Page 1 of 132
RN PHARMACOLOGY ATI PROCTORED ACTUAL EXAM TEST BANK QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH RATIONALES
1. The healthcare professional is about to administer a loading dose of phenytoin IV.
Which of the following is essential for the health care professional to do before
administering phenytoin IV?
A. Protect the phenytoin solution from light.
B. Make sure the phenytoin solution is cloudy.
C. Mix phenytoin with a dextrose solution.
D. Infuse phenytoin slowly.
2. The health care professional is now assessing the client. Which of the following
findings can be an early indication of phenytoin toxicity?
A. Nystagmus B. Tachycardia
C. Tachypnea
D. Jaundice
3. The healthcare professional is talking with the client, who is soon to be discharged
to home, about the adverse effects of phenytoin. Which of the following instructions
may help minimize the adverse effects of phenytoin? A. Use good oral hygiene.
B. Take the drug on an empty stomach.
C. Use sunblock when outdoors.
D. Decrease dietary fiber.
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4. The client is taking oral contraceptives for birth control. Which of the following
instructions should the health care professional include?
A. It is safe to discontinue birth control while taking phenytoin.
B. Additional birth control methods may be needed.
C. Oral contraceptives may increase the risk for phenytoin toxicity.
D. Oral contraceptives may reduce the effectiveness of phenytoin.
5. Which of the following assessments of this client is most important immediately
following the administration of intravenous diazepam?
A. ECG
B. Seizure Activity
C. Blood Pressure
D. Respiratory Rate
Case Study Questions #2:
1. Which laboratory tests should you monitor for a client who is taking interferon beta-1b
to treat multiple sclerosis? (Select all that apply.) A. Serum osmolality
B. Blood glucose
C. Thyroid hormones
D. Liver function
E. CBC
, Page 3 of 132
● Interferon beta-1b, an immunosuppressant, may cause hepatotoxicity and
myelosuppression. Minot liver studies and CBC. The client should undergo
thyroid function testing every 6 months
2. While obtaining a client's medical history, you find that the client is taking
levodopa/carbidopa for Parkinson's disease. Which information in the client's health
history alerts you to take further action?
A. Bradycardia
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B. Pancreatic disease
C. Glaucoma
D. Impaired hearing
● The combination of levodopa and carbidopa, both dopamine-replacement drugs, can
cause changes in intraocular pressure.
3. At a visit to the provider's office, an older adult client's partner reports that the client
has nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer's disease
and is taking donepezil. Which information should be provided by the nurse? A. Take
the drug with food.
B. Stop taking the drug right away.
C. Take a reduced dosage of the drug.
D. Undergo liver function tests right away.
4. You are instructing a client who has multiple sclerosis about how dantrolene will help
control spasticity. With which mechanism is this drug effective in treating this
manifestation?
A. Blocks acetylcholine at the neuromuscular junction
B. Interrupts nerve signals from the spinal cord to the muscles
C. Inhibits destruction of acetylcholine by acetylcholinesterase
D. Alters intracellular calcium exchange at the muscles
5. You are caring for a client who is preoperative and is NPO. Theclient takes
carbamazepine, 200 mg PO BID for a seizure disorder. Which action should the nurse
take? A. Give the oral dose of carbamazepine with a sip of water.
RN PHARMACOLOGY ATI PROCTORED ACTUAL EXAM TEST BANK QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH RATIONALES
1. The healthcare professional is about to administer a loading dose of phenytoin IV.
Which of the following is essential for the health care professional to do before
administering phenytoin IV?
A. Protect the phenytoin solution from light.
B. Make sure the phenytoin solution is cloudy.
C. Mix phenytoin with a dextrose solution.
D. Infuse phenytoin slowly.
2. The health care professional is now assessing the client. Which of the following
findings can be an early indication of phenytoin toxicity?
A. Nystagmus B. Tachycardia
C. Tachypnea
D. Jaundice
3. The healthcare professional is talking with the client, who is soon to be discharged
to home, about the adverse effects of phenytoin. Which of the following instructions
may help minimize the adverse effects of phenytoin? A. Use good oral hygiene.
B. Take the drug on an empty stomach.
C. Use sunblock when outdoors.
D. Decrease dietary fiber.
, Page 2 of 132
4. The client is taking oral contraceptives for birth control. Which of the following
instructions should the health care professional include?
A. It is safe to discontinue birth control while taking phenytoin.
B. Additional birth control methods may be needed.
C. Oral contraceptives may increase the risk for phenytoin toxicity.
D. Oral contraceptives may reduce the effectiveness of phenytoin.
5. Which of the following assessments of this client is most important immediately
following the administration of intravenous diazepam?
A. ECG
B. Seizure Activity
C. Blood Pressure
D. Respiratory Rate
Case Study Questions #2:
1. Which laboratory tests should you monitor for a client who is taking interferon beta-1b
to treat multiple sclerosis? (Select all that apply.) A. Serum osmolality
B. Blood glucose
C. Thyroid hormones
D. Liver function
E. CBC
, Page 3 of 132
● Interferon beta-1b, an immunosuppressant, may cause hepatotoxicity and
myelosuppression. Minot liver studies and CBC. The client should undergo
thyroid function testing every 6 months
2. While obtaining a client's medical history, you find that the client is taking
levodopa/carbidopa for Parkinson's disease. Which information in the client's health
history alerts you to take further action?
A. Bradycardia
, Page 4 of 132
B. Pancreatic disease
C. Glaucoma
D. Impaired hearing
● The combination of levodopa and carbidopa, both dopamine-replacement drugs, can
cause changes in intraocular pressure.
3. At a visit to the provider's office, an older adult client's partner reports that the client
has nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer's disease
and is taking donepezil. Which information should be provided by the nurse? A. Take
the drug with food.
B. Stop taking the drug right away.
C. Take a reduced dosage of the drug.
D. Undergo liver function tests right away.
4. You are instructing a client who has multiple sclerosis about how dantrolene will help
control spasticity. With which mechanism is this drug effective in treating this
manifestation?
A. Blocks acetylcholine at the neuromuscular junction
B. Interrupts nerve signals from the spinal cord to the muscles
C. Inhibits destruction of acetylcholine by acetylcholinesterase
D. Alters intracellular calcium exchange at the muscles
5. You are caring for a client who is preoperative and is NPO. Theclient takes
carbamazepine, 200 mg PO BID for a seizure disorder. Which action should the nurse
take? A. Give the oral dose of carbamazepine with a sip of water.
