ATI PHARMACOLOGY PROCTORED EXAM 2024| 65 NGN QUESTIONS
AND CORRECT ANSWERS| GRADED A+| VERSION 2
A provider prescribes phenobarbital for a hospital patient who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day should the
professional nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER>> A. One
(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of time. The professional 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 professional 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 -
CORRECT ANSWER>> 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 professional nurse is preparing to administer eye drops to a hospital patient. Which of
the following actions should the professional nurse take? (Select all that apply.)
A. Have the hospital patient lie on her side.
B. Ask the hospital patient to look up at the ceiling.
C. Tell the hospital patient to blink when the drops enter her eye.
D. Drop the medication into the center of the hospital patient's conjunctival sac.
E. Instruct the hospital patient to close her eye gently after instillation - CORRECT
ANSWER>> B. Ask the hospital patient to look up at the ceiling.
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,D. Drop the medication into the center of the hospital patient's conjunctival sac.
E. Instruct the hospital patient to close her eye gently after instillation
(B. The hospital patient should look upward to keep the drops from falling onto her
cornea.
D. The professional nurse should drop the
medication into the center of the conjunctival sac to
promote distribution.
E. The hospital patient should close her eye gently to promote distribution of the
medication)
A professional nurse is completing discharge teaching for a hospital patient who has a
new prescription for transdermal patches. Which of the following statements should the
professional nurse identify as an indication that the hospital patient understands the
instructions?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch. - CORRECT ANSWER>> C. "I
will apply the patch to an area of skin with no hair."
(The hospital patient should apply the patch to a hairless area of skin to promote
absorption of the medication.)
A professional nurse reviewing a hospital patient's medical record notes a new
prescription for verifying the trough level of the hospital patient's medication. Which of
the following actions should the professional nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose
of medication.
B. Verify that the hospital patient has been taking the medication for 24 hr before
obtaining a blood specimen.
C. Ask the hospital patient to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late - CORRECT
ANSWER>> A. Obtain a blood specimen immediately prior to administering the
next dose of medication.
(To verify trough levels of a medication, the professional nurse should obtain a blood
specimen immediately before administering the next dose of medication.)
A professional nurse is preparing a hospital patient's medications. Which of the
following actions should the professional nurse take in following legal practice
guidelines? (Select all that apply.)
A. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the hospital patient's diagnosis - CORRECT ANSWER>> A. Maintain skill
competency.
, C. Monitor for adverse effects.
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AND CORRECT ANSWERS| GRADED A+| VERSION 2
A provider prescribes phenobarbital for a hospital patient who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day should the
professional nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER>> A. One
(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of time. The professional 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 professional 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 -
CORRECT ANSWER>> 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 professional nurse is preparing to administer eye drops to a hospital patient. Which of
the following actions should the professional nurse take? (Select all that apply.)
A. Have the hospital patient lie on her side.
B. Ask the hospital patient to look up at the ceiling.
C. Tell the hospital patient to blink when the drops enter her eye.
D. Drop the medication into the center of the hospital patient's conjunctival sac.
E. Instruct the hospital patient to close her eye gently after instillation - CORRECT
ANSWER>> B. Ask the hospital patient to look up at the ceiling.
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,D. Drop the medication into the center of the hospital patient's conjunctival sac.
E. Instruct the hospital patient to close her eye gently after instillation
(B. The hospital patient should look upward to keep the drops from falling onto her
cornea.
D. The professional nurse should drop the
medication into the center of the conjunctival sac to
promote distribution.
E. The hospital patient should close her eye gently to promote distribution of the
medication)
A professional nurse is completing discharge teaching for a hospital patient who has a
new prescription for transdermal patches. Which of the following statements should the
professional nurse identify as an indication that the hospital patient understands the
instructions?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch. - CORRECT ANSWER>> C. "I
will apply the patch to an area of skin with no hair."
(The hospital patient should apply the patch to a hairless area of skin to promote
absorption of the medication.)
A professional nurse reviewing a hospital patient's medical record notes a new
prescription for verifying the trough level of the hospital patient's medication. Which of
the following actions should the professional nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose
of medication.
B. Verify that the hospital patient has been taking the medication for 24 hr before
obtaining a blood specimen.
C. Ask the hospital patient to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late - CORRECT
ANSWER>> A. Obtain a blood specimen immediately prior to administering the
next dose of medication.
(To verify trough levels of a medication, the professional nurse should obtain a blood
specimen immediately before administering the next dose of medication.)
A professional nurse is preparing a hospital patient's medications. Which of the
following actions should the professional nurse take in following legal practice
guidelines? (Select all that apply.)
A. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the hospital patient's diagnosis - CORRECT ANSWER>> A. Maintain skill
competency.
, C. Monitor for adverse effects.
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