1|Page
ATI PHARMACOLOGY 2023 ASSESSMENT B
QUESTIONS WITH VERIFIED ANSWERS
The nurse is caring for a client in a mental health clinic.
Provider Prescriptions
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150
mg twice daily.
Assessment
1200:
Client here for scheduled visit to discuss mood. Client reports they were
previously prescribed sertraline for depression, however tapered off that
medication 6 months ago. Client states "It made me gain weight and it completely
took away my sex drive, so I stopped taking it." The client reports "My depression
has just gotten so bad. I have been seeing a counselor and they encouraged me to
see a provider about trying a different medication."
1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the
newly prescribed medication. Client has a follow-up visit with provider in 3 weeks
and continues with weekly counseling.
,2|Page
For each body system below, click to specify the adver-correct-answer-
Genitourinary- changes in libido
GI- constipation metabolic- wt loss
Rationale:
When taking action, the nurse should educate the client about potential adverse
effects of bupropion. Common adverse effects of this medication include changes
in libido, constipation, and weight loss.
A nurse is caring for a client in a clinic.
Nurses' Notes
3 months ago:
Client was educated on non-pharmacological interventions to lower blood
pressure such as exercise and a low-fat, low-sodium diet with fresh fruits and
vegetables. Client to return to office for a follow-up visit in 3 months.
Today:
Blood pressure is still elevated. Provider notified and prescription given to the
client. The client was educated on the medication.
Vital Signs
3 months ago:
Temperature 36.7° C (98° F)
Pulse 75/min
Respiratory Rate 16/min
,3|Page
Blood Pressure 130/81 mm Hg
Oxygen Saturation 99% on room air
Today:
Temperature 36.4° C (97.5° F)
Pulse 77/min
Respiratory Rate 16/min
Blood Pressure 148/90 mm Hg
Oxygen Saturation 98% on room air
Provider Prescriptions
Today:
Captopril 12.5 mg twice a day by mouth
Which client statements indicate an understanding of the teaching? Click to
specify if the client statement indicates an underst-correct-answer-"I will notify
my provider if I feel sick."-Understanding
"I will eat foods high in potassium."
-Need for further education
"I should take this medication with meals."
-Need for further education
, 4|Page
"Coughing is expected while taking this medication."-Need for further education
"I should take acetaminophen instead of ibuprofen for a headache." -
Understanding
Rationale:
When evaluating outcomes, the nurse should identify that the client's statements:
"I will notify my provider if I feel sick" and "I should take acetaminophen instead of
ibuprofen for a headache" indicate an understanding of teaching. Captopril can
cause neutropenia. If a client develops manifestations of infection such as a fever
or sore throat, the provider should be notified. NSAIDS such as ibuprofen may
reduce the effectiveness of captopril and should be avoided. The nurse should
identify that the client's statements: "I will eat foods high in potassium,"
"Coughing is expected while taking this medication," and "I should take this
medication with meals indicate a need for further education. Hyperkalemia is an
adverse effect of captopril. The client should avoid potassium supplements and
potassium-sparing supplements. Coughing is an adverse effect of captopril and the
nurse should notify the provider. Captopril should be given one hour before meals
or two hours after meals.
A nurse is caring for a client in a clinic and is reviewing their electronic medical
record (EMR).
Nurses' Notes
3 months ago:
ATI PHARMACOLOGY 2023 ASSESSMENT B
QUESTIONS WITH VERIFIED ANSWERS
The nurse is caring for a client in a mental health clinic.
Provider Prescriptions
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150
mg twice daily.
Assessment
1200:
Client here for scheduled visit to discuss mood. Client reports they were
previously prescribed sertraline for depression, however tapered off that
medication 6 months ago. Client states "It made me gain weight and it completely
took away my sex drive, so I stopped taking it." The client reports "My depression
has just gotten so bad. I have been seeing a counselor and they encouraged me to
see a provider about trying a different medication."
1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the
newly prescribed medication. Client has a follow-up visit with provider in 3 weeks
and continues with weekly counseling.
,2|Page
For each body system below, click to specify the adver-correct-answer-
Genitourinary- changes in libido
GI- constipation metabolic- wt loss
Rationale:
When taking action, the nurse should educate the client about potential adverse
effects of bupropion. Common adverse effects of this medication include changes
in libido, constipation, and weight loss.
A nurse is caring for a client in a clinic.
Nurses' Notes
3 months ago:
Client was educated on non-pharmacological interventions to lower blood
pressure such as exercise and a low-fat, low-sodium diet with fresh fruits and
vegetables. Client to return to office for a follow-up visit in 3 months.
Today:
Blood pressure is still elevated. Provider notified and prescription given to the
client. The client was educated on the medication.
Vital Signs
3 months ago:
Temperature 36.7° C (98° F)
Pulse 75/min
Respiratory Rate 16/min
,3|Page
Blood Pressure 130/81 mm Hg
Oxygen Saturation 99% on room air
Today:
Temperature 36.4° C (97.5° F)
Pulse 77/min
Respiratory Rate 16/min
Blood Pressure 148/90 mm Hg
Oxygen Saturation 98% on room air
Provider Prescriptions
Today:
Captopril 12.5 mg twice a day by mouth
Which client statements indicate an understanding of the teaching? Click to
specify if the client statement indicates an underst-correct-answer-"I will notify
my provider if I feel sick."-Understanding
"I will eat foods high in potassium."
-Need for further education
"I should take this medication with meals."
-Need for further education
, 4|Page
"Coughing is expected while taking this medication."-Need for further education
"I should take acetaminophen instead of ibuprofen for a headache." -
Understanding
Rationale:
When evaluating outcomes, the nurse should identify that the client's statements:
"I will notify my provider if I feel sick" and "I should take acetaminophen instead of
ibuprofen for a headache" indicate an understanding of teaching. Captopril can
cause neutropenia. If a client develops manifestations of infection such as a fever
or sore throat, the provider should be notified. NSAIDS such as ibuprofen may
reduce the effectiveness of captopril and should be avoided. The nurse should
identify that the client's statements: "I will eat foods high in potassium,"
"Coughing is expected while taking this medication," and "I should take this
medication with meals indicate a need for further education. Hyperkalemia is an
adverse effect of captopril. The client should avoid potassium supplements and
potassium-sparing supplements. Coughing is an adverse effect of captopril and the
nurse should notify the provider. Captopril should be given one hour before meals
or two hours after meals.
A nurse is caring for a client in a clinic and is reviewing their electronic medical
record (EMR).
Nurses' Notes
3 months ago:
