Pharmacology Proctored ATI Exam
A nurse is caring for a client who has schizophrenia and generalized anxiety disorder.
The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For
which of the following client statements should the nurse consider administering
alprazolam? - answers The client states, "My heart is pounding out of my chest."
A nurse is preparing to administer a pre-packaged oral medication to a client and
complete the final medication check. At which of the following times or places should
the nurse perform this final check? - answers At the client's bedside before
administration
A nurse is teaching a client about the adverse effects of cisplatin. Which of the following
adverse effects should the nurse include in the teaching? - answers Tinnitus
A nurse is caring for a client who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the client may be experiencing
tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
- answers Tongue thrusting and lip smacking,
Facial grimacing and eye blinking, Involuntary pelvic rocking and hip thrusting
movements
A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and
requests a prescription for sildenafil. Which of the following medications currently
prescribed for the client is a contraindication to taking sildenafil? - answers Isosorbide
A nurse is caring for four clients. After administering morning medications, she realizes
that the nifedipine prescribed for one client was inadvertently administered to another
client. Which of the following actions should the nurse take first? - answers Check the
client's vital signs.
A nurse is providing dietary teaching for a client who has a new prescription for a
monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu,
which of the following items requires intervention by the nurse? - answers Bologna
sandwich
A nurse is caring for a client who is withdrawing from opioids. Which of the following
medications should the nurse prepare to administer? - answers Methadone
, A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of
amitriptyline." Which of the following responses should the nurse make? - answers "I'm
glad you called, and I want to send an ambulance to help you."
A nurse is caring for a newborn who has respiratory depression. Which of the following
medications should the nurse anticipate administering? - answers Naloxone
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After
several treatments, the client reports fatigue. Which of the following actions should the
nurse take? - answers Check the results of the client's most recent CBC.
A nurse is providing teaching to a client who has breast cancer about the adverse
effects of chemotherapy. Which of the following client statements indicates an
understanding of the teaching? - answers "I'll call my doctor if I notice any unusual
menstrual bleeding."
A home health nurse is making a home visit to a client who takes a daily diuretic for
heart failure. Which of the following manifestations should the nurse identify as
indicating the client is hypokalemic? - answers Fatigue
A nurse is assessing a client who is receiving dopamine IV to treat left ventricular
failure. Which of the following findings should indicate to the nurse that the medication is
having a therapeutic effect? - answers Systolic blood pressure is increased
A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of
the following information should the nurse include in the teaching? - answers Avoid
driving until effects are known.
A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a
client. Which of the following is the priority assessment the nurse should complete? -
answers Respiratory rate
A nurse is preparing to administer verapamil by IV bolus to a client who is having
cardiac dysrhythmias. For which of the following adverse effects should the nurse
monitor when giving this medication? - answers hypotension
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the
following instructions should the nurse include? - answers "You might have to stop
taking this medication 5 days before any planned surgeries."
A nurse is preparing to administer a medication to a client who states, "That looks
different from the pill I usually take." Which of the following responses should the nurse
make? - answers "Describe what the pill looks like."
A nurse is admitting a client who has acute heart failure following myocardial infarction
(MI). The nurse recognizes that which of the following prescriptions by the provider
requires clarification? - answers 0.9% normal saline IV at 50 mL/hr continuous
A nurse is caring for a client who has schizophrenia and generalized anxiety disorder.
The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For
which of the following client statements should the nurse consider administering
alprazolam? - answers The client states, "My heart is pounding out of my chest."
A nurse is preparing to administer a pre-packaged oral medication to a client and
complete the final medication check. At which of the following times or places should
the nurse perform this final check? - answers At the client's bedside before
administration
A nurse is teaching a client about the adverse effects of cisplatin. Which of the following
adverse effects should the nurse include in the teaching? - answers Tinnitus
A nurse is caring for a client who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the client may be experiencing
tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
- answers Tongue thrusting and lip smacking,
Facial grimacing and eye blinking, Involuntary pelvic rocking and hip thrusting
movements
A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and
requests a prescription for sildenafil. Which of the following medications currently
prescribed for the client is a contraindication to taking sildenafil? - answers Isosorbide
A nurse is caring for four clients. After administering morning medications, she realizes
that the nifedipine prescribed for one client was inadvertently administered to another
client. Which of the following actions should the nurse take first? - answers Check the
client's vital signs.
A nurse is providing dietary teaching for a client who has a new prescription for a
monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu,
which of the following items requires intervention by the nurse? - answers Bologna
sandwich
A nurse is caring for a client who is withdrawing from opioids. Which of the following
medications should the nurse prepare to administer? - answers Methadone
, A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of
amitriptyline." Which of the following responses should the nurse make? - answers "I'm
glad you called, and I want to send an ambulance to help you."
A nurse is caring for a newborn who has respiratory depression. Which of the following
medications should the nurse anticipate administering? - answers Naloxone
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After
several treatments, the client reports fatigue. Which of the following actions should the
nurse take? - answers Check the results of the client's most recent CBC.
A nurse is providing teaching to a client who has breast cancer about the adverse
effects of chemotherapy. Which of the following client statements indicates an
understanding of the teaching? - answers "I'll call my doctor if I notice any unusual
menstrual bleeding."
A home health nurse is making a home visit to a client who takes a daily diuretic for
heart failure. Which of the following manifestations should the nurse identify as
indicating the client is hypokalemic? - answers Fatigue
A nurse is assessing a client who is receiving dopamine IV to treat left ventricular
failure. Which of the following findings should indicate to the nurse that the medication is
having a therapeutic effect? - answers Systolic blood pressure is increased
A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of
the following information should the nurse include in the teaching? - answers Avoid
driving until effects are known.
A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a
client. Which of the following is the priority assessment the nurse should complete? -
answers Respiratory rate
A nurse is preparing to administer verapamil by IV bolus to a client who is having
cardiac dysrhythmias. For which of the following adverse effects should the nurse
monitor when giving this medication? - answers hypotension
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the
following instructions should the nurse include? - answers "You might have to stop
taking this medication 5 days before any planned surgeries."
A nurse is preparing to administer a medication to a client who states, "That looks
different from the pill I usually take." Which of the following responses should the nurse
make? - answers "Describe what the pill looks like."
A nurse is admitting a client who has acute heart failure following myocardial infarction
(MI). The nurse recognizes that which of the following prescriptions by the provider
requires clarification? - answers 0.9% normal saline IV at 50 mL/hr continuous
