ATI PHARMACOLOGY PROCTORED EXAM 2020 -2026
EXAM/STUDY GUIDE LATEST UPDATED VERSION WITH
COMPLETE SOLUTIONS
Summary I’ve given you all the different questions that ATI Pharm 2019-2026
has had on the exam. All the answers are correct. good luck
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
nurse expect to administer this medication?
A) One
B) Two
C) Three
D) Four - CORRECT ANSWER✔✔A) One.
Explanation: Medications with long half-lives remain at their therapeutic levels
between doses for long periods of time. The nurse should expect to administer
this medication once a day.
A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator include as a
reason to administer lower medication dosages? Select all that apply.
A) Increased renal excretion
B) Increased medication-metabolizing enzymes
C) Liver failure
D) Peripheral vascular disease
E) Concurrent use of medication the same pathway metabolizes - CORRECT ANSWER
✔✔C) Liver failure
Explanation: Liver failure decreases metabolism and thus increases the concentration of
a medication. This requires decreasing the dosage.
AND
E) Concurrent use of medication the same pathway metabolizes.
Explanation: When the same pathway metabolizes two medications, they compete for
metabolism, thereby increasing the concentration of one or both medications. This
requires decreasing the dosage of one or both medications.
, A nurse is preparing to administer eye drops to a client. Which of the following actions
should the nurse take?( Select all that apply)
A) Have the client lie on one side.
B) Ask the client to look up at the ceilling.
C) Tell the client to blink when the drops enter the eye.
D) Drop the medication into the client's conjunctival sac.
E) Instruct the client to close the eye gently after instillation - CORRECT ANSWER✔✔
B) Ask the client to look up at the ceilling
Explanation: The client should look upward to prevent the drops from falling onto the
cornea
AND
D) Drop the medication into the client's conjunctival sac
Expanation: Promotes distribution
E) Instruct the client to close the eye gently after instillation.
Explanation: Promotes distribution
A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
A)"I will clean the site with an alchool swab before I apply the patch."
B)"I will rotate the application sites weekly"
C) "I will apply the patch to an area of skin with no hair".
D) "I will place the new patch on the site of the old patch". - CORRECT ANSWER✔✔
C) "I will apply the patch to an area of skin with no hair".
Explanation: The client should apply the patch to a hairless area of skin to promote
absorption of the medication.
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?
A) Obtain a blood specimen immediatly prior to administering the next dose of
medication
B) Verify that the client has been taking the medication for 24 hr before obtaining a
blood specimen.
C) Ask the client to provide a urine specimen after the next dose of medication
D) Administer the medication, and obtain a blood specimen 30 minutes later. -
CORRECT ANSWER✔✔A) Obtain a blood specimen immediatly prior to administering
the next dose of medication.
Explanation: To verify trough levels of a medication, the nurse should obtain a blood
specimen immediatly before administering the next dose of medication.
EXAM/STUDY GUIDE LATEST UPDATED VERSION WITH
COMPLETE SOLUTIONS
Summary I’ve given you all the different questions that ATI Pharm 2019-2026
has had on the exam. All the answers are correct. good luck
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
nurse expect to administer this medication?
A) One
B) Two
C) Three
D) Four - CORRECT ANSWER✔✔A) One.
Explanation: Medications with long half-lives remain at their therapeutic levels
between doses for long periods of time. The nurse should expect to administer
this medication once a day.
A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator include as a
reason to administer lower medication dosages? Select all that apply.
A) Increased renal excretion
B) Increased medication-metabolizing enzymes
C) Liver failure
D) Peripheral vascular disease
E) Concurrent use of medication the same pathway metabolizes - CORRECT ANSWER
✔✔C) Liver failure
Explanation: Liver failure decreases metabolism and thus increases the concentration of
a medication. This requires decreasing the dosage.
AND
E) Concurrent use of medication the same pathway metabolizes.
Explanation: When the same pathway metabolizes two medications, they compete for
metabolism, thereby increasing the concentration of one or both medications. This
requires decreasing the dosage of one or both medications.
, A nurse is preparing to administer eye drops to a client. Which of the following actions
should the nurse take?( Select all that apply)
A) Have the client lie on one side.
B) Ask the client to look up at the ceilling.
C) Tell the client to blink when the drops enter the eye.
D) Drop the medication into the client's conjunctival sac.
E) Instruct the client to close the eye gently after instillation - CORRECT ANSWER✔✔
B) Ask the client to look up at the ceilling
Explanation: The client should look upward to prevent the drops from falling onto the
cornea
AND
D) Drop the medication into the client's conjunctival sac
Expanation: Promotes distribution
E) Instruct the client to close the eye gently after instillation.
Explanation: Promotes distribution
A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
A)"I will clean the site with an alchool swab before I apply the patch."
B)"I will rotate the application sites weekly"
C) "I will apply the patch to an area of skin with no hair".
D) "I will place the new patch on the site of the old patch". - CORRECT ANSWER✔✔
C) "I will apply the patch to an area of skin with no hair".
Explanation: The client should apply the patch to a hairless area of skin to promote
absorption of the medication.
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?
A) Obtain a blood specimen immediatly prior to administering the next dose of
medication
B) Verify that the client has been taking the medication for 24 hr before obtaining a
blood specimen.
C) Ask the client to provide a urine specimen after the next dose of medication
D) Administer the medication, and obtain a blood specimen 30 minutes later. -
CORRECT ANSWER✔✔A) Obtain a blood specimen immediatly prior to administering
the next dose of medication.
Explanation: To verify trough levels of a medication, the nurse should obtain a blood
specimen immediatly before administering the next dose of medication.
