ATI Pharmacology Proctored Practice A & B:
Comprehensive Explanations and Solutions from to
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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 ans- -B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
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 ans- -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 ans- -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 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. 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 ans- -A. An adverse
effect of this medication is CNS stimulation.
C. Monitor blood pressure while taking this medication.
E. This medication raises the levels of dopamine in the brain
(A. An adverse effect of lisdexamfetamine is CNS stimulation such as insomnia and
restlessness.
C. The nurse should instruct the client to monitor his blood pressure due to potential
cardiovascular effects of lisdexamfetamine.
, E. Lisdexamfetamine, a CNS stimulant, works by raising the levels of norepinephrine and
dopamine in the CNS)
A nurse is providing teaching for a client who is withdrawing from alcohol and has a new
prescription for Propranolol. Which of the following information should the nurse to include
in the teaching?
A. Increases the risk for seizure activity
B. Provides a form of aversion therapy
C. Decreases cravings
D. Results in mild hypertension - -correct ans- -C. Decreases cravings
(Propranolol is an adjunct medication used during withdrawal to decrease the client's
craving for alcohol)
A charge nurse is planning a staff education session to discuss medications used during
the care of a client experiencing alcohol withdrawal. Which of the following medications
should the charge nurse include in the discussion? (Select all that apply.)
A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate - -correct ans- -A. Lorazepam
B. Diazepam
(A. Lorazepam is a benzodiazepine used during alcohol
Comprehensive Explanations and Solutions from to
Improve Your Academic Performance
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 ans- -B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
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 ans- -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 ans- -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 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. 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 ans- -A. An adverse
effect of this medication is CNS stimulation.
C. Monitor blood pressure while taking this medication.
E. This medication raises the levels of dopamine in the brain
(A. An adverse effect of lisdexamfetamine is CNS stimulation such as insomnia and
restlessness.
C. The nurse should instruct the client to monitor his blood pressure due to potential
cardiovascular effects of lisdexamfetamine.
, E. Lisdexamfetamine, a CNS stimulant, works by raising the levels of norepinephrine and
dopamine in the CNS)
A nurse is providing teaching for a client who is withdrawing from alcohol and has a new
prescription for Propranolol. Which of the following information should the nurse to include
in the teaching?
A. Increases the risk for seizure activity
B. Provides a form of aversion therapy
C. Decreases cravings
D. Results in mild hypertension - -correct ans- -C. Decreases cravings
(Propranolol is an adjunct medication used during withdrawal to decrease the client's
craving for alcohol)
A charge nurse is planning a staff education session to discuss medications used during
the care of a client experiencing alcohol withdrawal. Which of the following medications
should the charge nurse include in the discussion? (Select all that apply.)
A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate - -correct ans- -A. Lorazepam
B. Diazepam
(A. Lorazepam is a benzodiazepine used during alcohol
