ATI Pharm Exam 2 2025 – Complete
Practice Questions & Study Guide REAL
EXAM
A nurse is providing teaching for a client who is withdrawing from alcohol and has a prescription for
propranolol . Which of the following information should the nurse to include in the teaching?
increases the risk for seizure activity
provides a form of aversion therapy
decreases cravings
results in minor hypertension - ANSWER ✔---decreases cravings
A charge nurse is planning a staff education session to discuss medications used during the care of a
client experiencing alcohol withdrawal. Which of the following medications should the charge nurse
include in the discussion? (select all that apply)
Lorazepam
Diazepam
Disulfiram
Naltrexone
Acamprosate - ANSWER ✔---Lorazepam
,Diazepam
A nurse is teaching a client who has Graves' disease about her prescribed medications. Which of the
following statements by the client indicted an understanding of the use of propranolol in the treatment
of Graves' disease.
"propranolol helps increase blood flow to my thyroid gland"
"propranolol is used to prevent excess glucose in my blood"
"propranolol will decrease my tremors and fast heart rate"
"propranolol promotes a decrease of thyroid hormone in my body" - ANSWER ✔---"propranolol will
decrease my tremors and fast heart rate"
A nurse working in an emergency dept. is caring for a client who has benzodiazepine toxicity due to an
overdose. Which of the following actions is the nurse's priority?
Administer flumazenil
Identify the client's level of orientation
Infuse IV fluids
Prepare the client for gastric lavage - ANSWER ✔---Identify the client's level of orientation
A nurse is caring for a client who takes paroxetine to treat PTSD and reports that he grinds his teeth
during the night. The nurse should identify which of the following interventions to manage bruxism?
(select all that apply)
Concurrent administration of buspirone
Administration of a different SSRI
Use of a mouth guard
Changing to a different class of antidepressant medication
Increasing the dose of paroxetine - ANSWER ✔---Concurrent administration of buspirone
Use of a mouth guard
Changing to a different class of antidepressant medication
,A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of
depression. Which of the following should the nurse include her teaching?(select all that apply)
Expect therapeutic effects in 24-48 hours
Discontinue the medication after a week of improved mood
Change positions slowly to minimize dizziness
Decrease dietary fiber intake to control diarrhea
Chew sugarless gum to prevent dry mouth - ANSWER ✔---Change positions slowly to minimize
dizziness
Chew sugarless gum to prevent dry mouth
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for PTSD.
Which of the following statements should the nurse include in her teaching?
"You may have a decreased desire for intimacy while taking this medication"
"You should take this medication at bedtime to help promote sleep"
"You will have fewer urinary adverse effects if you urinate just before taking the medication"
"You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication" -
ANSWER ✔---"You may have a decreased desire for intimacy while taking this medication"
A nurse is caring for a client who has depression and a new prescription for venlafaxine. For which of the
following adverse effects should the nurse monitor this client? (select all that apply)
Cough
Dizziness
Decreased libido
Alopecia
Hypotension - ANSWER ✔---Dizziness
Decreased libido
, A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following
assessment findings should alert the nurse to the possibility that the client is developing serotonin
syndrome?
Bruising
Fever
Abdominal pain
Rash - ANSWER ✔---Fever
For best results when treating severe pain associated with pathologic spinal fractures related to
metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to
administer the pain medication is which of these?
a. As needed
b. Around the clock
c. On schedule during waking hours only
d. Around the clock, with additional doses as needed for breakthrough pain - ANSWER ✔---d.
Around the clock, with additional doses as needed for breakthrough pain
A patient is receiving an opioid via a PCA pump as part of his postoperative pain management program.
During rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min and blood pressure
of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next?
a. Notify the charge nurse.
b. Draw arterial blood gases.
c. Administer an opiate antagonist per standing orders.
d. Perform a thorough assessment, including mental status examination. - ANSWER ✔---c.
Administer an opiate antagonist per standing orders.
A patient with bone pain caused by metastatic cancer will be receiving trANSWERdermal fentanyl
patches. The patient asks the nurse what benefits these patches have. The nurse's best response
includes which of these features?
a. More constant drug levels for analgesia
Practice Questions & Study Guide REAL
EXAM
A nurse is providing teaching for a client who is withdrawing from alcohol and has a prescription for
propranolol . Which of the following information should the nurse to include in the teaching?
increases the risk for seizure activity
provides a form of aversion therapy
decreases cravings
results in minor hypertension - ANSWER ✔---decreases cravings
A charge nurse is planning a staff education session to discuss medications used during the care of a
client experiencing alcohol withdrawal. Which of the following medications should the charge nurse
include in the discussion? (select all that apply)
Lorazepam
Diazepam
Disulfiram
Naltrexone
Acamprosate - ANSWER ✔---Lorazepam
,Diazepam
A nurse is teaching a client who has Graves' disease about her prescribed medications. Which of the
following statements by the client indicted an understanding of the use of propranolol in the treatment
of Graves' disease.
"propranolol helps increase blood flow to my thyroid gland"
"propranolol is used to prevent excess glucose in my blood"
"propranolol will decrease my tremors and fast heart rate"
"propranolol promotes a decrease of thyroid hormone in my body" - ANSWER ✔---"propranolol will
decrease my tremors and fast heart rate"
A nurse working in an emergency dept. is caring for a client who has benzodiazepine toxicity due to an
overdose. Which of the following actions is the nurse's priority?
Administer flumazenil
Identify the client's level of orientation
Infuse IV fluids
Prepare the client for gastric lavage - ANSWER ✔---Identify the client's level of orientation
A nurse is caring for a client who takes paroxetine to treat PTSD and reports that he grinds his teeth
during the night. The nurse should identify which of the following interventions to manage bruxism?
(select all that apply)
Concurrent administration of buspirone
Administration of a different SSRI
Use of a mouth guard
Changing to a different class of antidepressant medication
Increasing the dose of paroxetine - ANSWER ✔---Concurrent administration of buspirone
Use of a mouth guard
Changing to a different class of antidepressant medication
,A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of
depression. Which of the following should the nurse include her teaching?(select all that apply)
Expect therapeutic effects in 24-48 hours
Discontinue the medication after a week of improved mood
Change positions slowly to minimize dizziness
Decrease dietary fiber intake to control diarrhea
Chew sugarless gum to prevent dry mouth - ANSWER ✔---Change positions slowly to minimize
dizziness
Chew sugarless gum to prevent dry mouth
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for PTSD.
Which of the following statements should the nurse include in her teaching?
"You may have a decreased desire for intimacy while taking this medication"
"You should take this medication at bedtime to help promote sleep"
"You will have fewer urinary adverse effects if you urinate just before taking the medication"
"You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication" -
ANSWER ✔---"You may have a decreased desire for intimacy while taking this medication"
A nurse is caring for a client who has depression and a new prescription for venlafaxine. For which of the
following adverse effects should the nurse monitor this client? (select all that apply)
Cough
Dizziness
Decreased libido
Alopecia
Hypotension - ANSWER ✔---Dizziness
Decreased libido
, A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following
assessment findings should alert the nurse to the possibility that the client is developing serotonin
syndrome?
Bruising
Fever
Abdominal pain
Rash - ANSWER ✔---Fever
For best results when treating severe pain associated with pathologic spinal fractures related to
metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to
administer the pain medication is which of these?
a. As needed
b. Around the clock
c. On schedule during waking hours only
d. Around the clock, with additional doses as needed for breakthrough pain - ANSWER ✔---d.
Around the clock, with additional doses as needed for breakthrough pain
A patient is receiving an opioid via a PCA pump as part of his postoperative pain management program.
During rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min and blood pressure
of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next?
a. Notify the charge nurse.
b. Draw arterial blood gases.
c. Administer an opiate antagonist per standing orders.
d. Perform a thorough assessment, including mental status examination. - ANSWER ✔---c.
Administer an opiate antagonist per standing orders.
A patient with bone pain caused by metastatic cancer will be receiving trANSWERdermal fentanyl
patches. The patient asks the nurse what benefits these patches have. The nurse's best response
includes which of these features?
a. More constant drug levels for analgesia
