ATI PN
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."
When evaluating outcomes of client understanding of the reinforcement of teaching, the
nurse should recognize that paliperidone might cause elevated prolactin levels leading to
gynecomastia, so monitoring of manifestations and lab levels is indicated. The nurse should
understand that all second-generation antipsychotics carry a risk for weight gain and
metabolic syndrome, which can cause type 2 diabetes mellitus. Long-acting injectable
paliperidone may be administered up to 7 days before or after a scheduled dose.
A nurse is assisting in the care of an older adult client in a skilled nursing facility.
, H&P
Day 1:
Client admitted from home 5 days ago to memory care unit. Client has been cared for by
their spouse who is no longer able to care for the client's daily needs.
Diagnoses:
• Alzheimer's disease (severe)
• COPD
• Benign prostatic hyperplasia (BPH)
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."
When evaluating outcomes of client understanding of the reinforcement of teaching, the
nurse should recognize that paliperidone might cause elevated prolactin levels leading to
gynecomastia, so monitoring of manifestations and lab levels is indicated. The nurse should
understand that all second-generation antipsychotics carry a risk for weight gain and
metabolic syndrome, which can cause type 2 diabetes mellitus. Long-acting injectable
paliperidone may be administered up to 7 days before or after a scheduled dose.
A nurse is assisting in the care of an older adult client in a skilled nursing facility.
, H&P
Day 1:
Client admitted from home 5 days ago to memory care unit. Client has been cared for by
their spouse who is no longer able to care for the client's daily needs.
Diagnoses:
• Alzheimer's disease (severe)
• COPD
• Benign prostatic hyperplasia (BPH)
