1
PHARMACOLOGY ATI PROCTORED ACTUAL
EXAM NEWEST VERSION 2024-2025
A nurse is providing teaching with a client, who has schizophrenia, about
strategies to minimize the anticholinergic effects of fluphenazine. Which
of the following instructions should the nurse suggest for the client? - -
CORRECT ANSWER--✔️Chew sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking
fluphenazine and is experiencing anticholinergic effects to chew
sugarless gum. This instruction would provide moisture to the client's
mouth and decrease the severity of dry mouth which is an
anticholinergic adverse effect.
Gentamicin - -CORRECT ANSWER--✔️Gentamicin is a narrow-spectrum
aminoglycoside antibiotic prescribed to treat serious infections caused
by aerobic bacilli
Complications of Gentamicin - -CORRECT ANSWER--✔️Gentamicin can
injure cells of the proximal renal tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced
age, making this client at increased risk for nephrotoxicity.
What lab values should a nurse monitor for a patient taking Gentamicin?
- -CORRECT ANSWER--✔️BUN
Blood creatinine
Peak and trough levels of gentamicin
1
, 2
Specific gravity of urine
Urinalysis
BUN - -CORRECT ANSWER--✔️blood urea nitrogen
Nursing actions for a client taking gentamicin - -CORRECT ANSWER--
✔️Monitor intake and output.
Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid
overload.
Assess for manifestations of ototoxicity.
A nurse is preparing a client's medications. The nurse is responsible for
gaining and maintaining knowledge about which of the following
medication information? - -CORRECT ANSWER--✔️Adverse Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of
medications to compare expected outcomes with actual findings
total parenteral nutrition (TPN) - -CORRECT ANSWER--✔️nutrient-
complete solution given directly into bloodstream when person cannot
eat by mouth
2
, 3
A nurse is preparing to complete an incident report for a medication
error. What information (4 things) should the nurse include in the report?
- -CORRECT ANSWER--✔️Time of the incident
who was notified of the incident
actions taken following the incident
client identification
Adverse effects of oxybutynin - -CORRECT ANSWER--✔️Anticholinergic
effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
adverse effects of fentanyl patches - -CORRECT ANSWER--✔️Respiratory
Depression
Hypotension
Constipation
Nausea or Vomiting
Clients who use fentanyl patches will likely need to take what on a daily
basis? - -CORRECT ANSWER--✔️Take a stool softener on a daily basis.
Constipation is an adverse effect of opioid use and stool softeners can
decrease the severity
3
PHARMACOLOGY ATI PROCTORED ACTUAL
EXAM NEWEST VERSION 2024-2025
A nurse is providing teaching with a client, who has schizophrenia, about
strategies to minimize the anticholinergic effects of fluphenazine. Which
of the following instructions should the nurse suggest for the client? - -
CORRECT ANSWER--✔️Chew sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking
fluphenazine and is experiencing anticholinergic effects to chew
sugarless gum. This instruction would provide moisture to the client's
mouth and decrease the severity of dry mouth which is an
anticholinergic adverse effect.
Gentamicin - -CORRECT ANSWER--✔️Gentamicin is a narrow-spectrum
aminoglycoside antibiotic prescribed to treat serious infections caused
by aerobic bacilli
Complications of Gentamicin - -CORRECT ANSWER--✔️Gentamicin can
injure cells of the proximal renal tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced
age, making this client at increased risk for nephrotoxicity.
What lab values should a nurse monitor for a patient taking Gentamicin?
- -CORRECT ANSWER--✔️BUN
Blood creatinine
Peak and trough levels of gentamicin
1
, 2
Specific gravity of urine
Urinalysis
BUN - -CORRECT ANSWER--✔️blood urea nitrogen
Nursing actions for a client taking gentamicin - -CORRECT ANSWER--
✔️Monitor intake and output.
Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid
overload.
Assess for manifestations of ototoxicity.
A nurse is preparing a client's medications. The nurse is responsible for
gaining and maintaining knowledge about which of the following
medication information? - -CORRECT ANSWER--✔️Adverse Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of
medications to compare expected outcomes with actual findings
total parenteral nutrition (TPN) - -CORRECT ANSWER--✔️nutrient-
complete solution given directly into bloodstream when person cannot
eat by mouth
2
, 3
A nurse is preparing to complete an incident report for a medication
error. What information (4 things) should the nurse include in the report?
- -CORRECT ANSWER--✔️Time of the incident
who was notified of the incident
actions taken following the incident
client identification
Adverse effects of oxybutynin - -CORRECT ANSWER--✔️Anticholinergic
effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
adverse effects of fentanyl patches - -CORRECT ANSWER--✔️Respiratory
Depression
Hypotension
Constipation
Nausea or Vomiting
Clients who use fentanyl patches will likely need to take what on a daily
basis? - -CORRECT ANSWER--✔️Take a stool softener on a daily basis.
Constipation is an adverse effect of opioid use and stool softeners can
decrease the severity
3
