ATI Pharmacology Proctored Assessment QUESTIONS AND ANSWES GRADED A

ATI Pharmacology Proctored
Assessment EXAM GRADED A

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 - CORRECT ANSWER 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 -
CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT
ANSWER 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 - CORRECT
ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER
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) - CORRECT ANSWER 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 - CORRECT ANSWER
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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT
ANSWER 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 - CORRECT ANSWER 3)
Decrease in intraocular pressure