PHARMACOLOGY
Online Practice 2023 B
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
,This ATI test contains:
Passing Score Guarantee
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
A nurse is caring for a male client in an outpatient psychiatric clinic.
Nurses' Notes
, 1200:
Client diagnosed w/schizophrenia 5 yrs ago. Client was hospitalized w/severe psychosis for 3
months last year, however, has been stable for past 6 months. Client lives w/parents & reports
working part-time as mail clerk.
Reports negative & positive manifestations are extremely diminished & states, "My mood has been
good. I feel really steady these days, but I just hate having to take pills every day."
1500:
Reinforced teaching w/the client regarding prescription change. Administered injection as
prescribed.
Provider Prescriptions
1230:
Discontinue paliperidone 12 mg PO daily
Paliperidone palmitate 234 mg IM today
Paliperidone palmitate 156 mg IM in 1 wk then repeat every 28 days
Diagnostic Results
1515:
WBC 7500/mm3 (5000 to 10,000/mm3)
Eosinophils 0.1% (1 to 4%)
HbA1c 5.7% (4 to 5.9%)
Prolactin 11 ng/mL (3 to 13 ng/mL)
Which of the following statements indicate the client understands the reinforcement of teaching? (Select all
that apply.)
a. "It's expected that this medication will make me really thirsty."
b. "This medication can cause an increase in breast tissue."
c. "Switching to a shot increases my risk for developing a shuffling walk."
d. "This medication might cause me to gain weight."
e. "I should avoid eating smoked meats and hard cheeses while on this medication."
f. "If I miss a shot, I can schedule it as soon as I remember."
Answer:
b. "This medication can cause an increase in breast tissue."
d. "This medication might cause me to gain weight."
f. "If I miss a shot, I can schedule it as soon as I remember."