ATI PN PHARMACOLOGY PROCTORED EXAM
REVIEW QUESTIONS AND 100% CORRECT
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the f
B B B B B B B B B B B B B B B B B B B
ollowing medications should the nurse expect to administer?
B B B B B B B B
Bupropion B
Disulfiram
B Modafinil B
Methadone - ANSWER- B B Methadone
explanation B
The nurse should expect to administer methadone for treatment of opioid use disorder. Meth
B B B B B B B B B B B B B
adone can be administered for withdrawal and to assist with maintenance and suppressive th
B B B B B B B B B B B B B
erapy.
A nurse is caring for a client on a medical-surgical unit.
B B B B B B B B B B B
Exhibit 1 Exhibit 2 Exhibit 3 Complete the following sentence by using the lists of options.
B B B B B B B B B B B B B B B B
The nurse should first address the client's Select....(vitals, pain, glucose). followed by the client
B B B B B B B B B B B B B
's Select.. (CVAD, albumin level, bowel sound)..
B B B B B B B
Nurses' Notes Yesterday: Client was admitted 1 week ago with a Crohn's disease exacerbation.
B B B B B B B B B B B B B
BA central venous access device (CVAD) was placed in the client's right subclavian vein. Total pa
B B B B B B B B B B B B B B B
rental nutrition (TPN) and lipids initiated 3 days ago. The client is NPO. The client reports abdo
B B B B B B B B B B B B B B B B
minal pain as 5 on a scale of 0 to 10. Bowel sounds are hyperactive and lower right quadrant is
B B B B B B B B B B B B B B B B B B B B
tender to palpation. B B B
Today: The 24- B B
hr bag of TPN infusion was complete 1 hr ago, pharmacy notified and waiting for a new bag. C
B B B B B B B B B B B B B B B B B B
VAD dressing is clean, dry. and intact. CVAD is difficult to flush. The client reports abdominal p
B B B B B B B B B B B B B B B B
ain as 4 on a s - ANSWER-
B B B B B B B
The nurse should first address the client's Select....(vitals, pain, glucose). followed by th
B B B B B B B B B B B B
e client's Select.. (CVAD, albumin level, bowel sound)..
B B B B B B B B
,Glucose, CVAD B
explanation:
When analyzing cues, the nurse should identify that the client is developing hypoglycemia and
B B B B B B B B B B B B B
Bexperiencing a complication with the central venous line (CVL). Hypoglycemia can occur if the
B B B B B B B B B B B B B B
TPN is stopped abruptly. A CVAD can become occluded or infected. Findings of a CVL complica
B B B B B B B B B B B B B B B
tion can include difficulty flushing, pain while flushing, fever, or chills.
B B B B B B B B B B
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the followi
B B B B B B B B B B B B B B
ng actions should the nurse take prior to administering the medication?
B B B B B B B B B B
B Ask the client to drink 8 oz of water.
B B B B B B B B B
Review the client's most recent Hgb level.
B B B B B B B
Obtain the client's blood pressure.
B B B B B
Determine if the client is allergic to NSAIDs - ANSWER-
B B B B B B B B B Obtain blood pressure B B B
explnation HCTZ is a thiazide diuretic administered to promote urine output and reduce blood
B B B B B B B B B B B B B
pressure and edema. The nurse should obtain the client's blood pressure prior to administrati
B B B B B B B B B B B B B B
on of the medication.
B B B
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. Whic
B B B B B B B B B B B B B B B B
h of the following adverse effects should the nurse monitor the client for?
B B B B B B B B B B B B B
Weight loss Increased B B
B intraocular pressure B B
Auditory hallucinations B B
Bibasilar crackles - ANSWER- B B B Bibasilar crackles B
explanation-
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. Therefore,
B B B B B B B B B B B B
the nurse should recognize lung crackles as an indicator of a potential complication and stop t
B B B B B B B B B B B B B B B
he infusion.
B
,A nurse is caring for a client who is taking nitroglycerin for angina and reports feeling faint whe
B B B B B B B B B B B B B B B B B
n standing up. Which of the following actions should the nurse take?
B B B B B B B B B B B B
inform the client that feeling faint is caused by rapid constriction of the blood vessels in the leg
B B B B B B B B B B B B B B B B B
s. B
Assist the client into bed, elevate the lower extremities, and check their blood pressure.
B B B B B B B B B B B B B B
Request a prescription for dobutamine from the client's provider.
B B B B B B B B B
Check the client's blood pressure while they're still standing - ANSWER-
B B B B B B B B B B
Assist the client into bed, elevate the lower extremities, check their blood pressure
B B B B B B B B B B B B
explanation-
The nurse should first assist the client into bed to prevent injuries from a fall. The nurse shoul
B B B B B B B B B B B B B B B B B B
d elevate the client's legs on pillows to enhance venous return from the lower extremities. Th
B B B B B B B B B B B B B B B
e nurse should then check the client's blood pressure.
B B B B B B B B
A nurse is preparing medication instructions for a client who is receiving end-of-
B B B B B B B B B B B B
life care and their family. The client has a prescription for fentanyl patches. Which of the follo
B B B B B B B B B B B B B B B B
wing information regarding the manifestations and use of fentanyl should the nurse include in
B B B B B B B B B B B B B B
the instructions?
B B
Respiratory depression as a result of fentamyl use will cause a need for an at home nefazodon
B B B B B B B B B B B B B B B B
e prescription.
B B
Removing the patch will immediataly reverse any adverse effects of fentanyl
B B B B B B B B B B
An increase in urinary output should be expected
B B B B B B B B
Taking a stool softener daily will be needed - ANSWER-
B B B B B B B B B Taking a stool softener B B B
explanation-
Constipation is an adverse effect of opioid use. Stool softeners can decrease the severity of thi
B B B B B B B B B B B B B B B B
s adverse effect.
B B
, A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for fam
B B B B B B B B B B B B B B B B B B
otidine. Which of the following instructions should the nurse include?
B B B B B B B B B B
"Take the medication on an empty stomach for full effectiveness."
B B B B B B B B B B
"You may discontinue this medication when stomach discomfort subsides." "Report yellowing
B B B B B B B B B B B
of the skan."
B B B
"You will be taking this medication for 2 weeks." - ANSWER-
B B B B B B B B B B report yellowing of skin B B B
explanation-
Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client to mo
B B B B B B B B B B B B B B B
nitor for and report yellowing of the skin or eyes to the provider.
B B B B B B B B B B B B
A nurse is providing discharge teaching about handling medication to a client who is to contin
B B B B B B B B B B B B B B B
ue taking oral transmucosal fentanyl raspberry-
B B B B B
flavored lozenges on a stick. Which of the following information should the nurse include in th
B B B B B B B B B B B B B B B B
e teaching?
B B
Chew on the medication stick to release the medication.
B B B B B B B B
B Leave the medication stick in one location of the mouth until melted.
B B B B B B B B B B B B
Allow the medication 1 hr for analgesia effects to begin.
B B B B B B B B B B
Store unused medication sticks in a storage container - ANSWER-
B B B B B B B B B
Store unused medication sticks in a storage container
B B B B B B B
explanation-
The nurse should instruct the client to store unused, used, or partially used medication sticks i
B B B B B B B B B B B B B B B B
n the safe storage container that comes in the kit when the medication is initially prescribed.
B B B B B B B B B B B B B B B
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the
B B B B B B B B B B B B B B B B B
antibiotic is not present in the client's medication drawer. The nurse should identify that admi
B B B B B B B B B B B B B B
nistration of the medication can occur at which of the following time periods without requirin
B B B B B B B B B B B B B B
g an Incident report? 1000
B B B B
B 0900
B 0830 B
1200 - ANSWER- B B 0830
REVIEW QUESTIONS AND 100% CORRECT
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the f
B B B B B B B B B B B B B B B B B B B
ollowing medications should the nurse expect to administer?
B B B B B B B B
Bupropion B
Disulfiram
B Modafinil B
Methadone - ANSWER- B B Methadone
explanation B
The nurse should expect to administer methadone for treatment of opioid use disorder. Meth
B B B B B B B B B B B B B
adone can be administered for withdrawal and to assist with maintenance and suppressive th
B B B B B B B B B B B B B
erapy.
A nurse is caring for a client on a medical-surgical unit.
B B B B B B B B B B B
Exhibit 1 Exhibit 2 Exhibit 3 Complete the following sentence by using the lists of options.
B B B B B B B B B B B B B B B B
The nurse should first address the client's Select....(vitals, pain, glucose). followed by the client
B B B B B B B B B B B B B
's Select.. (CVAD, albumin level, bowel sound)..
B B B B B B B
Nurses' Notes Yesterday: Client was admitted 1 week ago with a Crohn's disease exacerbation.
B B B B B B B B B B B B B
BA central venous access device (CVAD) was placed in the client's right subclavian vein. Total pa
B B B B B B B B B B B B B B B
rental nutrition (TPN) and lipids initiated 3 days ago. The client is NPO. The client reports abdo
B B B B B B B B B B B B B B B B
minal pain as 5 on a scale of 0 to 10. Bowel sounds are hyperactive and lower right quadrant is
B B B B B B B B B B B B B B B B B B B B
tender to palpation. B B B
Today: The 24- B B
hr bag of TPN infusion was complete 1 hr ago, pharmacy notified and waiting for a new bag. C
B B B B B B B B B B B B B B B B B B
VAD dressing is clean, dry. and intact. CVAD is difficult to flush. The client reports abdominal p
B B B B B B B B B B B B B B B B
ain as 4 on a s - ANSWER-
B B B B B B B
The nurse should first address the client's Select....(vitals, pain, glucose). followed by th
B B B B B B B B B B B B
e client's Select.. (CVAD, albumin level, bowel sound)..
B B B B B B B B
,Glucose, CVAD B
explanation:
When analyzing cues, the nurse should identify that the client is developing hypoglycemia and
B B B B B B B B B B B B B
Bexperiencing a complication with the central venous line (CVL). Hypoglycemia can occur if the
B B B B B B B B B B B B B B
TPN is stopped abruptly. A CVAD can become occluded or infected. Findings of a CVL complica
B B B B B B B B B B B B B B B
tion can include difficulty flushing, pain while flushing, fever, or chills.
B B B B B B B B B B
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the followi
B B B B B B B B B B B B B B
ng actions should the nurse take prior to administering the medication?
B B B B B B B B B B
B Ask the client to drink 8 oz of water.
B B B B B B B B B
Review the client's most recent Hgb level.
B B B B B B B
Obtain the client's blood pressure.
B B B B B
Determine if the client is allergic to NSAIDs - ANSWER-
B B B B B B B B B Obtain blood pressure B B B
explnation HCTZ is a thiazide diuretic administered to promote urine output and reduce blood
B B B B B B B B B B B B B
pressure and edema. The nurse should obtain the client's blood pressure prior to administrati
B B B B B B B B B B B B B B
on of the medication.
B B B
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. Whic
B B B B B B B B B B B B B B B B
h of the following adverse effects should the nurse monitor the client for?
B B B B B B B B B B B B B
Weight loss Increased B B
B intraocular pressure B B
Auditory hallucinations B B
Bibasilar crackles - ANSWER- B B B Bibasilar crackles B
explanation-
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. Therefore,
B B B B B B B B B B B B
the nurse should recognize lung crackles as an indicator of a potential complication and stop t
B B B B B B B B B B B B B B B
he infusion.
B
,A nurse is caring for a client who is taking nitroglycerin for angina and reports feeling faint whe
B B B B B B B B B B B B B B B B B
n standing up. Which of the following actions should the nurse take?
B B B B B B B B B B B B
inform the client that feeling faint is caused by rapid constriction of the blood vessels in the leg
B B B B B B B B B B B B B B B B B
s. B
Assist the client into bed, elevate the lower extremities, and check their blood pressure.
B B B B B B B B B B B B B B
Request a prescription for dobutamine from the client's provider.
B B B B B B B B B
Check the client's blood pressure while they're still standing - ANSWER-
B B B B B B B B B B
Assist the client into bed, elevate the lower extremities, check their blood pressure
B B B B B B B B B B B B
explanation-
The nurse should first assist the client into bed to prevent injuries from a fall. The nurse shoul
B B B B B B B B B B B B B B B B B B
d elevate the client's legs on pillows to enhance venous return from the lower extremities. Th
B B B B B B B B B B B B B B B
e nurse should then check the client's blood pressure.
B B B B B B B B
A nurse is preparing medication instructions for a client who is receiving end-of-
B B B B B B B B B B B B
life care and their family. The client has a prescription for fentanyl patches. Which of the follo
B B B B B B B B B B B B B B B B
wing information regarding the manifestations and use of fentanyl should the nurse include in
B B B B B B B B B B B B B B
the instructions?
B B
Respiratory depression as a result of fentamyl use will cause a need for an at home nefazodon
B B B B B B B B B B B B B B B B
e prescription.
B B
Removing the patch will immediataly reverse any adverse effects of fentanyl
B B B B B B B B B B
An increase in urinary output should be expected
B B B B B B B B
Taking a stool softener daily will be needed - ANSWER-
B B B B B B B B B Taking a stool softener B B B
explanation-
Constipation is an adverse effect of opioid use. Stool softeners can decrease the severity of thi
B B B B B B B B B B B B B B B B
s adverse effect.
B B
, A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for fam
B B B B B B B B B B B B B B B B B B
otidine. Which of the following instructions should the nurse include?
B B B B B B B B B B
"Take the medication on an empty stomach for full effectiveness."
B B B B B B B B B B
"You may discontinue this medication when stomach discomfort subsides." "Report yellowing
B B B B B B B B B B B
of the skan."
B B B
"You will be taking this medication for 2 weeks." - ANSWER-
B B B B B B B B B B report yellowing of skin B B B
explanation-
Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client to mo
B B B B B B B B B B B B B B B
nitor for and report yellowing of the skin or eyes to the provider.
B B B B B B B B B B B B
A nurse is providing discharge teaching about handling medication to a client who is to contin
B B B B B B B B B B B B B B B
ue taking oral transmucosal fentanyl raspberry-
B B B B B
flavored lozenges on a stick. Which of the following information should the nurse include in th
B B B B B B B B B B B B B B B B
e teaching?
B B
Chew on the medication stick to release the medication.
B B B B B B B B
B Leave the medication stick in one location of the mouth until melted.
B B B B B B B B B B B B
Allow the medication 1 hr for analgesia effects to begin.
B B B B B B B B B B
Store unused medication sticks in a storage container - ANSWER-
B B B B B B B B B
Store unused medication sticks in a storage container
B B B B B B B
explanation-
The nurse should instruct the client to store unused, used, or partially used medication sticks i
B B B B B B B B B B B B B B B B
n the safe storage container that comes in the kit when the medication is initially prescribed.
B B B B B B B B B B B B B B B
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the
B B B B B B B B B B B B B B B B B
antibiotic is not present in the client's medication drawer. The nurse should identify that admi
B B B B B B B B B B B B B B
nistration of the medication can occur at which of the following time periods without requirin
B B B B B B B B B B B B B B
g an Incident report? 1000
B B B B
B 0900
B 0830 B
1200 - ANSWER- B B 0830
