ATI Pharmacology Proctor Exam Study
Guide 2023
A67nurse67is67assessing67a67client67who67reports67using67several67herbal67and67vitamin67
supplements67daily,67including67saw67palmetto.67The67nurse67should67recognize67that67
saw67palmetto67is67a67supplement67used67by67clients67to67elicit67which67of67the67followi
ng67therapeutic67effects
A. urinary67health67promotion
B. immune67system67stimulation
C. decreased67leg67pain67from67arterial67disease
D. prevention67of67nausea67caused67by67motion67sickness67-
67A.67urinary67health67promotion
Saw67palmetto67is67used67primarily67for67manifestations67related67to67prostatic67conditio
ns,67such67as67benign67prostatic67hypertrophy67(BPH).67Its67effectiveness67has67not67b
een67scientifically67proven,67however.67The67nurse67should67teach67the67client67to67che
ck67with67the67provider67about67interactions67between67saw67palmetto67and67other67me
dications.
A67nurse67is67providing67teaching67to67a67group67of67new67parents67about67medications
.67The67nurse67should67include67that67aspirin67is67contraindicated67for67children67who67h
ave67a67viral67infection67due67to67the67risk67of67developing67which67of67the67following67a
dverse67effects?
a. Reye's67syndrome
b. Visual67disturbances
c. Diabetes67mellitus
d. Wilm's67tumor67-67a.67Reye's67syndrome
A67nurse67is67providing67teaching67to67a67client67who67has67chronic67kidney67failure67wit
h67an67AV67fistula67for67hemodialysis67and67new67prescription67for67epoetin67alfa.67Whic
h67of67the67following67therapeutic67effects67of67epoetin67alfa67should67the67nurse67includ
e67in67the67teaching?
a. Reduces67blood67pressure
b. Inhibits67clotting67of67fistula
c. Promotes67RBC67production
d. Stimulates67growth67of67neutrophils67-67c.67Promotes67RBC67production
A67nurse67is67caring67for67a67client67who67has67peptic67ulcer67disease67and67reports67a67
headache.67Which67of67the67following67medications67should67the67nurse67plan67to67adm
inister?
a. Ibuprofen67(NSAIDS)
b. Naproxen67(NSAIDS)
c. Aspirin67(NSAIDS)
d. Acetaminophen67(anlagesics)67-67d.67Acetaminophen67(anlagesics)
,A67nurse67is67caring67for67a67client67who67has67prescription67for67clopidogrel.67The67nurs
e67should67monitor67the67client67for67which67of67the67following67adverse67effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation67-67c.67Bleeding
A67nurse67is67teaching67a67newly67licensed67nurse67about67contraindications67to67ceftria
xone.67The67nurse67should67include67a67severe67allergy67to67which67of67the67following67
medications67as67contraindication67to67ceftriaxone?
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim67-67c.67Piperacillin
A67nurse67is67providing67teaching67to67a67newly67licensed67nurse67about67metocloprami
de.67The67nurse67should67include67in67the67teaching67that67which67of67the67following67c
onditions67is67a67contraindication67to67this67medication?
a. Hyperthyroidism
b. Intestinal67obstruction
c. Glaucoma
d. Low67blood67pressure67-67b.67Intestinal67obstruction
A67nurse67is67assessing67a67client67who67has67a67new67prescription67for67chlorpromazin
e67to67treat67schizophrenia.67The67client67has67a67mask67like67facial67expression67and67i
s67experiencing67involuntary67movements67and67tremors.67Which67of67the67following67m
edications67should67the67nurse67anticipate67administering?
a. Amantadine
b. Bupropion67(aytpical67antidepressant)
c. Phenelzine67(MAOI)
d. Hydroxyzine67(Antihistamine)67-67a.67Amantadine
A67nurse67is67administering67subQ67epinephrine67for67a67client67who67is67experiencing67
anaphylaxis.67The67nurse67should67monitor67the67client67for67which67of67the67following67
adverse67effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia67-67d.67Tachycardia
A67nurse67is67providing67teaching67to67a67client67who67has67UTI67and67new67prescriptio
n67for67phenazopyridine67and67ciprofloxacin.67Which67of67the67following67statements67by
67the67client67indicates67the67need67for67further67teaching?
a. If67the67phenazopyridine67upsets67my67stomach,67I67can67take67it67with67meals.
,b. The67phenazopyridine67will67relieve67my67discomfort,67but67the67cipro67will67ge
t67rid67of67the67infections.
c. I67need67to67drink267liters67of67fluid67per67day67while67I67am67taking67cipro.
d. I67should67notify67my67provider67immediately67if67my67urine67turns67an67orange67color.
67-
67d.67I67should67notify67my67provider67immediately67if67my67urine67turns67an67orange67col
or.
A67nurse67is67caring67for67an67older67adult67client67who67has67a67prescription67for67zolpid
em67at67bedtime67to67promote67sleep.67The67nurse67should67plan67to67monitor67the67clie
nt67for67which67of67the67following67adverse67effects?
a. Ecchymosis
b. Decreased67urine67output
c. Increased67blood67pressure
d. Dizziness67-67d.67Dizziness
A67nurse67is67reviewing67laboratory67values67for67a67client67who67reports67fatigue67and6
7cold67intolerance.67The67client67has67an67increased67thyroid67stimulating67hormone67(T
SH)67level67and67a67decreased67total67T367and67T467level.67The67nurse67should67anticip
ate67a67prescription67for67which67of67the67following67medications?
a. Methimazole
b. Somatropin
c. Levothyroxine
d. Propylthiouracil67-67c.67Levothyroxine
A67nurse67is67providing67teaching67to67a67client67who67has67a67new67prescription67for67h
ydrochlorothiazide6750mg67po67daily67to67treat67hypertension.67Which67of67the67following
67instructions67should67the67nurse67include67in67the67teaching?
a. Take67the67hydrochlorothiazide67as67needed67for67edema
b. Check67your67weight67once67each67week
c. Take67the67hydrochlorothiazide67on67an67empty67stomach
d. Take67the67hydrochlorothiazide67in67the67morning.67-
67d.67Take67the67hydrochlorothiazide67in67the67morning.
A67nurse67is67caring67for67a67client67who67is67at672867weeks67of67gestation67and67is67ex
periencing67preterm67labor.67Which67of67the67following67medications67should67the67nurs
e67plan67to67administer?
a. Oxytocin
b. Nifedipine
c. Dinoprostone
d. Misoprostol67-67b.67Nifedipine
, A67nurse67is67providing67teaching67to67a67client67who67has67cirrhosis67and67new67prescr
iption67for67lactulose.67The67nurse67should67instruct67the67client67that67lactulose67has67w
hich67of67the67following67therapeutic67effects?
a. Increases67blood67pressure
b. Prevents67esophageal67bleeding
c. Decreases67heart67rate
d. Reduce67ammonia67levels67-67d.67Reduce67ammonia67levels
A67nurse67is67caring67for67an67older67adult67client67who67has67a67new67prescription67for67
amitriptyline67to67treat67depression.67Which67of67the67following67diagnostic67tests67shoul
d67the67nurse67plan67to67perform67prior67to67starting67the67client67on67this67medication?
a. Hearing67examination
b. Glucose67tolerance67test
c. Electrocardiogram
d. Pulmonary67function67test67-67c.67Electrocardiogram
A67nurse67is67providing67teaching67to67a67client67who67has67gout67and67new67prescriptio
n67for67allopurinol.67The67nurse67should67instruct67client67to67discontinue67taking67the67m
edications67for67which67of67the67following67adverse67effects?
a. Nausea
b. Metallic67taste
c. Fever
d. Drowsiness67-67c.67Fever
A67nurse67is67assessing67a67client67who67is67receiving67IV67gentamicin67367x67daily.67Wh
ich67of67the67following67findings67indicates67that67the67client67is67experiencing67an67adv
erse67effect67of67this67medication?
a. Hypoglycemia
b. Proteinuria
c. Nasal67congestion
d. Visual67disturbances67-67b.67Proteinuria
A67nurse67is67providing67teaching67to67a67newly67nurse67about67caring67for67a67client67w
ho67has67prescription67for67gemfibrozil.67The67nurse67should67instruct67the67newly67licen
sed67nurse67to67monitor67which67of67the67following67lab67tests?
a. Platelet67count
b. Electrolyte67levels
c. Thyroid67functions
d. Liver67function67-67d.67Liver67function
A67nurse67is67caring67for67a67client67who67has67a67new67prescription67for67ergotamine.67
The67nurse67should67recognize67that67ergotamine67is67administered67to67treat67which67
of67the67following67conditions?
a. Raynaud's67phenomenon
Guide 2023
A67nurse67is67assessing67a67client67who67reports67using67several67herbal67and67vitamin67
supplements67daily,67including67saw67palmetto.67The67nurse67should67recognize67that67
saw67palmetto67is67a67supplement67used67by67clients67to67elicit67which67of67the67followi
ng67therapeutic67effects
A. urinary67health67promotion
B. immune67system67stimulation
C. decreased67leg67pain67from67arterial67disease
D. prevention67of67nausea67caused67by67motion67sickness67-
67A.67urinary67health67promotion
Saw67palmetto67is67used67primarily67for67manifestations67related67to67prostatic67conditio
ns,67such67as67benign67prostatic67hypertrophy67(BPH).67Its67effectiveness67has67not67b
een67scientifically67proven,67however.67The67nurse67should67teach67the67client67to67che
ck67with67the67provider67about67interactions67between67saw67palmetto67and67other67me
dications.
A67nurse67is67providing67teaching67to67a67group67of67new67parents67about67medications
.67The67nurse67should67include67that67aspirin67is67contraindicated67for67children67who67h
ave67a67viral67infection67due67to67the67risk67of67developing67which67of67the67following67a
dverse67effects?
a. Reye's67syndrome
b. Visual67disturbances
c. Diabetes67mellitus
d. Wilm's67tumor67-67a.67Reye's67syndrome
A67nurse67is67providing67teaching67to67a67client67who67has67chronic67kidney67failure67wit
h67an67AV67fistula67for67hemodialysis67and67new67prescription67for67epoetin67alfa.67Whic
h67of67the67following67therapeutic67effects67of67epoetin67alfa67should67the67nurse67includ
e67in67the67teaching?
a. Reduces67blood67pressure
b. Inhibits67clotting67of67fistula
c. Promotes67RBC67production
d. Stimulates67growth67of67neutrophils67-67c.67Promotes67RBC67production
A67nurse67is67caring67for67a67client67who67has67peptic67ulcer67disease67and67reports67a67
headache.67Which67of67the67following67medications67should67the67nurse67plan67to67adm
inister?
a. Ibuprofen67(NSAIDS)
b. Naproxen67(NSAIDS)
c. Aspirin67(NSAIDS)
d. Acetaminophen67(anlagesics)67-67d.67Acetaminophen67(anlagesics)
,A67nurse67is67caring67for67a67client67who67has67prescription67for67clopidogrel.67The67nurs
e67should67monitor67the67client67for67which67of67the67following67adverse67effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation67-67c.67Bleeding
A67nurse67is67teaching67a67newly67licensed67nurse67about67contraindications67to67ceftria
xone.67The67nurse67should67include67a67severe67allergy67to67which67of67the67following67
medications67as67contraindication67to67ceftriaxone?
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim67-67c.67Piperacillin
A67nurse67is67providing67teaching67to67a67newly67licensed67nurse67about67metocloprami
de.67The67nurse67should67include67in67the67teaching67that67which67of67the67following67c
onditions67is67a67contraindication67to67this67medication?
a. Hyperthyroidism
b. Intestinal67obstruction
c. Glaucoma
d. Low67blood67pressure67-67b.67Intestinal67obstruction
A67nurse67is67assessing67a67client67who67has67a67new67prescription67for67chlorpromazin
e67to67treat67schizophrenia.67The67client67has67a67mask67like67facial67expression67and67i
s67experiencing67involuntary67movements67and67tremors.67Which67of67the67following67m
edications67should67the67nurse67anticipate67administering?
a. Amantadine
b. Bupropion67(aytpical67antidepressant)
c. Phenelzine67(MAOI)
d. Hydroxyzine67(Antihistamine)67-67a.67Amantadine
A67nurse67is67administering67subQ67epinephrine67for67a67client67who67is67experiencing67
anaphylaxis.67The67nurse67should67monitor67the67client67for67which67of67the67following67
adverse67effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia67-67d.67Tachycardia
A67nurse67is67providing67teaching67to67a67client67who67has67UTI67and67new67prescriptio
n67for67phenazopyridine67and67ciprofloxacin.67Which67of67the67following67statements67by
67the67client67indicates67the67need67for67further67teaching?
a. If67the67phenazopyridine67upsets67my67stomach,67I67can67take67it67with67meals.
,b. The67phenazopyridine67will67relieve67my67discomfort,67but67the67cipro67will67ge
t67rid67of67the67infections.
c. I67need67to67drink267liters67of67fluid67per67day67while67I67am67taking67cipro.
d. I67should67notify67my67provider67immediately67if67my67urine67turns67an67orange67color.
67-
67d.67I67should67notify67my67provider67immediately67if67my67urine67turns67an67orange67col
or.
A67nurse67is67caring67for67an67older67adult67client67who67has67a67prescription67for67zolpid
em67at67bedtime67to67promote67sleep.67The67nurse67should67plan67to67monitor67the67clie
nt67for67which67of67the67following67adverse67effects?
a. Ecchymosis
b. Decreased67urine67output
c. Increased67blood67pressure
d. Dizziness67-67d.67Dizziness
A67nurse67is67reviewing67laboratory67values67for67a67client67who67reports67fatigue67and6
7cold67intolerance.67The67client67has67an67increased67thyroid67stimulating67hormone67(T
SH)67level67and67a67decreased67total67T367and67T467level.67The67nurse67should67anticip
ate67a67prescription67for67which67of67the67following67medications?
a. Methimazole
b. Somatropin
c. Levothyroxine
d. Propylthiouracil67-67c.67Levothyroxine
A67nurse67is67providing67teaching67to67a67client67who67has67a67new67prescription67for67h
ydrochlorothiazide6750mg67po67daily67to67treat67hypertension.67Which67of67the67following
67instructions67should67the67nurse67include67in67the67teaching?
a. Take67the67hydrochlorothiazide67as67needed67for67edema
b. Check67your67weight67once67each67week
c. Take67the67hydrochlorothiazide67on67an67empty67stomach
d. Take67the67hydrochlorothiazide67in67the67morning.67-
67d.67Take67the67hydrochlorothiazide67in67the67morning.
A67nurse67is67caring67for67a67client67who67is67at672867weeks67of67gestation67and67is67ex
periencing67preterm67labor.67Which67of67the67following67medications67should67the67nurs
e67plan67to67administer?
a. Oxytocin
b. Nifedipine
c. Dinoprostone
d. Misoprostol67-67b.67Nifedipine
, A67nurse67is67providing67teaching67to67a67client67who67has67cirrhosis67and67new67prescr
iption67for67lactulose.67The67nurse67should67instruct67the67client67that67lactulose67has67w
hich67of67the67following67therapeutic67effects?
a. Increases67blood67pressure
b. Prevents67esophageal67bleeding
c. Decreases67heart67rate
d. Reduce67ammonia67levels67-67d.67Reduce67ammonia67levels
A67nurse67is67caring67for67an67older67adult67client67who67has67a67new67prescription67for67
amitriptyline67to67treat67depression.67Which67of67the67following67diagnostic67tests67shoul
d67the67nurse67plan67to67perform67prior67to67starting67the67client67on67this67medication?
a. Hearing67examination
b. Glucose67tolerance67test
c. Electrocardiogram
d. Pulmonary67function67test67-67c.67Electrocardiogram
A67nurse67is67providing67teaching67to67a67client67who67has67gout67and67new67prescriptio
n67for67allopurinol.67The67nurse67should67instruct67client67to67discontinue67taking67the67m
edications67for67which67of67the67following67adverse67effects?
a. Nausea
b. Metallic67taste
c. Fever
d. Drowsiness67-67c.67Fever
A67nurse67is67assessing67a67client67who67is67receiving67IV67gentamicin67367x67daily.67Wh
ich67of67the67following67findings67indicates67that67the67client67is67experiencing67an67adv
erse67effect67of67this67medication?
a. Hypoglycemia
b. Proteinuria
c. Nasal67congestion
d. Visual67disturbances67-67b.67Proteinuria
A67nurse67is67providing67teaching67to67a67newly67nurse67about67caring67for67a67client67w
ho67has67prescription67for67gemfibrozil.67The67nurse67should67instruct67the67newly67licen
sed67nurse67to67monitor67which67of67the67following67lab67tests?
a. Platelet67count
b. Electrolyte67levels
c. Thyroid67functions
d. Liver67function67-67d.67Liver67function
A67nurse67is67caring67for67a67client67who67has67a67new67prescription67for67ergotamine.67
The67nurse67should67recognize67that67ergotamine67is67administered67to67treat67which67
of67the67following67conditions?
a. Raynaud's67phenomenon
