ATI Pharmacology Proctored Exam
Questions And Answers
(LATEST 2024 /2025UPDATE)
1. A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day should the
nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four:Verified Answer A. One
(Medications with long half-lives remain at their therapeutic levels between doses for long
,periods of time. The nurse should expect to administer this medication once a day.)
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation. Which
of the following factors should the educator include as a reason to administer lower
medication dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes:Verified Answer C. Live
failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the concentration of a medication.
This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabo- lism,
thereby increasing the concentration of one or both medications. This requires decreasing
the dosage of one or both
3. A nurse is preparing to administer eye drops to a client. Which of the
following actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
,C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation:Verified Answer B. Ask th
client
, to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the center
of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
4. A nurse is completing discharge teaching for a client who has a new pre- scription
for transdermal patches. Which of the following statements should the nurse identify
as an indication that the client understands the instruc- tions?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch.:Verified Answer C. "I
will apply the patch to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote absorption of the
medication.)
5. A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the client's medication. Which of the following actions
should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of
Questions And Answers
(LATEST 2024 /2025UPDATE)
1. A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day should the
nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four:Verified Answer A. One
(Medications with long half-lives remain at their therapeutic levels between doses for long
,periods of time. The nurse should expect to administer this medication once a day.)
2. A staff educator is reviewing medication dosages and factors that influence
medication metabolism with a group of nurses at an in-service presentation. Which
of the following factors should the educator include as a reason to administer lower
medication dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes:Verified Answer C. Live
failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the concentration of a medication.
This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabo- lism,
thereby increasing the concentration of one or both medications. This requires decreasing
the dosage of one or both
3. A nurse is preparing to administer eye drops to a client. Which of the
following actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
,C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation:Verified Answer B. Ask th
client
, to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the center
of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
4. A nurse is completing discharge teaching for a client who has a new pre- scription
for transdermal patches. Which of the following statements should the nurse identify
as an indication that the client understands the instruc- tions?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch.:Verified Answer C. "I
will apply the patch to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote absorption of the
medication.)
5. A nurse reviewing a client's medical record notes a new prescription for
verifying the trough level of the client's medication. Which of the following actions
should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of
