ATI Pharmacology Proctored
Assessment 2023/2024 /QUESTIONS
AND ANSWERS GRADED A / REAL
EXAM
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
Assessment 2023/2024 /QUESTIONS
AND ANSWERS GRADED A / REAL
EXAM
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
