PHARM ATI PROCTORED QUESTIONS
WITH CORRECT ANSWERS
A nurse is assessing a client who reports using several herbal and vitamin supplements daily,
including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by
clients to elicit which of the following therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness - CORRECT ANSWER -A. urinary health
promotion
Saw palmetto is used primarily for manifestations related to prostatic conditions, such as benign
prostatic hypertrophy (BPH). Its effectiveness has not been scientifically proven, however. The
nurse should teach the client to check with the provider about interactions between saw
palmetto and other medications.
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. Wilm's tumor - CORRECT ANSWER -a. Reye's syndrome
,A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for
hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects
of epoetin alfa should the nurse include in the teaching?
a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils - CORRECT ANSWER -c. Promotes RBC production
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the
following medications should the nurse plan to administer?
a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics) - CORRECT ANSWER -d. Acetaminophen (anlagesics)
A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the
client for which of the following adverse effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation - CORRECT ANSWER -c. Bleeding
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse
should include a severe allergy to which of the following medications as contraindication to
ceftriaxone?
a. Gentamicin
,b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim - CORRECT ANSWER -c. Piperacillin
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse
should include in the teaching that which of the following conditions is a
contraindication to this medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure - CORRECT ANSWER -b. Intestinal obstruction
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has a mask like facial expression and is experiencing involuntary
movements and tremors. Which of the following medications should the nurse anticipate
administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - CORRECT ANSWER -a. Amantadine
A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
, d. Tachycardia - CORRECT ANSWER -d. Tachycardia
A nurse is providing teaching to a client who has UTI and new prescription for
phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates
the need for further teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
d. I should notify my provider immediately if my urine turns an orange color. - CORRECT
ANSWER -d. I should notify my provider immediately if my urine turns an orange color.
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to
promote sleep. The nurse should plan to monitor the client for which of the following
adverse effects?
a. Ecchymosis
b. Decreased urine output
c. Increased blood pressure
d. Dizziness - CORRECT ANSWER -d. Dizziness
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The
client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4
level. The nurse should anticipate a prescription for which of
WITH CORRECT ANSWERS
A nurse is assessing a client who reports using several herbal and vitamin supplements daily,
including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by
clients to elicit which of the following therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness - CORRECT ANSWER -A. urinary health
promotion
Saw palmetto is used primarily for manifestations related to prostatic conditions, such as benign
prostatic hypertrophy (BPH). Its effectiveness has not been scientifically proven, however. The
nurse should teach the client to check with the provider about interactions between saw
palmetto and other medications.
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. Wilm's tumor - CORRECT ANSWER -a. Reye's syndrome
,A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for
hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects
of epoetin alfa should the nurse include in the teaching?
a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils - CORRECT ANSWER -c. Promotes RBC production
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the
following medications should the nurse plan to administer?
a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics) - CORRECT ANSWER -d. Acetaminophen (anlagesics)
A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the
client for which of the following adverse effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation - CORRECT ANSWER -c. Bleeding
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse
should include a severe allergy to which of the following medications as contraindication to
ceftriaxone?
a. Gentamicin
,b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim - CORRECT ANSWER -c. Piperacillin
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse
should include in the teaching that which of the following conditions is a
contraindication to this medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure - CORRECT ANSWER -b. Intestinal obstruction
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has a mask like facial expression and is experiencing involuntary
movements and tremors. Which of the following medications should the nurse anticipate
administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - CORRECT ANSWER -a. Amantadine
A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
, d. Tachycardia - CORRECT ANSWER -d. Tachycardia
A nurse is providing teaching to a client who has UTI and new prescription for
phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates
the need for further teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
d. I should notify my provider immediately if my urine turns an orange color. - CORRECT
ANSWER -d. I should notify my provider immediately if my urine turns an orange color.
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to
promote sleep. The nurse should plan to monitor the client for which of the following
adverse effects?
a. Ecchymosis
b. Decreased urine output
c. Increased blood pressure
d. Dizziness - CORRECT ANSWER -d. Dizziness
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The
client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4
level. The nurse should anticipate a prescription for which of
