ATI Pharmacology Proctored EXAM RADED A
LATEST 2023/ LATEST VERSIONS
A provider prescribes phenobarbital for a client
who has a seizure disorder. The medication has
a long half-life of 4 days. How many times per
day should the nurse expect to administer this
medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER A. One
(Medications with long half-lives remain at their
therapeutic levels between doses for long
periods of time. The nurse should expect to
administer this medication once a day.)
A staff educator is reviewing medication
dosages and factors that influence medication
metabolism with a group of nurses at an in-
service presentation. Which of the following
factors should the educator include as a reason
to administer lower medication dosages? (Select
all that apply.)
,A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same
pathway metabolizes - CORRECT ANSWER C.
Liver failure
E. Concurrent use of medication the same
pathway metabolizes
C. Liver failure decreases metabolism and thus
increases the concentration of a medication.
This requires decreasing the dosage.
E. When the same pathway metabolizes two
medications, they compete for metabolism,
thereby increasing the concentration of one or
both medications. This requires decreasing the
dosage of one or both
A nurse is preparing to administer eye drops to a
client. Which of the following actions should the
nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter
her eye.
,D. Drop the medication into the center of the
client's conjunctival sac.
E. Instruct the client to close her eye gently after
instillation - CORRECT ANSWER B. Ask the
client to look up at the ceiling.
D. Drop the medication into the center of the
client's conjunctival sac.
E. Instruct the client to close her eye gently after
instillation
(B. The client should look upward to keep the
drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote
distribution.
E. The client should close her eye gently to
promote distribution of the medication)
A nurse is completing discharge teaching for a
client who has a new prescription for
transdermal patches. Which of the following
statements should the nurse identify as an
indication that the client understands the
instructions?
A. "I will clean the site with an alcohol swab
before I apply the patch."
B. "I will rotate the application sites weekly."
, C. "I will apply the patch to an area of skin with
no hair."
D. "I will place the new patch on the site of the
old patch. - CORRECT ANSWER C. "I will apply
the patch to an area of skin with no hair."
(The client should apply the patch to a hairless
area of skin to promote absorption of the
medication.)
A nurse reviewing a client's medical record
notes a new prescription for verifying the trough
level of the client's medication. Which of the
following actions should the nurse take?
A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
B. Verify that the client has been taking the
medication for 24 hr before obtaining a blood
specimen.
C. Ask the client to provide a urine specimen
after the next dose of medication.
D. Administer the medication,and obtain a blood
specimen 30 min late - CORRECT ANSWER A.
Obtain a blood specimen immediately prior to
administering the next dose of medication.
LATEST 2023/ LATEST VERSIONS
A provider prescribes phenobarbital for a client
who has a seizure disorder. The medication has
a long half-life of 4 days. How many times per
day should the nurse expect to administer this
medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER A. One
(Medications with long half-lives remain at their
therapeutic levels between doses for long
periods of time. The nurse should expect to
administer this medication once a day.)
A staff educator is reviewing medication
dosages and factors that influence medication
metabolism with a group of nurses at an in-
service presentation. Which of the following
factors should the educator include as a reason
to administer lower medication dosages? (Select
all that apply.)
,A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same
pathway metabolizes - CORRECT ANSWER C.
Liver failure
E. Concurrent use of medication the same
pathway metabolizes
C. Liver failure decreases metabolism and thus
increases the concentration of a medication.
This requires decreasing the dosage.
E. When the same pathway metabolizes two
medications, they compete for metabolism,
thereby increasing the concentration of one or
both medications. This requires decreasing the
dosage of one or both
A nurse is preparing to administer eye drops to a
client. Which of the following actions should the
nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter
her eye.
,D. Drop the medication into the center of the
client's conjunctival sac.
E. Instruct the client to close her eye gently after
instillation - CORRECT ANSWER B. Ask the
client to look up at the ceiling.
D. Drop the medication into the center of the
client's conjunctival sac.
E. Instruct the client to close her eye gently after
instillation
(B. The client should look upward to keep the
drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote
distribution.
E. The client should close her eye gently to
promote distribution of the medication)
A nurse is completing discharge teaching for a
client who has a new prescription for
transdermal patches. Which of the following
statements should the nurse identify as an
indication that the client understands the
instructions?
A. "I will clean the site with an alcohol swab
before I apply the patch."
B. "I will rotate the application sites weekly."
, C. "I will apply the patch to an area of skin with
no hair."
D. "I will place the new patch on the site of the
old patch. - CORRECT ANSWER C. "I will apply
the patch to an area of skin with no hair."
(The client should apply the patch to a hairless
area of skin to promote absorption of the
medication.)
A nurse reviewing a client's medical record
notes a new prescription for verifying the trough
level of the client's medication. Which of the
following actions should the nurse take?
A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
B. Verify that the client has been taking the
medication for 24 hr before obtaining a blood
specimen.
C. Ask the client to provide a urine specimen
after the next dose of medication.
D. Administer the medication,and obtain a blood
specimen 30 min late - CORRECT ANSWER A.
Obtain a blood specimen immediately prior to
administering the next dose of medication.
