ATI RN Pharmacology Proctored Exam 2023 with Answers, Latest 2025 Update
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 ✓ A. One
nurse expect to administer this medication? Drugs with a long half-life remain in the
1
A. One bloodstream for a longer duration and
B. Two therefore require less frequent dosing.
C. Three
D. Four
A nurse is teaching a client about transdermal patches.
Which statement should the nurse identify as an
indication that the client understands? ✓ C. "I will apply the patch to an area o
A. "I will clean the site with an alcohol swab before I with no hair."
apply the patch." Hair can interfere with the adhesion of t
2
B. "I will rotate the application sites weekly." patch and the absorption of the medica
C. "I will apply the patch to an area of skin with no Sites should be rotated more frequently
hair." weekly, and alcohol can be irritating to t
D. "I will place the new patch on the site of the old
patch."
A client who has asthma is prescribed cromolyn sodium
(Intal). The nurse provides instructions concerning the
✓ C. Wheezing
side effects. Which side effect should the client report
Cromolyn sodium is used to prevent ast
immediately?
3 attacks. Wheezing after taking it is a ser
A. Sore throat
side effect that indicates bronchospasm
B. Drowsiness
requires immediate medical attention.
C. Wheezing
D. Hypotension
A nurse is preparing to administer a morning dose of
✓ B. Hold the digoxin dose and notify t
digoxin to a client with heart failure. The nurse notes
4 healthcare provider.
the client's apical pulse is 52 bpm, and the client
A pulse below 60 bpm and visual disturb
reports seeing yellow halos around lights. What is the
(yellow halos) are classic signs of digoxin
nurse's most appropriate action?
, A. Administer the medication and recheck the pulse in toxicity. The nurse should hold the dose
30 minutes. immediately inform the provider.
B. Hold the digoxin dose and notify the healthcare
provider.
C. Administer the dose and monitor for arrhythmias.
D. Give the medication with food to minimize side
effects.
A nurse is preparing to administer heparin 8,000 units
✓ 0.8 mL
subcutaneously every 8hr. Available is heparin 10,000
5 Calculate: (8,000 units / 10,000 units) ×
units/1mL. How many mL should the nurse administer
0.8 mL.
per dose?
A nurse is reviewing a client's medical record and notes
a new prescription for verifying the trough level of the
client's medication. Which action should the nurse
take? ✓ A. Obtain a blood specimen immedia
A. Obtain a blood specimen immediately prior to prior to administering the next dose.
administering the next dose of medication. A trough level is the lowest concentratio
6
B. Verify that the client has been taking the medication medication in the bloodstream and mus
for 24hr. drawn just before the next scheduled do
C. Ask the client to provide a urine specimen after the given.
next dose.
D. Administer the medication, and obtain a blood
specimen 30 min later.
An 80-year-old client with CHF (Congestive Heart
✓ B. Digitalis toxicity
Failure) has significant vulnerability to which condition?
Elderly patients are at a higher risk for d
A. Myocardial infarction
7 toxicity due to age-related decline in kid
B. Digitalis toxicity
function, which affects the drug's cleara
C. Congenital heart disease
from the body.
D. Hyperthyroidism
8 A nurse is preparing to administer an IM dose of ✓ B. Withhold the medication.
penicillin to a client. The client states they developed a A previous rash indicates a potential alle
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 ✓ A. One
nurse expect to administer this medication? Drugs with a long half-life remain in the
1
A. One bloodstream for a longer duration and
B. Two therefore require less frequent dosing.
C. Three
D. Four
A nurse is teaching a client about transdermal patches.
Which statement should the nurse identify as an
indication that the client understands? ✓ C. "I will apply the patch to an area o
A. "I will clean the site with an alcohol swab before I with no hair."
apply the patch." Hair can interfere with the adhesion of t
2
B. "I will rotate the application sites weekly." patch and the absorption of the medica
C. "I will apply the patch to an area of skin with no Sites should be rotated more frequently
hair." weekly, and alcohol can be irritating to t
D. "I will place the new patch on the site of the old
patch."
A client who has asthma is prescribed cromolyn sodium
(Intal). The nurse provides instructions concerning the
✓ C. Wheezing
side effects. Which side effect should the client report
Cromolyn sodium is used to prevent ast
immediately?
3 attacks. Wheezing after taking it is a ser
A. Sore throat
side effect that indicates bronchospasm
B. Drowsiness
requires immediate medical attention.
C. Wheezing
D. Hypotension
A nurse is preparing to administer a morning dose of
✓ B. Hold the digoxin dose and notify t
digoxin to a client with heart failure. The nurse notes
4 healthcare provider.
the client's apical pulse is 52 bpm, and the client
A pulse below 60 bpm and visual disturb
reports seeing yellow halos around lights. What is the
(yellow halos) are classic signs of digoxin
nurse's most appropriate action?
, A. Administer the medication and recheck the pulse in toxicity. The nurse should hold the dose
30 minutes. immediately inform the provider.
B. Hold the digoxin dose and notify the healthcare
provider.
C. Administer the dose and monitor for arrhythmias.
D. Give the medication with food to minimize side
effects.
A nurse is preparing to administer heparin 8,000 units
✓ 0.8 mL
subcutaneously every 8hr. Available is heparin 10,000
5 Calculate: (8,000 units / 10,000 units) ×
units/1mL. How many mL should the nurse administer
0.8 mL.
per dose?
A nurse is reviewing a client's medical record and notes
a new prescription for verifying the trough level of the
client's medication. Which action should the nurse
take? ✓ A. Obtain a blood specimen immedia
A. Obtain a blood specimen immediately prior to prior to administering the next dose.
administering the next dose of medication. A trough level is the lowest concentratio
6
B. Verify that the client has been taking the medication medication in the bloodstream and mus
for 24hr. drawn just before the next scheduled do
C. Ask the client to provide a urine specimen after the given.
next dose.
D. Administer the medication, and obtain a blood
specimen 30 min later.
An 80-year-old client with CHF (Congestive Heart
✓ B. Digitalis toxicity
Failure) has significant vulnerability to which condition?
Elderly patients are at a higher risk for d
A. Myocardial infarction
7 toxicity due to age-related decline in kid
B. Digitalis toxicity
function, which affects the drug's cleara
C. Congenital heart disease
from the body.
D. Hyperthyroidism
8 A nurse is preparing to administer an IM dose of ✓ B. Withhold the medication.
penicillin to a client. The client states they developed a A previous rash indicates a potential alle
