ATI PHARMACOLOGY
ATI Pharmacology Proctored Actual Exam Test Bank
All Questions and Answers with Rationale 2025
A nurse is evaluating how a client who is pregnant is responding to a medication. Which
of the following physiological effects of pregnancy should the nurse take into
consideration?
a. increased intestinal transit rate
b. accelerated excretion of fluids
c. reduced renal blood flow
d. decreased hepatic metabolism -Correct Answer ✔b. accelerated excretion of fluids
there are physiologic changes in the kidneys with pregnancy, including accelerated
excretion from increased renal blood flow. this results in increased GFR, to compensate
for these changes, dosages of medications that GFR eliminates must be increased to
achieve a comparable therapeutic effect.
a- pregnancy reduces tone and motility of the intestines, decreasing transit rate
c- renal blood flow doubles in pregnancy, increasing GFR and clearance of medications
that GFR eliminates
d- pregnancy causes changes in the liver, increased in liver metabolism
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of
the following findings should indicate to thee nurse that the treatment is effective?
a. decreased blood glucose
b. increased potassium
c. increased prostaglandin synthesis
d. decreased inflammation -Correct Answer ✔d. decreased inflammation
ATI PHARMACOLOGY
,ATI PHARMACOLOGY
for Crohn's, a decrease in inflammation of the GI lining of the the pt's large intestine is a
therapeutic effect of taking budesonide. this med is a glucocorticoid that works by
suppressing the immune system, also inhibits the actions of prostaglandins and
leukotrienes.
a- actually increased BG
b- budesonide has mineralocorticoid activity causing sodium, water retention, and
potassium loss. hypokalemia is an adverse effect and cause life-threatening
dysrhythmias
c- actually inhibits, not increases prostaglandin synthesis.
a nurse in a providers office s assessing a client who reports taking a dietary supplement
to reduce hot flashes to menopause. which of the following supplements should the
nurse expect the client to report taking?
a. flaxseed
b. Ginkgo biloba
c. black cohosh
d. St. Johns wort -Correct Answer ✔c. black cohosh
black cohosh is an herb that is used for the Tx of menopausal symptoms such as hot
flashes, vaginal dryness, irritability, and sleep disturbance
a nurse is preparing to administer a hydromorphone IV infusion to a client for pain.
which of the following actions should the nurse take?
a. administer the med over 4-5 minutes
b. place the client in a high-fowlers position
c. assess the client's pain level after administering the pain med
d. review the client's last set of vitals -Correct Answer ✔a. administer the medication
over 4-5 minutes
ATI PHARMACOLOGY
,ATI PHARMACOLOGY
administer over 4-5 minutes to prevent the adverse effects of the medication such as
respiratory depression and cardiac arrest
a nurse is providing teaching to a group of new parents about medications. the nurse
should include that aspirin is contraindicated for children who have a viral infection due
to the risk of developing which of the following adverse effects?
a. Reye's syndrome
b. visual disturbances
c. diabetes mellitus
d. Wilms' tumor -Correct Answer ✔a. Reye's syndrome
aspirin should not be given to children or adolescents who have a viral infection like
chickenpox due to the risk of developing Reye's Syndrome
a nurse is teaching a client who had kidney transplant surgery about immunosuppressive
medication. which of the following adverse effects of these meds should the nurse
include in the teaching?
a. increased urinary output
b. increased susceptibility to infection
c. increased hair loss
d. increased risk of autoimmune disorders -Correct Answer ✔b. increased susceptibility
to infection
immunosuppressive medications such as cyclosporine increase the risk of infection. as
the medication classification indicates, these medications impair immunity
a nurse is teaching about the adverse effects of morphine with a client who has acute
pain. Which of the following statements should the nurse include in the teaching?
ATI PHARMACOLOGY
, ATI PHARMACOLOGY
a. you might notice that you see better in dim areas
b. you should increase your fluid intake
c. you should expect to have excessive urination
d. you might experience difficulty sleeping -Correct Answer ✔b. increase fluid intake
the nurse should inform the client that an adverse effect of morphine is constipation.
therefore, the nurse should encourage the client to increase oral fluids to promote
motility of the bowel
a nurse is reviewing the medical record of a client. the medication administration record
shows the client is taking clopidogrel. which of the following events should the nurse
expect in the client's medical history?
a. recent myocardial infarction
b. history of hemorrhagic stroke
c. current outbreak of psoriasis
d. history of hypertension -Correct Answer ✔a. recent myocardial infarction
the nurse should expect the client's medical record to indicate a history of an
atherosclerotic event such as myocardial infarction, ischemic stroke, or peripheral
vascular disease. Clopidogrel is an anti platelet medication that inhibits the aggregation
of platelets to prevent such thrombotic events
a nurse is caring for a client who take sulfasalazine twice daily for rheumatoid arthritis.
which of the following values should the nurse review prior to the administration of the
medication?
a. respirations
b. serum creatinine level
c. blood pressure
ATI PHARMACOLOGY
ATI Pharmacology Proctored Actual Exam Test Bank
All Questions and Answers with Rationale 2025
A nurse is evaluating how a client who is pregnant is responding to a medication. Which
of the following physiological effects of pregnancy should the nurse take into
consideration?
a. increased intestinal transit rate
b. accelerated excretion of fluids
c. reduced renal blood flow
d. decreased hepatic metabolism -Correct Answer ✔b. accelerated excretion of fluids
there are physiologic changes in the kidneys with pregnancy, including accelerated
excretion from increased renal blood flow. this results in increased GFR, to compensate
for these changes, dosages of medications that GFR eliminates must be increased to
achieve a comparable therapeutic effect.
a- pregnancy reduces tone and motility of the intestines, decreasing transit rate
c- renal blood flow doubles in pregnancy, increasing GFR and clearance of medications
that GFR eliminates
d- pregnancy causes changes in the liver, increased in liver metabolism
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of
the following findings should indicate to thee nurse that the treatment is effective?
a. decreased blood glucose
b. increased potassium
c. increased prostaglandin synthesis
d. decreased inflammation -Correct Answer ✔d. decreased inflammation
ATI PHARMACOLOGY
,ATI PHARMACOLOGY
for Crohn's, a decrease in inflammation of the GI lining of the the pt's large intestine is a
therapeutic effect of taking budesonide. this med is a glucocorticoid that works by
suppressing the immune system, also inhibits the actions of prostaglandins and
leukotrienes.
a- actually increased BG
b- budesonide has mineralocorticoid activity causing sodium, water retention, and
potassium loss. hypokalemia is an adverse effect and cause life-threatening
dysrhythmias
c- actually inhibits, not increases prostaglandin synthesis.
a nurse in a providers office s assessing a client who reports taking a dietary supplement
to reduce hot flashes to menopause. which of the following supplements should the
nurse expect the client to report taking?
a. flaxseed
b. Ginkgo biloba
c. black cohosh
d. St. Johns wort -Correct Answer ✔c. black cohosh
black cohosh is an herb that is used for the Tx of menopausal symptoms such as hot
flashes, vaginal dryness, irritability, and sleep disturbance
a nurse is preparing to administer a hydromorphone IV infusion to a client for pain.
which of the following actions should the nurse take?
a. administer the med over 4-5 minutes
b. place the client in a high-fowlers position
c. assess the client's pain level after administering the pain med
d. review the client's last set of vitals -Correct Answer ✔a. administer the medication
over 4-5 minutes
ATI PHARMACOLOGY
,ATI PHARMACOLOGY
administer over 4-5 minutes to prevent the adverse effects of the medication such as
respiratory depression and cardiac arrest
a nurse is providing teaching to a group of new parents about medications. the nurse
should include that aspirin is contraindicated for children who have a viral infection due
to the risk of developing which of the following adverse effects?
a. Reye's syndrome
b. visual disturbances
c. diabetes mellitus
d. Wilms' tumor -Correct Answer ✔a. Reye's syndrome
aspirin should not be given to children or adolescents who have a viral infection like
chickenpox due to the risk of developing Reye's Syndrome
a nurse is teaching a client who had kidney transplant surgery about immunosuppressive
medication. which of the following adverse effects of these meds should the nurse
include in the teaching?
a. increased urinary output
b. increased susceptibility to infection
c. increased hair loss
d. increased risk of autoimmune disorders -Correct Answer ✔b. increased susceptibility
to infection
immunosuppressive medications such as cyclosporine increase the risk of infection. as
the medication classification indicates, these medications impair immunity
a nurse is teaching about the adverse effects of morphine with a client who has acute
pain. Which of the following statements should the nurse include in the teaching?
ATI PHARMACOLOGY
, ATI PHARMACOLOGY
a. you might notice that you see better in dim areas
b. you should increase your fluid intake
c. you should expect to have excessive urination
d. you might experience difficulty sleeping -Correct Answer ✔b. increase fluid intake
the nurse should inform the client that an adverse effect of morphine is constipation.
therefore, the nurse should encourage the client to increase oral fluids to promote
motility of the bowel
a nurse is reviewing the medical record of a client. the medication administration record
shows the client is taking clopidogrel. which of the following events should the nurse
expect in the client's medical history?
a. recent myocardial infarction
b. history of hemorrhagic stroke
c. current outbreak of psoriasis
d. history of hypertension -Correct Answer ✔a. recent myocardial infarction
the nurse should expect the client's medical record to indicate a history of an
atherosclerotic event such as myocardial infarction, ischemic stroke, or peripheral
vascular disease. Clopidogrel is an anti platelet medication that inhibits the aggregation
of platelets to prevent such thrombotic events
a nurse is caring for a client who take sulfasalazine twice daily for rheumatoid arthritis.
which of the following values should the nurse review prior to the administration of the
medication?
a. respirations
b. serum creatinine level
c. blood pressure
ATI PHARMACOLOGY
