PHARMACOLOGY ATI PROCTORED
EXAM 2025 QUESTIONS AND
CORRECT ANSWERS.
A nurse in a provider's office is reviewing the medical record of a client who
is pregnant and is at her first prenatal visit. Which of the following
immunizations may the nurse administer safely to this client?
A. Varicella vaccine
B. Rubella vaccine
C. Inactivated influenza vaccine
D. Measles vaccine - Correct Answer>>C. Inactivated influenza vaccine
(During influenza season, providers recommend the inactivated influenza
vaccine for women who are pregnant)
A nurse on a medical-surgical unit administers a hypnotic medication to an
older adult client at 2100. The next morning, the client is drowsy and wants
to sleep instead of eating breakfast. Which of the following factors should
the nurse identify as a possible reason for the client's drowsiness?
A. Reduced cardiac function
B. First-pass effect
C. Reduced hepatic function
D. Increased gastric motility - Correct Answer>>C. Reduced hepatic
function
(Older adults have reduced hepatic function, which can prolong the effects
of medications the liver metabolizes. The client probably needs a lower
dosage of the hypnotic medication)
A nurse working in an emergency department is caring for a client who has
Benzodiazepine toxicity due to an overdose. Which of the following actions
is the nurse's priority?
A. Administer flumazenil.
B. Identify the client's level of orientation.
C. Infuse IV fluids.
,D. Prepare the client for gastric lavage - Correct B. Identify the
Answer>>
client's level of orientation.
(The first action the nurse should take when using the nursing process is to
assess the client. Identifying the client's level of orientation is the priority
action.)
A nurse is teaching a client who has a new prescription for Escitalopram for
treatment of generalized Anxiety disorder. Which of the following
statements by the client indicates understanding of the teaching?
A. "I should take the medication on an empty stomach."
B. "I will follow a low-sodium diet while taking this medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before swallowing." - Correct
Answer>>C. "I need to discontinue this medication slowly."
(When discontinuing escitalopram, the client should taper the medication
slowly according to a prescribed tapered dosing schedule to reduce the risk
of withdrawal syndrome.)
A nurse is providing teaching to a client who has a new prescription for
Buspirone to treat Anxiety. Which of the following information should the
nurse include?
A. "Take this medication on an empty stomach"
B. "Expect optimal therapeutic effects within 24 hr."
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency." - Correct Answer>>D.
"This medication has a low risk for dependency."
(Buspirone has a low risk for physical or psychological dependence or
tolerance.)
A nurse is teaching a client who has OCD and has a new prescription for
Paroxetine. Which of the following instructions should the nurse include?
A. "It can take several weeks before you feel like the medication is helping."
B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive urges."
D. "Monitor for weight gain while taking this medication." - Correct
Answer>>A. "It can take several weeks before you feel like the medication
is helping."
,(Paroxetine can take 1 to 4 weeks before the client reaches full therapeutic
benefit.)
A nurse is caring for a client who takes Paroxetine to treat PTSD and
reports that he grinds his teeth during the night. The nurse should identify
which of the following interventions to manage Bruxism? (Select all that
apply.)
A. Concurrent administration of buspirone
B. Administration of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
E. Increasing the dose of paroxetine - Correct Answer>>A. Concurrent
administration of buspirone
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
(A. Concurrent administration of a low dose of buspirone is an effective
measure to manage the adverse effects of paroxetine
C.Using a mouth guard during sleep can decrease the risk for oral damage
resulting from bruxism.
D. Changing to different class of antidepressant medication that does not
have the adverse effect of bruxism is an effective measure)
A nurse is caring for a client who has a new prescription for Phenelzine for
the treatment of depression. Which of the following indicates that the client
has developed an adverse effect of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss - Correct Answer>>A. Orthostatic
hypotension
(Orthostatic hypotension is an adverse of effect of mAOIs, including
phenelzine.)
, A nurse is providing teaching to a client who has a new prescription for
Amitriptyline for treatment of depression. Which of the following should the
nurse include in the teaching? (Select all that apply.)
A. Expect therapeutic effects in 24 to 48 hr.
B. Discontinue the medication after a week of improved mood.
C. Change positions slowly to minimize dizziness.
D. Decrease dietary fiber intake to control diarrhea.
E. Chew sugarless gum to prevent dry mouth - Correct Answer>>C.
Change positions slowly to minimize dizziness.
E. Chew sugarless gum to prevent dry mouth
(C. Changing positions slowly helps prevent orthostatic hypotension, which
is an adverse effect of amitriptyline
E. Chewing sugarless gum can minimize dry mouth, which is an adverse
effect of amitriptyline)
A nurse is providing discharge teaching to a client who has a new
prescription for Fluoxetine for PTSD. Which of the following statements
should the nurse include in the teaching?
A. "You may have a decreased desire for intimacy while taking this
medication."
B. "You should take this medication at bedtime to help promote sleep."
C. "You will have fewer urinary adverse effects if you urinate just before
taking this medication."
D. "You'll need to wear sunglasses when outdoors due to the light
sensitivity caused by this medication. - Correct Answer>>A. "You may have
a decreased desire for intimacy while taking this medication."
(Decreased libido is a potential adverse effect of fluoxetine and other
SSRIs)
A nurse is caring for a client who has Depression and a new prescription for
Venlafaxine. For which of the following adverse effects should the nurse
monitor this client? (Select all that apply)
A. Cough
B. Dizziness
C. Decreased libido
D. Alopecia
E. hypotension - Correct Answer>>A. Cough
B. Dizziness
EXAM 2025 QUESTIONS AND
CORRECT ANSWERS.
A nurse in a provider's office is reviewing the medical record of a client who
is pregnant and is at her first prenatal visit. Which of the following
immunizations may the nurse administer safely to this client?
A. Varicella vaccine
B. Rubella vaccine
C. Inactivated influenza vaccine
D. Measles vaccine - Correct Answer>>C. Inactivated influenza vaccine
(During influenza season, providers recommend the inactivated influenza
vaccine for women who are pregnant)
A nurse on a medical-surgical unit administers a hypnotic medication to an
older adult client at 2100. The next morning, the client is drowsy and wants
to sleep instead of eating breakfast. Which of the following factors should
the nurse identify as a possible reason for the client's drowsiness?
A. Reduced cardiac function
B. First-pass effect
C. Reduced hepatic function
D. Increased gastric motility - Correct Answer>>C. Reduced hepatic
function
(Older adults have reduced hepatic function, which can prolong the effects
of medications the liver metabolizes. The client probably needs a lower
dosage of the hypnotic medication)
A nurse working in an emergency department is caring for a client who has
Benzodiazepine toxicity due to an overdose. Which of the following actions
is the nurse's priority?
A. Administer flumazenil.
B. Identify the client's level of orientation.
C. Infuse IV fluids.
,D. Prepare the client for gastric lavage - Correct B. Identify the
Answer>>
client's level of orientation.
(The first action the nurse should take when using the nursing process is to
assess the client. Identifying the client's level of orientation is the priority
action.)
A nurse is teaching a client who has a new prescription for Escitalopram for
treatment of generalized Anxiety disorder. Which of the following
statements by the client indicates understanding of the teaching?
A. "I should take the medication on an empty stomach."
B. "I will follow a low-sodium diet while taking this medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before swallowing." - Correct
Answer>>C. "I need to discontinue this medication slowly."
(When discontinuing escitalopram, the client should taper the medication
slowly according to a prescribed tapered dosing schedule to reduce the risk
of withdrawal syndrome.)
A nurse is providing teaching to a client who has a new prescription for
Buspirone to treat Anxiety. Which of the following information should the
nurse include?
A. "Take this medication on an empty stomach"
B. "Expect optimal therapeutic effects within 24 hr."
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency." - Correct Answer>>D.
"This medication has a low risk for dependency."
(Buspirone has a low risk for physical or psychological dependence or
tolerance.)
A nurse is teaching a client who has OCD and has a new prescription for
Paroxetine. Which of the following instructions should the nurse include?
A. "It can take several weeks before you feel like the medication is helping."
B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive urges."
D. "Monitor for weight gain while taking this medication." - Correct
Answer>>A. "It can take several weeks before you feel like the medication
is helping."
,(Paroxetine can take 1 to 4 weeks before the client reaches full therapeutic
benefit.)
A nurse is caring for a client who takes Paroxetine to treat PTSD and
reports that he grinds his teeth during the night. The nurse should identify
which of the following interventions to manage Bruxism? (Select all that
apply.)
A. Concurrent administration of buspirone
B. Administration of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
E. Increasing the dose of paroxetine - Correct Answer>>A. Concurrent
administration of buspirone
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
(A. Concurrent administration of a low dose of buspirone is an effective
measure to manage the adverse effects of paroxetine
C.Using a mouth guard during sleep can decrease the risk for oral damage
resulting from bruxism.
D. Changing to different class of antidepressant medication that does not
have the adverse effect of bruxism is an effective measure)
A nurse is caring for a client who has a new prescription for Phenelzine for
the treatment of depression. Which of the following indicates that the client
has developed an adverse effect of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss - Correct Answer>>A. Orthostatic
hypotension
(Orthostatic hypotension is an adverse of effect of mAOIs, including
phenelzine.)
, A nurse is providing teaching to a client who has a new prescription for
Amitriptyline for treatment of depression. Which of the following should the
nurse include in the teaching? (Select all that apply.)
A. Expect therapeutic effects in 24 to 48 hr.
B. Discontinue the medication after a week of improved mood.
C. Change positions slowly to minimize dizziness.
D. Decrease dietary fiber intake to control diarrhea.
E. Chew sugarless gum to prevent dry mouth - Correct Answer>>C.
Change positions slowly to minimize dizziness.
E. Chew sugarless gum to prevent dry mouth
(C. Changing positions slowly helps prevent orthostatic hypotension, which
is an adverse effect of amitriptyline
E. Chewing sugarless gum can minimize dry mouth, which is an adverse
effect of amitriptyline)
A nurse is providing discharge teaching to a client who has a new
prescription for Fluoxetine for PTSD. Which of the following statements
should the nurse include in the teaching?
A. "You may have a decreased desire for intimacy while taking this
medication."
B. "You should take this medication at bedtime to help promote sleep."
C. "You will have fewer urinary adverse effects if you urinate just before
taking this medication."
D. "You'll need to wear sunglasses when outdoors due to the light
sensitivity caused by this medication. - Correct Answer>>A. "You may have
a decreased desire for intimacy while taking this medication."
(Decreased libido is a potential adverse effect of fluoxetine and other
SSRIs)
A nurse is caring for a client who has Depression and a new prescription for
Venlafaxine. For which of the following adverse effects should the nurse
monitor this client? (Select all that apply)
A. Cough
B. Dizziness
C. Decreased libido
D. Alopecia
E. hypotension - Correct Answer>>A. Cough
B. Dizziness
