RN ATI Pharmacology Proctored Exam With NGN 2025 Edition 70 Actual Questions And
Correct Answers
Question 1 of 70
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
(Select all that apply.)
Have the client lie on her side
Ask the client to look up at the ceiling
Tell the client to blink when the drops enter her eye
☑ Drop the medication into the center of the client's conjunctival sac
☑ Instruct the client to close her eye gently after instillation
Explanation:
Eye drops should be placed in the conjunctival sac to ensure proper absorption and avoid corneal damage. The client
should close the eye gently to distribute the medication and prevent systemic absorption. Blinking when drops enter
the eye should be avoided as it can cause the medication to spill out.
,Question 2 of 70
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 followingfactors should the educator include as a reason to administer
lower medication dosages? (Select all that apply.)
Increased renal secretion
B.Increased medication-metabolizing enzymes
☑ Liver failure
Peripheral vascular disease
☑ Concurrent use of medication the same pathway metabolizes
Explanation:
Liver failure reduces the body's ability to metabolize medications, necessitating lower dosages.Concurrent use of
medications metabolized by the same pathway can cause drug interactions,increasing medication levels and
requiring dosage adjustments. Increased renal secretion and medication-metabolizing enzymes typically increase
clearance and may require higher dosages.
,Question 3 of 70
A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches.Which of
the following statements should the nurse identify as an indication that the client understands the instructions?
I will clean the site with an alcohol swab before I apply the patch.
I will rotate the application sites weekly
☑ I will apply the patch to an area of skin with no hair.
I will place the new patch on the site of the old patch
Explanation:
Patches should be applied to hairless skin to ensure proper adhesion and absorption. Rotating sites is recommended
but more frequently than weekly (usually weekly). Cleaning with alcohol is generally not advised as it may irritate the
skin.
, Question 4 of 70
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?
☑ Obtain a blood specimen immediately prior to administering the next dose of medication
Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen.
Ask the client to provide a urine specimen after the next dose of medication.
Administer the medication, and obtain a blood specimen 30 min late.
Explanation:
The trough level is the lowest concentration of the drug in the bloodstream and is measured immediately before
the next dose to avoid toxicity or subtherapeutic levels.
Correct Answers
Question 1 of 70
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
(Select all that apply.)
Have the client lie on her side
Ask the client to look up at the ceiling
Tell the client to blink when the drops enter her eye
☑ Drop the medication into the center of the client's conjunctival sac
☑ Instruct the client to close her eye gently after instillation
Explanation:
Eye drops should be placed in the conjunctival sac to ensure proper absorption and avoid corneal damage. The client
should close the eye gently to distribute the medication and prevent systemic absorption. Blinking when drops enter
the eye should be avoided as it can cause the medication to spill out.
,Question 2 of 70
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 followingfactors should the educator include as a reason to administer
lower medication dosages? (Select all that apply.)
Increased renal secretion
B.Increased medication-metabolizing enzymes
☑ Liver failure
Peripheral vascular disease
☑ Concurrent use of medication the same pathway metabolizes
Explanation:
Liver failure reduces the body's ability to metabolize medications, necessitating lower dosages.Concurrent use of
medications metabolized by the same pathway can cause drug interactions,increasing medication levels and
requiring dosage adjustments. Increased renal secretion and medication-metabolizing enzymes typically increase
clearance and may require higher dosages.
,Question 3 of 70
A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches.Which of
the following statements should the nurse identify as an indication that the client understands the instructions?
I will clean the site with an alcohol swab before I apply the patch.
I will rotate the application sites weekly
☑ I will apply the patch to an area of skin with no hair.
I will place the new patch on the site of the old patch
Explanation:
Patches should be applied to hairless skin to ensure proper adhesion and absorption. Rotating sites is recommended
but more frequently than weekly (usually weekly). Cleaning with alcohol is generally not advised as it may irritate the
skin.
, Question 4 of 70
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?
☑ Obtain a blood specimen immediately prior to administering the next dose of medication
Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen.
Ask the client to provide a urine specimen after the next dose of medication.
Administer the medication, and obtain a blood specimen 30 min late.
Explanation:
The trough level is the lowest concentration of the drug in the bloodstream and is measured immediately before
the next dose to avoid toxicity or subtherapeutic levels.
