Latest 2024/2025 ATI Pharmacology Proctored Actual Exam Question
With Correct/Verified Answers A Grade Assured
1. A provider prescribes phenobarbital for a A. One
client who has a seizure disorder. The medica-
tion has a long half-life of 4 days. How many (Medications with long
times per day should the nurse expect to ad- half-lives remain at their
minister this medication? therapeutic levels be-
tween doses for long pe-
A. One riods of time. The nurse
B. Two should expect to adminis-
C. Three ter this medication once a
D. Four day.)
2. A staff educator is reviewing medication C. Liver failure
dosages and factors that influence medica- E. Concurrent use of med-
tion metabolism with a group of nurses at ication the same pathway
an in-service presentation. Which of the fol- metabolizes
lowing factors should the educator include
as a reason to administer lower medication C. Liver failure decreas-
dosages? (Select all that apply.) es metabolism and thus
increases the concentra-
A. Increased renal secretion tion of a medication. This
B. Increased medication-metabolizing en- requires decreasing the
zymes dosage.
C. Liver failure
D. Peripheral vascular disease E. When the same path-
E. Concurrent use of medication the same way metabolizes two med-
pathway metabolizes ications, they compete for
metabolism, thereby in-
creasing the concentra-
tion of one or both med-
ications. This requires de-
creasing the dosage of
one or both
3. A nurse is preparing to administer eye drops B. Ask the client to look up
to a client. Which of the following actions at the ceiling.
should the nurse take? (Select all that apply.) D. Drop the medication
into the center of the
A. Have the client lie on her side. client's conjunctival sac.
B. Ask the client to look up at the ceiling. E. Instruct the client to
, ATI Pharmacology Proctored
C. Tell the client to blink when the drops enter close her eye gently after
her eye. instillation
D. Drop the medication into the center of the
client's conjunctival sac. (B. The client should
E. Instruct the client to close her eye gently look upward to keep the
after instillation drops from falling onto her
cornea.
D. The nurse should drop
the medication into the
center of the conjunctival
sac to promote distribu-
tion.
E. The client should close
her eye gently to promote
distribution of the medica-
tion)
4. A nurse is completing discharge teaching for C. "I will apply the patch
a client who has a new prescription for trans- to an area of skin with no
dermal patches. Which of the following state- hair."
ments should the nurse identify as an indica-
tion that the client understands the instruc- (The client should apply
tions? the patch to a hairless
area of skin to promote
A. "I will clean the site with an alcohol swab absorption of the medica-
before I apply the patch." tion.)
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.
5. A nurse reviewing a client's medical record A. Obtain a blood spec-
notes a new prescription for verifying the imen immediately prior
trough level of the client's medication. Which to administering the next
of the following actions should the nurse dose of medication.
take?
(To verify trough levels of
A. Obtain a blood specimen immediately prior a medication, the nurse
, ATI Pharmacology Proctored
to administering the next dose of medication. should obtain a blood
B. Verify that the client has been taking the specimen immediately be-
medication for 24 hr before obtaining a blood fore administering the next
specimen. dose of medication.)
C. Ask the client to provide a urine specimen
after the next dose of medication.
D. Administer the medication,and obtain a
blood specimen 30 min late
6. A nurse is preparing a client's medications. A. Maintain skill compe-
Which of the following actions should the tency.
nurse take in following legal practice guide- C. Monitor for adverse ef-
lines? (Select all that apply.) fects.
D. Safeguard medications.
A. Maintain skill competency.
B. Determine the dosage. (A.maintaining skill com-
C. Monitor for adverse effects. petency and using appro-
D. Safeguard medications. priate administration tech-
E. Identify the client's diagnosis niques are legal responsi-
bilities of the nurse
C. A nurse is legally re-
sponsible for monitoring
for side and adverse ef-
fects of medication
D. Safeguarding of med-
ications, such as con-
trolled substances, is a le-
gal responsibility of the
nurse)
7. A nurse reviewing a client's health record C. Routine
notes a new prescription for Lisinopril 10 mg
PO once every day. The nurse should identify (A routine or standard pre-
this as which of the following types of pre- scription identifies med-
scription? ications to give on a reg-
ular schedule with or with-
A. Single out a termination date or a
, ATI Pharmacology Proctored
B. Stat specific number of doses.
C. Routine The nurse will administer
D. Standing this medication every day
until the provider discon-
tinues it.)
8. A nurse is reviewing a new prescription for D. Frequency
Ondansetron 4 mg PO PRN for nausea and
vomiting for a client who has Hyperemesis (This prescription does
Gravidarum. The nurse should clarify which of not include the time or
the following parts of the prescription with the frequency of medication
provider? administration. The nurse
must clarify this with the
A. Name prescribing provide)
B. Dosage
C. Route
D. Frequency
9. A nurse is admitting a client and completing a A. Use of herbal teas
preassessment before administering medica- C. Current health status
tions. Which of the following data should the E. Food allergies
nurse include in the preassessment? (Select
all that apply.) (A. The nurse should in-
quire about the client's
A. Use of herbal teas use of herbal products,
B. Daily fluid intake which often contain caf-
C. Current health status feine, prior to medica-
D. Previous surgical history tion administration be-
E. Food allergies cause caffeine can affect
medication biotransforma-
tion
C. The nurse should re-
view the client's cur-
rent health status be-
cause new prescriptions
can cause alterations in
current health status
With Correct/Verified Answers A Grade Assured
1. A provider prescribes phenobarbital for a A. One
client who has a seizure disorder. The medica-
tion has a long half-life of 4 days. How many (Medications with long
times per day should the nurse expect to ad- half-lives remain at their
minister this medication? therapeutic levels be-
tween doses for long pe-
A. One riods of time. The nurse
B. Two should expect to adminis-
C. Three ter this medication once a
D. Four day.)
2. A staff educator is reviewing medication C. Liver failure
dosages and factors that influence medica- E. Concurrent use of med-
tion metabolism with a group of nurses at ication the same pathway
an in-service presentation. Which of the fol- metabolizes
lowing factors should the educator include
as a reason to administer lower medication C. Liver failure decreas-
dosages? (Select all that apply.) es metabolism and thus
increases the concentra-
A. Increased renal secretion tion of a medication. This
B. Increased medication-metabolizing en- requires decreasing the
zymes dosage.
C. Liver failure
D. Peripheral vascular disease E. When the same path-
E. Concurrent use of medication the same way metabolizes two med-
pathway metabolizes ications, they compete for
metabolism, thereby in-
creasing the concentra-
tion of one or both med-
ications. This requires de-
creasing the dosage of
one or both
3. A nurse is preparing to administer eye drops B. Ask the client to look up
to a client. Which of the following actions at the ceiling.
should the nurse take? (Select all that apply.) D. Drop the medication
into the center of the
A. Have the client lie on her side. client's conjunctival sac.
B. Ask the client to look up at the ceiling. E. Instruct the client to
, ATI Pharmacology Proctored
C. Tell the client to blink when the drops enter close her eye gently after
her eye. instillation
D. Drop the medication into the center of the
client's conjunctival sac. (B. The client should
E. Instruct the client to close her eye gently look upward to keep the
after instillation drops from falling onto her
cornea.
D. The nurse should drop
the medication into the
center of the conjunctival
sac to promote distribu-
tion.
E. The client should close
her eye gently to promote
distribution of the medica-
tion)
4. A nurse is completing discharge teaching for C. "I will apply the patch
a client who has a new prescription for trans- to an area of skin with no
dermal patches. Which of the following state- hair."
ments should the nurse identify as an indica-
tion that the client understands the instruc- (The client should apply
tions? the patch to a hairless
area of skin to promote
A. "I will clean the site with an alcohol swab absorption of the medica-
before I apply the patch." tion.)
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.
5. A nurse reviewing a client's medical record A. Obtain a blood spec-
notes a new prescription for verifying the imen immediately prior
trough level of the client's medication. Which to administering the next
of the following actions should the nurse dose of medication.
take?
(To verify trough levels of
A. Obtain a blood specimen immediately prior a medication, the nurse
, ATI Pharmacology Proctored
to administering the next dose of medication. should obtain a blood
B. Verify that the client has been taking the specimen immediately be-
medication for 24 hr before obtaining a blood fore administering the next
specimen. dose of medication.)
C. Ask the client to provide a urine specimen
after the next dose of medication.
D. Administer the medication,and obtain a
blood specimen 30 min late
6. A nurse is preparing a client's medications. A. Maintain skill compe-
Which of the following actions should the tency.
nurse take in following legal practice guide- C. Monitor for adverse ef-
lines? (Select all that apply.) fects.
D. Safeguard medications.
A. Maintain skill competency.
B. Determine the dosage. (A.maintaining skill com-
C. Monitor for adverse effects. petency and using appro-
D. Safeguard medications. priate administration tech-
E. Identify the client's diagnosis niques are legal responsi-
bilities of the nurse
C. A nurse is legally re-
sponsible for monitoring
for side and adverse ef-
fects of medication
D. Safeguarding of med-
ications, such as con-
trolled substances, is a le-
gal responsibility of the
nurse)
7. A nurse reviewing a client's health record C. Routine
notes a new prescription for Lisinopril 10 mg
PO once every day. The nurse should identify (A routine or standard pre-
this as which of the following types of pre- scription identifies med-
scription? ications to give on a reg-
ular schedule with or with-
A. Single out a termination date or a
, ATI Pharmacology Proctored
B. Stat specific number of doses.
C. Routine The nurse will administer
D. Standing this medication every day
until the provider discon-
tinues it.)
8. A nurse is reviewing a new prescription for D. Frequency
Ondansetron 4 mg PO PRN for nausea and
vomiting for a client who has Hyperemesis (This prescription does
Gravidarum. The nurse should clarify which of not include the time or
the following parts of the prescription with the frequency of medication
provider? administration. The nurse
must clarify this with the
A. Name prescribing provide)
B. Dosage
C. Route
D. Frequency
9. A nurse is admitting a client and completing a A. Use of herbal teas
preassessment before administering medica- C. Current health status
tions. Which of the following data should the E. Food allergies
nurse include in the preassessment? (Select
all that apply.) (A. The nurse should in-
quire about the client's
A. Use of herbal teas use of herbal products,
B. Daily fluid intake which often contain caf-
C. Current health status feine, prior to medica-
D. Previous surgical history tion administration be-
E. Food allergies cause caffeine can affect
medication biotransforma-
tion
C. The nurse should re-
view the client's cur-
rent health status be-
cause new prescriptions
can cause alterations in
current health status
