ATI PHARMACOLOGY PROCTORED FINAL EXAM QUESTIONS AND ANSWERS WITH NGN
2025|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
A provider prescribes phenobarbital for
a client who has a seizure disorder. The
medication has a long half-life of 4 days. A. One
How many times per day should the
nurse expect to administer this medica- (Medications with long half-lives remain
tion? at their therapeutic levels between dos-
es for long periods of time. The nurse
A. One should expect to administer this medica-
B. Two tion once a day.)
C. Three
D. Four
A staff educator is reviewing medication
C. Liver failure
dosages and factors that influence med-
E. Concurrent use of medication the
ication metabolism with a group of nurs-
same pathway metabolizes
es at an in-service presentation. Which
of the following factors should the edu-
C. Liver failure decreases metabolism
cator include as a reason to administer
and thus increases the concentration of a
lower medication dosages? (Select all
medication. This requires decreasing the
that apply.)
dosage.
A. Increased renal secretion
E. When the same pathway metabolizes
B. Increased medication-metabolizing
two medications, they compete for me-
enzymes
tabolism, thereby increasing the concen-
C. Liver failure
tration of one or both medications. This
D. Peripheral vascular disease
requires decreasing the dosage of one or
E. Concurrent use of medication the
both
same pathway metabolizes
A nurse is preparing to administer eye B. Ask the client to look up at the ceiling.
drops to a client. Which of the following D. Drop the medication into the center of
actions should the nurse take? (Select all the client's conjunctival sac.
that apply.) E. Instruct the client to close her eye
gently after instillation
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling. (B.The client should look upward to keep
C. Tell the client to blink when the drops the drops from falling onto her cornea.
enter her eye. D. The nurse should drop the medication
D. Drop the medication into the center of into the
the client's conjunctival sac. center of the conjunctival sac to promote
, distribution.
E. Instruct the client to close her eye
E. The client should close her eye gently
gently after instillation
to promote distribution of the medication)
A nurse is completing discharge teach-
ing for a client who has a new pre-
scription for transdermal patches. Which
of the following statements should the
nurse identify as an indication that the
C. "I will apply the patch to an area of skin
client understands the instructions?
with no hair."
A. "I will clean the site with an alcohol
(The client should apply the patch to a
swab before I apply the patch."
hairless area of skin to promote absorp-
B. "I will rotate the application sites week-
tion of the medication.)
ly."
C. "I will apply the patch to an area of skin
with no hair."
D. "I will place the new patch on the site
of the old patch.
A nurse reviewing a client's medical
record notes a new prescription for veri-
fying the trough level of the client's med-
ication. Which of the following actions
should the nurse take? A. Obtain a blood specimen immediately
prior to administering the next dose of
A. Obtain a blood specimen immediately medication.
prior to administering the next dose of
medication. (To verify trough levels of a medication,
B. Verify that the client has been taking the nurse should obtain a blood spec-
the medication for 24 hr before obtaining imen immediately before administering
a blood specimen. the next dose of medication.)
C. Ask the client to provide a urine spec-
imen after the next dose of medication.
D. Administer the medication,and obtain
a blood specimen 30 min late
A. Maintain skill competency.
A nurse is preparing a client's med- C. Monitor for adverse effects.
ications. Which of the following actions D. Safeguard medications.
, (A.maintaining skill competency and
using appropriate administration tech-
should the nurse take in following legal
niques are legal responsibilities of the
practice guidelines? (Select all that ap-
nurse
ply.)
C. A nurse is legally responsible for mon-
A. Maintain skill competency.
itoring for side and adverse effects of
B. Determine the dosage.
medication
C. Monitor for adverse effects.
D. Safeguard medications.
D. Safeguarding of medications, such as
E. Identify the client's diagnosis
controlled substances, is a legal respon-
sibility of the nurse)
A nurse reviewing a client's health record
C. Routine
notes a new prescription for Lisinopril 10
mg PO once every day.The nurse should
(A routine or standard prescription iden-
identify this as which of the following
tifies medications to give on a regular
types of prescription?
schedule with or without a termination
date or a specific number of doses. The
A. Single
nurse will administer
B. Stat
this medication every day until the
C. Routine
provider discontinues it.)
D. Standing
A nurse is reviewing a new prescrip-
tion for Ondansetron 4 mg PO PRN
for nausea and vomiting for a client
who has Hyperemesis Gravidarum. The D. Frequency
nurse should clarify which of the fol-
lowing parts of the prescription with the (This prescription does not include the
provider? time or frequency of medication admin-
istration. The nurse must clarify this with
A. Name the prescribing provide)
B. Dosage
C. Route
D. Frequency
A. Use of herbal teas
C. Current health status
E. Food allergies
, (A. The nurse should inquire about the
client's use of herbal products, which of-
A nurse is admitting a client and complet- ten contain caffeine, prior to medication
ing a preassessment before administer- administration because caffeine can af-
ing medications. Which of the following fect medication biotransformation
data should the nurse include in the pre-
assessment? (Select all that apply.) C. The nurse should review the client's
current health status because new pre-
A. Use of herbal teas scriptions can cause alterations in cur-
B. Daily fluid intake rent health status
C. Current health status
D. Previous surgical history E. The nurse should inquire about food
E. Food allergies allergies during the preassessment to
identify any potential reactions or inter-
actions)
A nurse orienting a newly licensed nurse
is reviewing the procedure for taking a
telephone prescription. Which of the fol-
lowing statements should the nurse iden-
tify as an indication that the newly li-
B. "Another nurse should listen to the
censed nurse understands the process?
phone call."
A. "A second nurse enters the prescrip-
(A second nurse should listen to a tele-
tion into the client's medical record."
phone prescription to prevent errors in
B. "Another nurse should listen to the
communication.)
phone call."
C. "The provider can clarify the prescrip-
tion when he signs the health record."
D. "I should omit the 'read back' if this is
a one time prescription
A nurse is preparing to administer van-
comycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g in 100 mL
of dextrose 5% in water (D5W) to in-
22
fuse over 45 min. The drop factor of the
manual IV tubing is 10 gtt/mL. The nurse
should adjust the manual IV infusion to
deliver how many gtt/min? (Round the
2025|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
A provider prescribes phenobarbital for
a client who has a seizure disorder. The
medication has a long half-life of 4 days. A. One
How many times per day should the
nurse expect to administer this medica- (Medications with long half-lives remain
tion? at their therapeutic levels between dos-
es for long periods of time. The nurse
A. One should expect to administer this medica-
B. Two tion once a day.)
C. Three
D. Four
A staff educator is reviewing medication
C. Liver failure
dosages and factors that influence med-
E. Concurrent use of medication the
ication metabolism with a group of nurs-
same pathway metabolizes
es at an in-service presentation. Which
of the following factors should the edu-
C. Liver failure decreases metabolism
cator include as a reason to administer
and thus increases the concentration of a
lower medication dosages? (Select all
medication. This requires decreasing the
that apply.)
dosage.
A. Increased renal secretion
E. When the same pathway metabolizes
B. Increased medication-metabolizing
two medications, they compete for me-
enzymes
tabolism, thereby increasing the concen-
C. Liver failure
tration of one or both medications. This
D. Peripheral vascular disease
requires decreasing the dosage of one or
E. Concurrent use of medication the
both
same pathway metabolizes
A nurse is preparing to administer eye B. Ask the client to look up at the ceiling.
drops to a client. Which of the following D. Drop the medication into the center of
actions should the nurse take? (Select all the client's conjunctival sac.
that apply.) E. Instruct the client to close her eye
gently after instillation
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling. (B.The client should look upward to keep
C. Tell the client to blink when the drops the drops from falling onto her cornea.
enter her eye. D. The nurse should drop the medication
D. Drop the medication into the center of into the
the client's conjunctival sac. center of the conjunctival sac to promote
, distribution.
E. Instruct the client to close her eye
E. The client should close her eye gently
gently after instillation
to promote distribution of the medication)
A nurse is completing discharge teach-
ing for a client who has a new pre-
scription for transdermal patches. Which
of the following statements should the
nurse identify as an indication that the
C. "I will apply the patch to an area of skin
client understands the instructions?
with no hair."
A. "I will clean the site with an alcohol
(The client should apply the patch to a
swab before I apply the patch."
hairless area of skin to promote absorp-
B. "I will rotate the application sites week-
tion of the medication.)
ly."
C. "I will apply the patch to an area of skin
with no hair."
D. "I will place the new patch on the site
of the old patch.
A nurse reviewing a client's medical
record notes a new prescription for veri-
fying the trough level of the client's med-
ication. Which of the following actions
should the nurse take? A. Obtain a blood specimen immediately
prior to administering the next dose of
A. Obtain a blood specimen immediately medication.
prior to administering the next dose of
medication. (To verify trough levels of a medication,
B. Verify that the client has been taking the nurse should obtain a blood spec-
the medication for 24 hr before obtaining imen immediately before administering
a blood specimen. the next dose of medication.)
C. Ask the client to provide a urine spec-
imen after the next dose of medication.
D. Administer the medication,and obtain
a blood specimen 30 min late
A. Maintain skill competency.
A nurse is preparing a client's med- C. Monitor for adverse effects.
ications. Which of the following actions D. Safeguard medications.
, (A.maintaining skill competency and
using appropriate administration tech-
should the nurse take in following legal
niques are legal responsibilities of the
practice guidelines? (Select all that ap-
nurse
ply.)
C. A nurse is legally responsible for mon-
A. Maintain skill competency.
itoring for side and adverse effects of
B. Determine the dosage.
medication
C. Monitor for adverse effects.
D. Safeguard medications.
D. Safeguarding of medications, such as
E. Identify the client's diagnosis
controlled substances, is a legal respon-
sibility of the nurse)
A nurse reviewing a client's health record
C. Routine
notes a new prescription for Lisinopril 10
mg PO once every day.The nurse should
(A routine or standard prescription iden-
identify this as which of the following
tifies medications to give on a regular
types of prescription?
schedule with or without a termination
date or a specific number of doses. The
A. Single
nurse will administer
B. Stat
this medication every day until the
C. Routine
provider discontinues it.)
D. Standing
A nurse is reviewing a new prescrip-
tion for Ondansetron 4 mg PO PRN
for nausea and vomiting for a client
who has Hyperemesis Gravidarum. The D. Frequency
nurse should clarify which of the fol-
lowing parts of the prescription with the (This prescription does not include the
provider? time or frequency of medication admin-
istration. The nurse must clarify this with
A. Name the prescribing provide)
B. Dosage
C. Route
D. Frequency
A. Use of herbal teas
C. Current health status
E. Food allergies
, (A. The nurse should inquire about the
client's use of herbal products, which of-
A nurse is admitting a client and complet- ten contain caffeine, prior to medication
ing a preassessment before administer- administration because caffeine can af-
ing medications. Which of the following fect medication biotransformation
data should the nurse include in the pre-
assessment? (Select all that apply.) C. The nurse should review the client's
current health status because new pre-
A. Use of herbal teas scriptions can cause alterations in cur-
B. Daily fluid intake rent health status
C. Current health status
D. Previous surgical history E. The nurse should inquire about food
E. Food allergies allergies during the preassessment to
identify any potential reactions or inter-
actions)
A nurse orienting a newly licensed nurse
is reviewing the procedure for taking a
telephone prescription. Which of the fol-
lowing statements should the nurse iden-
tify as an indication that the newly li-
B. "Another nurse should listen to the
censed nurse understands the process?
phone call."
A. "A second nurse enters the prescrip-
(A second nurse should listen to a tele-
tion into the client's medical record."
phone prescription to prevent errors in
B. "Another nurse should listen to the
communication.)
phone call."
C. "The provider can clarify the prescrip-
tion when he signs the health record."
D. "I should omit the 'read back' if this is
a one time prescription
A nurse is preparing to administer van-
comycin 1 g by intermittent IV bolus.
Available is vancomycin 1 g in 100 mL
of dextrose 5% in water (D5W) to in-
22
fuse over 45 min. The drop factor of the
manual IV tubing is 10 gtt/mL. The nurse
should adjust the manual IV infusion to
deliver how many gtt/min? (Round the
