ATI Pharmacology Proctored Exam: Complete
Solutions from Leading Educators Worldwide,
Structured for Success in Every Exam
A nurse is teaching an adolescent client who has a new prescription for Clomipramine for
OCD. Which of the following instructions should the nurse include to minimize an adverse
effect of his medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die - CORRECT ANSWER- -A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic effect
associated with TCA use)
A nurse is caring for a school-age child who has a new prescription for Atomoxetine. The
nurse should monitor the client for which of the following adverse effects of this
medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency - CORRECT ANSWER- -B. Liver damage
(Liver damage is an adverse effect of atomoxetine. The nurse should monitor for
manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and
elevated liver enzymes)
,A nurse is teaching the parents of a school-age child about transdermal Methylphenidate.
Which of the following instructions should the nurse include?
A. Apply one patch twice per day.
B. Leave the patch on for 9 hr.
C. Apply the patch to the child's waist.
D. Use opened tray within 6 months. - CORRECT ANSWER- -B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
A nurse is teaching a school-age child and his parents about a new prescription for
Lisdexamfetamine. Which of the following information should the nurse include in the
teaching? (Select all that apply.)
A nurse is preparing to perform a follow-up assessment on a client who takes
Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the
greatest improvement in which of the following manifestations? (Select all that apply.)
A. Disorganized speech
B. Bizarre behavior
C. Impaired social interactions
D. Hallucinations
E. Decreased motivation - CORRECT ANSWER- -A. Disorganized speech
B. Bizarre behavior
D. Hallucinations
(A. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as disorganized speech.
, B. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as bizarre behavior
D. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as hallucinations.)
A nurse is teaching the parents of a child who has a new prescription for Desipramine. The
nurse should instruct the parents that which of the following adverse effects is the priority
to report to the provider?
A. Constipation
B. Suicidal thoughts
C. Photophobia
D. Dry mouth - CORRECT ANSWER- -B. Suicidal thoughts
(The greatest risk to this client is injury from a suicide attempt; therefore, this is the priority.
Desipramine can cause suicidal thoughts and behaviors which puts the client at risk. The
parents should monitor and report any indication of increased depression or thoughts of
suicidal behavior.)
A. An adverse effect of this medication is CNS stimulation.
B. Administer the medication before bedtime.
C. Monitor blood pressure while taking this medication.
D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
E. This medication raises the levels of dopamine in the brain - CORRECT ANSWER- -A. An
adverse effect of this medication is CNS stimulation.
Solutions from Leading Educators Worldwide,
Structured for Success in Every Exam
A nurse is teaching an adolescent client who has a new prescription for Clomipramine for
OCD. Which of the following instructions should the nurse include to minimize an adverse
effect of his medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die - CORRECT ANSWER- -A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic effect
associated with TCA use)
A nurse is caring for a school-age child who has a new prescription for Atomoxetine. The
nurse should monitor the client for which of the following adverse effects of this
medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency - CORRECT ANSWER- -B. Liver damage
(Liver damage is an adverse effect of atomoxetine. The nurse should monitor for
manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and
elevated liver enzymes)
,A nurse is teaching the parents of a school-age child about transdermal Methylphenidate.
Which of the following instructions should the nurse include?
A. Apply one patch twice per day.
B. Leave the patch on for 9 hr.
C. Apply the patch to the child's waist.
D. Use opened tray within 6 months. - CORRECT ANSWER- -B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
A nurse is teaching a school-age child and his parents about a new prescription for
Lisdexamfetamine. Which of the following information should the nurse include in the
teaching? (Select all that apply.)
A nurse is preparing to perform a follow-up assessment on a client who takes
Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the
greatest improvement in which of the following manifestations? (Select all that apply.)
A. Disorganized speech
B. Bizarre behavior
C. Impaired social interactions
D. Hallucinations
E. Decreased motivation - CORRECT ANSWER- -A. Disorganized speech
B. Bizarre behavior
D. Hallucinations
(A. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as disorganized speech.
, B. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as bizarre behavior
D. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as hallucinations.)
A nurse is teaching the parents of a child who has a new prescription for Desipramine. The
nurse should instruct the parents that which of the following adverse effects is the priority
to report to the provider?
A. Constipation
B. Suicidal thoughts
C. Photophobia
D. Dry mouth - CORRECT ANSWER- -B. Suicidal thoughts
(The greatest risk to this client is injury from a suicide attempt; therefore, this is the priority.
Desipramine can cause suicidal thoughts and behaviors which puts the client at risk. The
parents should monitor and report any indication of increased depression or thoughts of
suicidal behavior.)
A. An adverse effect of this medication is CNS stimulation.
B. Administer the medication before bedtime.
C. Monitor blood pressure while taking this medication.
D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
E. This medication raises the levels of dopamine in the brain - CORRECT ANSWER- -A. An
adverse effect of this medication is CNS stimulation.
