PHARM ATI ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A staff educator is reviewing medication dosages and factors that
influence medication metabolism with a group of nurses at an in-
service presentation. Which of the following factors should the
educator include as a reason to administer lower medication dosages?
(Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes.
Answer: C. Liver failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they
compete for metabolism, thereby increasing the concentration of one
or both medications. This requires decreasing the dosage of one or
both
, ◉ A nurse is preparing to administer eye drops to a client. Which of
the following actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation. Answer:
B. Ask the client to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto
her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of
the medication)
◉ A nurse is completing discharge teaching for a client who has a
new prescription for transdermal patches. Which of the following
statements should the nurse identify as an indication that the client
understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the
patch."
,B. "I will rotate the application sites weekly."
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.. Answer: C.
"I will apply the patch to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote
absorption of the medication.)
◉ A nurse reviewing a client's medical record notes a new
prescription for verifying the trough level of the client's medication.
Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the
next dose of medication.
B. Verify that the client has been taking the medication for 24 hr
before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of
medication.
D. Administer the medication,and obtain a blood specimen 30 min
late. Answer: A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
(To verify trough levels of a medication, the nurse should obtain a
blood specimen immediately before administering the next dose of
medication.)
, ◉ A nurse is preparing a client's medications. Which of the following
actions should the nurse take in following legal practice guidelines?
(Select all that apply.)
A. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis. Answer: A. Maintain skill
competency.
C. Monitor for adverse effects.
D. Safeguard medications.
(A.maintaining skill competency and using appropriate administration
techniques are legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse
effects of medication
D. Safeguarding of medications, such as controlled substances, is a
legal responsibility of the nurse)
◉ A nurse reviewing a client's health record notes a new prescription
for Lisinopril 10 mg PO once every day. The nurse should identify
this as which of the following types of prescription?
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A staff educator is reviewing medication dosages and factors that
influence medication metabolism with a group of nurses at an in-
service presentation. Which of the following factors should the
educator include as a reason to administer lower medication dosages?
(Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes.
Answer: C. Liver failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the
concentration of a medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they
compete for metabolism, thereby increasing the concentration of one
or both medications. This requires decreasing the dosage of one or
both
, ◉ A nurse is preparing to administer eye drops to a client. Which of
the following actions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation. Answer:
B. Ask the client to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto
her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of
the medication)
◉ A nurse is completing discharge teaching for a client who has a
new prescription for transdermal patches. Which of the following
statements should the nurse identify as an indication that the client
understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the
patch."
,B. "I will rotate the application sites weekly."
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.. Answer: C.
"I will apply the patch to an area of skin with no hair."
(The client should apply the patch to a hairless area of skin to promote
absorption of the medication.)
◉ A nurse reviewing a client's medical record notes a new
prescription for verifying the trough level of the client's medication.
Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the
next dose of medication.
B. Verify that the client has been taking the medication for 24 hr
before obtaining a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of
medication.
D. Administer the medication,and obtain a blood specimen 30 min
late. Answer: A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
(To verify trough levels of a medication, the nurse should obtain a
blood specimen immediately before administering the next dose of
medication.)
, ◉ A nurse is preparing a client's medications. Which of the following
actions should the nurse take in following legal practice guidelines?
(Select all that apply.)
A. Maintain skill competency.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Safeguard medications.
E. Identify the client's diagnosis. Answer: A. Maintain skill
competency.
C. Monitor for adverse effects.
D. Safeguard medications.
(A.maintaining skill competency and using appropriate administration
techniques are legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring for side and adverse
effects of medication
D. Safeguarding of medications, such as controlled substances, is a
legal responsibility of the nurse)
◉ A nurse reviewing a client's health record notes a new prescription
for Lisinopril 10 mg PO once every day. The nurse should identify
this as which of the following types of prescription?
