ATI NR 293 PHARM FINAL REVIEW EXAM QUESTIONS AND ANSWERS VERIFIED & LATEST UPDATE 2025

ATI NR 293 PHARM FINAL REVIEW EXAM
ss ss ss ss ss ss




QUESTIONS AND ANSWERS VERIFIED & LATEST
ss ss ss ss ss ss




UPDATE 2025
ss ss

,• A nurse is preparing a client for surgery. Prior to administering the prescribed
ss ss ss ss ss ss ss ss ss ss ss ss




ss hydroxyzine, the nurse should explain to the client that the medication is for which of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss




ss the following indications? (Select all that apply.)
ss ss ss ss ss ss




a) Controlling emesis b) s s Diminishing anxiety ss




c) Reducing the amount of narcotics needed for pain relief
ss ss ss ss ss ss ss ss




d) Preventing thrombus formation ss ss




e) Drying secretions ss




• A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss



ss requires mechanical ventilation. The client receives a prescription for pancuronium. The
ss ss ss ss ss ss ss ss ss ss



nurse recognizes that this medication is for which of the following purposes?
ss ss ss ss ss ss ss ss ss ss ss ss




a) Decrease chest wall compliance ss ss ss




b) Suppress respiratory effort ss ss




i) Rationale: Neuromuscular blocking agents, such as pancuronium, induce
ss ss ss ss ss ss ss



ss paralysis and suppress the client's respiratory efforts to the point of apnea,
ss ss ss ss ss ss ss ss ss ss ss



ss allowing the mechanical ventilator to take over the work of breathing for the
ss ss ss ss ss ss ss ss ss ss ss ss



client. This therapy is especially
ss ss ss ss ss

, helpful for a client who has ARDS and poor


c) Induce sedation ss




d) Decrease respiratory secretions ss ss




• A nurse is caring for a client who is taking lisinopril. Which of the following
ss ss ss ss ss ss ss ss ss ss ss ss ss ss



ss outcomes indicates a therapeutic effect of the medication? a) Decreased
ss ss ss ss ss ss ss ss ss



ss blood pressure ss



i) Rationale: Lisinopril, an ACE inhibitor, may be used alone or in
ss ss ss ss ss ss ss ss ss ss



ss combination with other antihypertensives in the management of ss ss ss ss ss ss ss



ss hypertension and congestive heart failure. A therapeutic effect of the
ss ss ss ss ss ss ss ss ss



ss medication is a decrease in blood pressure. ss ss ss ss ss ss



b) Increase of HDL cholesterol ss ss ss



i) Rationale: This is not an intended effect of lisinopril. ss ss ss ss ss ss ss ss



c) Prevention of bipolar manic episodes ss ss ss ss



i) Rationale: This is not an intended effect of lisinopril.
ss ss ss ss ss ss ss ss



d) Improved sexual function ss ss



i) Rationale: This is not an intended effect of lisinopril. Lisinopril may in fact
ss ss ss ss ss ss ss ss ss ss ss ss



cause sexual dysfunction and impotence.
ss ss ss ss ss




• A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss




Which of the following instructions should the nurse give regarding the adverse effect
ss ss ss ss ss ss ss ss ss ss ss ss ss




ss of dry mouth associated with diphenhydramine?
ss ss ss ss ss




a) Administer the medication with food ss ss ss ss




b) Chew on sugarless gum or suck on hard, sour candies
ss ss ss ss ss ss ss ss ss

, i) s s Rationale: Clients who report dry mouth can get the most effective
ss ss ss ss ss ss ss ss ss ss



ss relief by sucking on hard candies (especially the sour varieties that
ss ss ss ss ss ss ss ss ss ss



ss stimulate salivation), chewing gum, or rinsing the mouth frequently. It
ss ss ss ss ss ss ss ss ss



ss is the local effect of these actions that provides comfort to the client.
ss ss ss ss ss ss ss ss ss ss ss ss




c) Place a humidifier at your bedside every evening
ss ss ss ss ss ss ss




d) Discontinue the medication and notify your provider ss ss ss ss ss ss




• A nurse on an oncology unit is preparing to administer doxorubicin to a client who has
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss



breast cancer. Prior to beginning the infusion, the nurse verifies the client's current
ss ss ss ss ss ss ss ss ss ss ss ss ss



cumulative lifetime dose of the medication. For which of the following reasons is this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss



verification necessary?
ss ss




a) An excess amount of doxorubicin can lead to myelosuppression.
ss ss ss ss ss ss ss ss




b) Exceeding the lifetime cumulative dose limit of doxorubicin might cause extravasation.
ss ss ss ss ss ss ss ss ss ss




c) An excess amount of doxorubicin can lead to cardiomyopathy.
ss ss ss ss ss ss ss ss




i) s s Rationale: Doxorubicin is an antineoplastic antibiotic used in the treatment of
ss ss ss ss ss ss ss ss ss ss



ss various cancers. Irreversible cardiomyopathy with congestive heart failure can result
ss ss ss ss ss ss ss ss ss



ss from repeated doses of doxorubicin, and prolonged use can also cause severe heart
ss ss ss ss ss ss ss ss ss ss ss ss



ss damage, even years after the client has stopped taking it. The maximum cumulative
ss ss ss ss ss ss ss ss ss ss ss ss



dose a client should receive is 550 mg/m or 450 mg/m with a history of radiation to
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss



ss the mediastinum.
ss




d) Exceeding the lifetime cumulative dose limit of doxorubicin might produce red tinged
ss ss ss ss ss ss ss ss ss ss ss



urine and sweat.
ss ss ss




• A nurse on an oncology unit is preparing to administer doxorubicin to a client who has
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss



breast cancer. Prior to beginning the infusion, the nurse verifies the client's current
ss ss ss ss ss ss ss ss ss ss ss ss ss



cumulative lifetime dose of the medication. For which of the following reasons is this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss



verification necessary?
ss ss