensitivity reactions
D
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following
medications should the nurse anticipate being prescribed for this client?
A. colchicine
B. hydroxychloroquine
C. auranofin
D. duloxetine
D
ACTUAL QUESTIONS WITH 100% CERTIFIED, ELABORATED & VERIFIED
SOLUTIONS
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check you blood pressure every 8 hours while taking this medication."
C. "Your medication dosage will be increased if you develop tachycardia."
D. "Change positions slowly when you move from sitting to standing."
D
A nurse is reviewing a client's health record and notes that the client experiences permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize that the
medication affected which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal
C
A nurse is caring for a client who is taking oral oxycodone. The client states he is also taking
ibuprofen in three recommended doses daily. The nurse should identify that an interaction
between these two medications will cause which of the following findings?
A. a decrease in serum level of ibuprofen, possibly leading to a need for increased doses of this
medication
B. a decrease in serum levels of oxycodone, possibly leading to a need for increased doses of
this medication
C. an increase in the expected therapeutic effect of both medications
D. an increase in expected adverse effects for both medications
C
A nurse is preparing to administer medications to a 4-month-old infant. Which of the following
pharmacokinetic principles should the nurse consider when administering medications to this
client? (select all that apply)
A. infants have a more rapid gastric emptying time
B. infants have immature liver function
,C. infants' blood-brain barrier is poorly developed
D. infants have an increased ability to absorb topical medications
E. infants have an increased number of protein-binding sites
B
C
D
A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at
her first prenatal visit. Which of the following immunizations may the nurse administer safely to
this client?
A. varicella vaccine
B. Rubella vaccine
C. inactivated influenza vaccine
D. measles vaccine
C
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at
2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast.
Which of the following factors should the nurse identify as a possible reason for the client's
drowsiness?
A. reduced cardiac function
B. first-pass effect
C. reduced hepatic function
D. increased gastric motility
C
A nurse in the operating room is caring for a client who received a dose of succinylcholine.
During the operation, the client suddenly develops rigidity, and his body temperature begins to
rise. The nurse should anticipate a prescription for which of the following medications?
A. Neostigmine
B. Naloxone
C. Dantrolene
D. Vecuronium
C
A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant
hyperthermia. Which of the following actions should the nurse take? (select all that apply)
A. Place a cooling blanket on the client
,B. Administer oxygen at 100%
C. administer iced 0.9% sodium chloride
D. administer potassium chloride IV
E. monitor core body temperature
A
B
C
E
A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms.
Which of the following statements by the client indicates an understanding of the teaching?
(select all that apply)
A. "I will top taking this medication right away if I develop dizziness."
B. "I know the doctor will gradually increase my dose of this medication for a while."
C. "I should increase fiber to prevent constipation from this medication."
D. "I won't be able to drink alcohol while I'm taking this medication."
E. "I should take this medication on an empty stomach each morning."
B
C
D
A nurse is reviewing the health care record of a client who reports urinary incontinence and
asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is
contraindicated in the presence of which of the following conditions?
A. Bursitis
B. Sinusitis
C. Depression
D. Glaucoma
D
A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention.
The nurse should recognize that which of the following findings is a manifestation of muscarinic
stimulation?
A. dry mouth
B. hypertension
C. excessive perspiration
D. fecal impaction
C
, A nurse is providing teaching for a client who has gout and a new prescription for allopurinol.
For which of the following adverse effects should the client be taught to monitor? (select all
that apply)
A. stomatitis
B. insomnia
C. nausea
D. rash
E. increased gout pain
C
D
E
A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid
arthritis. Based on the route of administration of adalimumab, which of the following should
the nurse plan to monitor?
A. the vein for thrombophlebitis during IV administration
B. the subcutaneous site for redness following injection
C. the oral mucosa for ulceration after oral administration
D. the skin for irritation following removal of transdermal patch
B
A nurse is preparing to administer belimumab for a client who has systemic lupus
erythematosus. Which of the following actions should the nurse plan to take?
A. warm the medication to room temperature over 1 hr before administering
B. administer the medication by IV bolus over 5 min
C. dilute the medication in 5 % dextrose and water solution
D. monitor the client for hypersensitivity reactions
D
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following
medications should the nurse anticipate being prescribed for this client?
A. colchicine
B. hydroxychloroquine
C. auranofin
D. duloxetine
D
