ATI Pharmacology Proctored EXAM 2025-2026
QUESTIONS AND ANSWERS 100 % PASS SOLUTION
A+ GRADE
A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of the following
assessment findings should alert the nurse to the possibility that the client is developing Serotonin
syndrome?
A.Bruising
B.Fever
C.Abdominal pain
D.Rash - answer>>B (Fever is a manifestation of serotonin syndrome, which can result from taking an
SSRI such as sertraline)
A nurse is reviewing laboratory findings and notes that a client's plasma Lithium level is 2.1 mEq/L.
Which of the following is an appropriate action by the nurse? A. Perform immediate gastric lavage.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test - answer>>A (Gastric lavage is appropriate for a
client who has severe toxicity, as evidenced by a plasma lithium level of 2.1 mEq/L. This action will lower
the client's lithium level.)
A nurse is teaching a client about Terbutaline. Which of the following statements by the client indicates
understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - answer>>A (Terbutaline blocks
beta2 adrenergic receptors, which causes uterine smooth muscle relaxation)
A nurse is caring for a client who has a new prescription for Lithium Carbonate. When teaching the client
about ways to prevent Lithium toxicity, the nurse should advise the client to do which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
,C. Decrease fluid intake to less than 1,500 mL daily
D. Limit aerobic activity in hot weather - answer>>D (The client should avoid activities that have
the potential to cause sodium/water depletion, which can increase the risk for toxicity)
A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar disorder. The
nurse should recognize which of the following findings as a possible indication of toxicity to this
medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasm - answer>>B (Coarse tremors are an indication of toxicity)
A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse should instruct the
client that while taking this medication he will need to have which of the following laboratory tests
completed periodically? (Select all that apply.)
A. Thrombocyte count
B. Hematocrit
C. Amylase
D. Liver function tests
E. Potassium - answer>>A, c, d
(A.Treatment with valproic acid can result in thrombocytopenia. The client's thrombocyte count should
be monitored periodically.
C.Treatment with valproic acid can result in pancreatitis.
The client's amylase should be monitored periodically.
D.Treatment with valproic acid can result in hepatotoxicity.
The client's liver function should be monitored periodically.)
A nurse is preparing a teaching plan for a female client who has Bipolar disorder and a new prescription
for Carbamazepine. Which of the following instructions should the nurse include in the teaching? (Select
all that apply.)
A. "This medication can safely be taken during pregnancy."
,B. "Eliminate grapefruit juice from your diet."
C. "You will need to have a complete blood count and carbamazepine levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication. - answer>>b, c, d, e (B.
Grapefruit juice affects carbamazepine metabolism and should be avoided.
C. Carbamazepine blood levels and the CBC should be monitored during therapy. The client is at
risk for bone marrow
depression while taking carbamazepine and should notify the provider for a sore throat or other
manifestations of an infection.
D. Carbamazepine can cause Stevens Johnson syndrome, which can be fatal. The client should
notify the provider promptly if a rash occurs.
E. CNS effects such as drowsiness or dizziness can occur early in treatment with carbamazepine
and the client should avoid activities requiring alertness until these effects subside)
A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of
Fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic
effects?
A. Take the medication in the morning to prevent insomnia.
B. Chew sugarless gum to moisten the mouth.
C. Use cooling measures to decrease fever.
D. Take an antacid to relieve nausea - answer>>B (Chewing sugarless gum can help the client cope
with dry mouth, a potential anticholinergic effect of fluphenazine)
A nurse is assessing a male client who recently began taking Haloperidol. Which of the following findings
is the highest priority to report to the provider?
A. Shuffling gait
B. Neck spasms
C. Drowsiness
D. Impotence - answer>>B (Neck spasms are an indication of acute dystonia which is a crisis
situation requiring rapid treatment. This is the greatest risk to the client and is therefore the priority
finding.)
, A nurse is providing discharge teaching to a client who has a new prescription for Clozapine. Which of
the following statements should the nurse include in the teaching?
A. "You should have a high carbohydrate snack between meals and at bedtime."
B. "You are likely to develop hand tremors if you take this medication for a long period of time."
C. "You may experience temporary numbness of your mouth after each dose."
D."You should have your white blood cell count monitored every week. - answer>>D (Due to the risk for
fatal agranulocytosis weekly monitoring of the client's WBC count is recommended while taking
clozapine)
A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone. Which
of the following instructions should the nurse include in the teaching?
A. "Add extra snacks to your diet to prevent weight loss."
B. "Notify the provider if you develop breast enlargement."
C. "You may begin to have mild seizures while taking this medication."
D." This medication is likely to increase your libido." - answer>>B (Gynecomastia (breast enlargement)
and galactorrhea can occur due to an increase in prolactin levels while taking risperidone. The client
should inform the provider if these manifestations occur.)
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 - answer>>a, b, d
(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
QUESTIONS AND ANSWERS 100 % PASS SOLUTION
A+ GRADE
A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of the following
assessment findings should alert the nurse to the possibility that the client is developing Serotonin
syndrome?
A.Bruising
B.Fever
C.Abdominal pain
D.Rash - answer>>B (Fever is a manifestation of serotonin syndrome, which can result from taking an
SSRI such as sertraline)
A nurse is reviewing laboratory findings and notes that a client's plasma Lithium level is 2.1 mEq/L.
Which of the following is an appropriate action by the nurse? A. Perform immediate gastric lavage.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test - answer>>A (Gastric lavage is appropriate for a
client who has severe toxicity, as evidenced by a plasma lithium level of 2.1 mEq/L. This action will lower
the client's lithium level.)
A nurse is teaching a client about Terbutaline. Which of the following statements by the client indicates
understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - answer>>A (Terbutaline blocks
beta2 adrenergic receptors, which causes uterine smooth muscle relaxation)
A nurse is caring for a client who has a new prescription for Lithium Carbonate. When teaching the client
about ways to prevent Lithium toxicity, the nurse should advise the client to do which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
,C. Decrease fluid intake to less than 1,500 mL daily
D. Limit aerobic activity in hot weather - answer>>D (The client should avoid activities that have
the potential to cause sodium/water depletion, which can increase the risk for toxicity)
A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar disorder. The
nurse should recognize which of the following findings as a possible indication of toxicity to this
medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasm - answer>>B (Coarse tremors are an indication of toxicity)
A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse should instruct the
client that while taking this medication he will need to have which of the following laboratory tests
completed periodically? (Select all that apply.)
A. Thrombocyte count
B. Hematocrit
C. Amylase
D. Liver function tests
E. Potassium - answer>>A, c, d
(A.Treatment with valproic acid can result in thrombocytopenia. The client's thrombocyte count should
be monitored periodically.
C.Treatment with valproic acid can result in pancreatitis.
The client's amylase should be monitored periodically.
D.Treatment with valproic acid can result in hepatotoxicity.
The client's liver function should be monitored periodically.)
A nurse is preparing a teaching plan for a female client who has Bipolar disorder and a new prescription
for Carbamazepine. Which of the following instructions should the nurse include in the teaching? (Select
all that apply.)
A. "This medication can safely be taken during pregnancy."
,B. "Eliminate grapefruit juice from your diet."
C. "You will need to have a complete blood count and carbamazepine levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication. - answer>>b, c, d, e (B.
Grapefruit juice affects carbamazepine metabolism and should be avoided.
C. Carbamazepine blood levels and the CBC should be monitored during therapy. The client is at
risk for bone marrow
depression while taking carbamazepine and should notify the provider for a sore throat or other
manifestations of an infection.
D. Carbamazepine can cause Stevens Johnson syndrome, which can be fatal. The client should
notify the provider promptly if a rash occurs.
E. CNS effects such as drowsiness or dizziness can occur early in treatment with carbamazepine
and the client should avoid activities requiring alertness until these effects subside)
A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of
Fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic
effects?
A. Take the medication in the morning to prevent insomnia.
B. Chew sugarless gum to moisten the mouth.
C. Use cooling measures to decrease fever.
D. Take an antacid to relieve nausea - answer>>B (Chewing sugarless gum can help the client cope
with dry mouth, a potential anticholinergic effect of fluphenazine)
A nurse is assessing a male client who recently began taking Haloperidol. Which of the following findings
is the highest priority to report to the provider?
A. Shuffling gait
B. Neck spasms
C. Drowsiness
D. Impotence - answer>>B (Neck spasms are an indication of acute dystonia which is a crisis
situation requiring rapid treatment. This is the greatest risk to the client and is therefore the priority
finding.)
, A nurse is providing discharge teaching to a client who has a new prescription for Clozapine. Which of
the following statements should the nurse include in the teaching?
A. "You should have a high carbohydrate snack between meals and at bedtime."
B. "You are likely to develop hand tremors if you take this medication for a long period of time."
C. "You may experience temporary numbness of your mouth after each dose."
D."You should have your white blood cell count monitored every week. - answer>>D (Due to the risk for
fatal agranulocytosis weekly monitoring of the client's WBC count is recommended while taking
clozapine)
A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone. Which
of the following instructions should the nurse include in the teaching?
A. "Add extra snacks to your diet to prevent weight loss."
B. "Notify the provider if you develop breast enlargement."
C. "You may begin to have mild seizures while taking this medication."
D." This medication is likely to increase your libido." - answer>>B (Gynecomastia (breast enlargement)
and galactorrhea can occur due to an increase in prolactin levels while taking risperidone. The client
should inform the provider if these manifestations occur.)
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 - answer>>a, b, d
(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
