ATI PHARMACOLOGY PROCTORED EXAM
1.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?
1, Amantadine. 2, Bupropion
3, Phenelzine 4, Hydroxyzine
2.A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse shou ld
plan to monitor the client for which of the following adverse effects? 4
1, ecchymosis 2, decrease urine output.
3, increase blood pressure. 4, dizziness
3.A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's
disease of the bone. Which of the following actions should be the nurse's priority?
1, Administer the medication to the client before breakfast in the morning. 2, Ambulate the client to a chair prior to
administering the medication.
3. Give the medication to the client with water rather than milk.
4. Teach the client how to take the medication at home.
4.A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is
administered to treat which of the following conditions? 2
1. Raynaud's phenomenon
2. Migraine headaches
3. Ulcerative colitis
4. Anemia
5. 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?
1. Ibuprofen
2. Naproxen
3. Aspirin
4. Acetaminophen
6.
A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium
metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching?
, 1. "I will give my child a dose as soon as wheezing starts."
2. My child should rinse out his mouth after using the inhaler."
3. "My child should exhale completely before placing the inhaler in his mouth."
4. "If my child has difficulty breathing in the dose, a spacer can be used."
7.
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 the following medications?
1. Methimazole
2. Somatropin
3. Levothyroxine
4. Propylthiouracil
8.
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the follo wing
laboratory values should the nurse plan to monitor? (Select all that apply)
1. PTT
2. Asparate aminotransferase (AST)
3. Alanine aminotransferase (ALT)
9.
A nur se is providing teac hing to a client who h as a new prescription for hydroc hlorothiazide 50 mg P O daily to treat
hypertension. Which of the following instructions should the nurse include in the teaching?
1. "Take hydrochlorothiazide as needed for edema."
2. Check your weight once each week."
3. "Take the hydrochlorothiazide on an empty stomach."
4. "Take the hydrochlorothiazide in the morning."
10.
A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount
available is amoxicillin 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest
whole number)
50 mg/1 mL = 250 mg/X mL 250/ 50 = 5
X = 5 mL
11.
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the
client to discontinue taking the medication for which of the following adverse effects?
1. Nausea
2. Metallic taste
3. Fever
4. Drowsiness
1.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?
1, Amantadine. 2, Bupropion
3, Phenelzine 4, Hydroxyzine
2.A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse shou ld
plan to monitor the client for which of the following adverse effects? 4
1, ecchymosis 2, decrease urine output.
3, increase blood pressure. 4, dizziness
3.A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's
disease of the bone. Which of the following actions should be the nurse's priority?
1, Administer the medication to the client before breakfast in the morning. 2, Ambulate the client to a chair prior to
administering the medication.
3. Give the medication to the client with water rather than milk.
4. Teach the client how to take the medication at home.
4.A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is
administered to treat which of the following conditions? 2
1. Raynaud's phenomenon
2. Migraine headaches
3. Ulcerative colitis
4. Anemia
5. 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?
1. Ibuprofen
2. Naproxen
3. Aspirin
4. Acetaminophen
6.
A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium
metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching?
, 1. "I will give my child a dose as soon as wheezing starts."
2. My child should rinse out his mouth after using the inhaler."
3. "My child should exhale completely before placing the inhaler in his mouth."
4. "If my child has difficulty breathing in the dose, a spacer can be used."
7.
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 the following medications?
1. Methimazole
2. Somatropin
3. Levothyroxine
4. Propylthiouracil
8.
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the follo wing
laboratory values should the nurse plan to monitor? (Select all that apply)
1. PTT
2. Asparate aminotransferase (AST)
3. Alanine aminotransferase (ALT)
9.
A nur se is providing teac hing to a client who h as a new prescription for hydroc hlorothiazide 50 mg P O daily to treat
hypertension. Which of the following instructions should the nurse include in the teaching?
1. "Take hydrochlorothiazide as needed for edema."
2. Check your weight once each week."
3. "Take the hydrochlorothiazide on an empty stomach."
4. "Take the hydrochlorothiazide in the morning."
10.
A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount
available is amoxicillin 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest
whole number)
50 mg/1 mL = 250 mg/X mL 250/ 50 = 5
X = 5 mL
11.
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the
client to discontinue taking the medication for which of the following adverse effects?
1. Nausea
2. Metallic taste
3. Fever
4. Drowsiness
