ATI CAPSTONE PHARMACOLOGY ACTUAL EXAM 2026
QUESTIONS AND ANSWERS SURE A+
✔✔ranitidine(Zantac) nursing interventions and education? - ✔✔Maximize therapeutic
effects
-Give at least 2 hours apart from antacids
*Education*
- Do not substitute OTC drug forms for prescription forms
*Get a CBC before starting*
-Teach patient if they notice bruising, fatigue, sore throat or an infection to call the office
- Teach patient not to smoke cause it decreases therapeutic process due to weak
circulation
- Avoid caffeine, alcohol and heavy duty foods
✔✔Pregabalin (Lyrica) - ✔✔GABA analogues, non opioid analgesic
binds to calcium channels in the CNS tissues which regulate neurotransmitter release;
does not bind to opiate receptors
✔✔Pregabalin (Lyrica) - patient education - ✔✔*side effects*
-dizziness
-drowsiness
-weight gain
-pregnancy *category c*
-controlled substance: schedule V
✔✔Pregabalin (Lyrica) nursing interventions - ✔✔-assess seizure activity
-Assess for pain relief
-Assess for change in behavior and affect
✔✔Pregabalin (Lyrica) pt education - ✔✔Do not discontinue medication abruptly
Caution client to avoid activities that require alertness until response to medication is
known
Instruct to report any suicidal thoughts
Avoid alcohol or other CNS depressants
,Report unexplained muscle pain, tenderness or weakness; *especially if accompanied
by malaise or fever*
✔✔Whenever there is a possibility that a client may develop a severe allergic reaction,
which drug should the nurse plan to have available? - ✔✔Epinephrine (Adrenalin)
✔✔When the client with a persistent upper respiratory infection asks why the physician
prescribed guaifenesin (Robitussin AC), an antitussive that contains codeine, the nurse
correctly responds that the guaifenesin liquefies mucus while the codeine is responsible
for which action? - ✔✔Suppressing coughing
✔✔A client with a persistent upper respiratory infection develops acute bronchitis and is
given a prescription for guaifenesin (Robitussin AC), an antitussive that contains
codeine. Besides the characteristics of the clients cough, which others pertinent
assessment findings should the nurse document? - ✔✔Presence of respiratory
secretions
✔✔Caring for patient taking acetaminophen (Tylenol), a nonopioid analgesic, and
codeine, an opioid agonist, for pain relief. They interact together causing an additive
effect. What's the characteristics of additive drug interactions? (Select all that apply) -
✔✔-Patients can achieve desired effects with the use of lower dosages
-Both drugs have similar actions
*Antagonistic*reduce the effect of one or both drug
*Synergistic* potentiate the effects of one or both drug
*Patients take some drugs together for their additive effects so that they can take lower
doses of each drug
*Drugs that interact to cause an additive effect have similar actions.
✔✔Your patient is taking tylenol with codeine No. 3 to control the pain from a fractured
arm. Five days later, the patient call the clinic and states she's having trouble having a
bowel movement since she started this drug. Which of the following is the most
appropriate response?
A. this is an expected adverse effect to the use of codeine. Increase your fluid intake
and take a bulk laxative such as Metamucil
B. This is an additive effect of codeine. Stop taking this medication
C. This is an expected adverse effect to the use of codeine. Double the dose, and it will
clear out your bowel
, D. You are probably allergic to the codeine. Stop taking the medication - ✔✔A. This is
an expected adverse effect to the use of codeine. Increase your fluid intake and take a
bulk laxative such as metamucil.
✔✔In addition to pain relief, codeine is also frequently used as? - ✔✔cough
suppressant
✔✔1. A nurse is providing teachingto a client who has alcohol use disorder and a new
prescription for carbamazepine. Which of the following information should the nurse
include in the teaching?
A. "This medication will help prevent seizures during alcohol withdrawal."
B. "Taking this medication will decrease your cravings for alcohol."
C."This medication maintains your blood pressure ata normal level during alcohol
withdrawal."'
D."Taking this medication will improve your ability to maintain abstinence from alcohol."
- ✔✔A. CORRECT: Carbamazepine is used during withdrawal to decrease the risk for
seizures.
✔✔A nurse is evaluating a client's understanding of a new prescription for clonidine for
the treatmen tof opioid use disorder. Which of the following statements by the client
indicates an understanding of the teaching?
A. "Taking this medication will help reduce my craving for heroin."
B. "While taking this medication, I should keep a packof sugarless gum."
C."I can expect some diarrhea from taking this medicine."
D."Each dose of this medication should be placed undermy tongue to dissolve." - ✔✔B.
CORRECT: Clonidine commonly causes clients to experience dry mouth. Chewing
sugarless gum is an effective method to address this adverse effect.
✔✔A nurse is reinforcing teaching for a client who has a new prescription for clonidine
(Catapres) to assist with maintenance of abstinence from opioids.
The nurse should remind the client to watch for which of the following adverse effects?
A. Diarrhea
B. Dry mouth
C. Insomnia
D. Hypertension - ✔✔Dry mouthisa common adverse effect of clonidine use.
QUESTIONS AND ANSWERS SURE A+
✔✔ranitidine(Zantac) nursing interventions and education? - ✔✔Maximize therapeutic
effects
-Give at least 2 hours apart from antacids
*Education*
- Do not substitute OTC drug forms for prescription forms
*Get a CBC before starting*
-Teach patient if they notice bruising, fatigue, sore throat or an infection to call the office
- Teach patient not to smoke cause it decreases therapeutic process due to weak
circulation
- Avoid caffeine, alcohol and heavy duty foods
✔✔Pregabalin (Lyrica) - ✔✔GABA analogues, non opioid analgesic
binds to calcium channels in the CNS tissues which regulate neurotransmitter release;
does not bind to opiate receptors
✔✔Pregabalin (Lyrica) - patient education - ✔✔*side effects*
-dizziness
-drowsiness
-weight gain
-pregnancy *category c*
-controlled substance: schedule V
✔✔Pregabalin (Lyrica) nursing interventions - ✔✔-assess seizure activity
-Assess for pain relief
-Assess for change in behavior and affect
✔✔Pregabalin (Lyrica) pt education - ✔✔Do not discontinue medication abruptly
Caution client to avoid activities that require alertness until response to medication is
known
Instruct to report any suicidal thoughts
Avoid alcohol or other CNS depressants
,Report unexplained muscle pain, tenderness or weakness; *especially if accompanied
by malaise or fever*
✔✔Whenever there is a possibility that a client may develop a severe allergic reaction,
which drug should the nurse plan to have available? - ✔✔Epinephrine (Adrenalin)
✔✔When the client with a persistent upper respiratory infection asks why the physician
prescribed guaifenesin (Robitussin AC), an antitussive that contains codeine, the nurse
correctly responds that the guaifenesin liquefies mucus while the codeine is responsible
for which action? - ✔✔Suppressing coughing
✔✔A client with a persistent upper respiratory infection develops acute bronchitis and is
given a prescription for guaifenesin (Robitussin AC), an antitussive that contains
codeine. Besides the characteristics of the clients cough, which others pertinent
assessment findings should the nurse document? - ✔✔Presence of respiratory
secretions
✔✔Caring for patient taking acetaminophen (Tylenol), a nonopioid analgesic, and
codeine, an opioid agonist, for pain relief. They interact together causing an additive
effect. What's the characteristics of additive drug interactions? (Select all that apply) -
✔✔-Patients can achieve desired effects with the use of lower dosages
-Both drugs have similar actions
*Antagonistic*reduce the effect of one or both drug
*Synergistic* potentiate the effects of one or both drug
*Patients take some drugs together for their additive effects so that they can take lower
doses of each drug
*Drugs that interact to cause an additive effect have similar actions.
✔✔Your patient is taking tylenol with codeine No. 3 to control the pain from a fractured
arm. Five days later, the patient call the clinic and states she's having trouble having a
bowel movement since she started this drug. Which of the following is the most
appropriate response?
A. this is an expected adverse effect to the use of codeine. Increase your fluid intake
and take a bulk laxative such as Metamucil
B. This is an additive effect of codeine. Stop taking this medication
C. This is an expected adverse effect to the use of codeine. Double the dose, and it will
clear out your bowel
, D. You are probably allergic to the codeine. Stop taking the medication - ✔✔A. This is
an expected adverse effect to the use of codeine. Increase your fluid intake and take a
bulk laxative such as metamucil.
✔✔In addition to pain relief, codeine is also frequently used as? - ✔✔cough
suppressant
✔✔1. A nurse is providing teachingto a client who has alcohol use disorder and a new
prescription for carbamazepine. Which of the following information should the nurse
include in the teaching?
A. "This medication will help prevent seizures during alcohol withdrawal."
B. "Taking this medication will decrease your cravings for alcohol."
C."This medication maintains your blood pressure ata normal level during alcohol
withdrawal."'
D."Taking this medication will improve your ability to maintain abstinence from alcohol."
- ✔✔A. CORRECT: Carbamazepine is used during withdrawal to decrease the risk for
seizures.
✔✔A nurse is evaluating a client's understanding of a new prescription for clonidine for
the treatmen tof opioid use disorder. Which of the following statements by the client
indicates an understanding of the teaching?
A. "Taking this medication will help reduce my craving for heroin."
B. "While taking this medication, I should keep a packof sugarless gum."
C."I can expect some diarrhea from taking this medicine."
D."Each dose of this medication should be placed undermy tongue to dissolve." - ✔✔B.
CORRECT: Clonidine commonly causes clients to experience dry mouth. Chewing
sugarless gum is an effective method to address this adverse effect.
✔✔A nurse is reinforcing teaching for a client who has a new prescription for clonidine
(Catapres) to assist with maintenance of abstinence from opioids.
The nurse should remind the client to watch for which of the following adverse effects?
A. Diarrhea
B. Dry mouth
C. Insomnia
D. Hypertension - ✔✔Dry mouthisa common adverse effect of clonidine use.
