Pharm ATI proctored
ATI Pharm Proctored Exam Full-
Length Review, Practice
Questions & Step-by-Step
Rationales for Exam Excellence
A nurse is caring for a client who is to receive treatment Methadone
for opioid use disorder. Which of the following
medications should the nurse expect to administer? explanation
Bupropion The nurse should expect to administer methadone for treatment of opioid use
Disulfiram disorder. Methadone can be administered for withdrawal and to assist with
Modafinil maintenance and suppressive therapy.
Methadone
A nurse is caring for a client on a medical-surgical unit. The nurse should first address the client's Select .... (vitals, pain, glucose). followed
Exhibit 1 Exhibit 2 Exhibit 3 Complete the following by the client's Select.. (CVAD, albumin level, bowel sound)..
sentence by using the lists of options.
The nurse should first address the client's Select....(vitals, Glucose, CVAD
pain, glucose). followed by the client's Select.. (CVAD, explanation:
albumin level, bowel sound).. When analyzing cues, the nurse should identify that the client is developing
hypoglycemia and experiencing a complication with the central venous line (CVL).
Nurses' Notes Yesterday: Client was admitted 1 week ago Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become
with a Crohn's disease exacerbation. A central venous occluded or infected. Findings of a CVL complication can include difficulty
access device (CVAD) was placed in the client's right flushing, pain while flushing, fever, or chills.
subclavian vein. Total parental nutrition (TPN) and lipids
initiated 3 days ago. The client is NPO. The client reports
abdominal pain as 5 on a scale of 0 to 10. Bowel sounds
are hyperactive and lower right quadrant is tender to
palpation.
Today: The 24-hr bag of TPN infusion was complete 1 hr
ago, pharmacy notified and waiting for a new bag. CVAD
dressing is clean, dry. and intact. CVAD is difficult to flush.
The client reports abdominal pain as 4 on a s
,A nurse is preparing to administer hydrochlorothiazide Obtain blood pressure
(HCTZ) to a client. Which of the following actions should
the nurse take prior to administering the medication? explnation HCTZ is a thiazide diuretic administered to promote urine output and
Ask the client to drink 8 oz of water. reduce blood pressure and edema. The nurse should obtain the client's blood
Review the client's most recent Hgb level. pressure prior to administration of the medication.
Obtain the client's blood pressure.
Determine if the client is allergic to NSAIDs
A nurse is planning care for a client who is receiving Bibasilar crackles
mannitol via continuous IV infusion. Which of the
following adverse effects should the nurse monitor the explanation-Mannitol, an osmotic diuretic, can precipitate heart failure and
client for? pulmonary edema. Therefore, the nurse should recognize lung crackles as an
Weight loss Increased indicator of a potential complication and stop the infusion.
intraocular pressure
Auditory hallucinations
Bibasilar crackles
A nurse is caring for a client who is taking nitroglycerin Assist the client into bed, elevate the lower extremities, check their blood
for angina and reports feeling faint when standing up. pressure
Which of the following actions should the nurse take?
inform the client that feeling faint is caused by rapid explanation- The nurse should first assist the client into bed to prevent injuries
constriction of the blood vessels in the legs. from a fall. The nurse should elevate the client's legs on pillows to enhance
venous return from the lower extremities. The nurse should then check the client's
Assist the client into bed, elevate the lower extremities, blood pressure.
and check their blood pressure.
Request a prescription for dobutamine from the client's
provider.
Check the client's blood pressure while they're still
standing
A nurse is preparing medication instructions for a client Taking a stool softener
who is receiving end-of-life care and their family. The
client has a prescription for fentanyl patches. Which of explanation- Constipation is an adverse effect of opioid use. Stool softeners can
the following information regarding the manifestations decrease the severity of this adverse effect.
and use of fentanyl should the nurse include in the
instructions?
Respiratory depression as a result of fentamyl use will
cause a need for an at home nefazodone prescription.
Removing the patch will immediataly reverse any adverse
effects of fentanyl
An increase in urinary output should be expected
Taking a stool softener daily will be needed
A nurse is providing teaching to a client who has a gastric report yellowing of skin
ulcer and a new prescription for famotidine. Which of the
following instructions should the nurse include? explanation- Famotidine can be hepatotoxic and cause jaundice. The nurse
"Take the medication on an empty stomach for full should instruct the client to monitor for and report yellowing of the skin or eyes to
effectiveness." the provider.
"You may discontinue this medication when stomach
discomfort subsides." "Report yellowing of the skan."
"You will be taking this medication for 2 weeks."
, A nurse is providing discharge teaching about handling Store unused medication sticks in a storage container
medication to a client who is to continue taking oral
transmucosal fentanyl raspberry- flavored lozenges on a explanation- The nurse should instruct the client to store unused, used, or partially
stick. Which of the following information should the nurse used medication sticks in the safe storage container that comes in the kit when the
include in the teaching? medication is initially prescribed.
Chew on the medication stick to release the medication.
Leave the medication stick in one location of the mouth
until melted.
Allow the medication 1 hr for analgesia effects to begin.
Store unused medication sticks in a storage container
A nurse is preparing to administer a scheduled antibiotic 0830
at 0800 to a client and discovers the antibiotic is not
present in the client's medication drawer. The nurse explanation- The nurse should identify that an antibiotic can be administered 30
should identify that administration of the medication can min before or after the scheduled time to maintain therapeutic blood levels
occur at which of the following time periods without without requiring an incident report.
requiring an Incident report? 1000
0900
0830
1200
A nurse is caring for a client who is receiving filgrastim. increased neutrophils
Which of the following findings should the nurse
document to indicate the effectiveness of the therapy? explanation- Filgrastim stimulates the bone marrow to produce neutrophils. For
Increased RBC count clients receiving chemotherapy, the risk of infection is minimized.
increased neutrophil count
Decreased prothrombin time
Decreased triglycerides
A nurse is teaching a client who has a new prescription Docusate sodium reduces the surface tension of the stools to change their
for docusate sodium about the medication's mechanism consistency.
of action. Which of the following Information should the
nurse include in the teaching? explanation- Docusate sodium is a surfactant that softens stool by reducing
Docusate sodium reduces the surface tension of the surface tension, allowing water to penetrate the stool more easily.
stools to change their consistency.
Docusate sodium causes rectal contractions.
Docusate sodium acts as a fiber agent, increasing bulk in
the intestines. Docusate sodium stimulates the motility of
the intestines
A nurse is providing teaching to a client who has peptic Forms a protective area over ulcers
ulcer disease and is to start a new prescription for
sucralfate. Which of the following information should the explanation- Secretions by the parietal and chief cells, hydrochloric acid and
nurse include in the teaching? pepsin, can further irritate the ulcerated areas. Sucralfate, a mucosal protectant,
Decreases stomach acid secretion forms a gel-like substance that coats the ulcer, creating a barrier to hydrochloric
Neutralizes acids in the stomach acid and pepsin.
Forms a protective barrier over ulcers
Treats ulcers by eradicating H. pylori
ATI Pharm Proctored Exam Full-
Length Review, Practice
Questions & Step-by-Step
Rationales for Exam Excellence
A nurse is caring for a client who is to receive treatment Methadone
for opioid use disorder. Which of the following
medications should the nurse expect to administer? explanation
Bupropion The nurse should expect to administer methadone for treatment of opioid use
Disulfiram disorder. Methadone can be administered for withdrawal and to assist with
Modafinil maintenance and suppressive therapy.
Methadone
A nurse is caring for a client on a medical-surgical unit. The nurse should first address the client's Select .... (vitals, pain, glucose). followed
Exhibit 1 Exhibit 2 Exhibit 3 Complete the following by the client's Select.. (CVAD, albumin level, bowel sound)..
sentence by using the lists of options.
The nurse should first address the client's Select....(vitals, Glucose, CVAD
pain, glucose). followed by the client's Select.. (CVAD, explanation:
albumin level, bowel sound).. When analyzing cues, the nurse should identify that the client is developing
hypoglycemia and experiencing a complication with the central venous line (CVL).
Nurses' Notes Yesterday: Client was admitted 1 week ago Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become
with a Crohn's disease exacerbation. A central venous occluded or infected. Findings of a CVL complication can include difficulty
access device (CVAD) was placed in the client's right flushing, pain while flushing, fever, or chills.
subclavian vein. Total parental nutrition (TPN) and lipids
initiated 3 days ago. The client is NPO. The client reports
abdominal pain as 5 on a scale of 0 to 10. Bowel sounds
are hyperactive and lower right quadrant is tender to
palpation.
Today: The 24-hr bag of TPN infusion was complete 1 hr
ago, pharmacy notified and waiting for a new bag. CVAD
dressing is clean, dry. and intact. CVAD is difficult to flush.
The client reports abdominal pain as 4 on a s
,A nurse is preparing to administer hydrochlorothiazide Obtain blood pressure
(HCTZ) to a client. Which of the following actions should
the nurse take prior to administering the medication? explnation HCTZ is a thiazide diuretic administered to promote urine output and
Ask the client to drink 8 oz of water. reduce blood pressure and edema. The nurse should obtain the client's blood
Review the client's most recent Hgb level. pressure prior to administration of the medication.
Obtain the client's blood pressure.
Determine if the client is allergic to NSAIDs
A nurse is planning care for a client who is receiving Bibasilar crackles
mannitol via continuous IV infusion. Which of the
following adverse effects should the nurse monitor the explanation-Mannitol, an osmotic diuretic, can precipitate heart failure and
client for? pulmonary edema. Therefore, the nurse should recognize lung crackles as an
Weight loss Increased indicator of a potential complication and stop the infusion.
intraocular pressure
Auditory hallucinations
Bibasilar crackles
A nurse is caring for a client who is taking nitroglycerin Assist the client into bed, elevate the lower extremities, check their blood
for angina and reports feeling faint when standing up. pressure
Which of the following actions should the nurse take?
inform the client that feeling faint is caused by rapid explanation- The nurse should first assist the client into bed to prevent injuries
constriction of the blood vessels in the legs. from a fall. The nurse should elevate the client's legs on pillows to enhance
venous return from the lower extremities. The nurse should then check the client's
Assist the client into bed, elevate the lower extremities, blood pressure.
and check their blood pressure.
Request a prescription for dobutamine from the client's
provider.
Check the client's blood pressure while they're still
standing
A nurse is preparing medication instructions for a client Taking a stool softener
who is receiving end-of-life care and their family. The
client has a prescription for fentanyl patches. Which of explanation- Constipation is an adverse effect of opioid use. Stool softeners can
the following information regarding the manifestations decrease the severity of this adverse effect.
and use of fentanyl should the nurse include in the
instructions?
Respiratory depression as a result of fentamyl use will
cause a need for an at home nefazodone prescription.
Removing the patch will immediataly reverse any adverse
effects of fentanyl
An increase in urinary output should be expected
Taking a stool softener daily will be needed
A nurse is providing teaching to a client who has a gastric report yellowing of skin
ulcer and a new prescription for famotidine. Which of the
following instructions should the nurse include? explanation- Famotidine can be hepatotoxic and cause jaundice. The nurse
"Take the medication on an empty stomach for full should instruct the client to monitor for and report yellowing of the skin or eyes to
effectiveness." the provider.
"You may discontinue this medication when stomach
discomfort subsides." "Report yellowing of the skan."
"You will be taking this medication for 2 weeks."
, A nurse is providing discharge teaching about handling Store unused medication sticks in a storage container
medication to a client who is to continue taking oral
transmucosal fentanyl raspberry- flavored lozenges on a explanation- The nurse should instruct the client to store unused, used, or partially
stick. Which of the following information should the nurse used medication sticks in the safe storage container that comes in the kit when the
include in the teaching? medication is initially prescribed.
Chew on the medication stick to release the medication.
Leave the medication stick in one location of the mouth
until melted.
Allow the medication 1 hr for analgesia effects to begin.
Store unused medication sticks in a storage container
A nurse is preparing to administer a scheduled antibiotic 0830
at 0800 to a client and discovers the antibiotic is not
present in the client's medication drawer. The nurse explanation- The nurse should identify that an antibiotic can be administered 30
should identify that administration of the medication can min before or after the scheduled time to maintain therapeutic blood levels
occur at which of the following time periods without without requiring an incident report.
requiring an Incident report? 1000
0900
0830
1200
A nurse is caring for a client who is receiving filgrastim. increased neutrophils
Which of the following findings should the nurse
document to indicate the effectiveness of the therapy? explanation- Filgrastim stimulates the bone marrow to produce neutrophils. For
Increased RBC count clients receiving chemotherapy, the risk of infection is minimized.
increased neutrophil count
Decreased prothrombin time
Decreased triglycerides
A nurse is teaching a client who has a new prescription Docusate sodium reduces the surface tension of the stools to change their
for docusate sodium about the medication's mechanism consistency.
of action. Which of the following Information should the
nurse include in the teaching? explanation- Docusate sodium is a surfactant that softens stool by reducing
Docusate sodium reduces the surface tension of the surface tension, allowing water to penetrate the stool more easily.
stools to change their consistency.
Docusate sodium causes rectal contractions.
Docusate sodium acts as a fiber agent, increasing bulk in
the intestines. Docusate sodium stimulates the motility of
the intestines
A nurse is providing teaching to a client who has peptic Forms a protective area over ulcers
ulcer disease and is to start a new prescription for
sucralfate. Which of the following information should the explanation- Secretions by the parietal and chief cells, hydrochloric acid and
nurse include in the teaching? pepsin, can further irritate the ulcerated areas. Sucralfate, a mucosal protectant,
Decreases stomach acid secretion forms a gel-like substance that coats the ulcer, creating a barrier to hydrochloric
Neutralizes acids in the stomach acid and pepsin.
Forms a protective barrier over ulcers
Treats ulcers by eradicating H. pylori
