ATI Pharmacology Proctored
Assessment with Answers 2022..2023
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication
was effective if the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL - ANS 1) Thyroid stimulating hormone (TSH) level is 2
microunits/mL
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress)
which of the following client statement indicates understanding of teaching:
1) I will not use a salt substitute while taking meds
2) I will move slowly from sitting to standing to prevent falls - ANS 2) I will move slowly
from sitting to standing to prevent falls
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
statement by the patient indicates further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest - ANS 1) I should expect a rash to develop
A nurse is receiving a telephone prescription for an antibiotic from a client's provider.
Which of the following is the nurse required to do:
3) Read the prescription back to the provider after transcribing
4) Write the trade name for the prescribed medicine - ANS 3) Read the prescription
back to the provider after transcribing
A nurse is providing teaching to an adolescent and her family regarding a new
prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the
following client statements indicates the understanding of the teaching:
1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing nausea - ANS 1) I will keep a seizure
frequency chart
A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix)
and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L.
Which of the following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium - ANS 1) Apply a cardiac monitor
A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
Which of the following client findings requires an incident report:
1) The client is also taking linsinophrel (Prinivil)
,2) The client reports shortness of breath - ANS 2) The client reports shortness of
breath
A nurse is providing teaching to a female client who has been newly diagnosed with a
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that
phenytoin can decrease the effectiveness of which of the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
2) Fluroxetine (Prozac) - ANS 1) Ethunyl estradiol/desogestrel (Cyclessa)
A nurse providing teaching to a client who is diagnosed with migrane headaches. The
client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should
the nurse include in her instructions:
1) Take 1SL tablet three times a day before meals
2) Take 1SL tablet at onset of migrane - ANS 2) Take 1SL tablet at onset of migrane
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of
digoxin (Lanoxin). The client's serum digoxin level is 0.7 mg/mL. Which of the following
actions should the nurse take:
1) Give the medication
2) Request a dose increase - ANS 1) Give the medication
A nurse is planning to provide medication education for a client who will begin a course
of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct
the client to avoid during the course of therapy:
3) Coffee
4) Beer - ANS 4) Beer
A nurse is teaching a client who has heart failure about a new prescription for captopril
(Capoten). Which of the following statements by the client indicates a need for further
teaching:
3) I will take the medication 1 hr before my meals
4) I will use a salt substitute with my meals - ANS 4) I will use a salt substitute with my
meals
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is
prescribed. Which of the following client findings should the nurse recognize as being
the best indication that the medication is achieving it's therapeutic effect:
3) Decrease in intraocular pressure
4) Lung fluids clear to auscultation - ANS 3) Decrease in intraocular pressure
A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which
of the following instructions should the nurse include in the teaching plan: (Select all that
apply):
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
3) Take the medication in the early morning
, 4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long - ANS 1) Report muscle pain to
provider
2) Do not take the medication with grapefruit juice
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client
aPTT is 4x the normal value and his INR is 2. Which of the following actions should the
nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin - ANS 1) Decrease the heparin
The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin)
by continuous IV infusion, piggy backed into a maintenance IV solution. The external
FHR monitor indicates late decelerations. Which of the following actions should the
nurse take first:
1) Turn the client to side lying position
2) Discontinue the client's IV meds - ANS 2) Discontinue the client's IV meds
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit
smoking. For which of the following side effects should the nurse assess the client:
3) Insomnia
4) Tinnitus - ANS 3) Insomnia
A nurse is teaching a client about the use of risedronate (Actonel) to treat osteoporosis.
Which of the following client statements indicates a need for further teaching:
3) I need to set up or stand after taking the risedronate
4) I need to take the risedronate with food - ANS 4) I need to take the risedronate with
food
A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the
following adverse effects should the nurse be observing:
1) Vomiting
2) Akathesia - ANS 2) Akathesia
A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the
nurse document to indicate the effectiveness of the therapy:
1) Increased platelet count
2) Increased RBC count - ANS 1) Increased platelet count
A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which
of the following should the nurse document as a therapeutic outcome:
1) Increase in seizure threshold
2) Decrease flexor & extension spasticity - ANS 2) Decrease flexor & extension
spasticity
Assessment with Answers 2022..2023
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication
was effective if the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL - ANS 1) Thyroid stimulating hormone (TSH) level is 2
microunits/mL
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress)
which of the following client statement indicates understanding of teaching:
1) I will not use a salt substitute while taking meds
2) I will move slowly from sitting to standing to prevent falls - ANS 2) I will move slowly
from sitting to standing to prevent falls
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
statement by the patient indicates further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest - ANS 1) I should expect a rash to develop
A nurse is receiving a telephone prescription for an antibiotic from a client's provider.
Which of the following is the nurse required to do:
3) Read the prescription back to the provider after transcribing
4) Write the trade name for the prescribed medicine - ANS 3) Read the prescription
back to the provider after transcribing
A nurse is providing teaching to an adolescent and her family regarding a new
prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the
following client statements indicates the understanding of the teaching:
1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing nausea - ANS 1) I will keep a seizure
frequency chart
A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix)
and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L.
Which of the following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium - ANS 1) Apply a cardiac monitor
A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
Which of the following client findings requires an incident report:
1) The client is also taking linsinophrel (Prinivil)
,2) The client reports shortness of breath - ANS 2) The client reports shortness of
breath
A nurse is providing teaching to a female client who has been newly diagnosed with a
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that
phenytoin can decrease the effectiveness of which of the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
2) Fluroxetine (Prozac) - ANS 1) Ethunyl estradiol/desogestrel (Cyclessa)
A nurse providing teaching to a client who is diagnosed with migrane headaches. The
client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should
the nurse include in her instructions:
1) Take 1SL tablet three times a day before meals
2) Take 1SL tablet at onset of migrane - ANS 2) Take 1SL tablet at onset of migrane
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of
digoxin (Lanoxin). The client's serum digoxin level is 0.7 mg/mL. Which of the following
actions should the nurse take:
1) Give the medication
2) Request a dose increase - ANS 1) Give the medication
A nurse is planning to provide medication education for a client who will begin a course
of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct
the client to avoid during the course of therapy:
3) Coffee
4) Beer - ANS 4) Beer
A nurse is teaching a client who has heart failure about a new prescription for captopril
(Capoten). Which of the following statements by the client indicates a need for further
teaching:
3) I will take the medication 1 hr before my meals
4) I will use a salt substitute with my meals - ANS 4) I will use a salt substitute with my
meals
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is
prescribed. Which of the following client findings should the nurse recognize as being
the best indication that the medication is achieving it's therapeutic effect:
3) Decrease in intraocular pressure
4) Lung fluids clear to auscultation - ANS 3) Decrease in intraocular pressure
A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which
of the following instructions should the nurse include in the teaching plan: (Select all that
apply):
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
3) Take the medication in the early morning
, 4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long - ANS 1) Report muscle pain to
provider
2) Do not take the medication with grapefruit juice
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client
aPTT is 4x the normal value and his INR is 2. Which of the following actions should the
nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin - ANS 1) Decrease the heparin
The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin)
by continuous IV infusion, piggy backed into a maintenance IV solution. The external
FHR monitor indicates late decelerations. Which of the following actions should the
nurse take first:
1) Turn the client to side lying position
2) Discontinue the client's IV meds - ANS 2) Discontinue the client's IV meds
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit
smoking. For which of the following side effects should the nurse assess the client:
3) Insomnia
4) Tinnitus - ANS 3) Insomnia
A nurse is teaching a client about the use of risedronate (Actonel) to treat osteoporosis.
Which of the following client statements indicates a need for further teaching:
3) I need to set up or stand after taking the risedronate
4) I need to take the risedronate with food - ANS 4) I need to take the risedronate with
food
A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the
following adverse effects should the nurse be observing:
1) Vomiting
2) Akathesia - ANS 2) Akathesia
A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the
nurse document to indicate the effectiveness of the therapy:
1) Increased platelet count
2) Increased RBC count - ANS 1) Increased platelet count
A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which
of the following should the nurse document as a therapeutic outcome:
1) Increase in seizure threshold
2) Decrease flexor & extension spasticity - ANS 2) Decrease flexor & extension
spasticity
