ATI proctored exam focus review
with solutions [2026]
Middle Adult Client
A. Varicella vaccine: Administer two doses to adults who do not have
evidence of immunity. Administer a second dose to adults who had only
one previous dose and lack evidence of immunity, or one dose depending
on the type of zoster vaccine.
B. Zoster vaccine: A 2-dose series is recommended for adults 50 years and
older. Second doses should be administered 2 to 6 months after the first
C. Meningococcal unconjugated polysaccharide vaccine (MPSV4): MPSV4 is
preferred for adults who are 56 years of age or older, require a single dose,
and have not had MCV4 previously. Reimmunization with MCV4 is
recommended every 5 years for adults who remain at high risk for infection
and were previously immunized with MCV4 or MPSV4
Psychosocial integrity-Chemical and Other Dependencies (1 item)
1) Substance Use Disorders: Smoking Cessation
A. Bupropion decreases nicotine craving and manifestations of withdrawal.
Avoid use in clients who have an increased risk for seizures. To treat dry
Mouth, chew sugarless gum or suck on hard candy and sip small amounts
of water or suck on ice chips. Avoid caffeine and other CNS stimulants to
control insomnia
B. Varenicline is a nicotine receptor agonist that promotes the release of
dopamine to stimulate the pleasurable effects of nicotine. Reduces cravings
for nicotine as well as the severity of withdrawal manifestations and
reduces the incidence of relapse by blocking the desired effects of nicotine.
C. Varenicline : Monitor blood pressure during treatment, monitor clients
who have diabetes mellitus for loss of glycemic control, and follow
instructions for titration to minimize adverse effects. Take medication after
a meal. Notify the provider if nausea, vomiting, insomnia, new-onset
depression, or suicidal thoughts. Can cause neuropsychiatric effects
(unpredictable behavior, mood changes, and thoughts of suicide).
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Pharmacological Therapies (25 items)
Expected Actions/Outcomes (4 items)
1) Angina and Antilipemic Agents: Identifying an Unexpected Response to Atorvastatin
A. Decrease the synthesis of LDL and VLDL.
B. Increase the synthesis of HDL.
C. Promotion of vasodilation and decreases in plaque site inflammation,
thromboembolism, and risk of atrial fibrillation.
2) Antibiotics Affecting the Bacterial Cell Wall: Reinforcing Teaching With a Client Who
Has an Allergy to Piperacillin/Tazobactam
A. Piperacillin tzobactam for IV use is a antipsudomonal extended-spectrum
penicillin which are effective against organisms.
B. Take with 8 oz of water 1 hr before or 2 hr after meals and complete the
entire course of therapy, even if manifestations resolve.
C. Use an additional contraceptive method when taking penicillin, as
penicillin can cause decrease in effectiveness.
3) Medications Affecting Blood Pressure: Reinforcing Teaching About Atenolol (
A. Sit or lie down if experiencing dizziness or faintness.
B. Avoid sudden changes of position and rise slowly
C. Do not stop taking beta blockers abruptly but follow provider’s
instructions.
4) Medications Affecting Urinary Output: Monitoring Laboratory Values for
Hydrochlorothiazide
A. Monitor cardiac status and K+ levels, especially if taking digoxin.
B. Monitor for an increase in blood glucose levels.
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with solutions [2026]
Middle Adult Client
A. Varicella vaccine: Administer two doses to adults who do not have
evidence of immunity. Administer a second dose to adults who had only
one previous dose and lack evidence of immunity, or one dose depending
on the type of zoster vaccine.
B. Zoster vaccine: A 2-dose series is recommended for adults 50 years and
older. Second doses should be administered 2 to 6 months after the first
C. Meningococcal unconjugated polysaccharide vaccine (MPSV4): MPSV4 is
preferred for adults who are 56 years of age or older, require a single dose,
and have not had MCV4 previously. Reimmunization with MCV4 is
recommended every 5 years for adults who remain at high risk for infection
and were previously immunized with MCV4 or MPSV4
Psychosocial integrity-Chemical and Other Dependencies (1 item)
1) Substance Use Disorders: Smoking Cessation
A. Bupropion decreases nicotine craving and manifestations of withdrawal.
Avoid use in clients who have an increased risk for seizures. To treat dry
Mouth, chew sugarless gum or suck on hard candy and sip small amounts
of water or suck on ice chips. Avoid caffeine and other CNS stimulants to
control insomnia
B. Varenicline is a nicotine receptor agonist that promotes the release of
dopamine to stimulate the pleasurable effects of nicotine. Reduces cravings
for nicotine as well as the severity of withdrawal manifestations and
reduces the incidence of relapse by blocking the desired effects of nicotine.
C. Varenicline : Monitor blood pressure during treatment, monitor clients
who have diabetes mellitus for loss of glycemic control, and follow
instructions for titration to minimize adverse effects. Take medication after
a meal. Notify the provider if nausea, vomiting, insomnia, new-onset
depression, or suicidal thoughts. Can cause neuropsychiatric effects
(unpredictable behavior, mood changes, and thoughts of suicide).
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per year?
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Pharmacological Therapies (25 items)
Expected Actions/Outcomes (4 items)
1) Angina and Antilipemic Agents: Identifying an Unexpected Response to Atorvastatin
A. Decrease the synthesis of LDL and VLDL.
B. Increase the synthesis of HDL.
C. Promotion of vasodilation and decreases in plaque site inflammation,
thromboembolism, and risk of atrial fibrillation.
2) Antibiotics Affecting the Bacterial Cell Wall: Reinforcing Teaching With a Client Who
Has an Allergy to Piperacillin/Tazobactam
A. Piperacillin tzobactam for IV use is a antipsudomonal extended-spectrum
penicillin which are effective against organisms.
B. Take with 8 oz of water 1 hr before or 2 hr after meals and complete the
entire course of therapy, even if manifestations resolve.
C. Use an additional contraceptive method when taking penicillin, as
penicillin can cause decrease in effectiveness.
3) Medications Affecting Blood Pressure: Reinforcing Teaching About Atenolol (
A. Sit or lie down if experiencing dizziness or faintness.
B. Avoid sudden changes of position and rise slowly
C. Do not stop taking beta blockers abruptly but follow provider’s
instructions.
4) Medications Affecting Urinary Output: Monitoring Laboratory Values for
Hydrochlorothiazide
A. Monitor cardiac status and K+ levels, especially if taking digoxin.
B. Monitor for an increase in blood glucose levels.
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