ATI RN PHARMACOLOGY EXAM LATEST UPDATE
PROCTORED EXAM CORRECT QUESTIONS & ANSWERS
100% CORRECTLY VERIFIED GRADED A+
A nurse is providing teaching to a client who has peptic ulcer disease and is to start
a new prescription for sucralfate. Which of the following information should the
nurse include in the teaching?
A. Decreases stomach acid secretion
B. Neutralizes acids in the stomach
C. Forms a protective barrier over ulcers
D. Treats ulcers by eradicating H. pylori - ANSWER>>C. Forms a protective
barrier over ulcers
- Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can
further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-
like substance that coats the ulcer, creating a barrier to hydrochloric acid and
pepsin.
Rationale:
A - Peptic ulcer disease manifests as an erosion of the gastric or duodenal mucosa.
The acid production in the stomach causes further irritation and pain. H2 receptor
antagonists, such as famotidine, decrease stomach acid secretion.
B - Acid production in the stomach causes further irritation and pain to a client
who has a peptic ulcer. Antacids, such as aluminum hydroxide, neutralize acids in
the stomach and prevent pepsin formation, a digestive enzyme that can further
damage the eroded epithelium.
,D - A common cause of peptic ulcers is a bacterial infection with Helicobacter
pylori. Treatment of the ulcer includes a combination of antibiotics, such as
metronidazole, tetracycline, clarithromycin, or amoxicillin, to eradicate the H.
pylori infection.
A nurse is caring for a female older adult on a medical-surgical unit.
Blood urea nitrogen (BUN) 22 mg/dL (10 to 20 mg/dL)Creatinine 1.3 mg/dL (0.5
to 1.2 mg/dL)Gentamicin peak 6.2 mcg/mL (4 to 6 mcg/mL)Gentamicin trough 4.9
mcg/mL (less than 2 mcg/mL)
The client is at greatest risk for (A - nephrotoxicity/B - ototoxicity/C - Diarrhea)
due to (A - kidney functions/B - trough level/C - Cefazolin). - ANSWER>>The
client is at greatest risk for nephrotoxicity
due to kidney function
Rationale:
- When prioritizing hypothesis, the nurse should recognize that the client is most at
risk for developing nephrotoxicity. The client has elevated BUN and creatinine
levels indicating altered kidney function. The risk of nephrotoxicity is increased
when concurrent use of other ototoxic drugs like furosemide are used. When
trough levels are consistently elevated, ototoxicity can occur, but this is not the
immediate concern.
A nurse is teaching a client who has insomnia about zolpidem. The nurse should
identify that which of the following client statements indicates an understanding of
the teaching?
A. "I will need to get laboratory testing prior to a refill of this medication."
,B. "I will use this medication for a short period of time."
C. "I will need to take this medication for 1 week before results are seen."
D. "I will need to change the medications to prevent building up a tolerance." -
ANSWER>>B. "I will use this medication for a short period of time."
- Zolpidem is used for short-term treatment of insomnia. Therefore, the provider
should reassess the client before refilling the prescription.
Rationale:
A - Laboratory testing is not needed when taking this medication for sleep.
C - The client who takes zolpidem should experience improved sleep within 2 days
of starting this medication.
D - The client who takes zolpidem should not build up a tolerance to the
medication with short-term use.
The nurse is preparing to administer the 0900 medications to the client, which of
the following actions should the nurse take?
Client has history of fibromyalgia and is being admitted for pain management.
Fentanyl 25 mcg/hr apply transdermal every 72 hrMorphine sulfate 4 mg IV bolus
every 2 hr as needed for pain
Select all that apply.
, A - Flush IV catheter with 0.9% sodium chloride before and after administering the
medication.
B - Check the client's ID bracelet after administering the medication.
C - Clean the IV injection port with an antiseptic swab.
D - Clean area on skin with soap and water.
E - Cut patch in half prior to applying it to the skin.
F - Apply sterile gloves.
G - Check for blood return of the IV catheter by gently pulling back on the plunger
of the syringe. - ANSWER>>Answers: A, C, D, G
A - Flush IV catheter with 0.9% sodium chloride before and after administering the
medication.
C - Clean the IV injection port with an antiseptic swab.
D - Clean area on skin with soap and water.
G - Check for blood return of the IV catheter by gently pulling back on the plunger
of the syringe.
Rationale:
- When generating solutions, the nurse should prepare to administer morphine
sulfate via IV bolus route. Therefore, prior to administering the medication, the
nurse should clean the injection port with an antiseptic swab to prevent infection,
flush the IV catheter with 0.9% sodium chloride before and after to ensure and
maintain patency of the IV, and check for blood return to ensure the IV is in the
PROCTORED EXAM CORRECT QUESTIONS & ANSWERS
100% CORRECTLY VERIFIED GRADED A+
A nurse is providing teaching to a client who has peptic ulcer disease and is to start
a new prescription for sucralfate. Which of the following information should the
nurse include in the teaching?
A. Decreases stomach acid secretion
B. Neutralizes acids in the stomach
C. Forms a protective barrier over ulcers
D. Treats ulcers by eradicating H. pylori - ANSWER>>C. Forms a protective
barrier over ulcers
- Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can
further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-
like substance that coats the ulcer, creating a barrier to hydrochloric acid and
pepsin.
Rationale:
A - Peptic ulcer disease manifests as an erosion of the gastric or duodenal mucosa.
The acid production in the stomach causes further irritation and pain. H2 receptor
antagonists, such as famotidine, decrease stomach acid secretion.
B - Acid production in the stomach causes further irritation and pain to a client
who has a peptic ulcer. Antacids, such as aluminum hydroxide, neutralize acids in
the stomach and prevent pepsin formation, a digestive enzyme that can further
damage the eroded epithelium.
,D - A common cause of peptic ulcers is a bacterial infection with Helicobacter
pylori. Treatment of the ulcer includes a combination of antibiotics, such as
metronidazole, tetracycline, clarithromycin, or amoxicillin, to eradicate the H.
pylori infection.
A nurse is caring for a female older adult on a medical-surgical unit.
Blood urea nitrogen (BUN) 22 mg/dL (10 to 20 mg/dL)Creatinine 1.3 mg/dL (0.5
to 1.2 mg/dL)Gentamicin peak 6.2 mcg/mL (4 to 6 mcg/mL)Gentamicin trough 4.9
mcg/mL (less than 2 mcg/mL)
The client is at greatest risk for (A - nephrotoxicity/B - ototoxicity/C - Diarrhea)
due to (A - kidney functions/B - trough level/C - Cefazolin). - ANSWER>>The
client is at greatest risk for nephrotoxicity
due to kidney function
Rationale:
- When prioritizing hypothesis, the nurse should recognize that the client is most at
risk for developing nephrotoxicity. The client has elevated BUN and creatinine
levels indicating altered kidney function. The risk of nephrotoxicity is increased
when concurrent use of other ototoxic drugs like furosemide are used. When
trough levels are consistently elevated, ototoxicity can occur, but this is not the
immediate concern.
A nurse is teaching a client who has insomnia about zolpidem. The nurse should
identify that which of the following client statements indicates an understanding of
the teaching?
A. "I will need to get laboratory testing prior to a refill of this medication."
,B. "I will use this medication for a short period of time."
C. "I will need to take this medication for 1 week before results are seen."
D. "I will need to change the medications to prevent building up a tolerance." -
ANSWER>>B. "I will use this medication for a short period of time."
- Zolpidem is used for short-term treatment of insomnia. Therefore, the provider
should reassess the client before refilling the prescription.
Rationale:
A - Laboratory testing is not needed when taking this medication for sleep.
C - The client who takes zolpidem should experience improved sleep within 2 days
of starting this medication.
D - The client who takes zolpidem should not build up a tolerance to the
medication with short-term use.
The nurse is preparing to administer the 0900 medications to the client, which of
the following actions should the nurse take?
Client has history of fibromyalgia and is being admitted for pain management.
Fentanyl 25 mcg/hr apply transdermal every 72 hrMorphine sulfate 4 mg IV bolus
every 2 hr as needed for pain
Select all that apply.
, A - Flush IV catheter with 0.9% sodium chloride before and after administering the
medication.
B - Check the client's ID bracelet after administering the medication.
C - Clean the IV injection port with an antiseptic swab.
D - Clean area on skin with soap and water.
E - Cut patch in half prior to applying it to the skin.
F - Apply sterile gloves.
G - Check for blood return of the IV catheter by gently pulling back on the plunger
of the syringe. - ANSWER>>Answers: A, C, D, G
A - Flush IV catheter with 0.9% sodium chloride before and after administering the
medication.
C - Clean the IV injection port with an antiseptic swab.
D - Clean area on skin with soap and water.
G - Check for blood return of the IV catheter by gently pulling back on the plunger
of the syringe.
Rationale:
- When generating solutions, the nurse should prepare to administer morphine
sulfate via IV bolus route. Therefore, prior to administering the medication, the
nurse should clean the injection port with an antiseptic swab to prevent infection,
flush the IV catheter with 0.9% sodium chloride before and after to ensure and
maintain patency of the IV, and check for blood return to ensure the IV is in the
