Pharmacology ATI Proctored Exam 2025/2027
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
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A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic
effects of Fluphenazine. Which of the following should the nurse suggest to the client to
minimize anticholinergic effects?
A. Take the medication in the morning to prevent insomnia.
B. Chew sugarless gum to moisten the mouth.
C. Use cooling measures to decrease fever.
D. Take an antacid to relieve nausea - ANSWER---B. Chew sugarless gum to moisten the mouth.
(Chewing sugarless gum can help the client cope with dry mouth, a potential anticholinergic
effect of fluphenazine)
A nurse is assessing a male client who recently began taking Haloperidol. Which of the following
findings is the highest priority to report to the provider?
A. Shuffling gait
B. Neck spasms
C. Drowsiness
D. Impotence - ANSWER---B. Neck spasms
(Neck spasms are an indication of acute dystonia which is a crisis situation requiring rapid
treatment. This is the greatest risk to the client and is therefore the priority finding.)
A nurse is providing discharge teaching to a client who has a new prescription for Clozapine.
Which of the following statements should the nurse include in the teaching?
, Pharmacology ATI Proctored Exam 2025/2027
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
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A. "You should have a high‑carbohydrate snack between meals and at bedtime."
B. "You are likely to develop hand tremors if you take this medication for a long period of time."
C. "You may experience temporary numbness of your mouth after each dose."
D."You should have your white blood cell count monitored every week. - ANSWER---D."You
should have your white blood cell count monitored every week.
(Due to the risk for fatal agranulocytosis weekly monitoring of the client's WBC count is
recommended while taking clozapine)
A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone.
Which of the following instructions should the nurse include in the teaching?
A. "Add extra snacks to your diet to prevent weight loss."
B. "Notify the provider if you develop breast enlargement."
C. "You may begin to have mild seizures while taking this medication."
D." This medication is likely to increase your libido." - ANSWER---B. "Notify the provider if you
develop breast enlargement."
(Gynecomastia (breast enlargement) and galactorrhea can occur due to an increase in prolactin
levels while taking risperidone. The client should inform the provider if these manifestations
occur.)
A nurse is preparing to perform a follow‑up assessment on a client who takes Chlorpromazine
for the treatment of Schizophrenia. The nurse should expect to find the greatest improvement
in which of the following manifestations? (Select all that apply.)
, Pharmacology ATI Proctored Exam 2025/2027
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
Success
A. Disorganized speech
B. Bizarre behavior
C. Impaired social interactions
D. Hallucinations
E. Decreased motivation - ANSWER---A. Disorganized speech
B. Bizarre behavior
D. Hallucinations
(A. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as disorganized speech.
B. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as bizarre behavior
D. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as hallucinations.)
A nurse is teaching the parents of a child who has a new prescription for Desipramine. The
nurse should instruct the parents that which of the following adverse effects is the priority to
report to the provider?
A. Constipation
B. Suicidal thoughts
C. Photophobia
, Pharmacology ATI Proctored Exam 2025/2027
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
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D. Dry mouth - ANSWER---B. Suicidal thoughts
(The greatest risk to this client is injury from a suicide attempt; therefore, this is the priority.
Desipramine can cause suicidal thoughts and behaviors which puts the client at risk. The
parents should monitor and report any indication of increased depression or thoughts of
suicidal behavior.)
A nurse is teaching an adolescent client who has a new prescription for Clomipramine for OCD.
Which of the following instructions should the nurse include to minimize an adverse effect of
his medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die - ANSWER---A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic effect
associated with TCA use)
A nurse is caring for a school‑age child who has a new prescription for Atomoxetine. The nurse
should monitor the client for which of the following adverse effects of this medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency - ANSWER---B. Liver damage
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
Success
A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic
effects of Fluphenazine. Which of the following should the nurse suggest to the client to
minimize anticholinergic effects?
A. Take the medication in the morning to prevent insomnia.
B. Chew sugarless gum to moisten the mouth.
C. Use cooling measures to decrease fever.
D. Take an antacid to relieve nausea - ANSWER---B. Chew sugarless gum to moisten the mouth.
(Chewing sugarless gum can help the client cope with dry mouth, a potential anticholinergic
effect of fluphenazine)
A nurse is assessing a male client who recently began taking Haloperidol. Which of the following
findings is the highest priority to report to the provider?
A. Shuffling gait
B. Neck spasms
C. Drowsiness
D. Impotence - ANSWER---B. Neck spasms
(Neck spasms are an indication of acute dystonia which is a crisis situation requiring rapid
treatment. This is the greatest risk to the client and is therefore the priority finding.)
A nurse is providing discharge teaching to a client who has a new prescription for Clozapine.
Which of the following statements should the nurse include in the teaching?
, Pharmacology ATI Proctored Exam 2025/2027
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
Success
A. "You should have a high‑carbohydrate snack between meals and at bedtime."
B. "You are likely to develop hand tremors if you take this medication for a long period of time."
C. "You may experience temporary numbness of your mouth after each dose."
D."You should have your white blood cell count monitored every week. - ANSWER---D."You
should have your white blood cell count monitored every week.
(Due to the risk for fatal agranulocytosis weekly monitoring of the client's WBC count is
recommended while taking clozapine)
A nurse is providing teaching for a male client who has Schizophrenia and is taking Risperidone.
Which of the following instructions should the nurse include in the teaching?
A. "Add extra snacks to your diet to prevent weight loss."
B. "Notify the provider if you develop breast enlargement."
C. "You may begin to have mild seizures while taking this medication."
D." This medication is likely to increase your libido." - ANSWER---B. "Notify the provider if you
develop breast enlargement."
(Gynecomastia (breast enlargement) and galactorrhea can occur due to an increase in prolactin
levels while taking risperidone. The client should inform the provider if these manifestations
occur.)
A nurse is preparing to perform a follow‑up assessment on a client who takes Chlorpromazine
for the treatment of Schizophrenia. The nurse should expect to find the greatest improvement
in which of the following manifestations? (Select all that apply.)
, Pharmacology ATI Proctored Exam 2025/2027
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
Success
A. Disorganized speech
B. Bizarre behavior
C. Impaired social interactions
D. Hallucinations
E. Decreased motivation - ANSWER---A. Disorganized speech
B. Bizarre behavior
D. Hallucinations
(A. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as disorganized speech.
B. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as bizarre behavior
D. A client who takes a conventional antipsychotic medication, such as chlorpromazine, should
have the greatest improvement in positive symptoms such as hallucinations.)
A nurse is teaching the parents of a child who has a new prescription for Desipramine. The
nurse should instruct the parents that which of the following adverse effects is the priority to
report to the provider?
A. Constipation
B. Suicidal thoughts
C. Photophobia
, Pharmacology ATI Proctored Exam 2025/2027
with NGN Complete Questions Verified Answers
and Detailed Rationales for Nursing Exam
Success
D. Dry mouth - ANSWER---B. Suicidal thoughts
(The greatest risk to this client is injury from a suicide attempt; therefore, this is the priority.
Desipramine can cause suicidal thoughts and behaviors which puts the client at risk. The
parents should monitor and report any indication of increased depression or thoughts of
suicidal behavior.)
A nurse is teaching an adolescent client who has a new prescription for Clomipramine for OCD.
Which of the following instructions should the nurse include to minimize an adverse effect of
his medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die - ANSWER---A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic effect
associated with TCA use)
A nurse is caring for a school‑age child who has a new prescription for Atomoxetine. The nurse
should monitor the client for which of the following adverse effects of this medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency - ANSWER---B. Liver damage
