ATI EXAM zm
Exam Solution zm
Pharmacology ATI Proctored Exam Review Materials 2 zm zm zm zm zm zm
026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
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ERIFIED ANSWERS (D8F1C) zm zm
QUESTION 1 zm
A nurse is caring for a client who is to receive treatment for opioid use disorder. Whi
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ch of the following medications should the nurse expect to administer? Bupropion Dis
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ulfiram Modafinil Methadone zm zm
ANSWER
Methadone explanation The nurse should expect to administer methadone for treatment of opioid us
zm zm zm zm zm zm zm zm zm zm zm zm zm
e disorder. Methadone can be administered for withdrawal and to assist with maintenance and supp
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ressive therapy. zm
QUESTION 2 zm
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of t
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he following actions should the nurse take prior to administering the medication? Ask
zm zm zm zm zm zm zm zm zm zm zm zm z
the client to drink 8 oz of water. Review the client's most recent Hgb level. Obtain th
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e client's blood pressure. Determine if the client is allergic to NSAIDs
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Obtain blood pressure explnation HCTZ is a thiazide diuretic administered to promote urine output
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to
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administration of the medication. zm zm zm
QUESTION 3 zm
A nurse is planning care for a client who is receiving mannitol via continuous IV infus
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ion. Which of the following adverse effects should the nurse monitor the client for? W
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
eight loss Increased intraocular pressure Auditory hallucinations Bibasilar crackles
zm zm zm zm zm zm zm zm
ANSWER
,Bibasilar crackles explanation- zm zm
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. Therefore, the nur
zm zm zm zm zm zm zm zm zm zm zm zm zm
se should recognize lung crackles as an indicator of a potential complication and stop the infusion.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 4 zm
A nurse is providing teaching to a client who has a gastric ulcer and a new prescripti
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
on for famotidine. Which of the following instructions should the nurse include? "Take
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the medication on an empty stomach for full effectiveness." "You may discontinue thi
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s medication when stomach discomfort subsides." "Report yellowing of the skan." "You
zm zm zm zm zm zm zm zm zm zm zm
will be taking this medication for 2 weeks."
zm zm zm zm zm zm zm zm
ANSWER
report yellowing of skin explanation-
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Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client to monitor f
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
or and report yellowing of the skin or eyes to the provider.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and disc
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
overs the antibiotic is not present in the client's medication drawer. The nurse should
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identify that administration of the medication can occur at which of the following tim
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e periods without requiring an Incident report? 1000 0900 0830 1200
zm zm zm zm zm zm zm zm zm zm
ANSWER
0830 explanation- zm
The nurse should identify that an antibiotic can be administered 30 min before or after the schedul
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ed time to maintain therapeutic blood levels without requiring an incident report.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 6 zm
A nurse is caring for a client who is receiving filgrastim. Which of the following findin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
gs should the nurse document to indicate the effectiveness of the therapy? Increased
zm zm zm zm zm zm zm zm zm zm zm zm zm
RBC count increased neutrophil count Decreased prothrombin time Decreased triglyce
zm zm zm zm zm zm zm zm zm
rides
ANSWER
increased neutrophils explanation- zm zm
Filgrastim stimulates the bone marrow to produce neutrophils. For clients receiving chemotherapy,
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the risk of infection is minimized.
zm zm zm zm zm
QUESTION 7 zm
, A nurse is preparing to administer amoxicillin 250 mg PO to a school-
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age child. The amount available is amoxicillin oral suspension 200 mg/5 ml. How man
zm zm zm zm zm zm zm zm zm zm zm zm zm
y mL should the nurse administer per dose? (Round the answer to the nearest tenth.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
Use a leading zero if it applies. Do not use a trailing zero.) PREVIOUS mL
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
6.25 --> 6.3 200/5= 40 250/40= 6.25
zm zm zm zm zm zm
QUESTION 8 zm
A nurse in an emergency department is caring for a client who has myasthenia gravis
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and is in a cholinergic crisis. Which of the following medications should the nurse pla
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
n to administer? Potassium iodide Glucagon Atropine Protamine
zm zm zm zm zm zm zm
ANSWER
Atropine explanation- zm
A cholinergic crisis is caused by an excess amount of cholinesterase inhibitor, such as neostigmine.
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The nurse should plan to administer atropine, an anticholinergic agent, to reverse cholinergic toxicit
zm zm zm zm zm zm zm zm zm zm zm zm zm
y.
QUESTION 9 zm
A nurse is caring for a client who has a new prescription for spironolactone. Which of
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe following laboratory results should the nurse monitor while the client is taking th
zm zm zm zm zm zm zm zm zm zm zm zm zm
is medication? Potassium level WBC count Protein level Adrenocorticotropic hormone
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level
ANSWER
Potassium level explanation- zm zm
The nurse should monitor the client's potassium level as spironolactone is a potassium sparing diur
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
etic that can cause hyperkalemia. The client's potassium level should be obtained and monitored wit
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hin 1 week of beginning spironolactone, with any increase in dosage, and periodically throughout th
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erapy. Additional laboratory results to monitor include sodium, uric acid, glucose, and renal function
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mtests.
QUESTION 10 zm
nurse is reviewing the medication list of a client who wants to begin taking oral contr
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
aceptives. Which of the following client medications should the nurse identify will inte
zm zm zm zm zm zm zm zm zm zm zm zm
rfere with the effectiveness of an oral contraceptive? Sumatriptan Carbamazepine Ate
zm zm zm zm zm zm zm zm zm zm
nciol Glipizide zm
ANSWER
Exam Solution zm
Pharmacology ATI Proctored Exam Review Materials 2 zm zm zm zm zm zm
026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
zm zm zm zm zm zm zm
ERIFIED ANSWERS (D8F1C) zm zm
QUESTION 1 zm
A nurse is caring for a client who is to receive treatment for opioid use disorder. Whi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ch of the following medications should the nurse expect to administer? Bupropion Dis
zm zm zm zm zm zm zm zm zm zm zm zm
ulfiram Modafinil Methadone zm zm
ANSWER
Methadone explanation The nurse should expect to administer methadone for treatment of opioid us
zm zm zm zm zm zm zm zm zm zm zm zm zm
e disorder. Methadone can be administered for withdrawal and to assist with maintenance and supp
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ressive therapy. zm
QUESTION 2 zm
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of t
zm zm zm zm zm zm zm zm zm zm zm zm zm
he following actions should the nurse take prior to administering the medication? Ask
zm zm zm zm zm zm zm zm zm zm zm zm z
the client to drink 8 oz of water. Review the client's most recent Hgb level. Obtain th
m zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e client's blood pressure. Determine if the client is allergic to NSAIDs
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Obtain blood pressure explnation HCTZ is a thiazide diuretic administered to promote urine output
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
administration of the medication. zm zm zm
QUESTION 3 zm
A nurse is planning care for a client who is receiving mannitol via continuous IV infus
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ion. Which of the following adverse effects should the nurse monitor the client for? W
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
eight loss Increased intraocular pressure Auditory hallucinations Bibasilar crackles
zm zm zm zm zm zm zm zm
ANSWER
,Bibasilar crackles explanation- zm zm
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. Therefore, the nur
zm zm zm zm zm zm zm zm zm zm zm zm zm
se should recognize lung crackles as an indicator of a potential complication and stop the infusion.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 4 zm
A nurse is providing teaching to a client who has a gastric ulcer and a new prescripti
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
on for famotidine. Which of the following instructions should the nurse include? "Take
zm zm zm zm zm zm zm zm zm zm zm zm
the medication on an empty stomach for full effectiveness." "You may discontinue thi
zm zm zm zm zm zm zm zm zm zm zm zm zm
s medication when stomach discomfort subsides." "Report yellowing of the skan." "You
zm zm zm zm zm zm zm zm zm zm zm
will be taking this medication for 2 weeks."
zm zm zm zm zm zm zm zm
ANSWER
report yellowing of skin explanation-
zm zm zm zm
Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client to monitor f
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
or and report yellowing of the skin or eyes to the provider.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and disc
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
overs the antibiotic is not present in the client's medication drawer. The nurse should
zm zm zm zm zm zm zm zm zm zm zm zm zm z
identify that administration of the medication can occur at which of the following tim
m zm zm zm zm zm zm zm zm zm zm zm zm zm
e periods without requiring an Incident report? 1000 0900 0830 1200
zm zm zm zm zm zm zm zm zm zm
ANSWER
0830 explanation- zm
The nurse should identify that an antibiotic can be administered 30 min before or after the schedul
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ed time to maintain therapeutic blood levels without requiring an incident report.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 6 zm
A nurse is caring for a client who is receiving filgrastim. Which of the following findin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
gs should the nurse document to indicate the effectiveness of the therapy? Increased
zm zm zm zm zm zm zm zm zm zm zm zm zm
RBC count increased neutrophil count Decreased prothrombin time Decreased triglyce
zm zm zm zm zm zm zm zm zm
rides
ANSWER
increased neutrophils explanation- zm zm
Filgrastim stimulates the bone marrow to produce neutrophils. For clients receiving chemotherapy,
zm zm zm zm zm zm zm zm zm zm zm zm zm
the risk of infection is minimized.
zm zm zm zm zm
QUESTION 7 zm
, A nurse is preparing to administer amoxicillin 250 mg PO to a school-
zm zm zm zm zm zm zm zm zm zm zm zm
age child. The amount available is amoxicillin oral suspension 200 mg/5 ml. How man
zm zm zm zm zm zm zm zm zm zm zm zm zm
y mL should the nurse administer per dose? (Round the answer to the nearest tenth.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
Use a leading zero if it applies. Do not use a trailing zero.) PREVIOUS mL
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
6.25 --> 6.3 200/5= 40 250/40= 6.25
zm zm zm zm zm zm
QUESTION 8 zm
A nurse in an emergency department is caring for a client who has myasthenia gravis
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
and is in a cholinergic crisis. Which of the following medications should the nurse pla
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
n to administer? Potassium iodide Glucagon Atropine Protamine
zm zm zm zm zm zm zm
ANSWER
Atropine explanation- zm
A cholinergic crisis is caused by an excess amount of cholinesterase inhibitor, such as neostigmine.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
The nurse should plan to administer atropine, an anticholinergic agent, to reverse cholinergic toxicit
zm zm zm zm zm zm zm zm zm zm zm zm zm
y.
QUESTION 9 zm
A nurse is caring for a client who has a new prescription for spironolactone. Which of
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe following laboratory results should the nurse monitor while the client is taking th
zm zm zm zm zm zm zm zm zm zm zm zm zm
is medication? Potassium level WBC count Protein level Adrenocorticotropic hormone
zm zm zm zm zm zm zm zm zm zm
level
ANSWER
Potassium level explanation- zm zm
The nurse should monitor the client's potassium level as spironolactone is a potassium sparing diur
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
etic that can cause hyperkalemia. The client's potassium level should be obtained and monitored wit
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hin 1 week of beginning spironolactone, with any increase in dosage, and periodically throughout th
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
erapy. Additional laboratory results to monitor include sodium, uric acid, glucose, and renal function
zm zm zm zm zm zm zm zm zm zm zm zm zm z
mtests.
QUESTION 10 zm
nurse is reviewing the medication list of a client who wants to begin taking oral contr
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
aceptives. Which of the following client medications should the nurse identify will inte
zm zm zm zm zm zm zm zm zm zm zm zm
rfere with the effectiveness of an oral contraceptive? Sumatriptan Carbamazepine Ate
zm zm zm zm zm zm zm zm zm zm
nciol Glipizide zm
ANSWER
