PHARMACOLOGY ATI PROCTORED
ACTUAL EXAM WITH QUESTIONS
AND ANSWERS WRITTEN CORRECTLY
A nurse is providing teaching with a client, who has schizophrenia, about strategies to minimize the
anticholinergic effects of fluphenazine. Which of the following instructions should the nurse suggest for
the client? - CORRECT ANSWERS>>>>>Chew sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking fluphenazine and is experiencing
anticholinergic effects to chew sugarless gum. This instruction would provide moisture to the client's
mouth and decrease the severity of dry mouth which is an anticholinergic adverse effect.
Gentamicin - CORRECT ANSWERS>>>>>Gentamicin is a narrow-spectrum aminoglycoside antibiotic
prescribed to treat serious infections caused by aerobic bacilli
Complications of Gentamicin - CORRECT ANSWERS>>>>>Gentamicin can injure cells of the proximal
renal tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced age, making this client at
increased risk for nephrotoxicity.
What lab values should a nurse monitor for a patient taking Gentamicin? - CORRECT
ANSWERS>>>>>BUN
Blood creatinine
Peak and trough levels of gentamicin
Specific gravity of urine
Urinalysis
BUN - CORRECT ANSWERS>>>>>blood urea nitrogen
,Nursing actions for a client taking gentamicin - CORRECT ANSWERS>>>>>Monitor intake and output.
Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid overload.
Assess for manifestations of ototoxicity.
A nurse is preparing a client's medications. The nurse is responsible for gaining and maintaining
knowledge about which of the following medication information? - CORRECT ANSWERS>>>>>Adverse
Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of medications to compare
expected outcomes with actual findings
total parenteral nutrition (TPN) - CORRECT ANSWERS>>>>>nutrient-complete solution given directly
into bloodstream when person cannot eat by mouth
A nurse is preparing to complete an incident report for a medication error. What information (4 things)
should the nurse include in the report? - CORRECT ANSWERS>>>>>Time of the incident
who was notified of the incident
actions taken following the incident
client identification
Adverse effects of oxybutynin - CORRECT ANSWERS>>>>>Anticholinergic effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
, adverse effects of fentanyl patches - CORRECT ANSWERS>>>>>Respiratory Depression
Hypotension
Constipation
Nausea or Vomiting
Clients who use fentanyl patches will likely need to take what on a daily basis? - CORRECT
ANSWERS>>>>>Take a stool softener on a daily basis. Constipation is an adverse effect of opioid use and
stool softeners can decrease the severity
Adverse effects of haloperidol - CORRECT ANSWERS>>>>>extrapyrimidal symptoms
extrapyramidal symptoms - CORRECT ANSWERS>>>>>involuntary fine motor tremors, rigidity,
uncontrollable retlessness, dystonia, pseudoparkinsonism, and akathisia
When using dopamine to treat heart failure, what are signs to watch indicating the medication is
effective - CORRECT ANSWERS>>>>>Dopamine is an adrenergic that causes a receptor specificity effect,
which increases cardiac output and improves perfusion. You might notice increased urine output as well
Adverse effects of Hydrochlorothiazide - CORRECT ANSWERS>>>>>Dizziness, vertigo, orthostatic
hypotension, nausea, anorexia, vomiting, dry mouth, diarrhea, polyuria, nocturia, muscle cramps, or
spasms. (think: LOWERS BP)
A nurse is preparing to administer hydrochlorothiazide to a client actions should the nurse take prior to
administering this medication - CORRECT ANSWERS>>>>>HCTZ is a thiazide diuretic administered to
promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood
pressure prior to administration of the medication.
What is sucralfate? - CORRECT ANSWERS>>>>>Forms protective coat over ulcers, causes constipation
is Zolpidem designed for long or short term use? - CORRECT ANSWERS>>>>>short term
Zolpidem adverse effects - CORRECT ANSWERS>>>>>Drowsiness, headache, dizziness, complex sleep-
related behavior, amnesia
ACTUAL EXAM WITH QUESTIONS
AND ANSWERS WRITTEN CORRECTLY
A nurse is providing teaching with a client, who has schizophrenia, about strategies to minimize the
anticholinergic effects of fluphenazine. Which of the following instructions should the nurse suggest for
the client? - CORRECT ANSWERS>>>>>Chew sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking fluphenazine and is experiencing
anticholinergic effects to chew sugarless gum. This instruction would provide moisture to the client's
mouth and decrease the severity of dry mouth which is an anticholinergic adverse effect.
Gentamicin - CORRECT ANSWERS>>>>>Gentamicin is a narrow-spectrum aminoglycoside antibiotic
prescribed to treat serious infections caused by aerobic bacilli
Complications of Gentamicin - CORRECT ANSWERS>>>>>Gentamicin can injure cells of the proximal
renal tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced age, making this client at
increased risk for nephrotoxicity.
What lab values should a nurse monitor for a patient taking Gentamicin? - CORRECT
ANSWERS>>>>>BUN
Blood creatinine
Peak and trough levels of gentamicin
Specific gravity of urine
Urinalysis
BUN - CORRECT ANSWERS>>>>>blood urea nitrogen
,Nursing actions for a client taking gentamicin - CORRECT ANSWERS>>>>>Monitor intake and output.
Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid overload.
Assess for manifestations of ototoxicity.
A nurse is preparing a client's medications. The nurse is responsible for gaining and maintaining
knowledge about which of the following medication information? - CORRECT ANSWERS>>>>>Adverse
Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of medications to compare
expected outcomes with actual findings
total parenteral nutrition (TPN) - CORRECT ANSWERS>>>>>nutrient-complete solution given directly
into bloodstream when person cannot eat by mouth
A nurse is preparing to complete an incident report for a medication error. What information (4 things)
should the nurse include in the report? - CORRECT ANSWERS>>>>>Time of the incident
who was notified of the incident
actions taken following the incident
client identification
Adverse effects of oxybutynin - CORRECT ANSWERS>>>>>Anticholinergic effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
, adverse effects of fentanyl patches - CORRECT ANSWERS>>>>>Respiratory Depression
Hypotension
Constipation
Nausea or Vomiting
Clients who use fentanyl patches will likely need to take what on a daily basis? - CORRECT
ANSWERS>>>>>Take a stool softener on a daily basis. Constipation is an adverse effect of opioid use and
stool softeners can decrease the severity
Adverse effects of haloperidol - CORRECT ANSWERS>>>>>extrapyrimidal symptoms
extrapyramidal symptoms - CORRECT ANSWERS>>>>>involuntary fine motor tremors, rigidity,
uncontrollable retlessness, dystonia, pseudoparkinsonism, and akathisia
When using dopamine to treat heart failure, what are signs to watch indicating the medication is
effective - CORRECT ANSWERS>>>>>Dopamine is an adrenergic that causes a receptor specificity effect,
which increases cardiac output and improves perfusion. You might notice increased urine output as well
Adverse effects of Hydrochlorothiazide - CORRECT ANSWERS>>>>>Dizziness, vertigo, orthostatic
hypotension, nausea, anorexia, vomiting, dry mouth, diarrhea, polyuria, nocturia, muscle cramps, or
spasms. (think: LOWERS BP)
A nurse is preparing to administer hydrochlorothiazide to a client actions should the nurse take prior to
administering this medication - CORRECT ANSWERS>>>>>HCTZ is a thiazide diuretic administered to
promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood
pressure prior to administration of the medication.
What is sucralfate? - CORRECT ANSWERS>>>>>Forms protective coat over ulcers, causes constipation
is Zolpidem designed for long or short term use? - CORRECT ANSWERS>>>>>short term
Zolpidem adverse effects - CORRECT ANSWERS>>>>>Drowsiness, headache, dizziness, complex sleep-
related behavior, amnesia
