ATI RN PHARMACOLOGY PROCTORED EXAM /RN PHARMACOLOGY ATI
PROCTORED ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
• When administering the drug senna to a client, a health care provider must inform
theclient of which of the following
• This drug is intended to lower blood pressure and is best used in
combinationwith other antihypertensives
• This drug is not intended for long term use
• The client must limit his/her fiber intake
• Advise client to change positions slowly to limit the risk of
orthostatichypotension
• When giving digoxin (Lanoxin) to a client, the health care provider notices
various signs and symptoms of an overdose. The health care provider knows to
give which of thefollowing to reverse digoxin toxicity
• Naloxone
• Vitamin K
• c. Digibind
d. Fluemanzil
• While providing an Angiotensin-converting enzyme (ACE) inhibitor, the client asks
what the action of the drug is. As a health care provider, you explain that the
action of an ACEinhibitor is
• To lower blood pressure by blocking the conversion of
angiotensin I tovasoconstrictor angiotensin II
• To inhibit reabsorption of sodium back into the body, ultimately increasing
urineoutput and lowering blood pressure
• To decrease heart rate and blood pressure by competing with Beta1 and
Beta2receptors in the heart and lungs
• To lower blood glucose by stimulating the release of insulin
• Which of the following types of insulin is “long-acting”?
• Lispro (Humalog)
• NPH (Humulin N)
• Regular insulin (Humulin R)
• d. Glargine (Lantus)
• What is the therapeutic use of metformin?
• Lower blood pressure.
• To diminish seizure activity.
, • The maintenance of a person’s blood glucose.
• Increase heart rate and decrease gastrointestinal secretions.
• What is the correct definition for absorption of a drug?
• Movement of drug from site of administration to various tissues of the body.
• Describes the absorption, distribution, metabolism & excretion of drugs.
• These types of drugs can be taken over the counter.
• This addresses how various drugs affect different forms of the body.
• What do you assess for in a client who is on Valproate? Select all that
apply. A. Suicidal thoughts
B. Monitor for seizures.
C. Bipolar disorder.
D. Migraines.
• What is true about food and drug precautions? Select all that apply.
• You must limit certain types of food or concurrent administration of certain
typesof drugs.
• Certain combinations of food and drugs can cause adverse reactions.
• Precautions may require limiting certain types of food or concurring drugs
ratherthan restricting the drug itself.
• When one drug changes the way, another drug affects that drug.
• ACE Inhibitors are used in the treatment of all EXCEPT:
• Hypertension
• Heart Failure
• c. Hypotension
d. Diabetic nephropathy
• Which of the following is used to treat migraine
headaches?
• a. Beta-blockers
• Cholinesterase Inhibitors
• ACE inhibitors
• Anti-epileptic drugs (AEDs)
• When administering a Serotonin Antagonist it is important to monitor for
• Intake and output
• Mental status changes
, • Respiratory rate
• Anorexia
• Which of the following is the antidote for
Heparin?
• a. Protamine sulfate
• Vitamin K
• Naloxone
• Toradol
• A client has been taking hydrocodone, and opioid analgesic for their moderate
pain, and they have taken over their prescribed dose. What should you give as the
antidote if they experience toxicity?
• Naloxone
• N-acetylcysteine
• Atropine
• Digoxin immune Fab
• A client is being educated on taking levothyroxine, a drug used to balance
thyroidactivity. What should you include in their education?
A. Don’t bother your health care professionals if you experience side
effects
B. Take this at the same time every day
• Thyroid tests are unnecessary while taking this drug
• It is okay to take this drug if you have recently had a myocardial infarction
• A client states he experiences anxiety and has panic attacks at least once a week.
Whatmight be helpful for this client?
• Phenytoin (Dilantin)
• Lithium
• Alprazolam (Xanax)
• Spironolactone
• Which of the following is NOT an opioid or NSAID?
• Morphine
• Ibuprofen
• Hydromorphone
• D. Acetaminophen
, • Why is it important to monitor ins and outs with clients using ACE inhibitors?
• To assess for renal impairment
• You must make sure the client is receiving adequate fluid intake
• To assess the client for potential heart failure
• You must assess for NSAID use
• To assess for decreased blood pressure
• Which drug goes through extensive first-pass hepatic metabolism?
• Heparin
• Insulin
• Propranolol
• Nitroglycerine
• Warfarin
• What nursing interventions should you do when a client is on Albuterol (select all
that apply)
• Assess lung sounds, Pulse, and Blood pressure before administering
• Monitor for changes in behavior
• Observe for paradoxical bronchospasms
• Assess for abdominal distention
• Note sputum color and texture
• What client could potentially take the drug Senna?
• A client with an eating disorder
• A client who has not passed stool in 5 days
• A client with anal fissures
• A client with a history of hemorrhoids
• A client who has hypersensitivity
Question #1
What is the category class of Lithium?
A. Antidiabetics,
biguanides
B. Mood stabilizers
C. Antiarrhythmics, anticonvulsants
D. Vascular headache suppressants
Question #2
What do you need to teach your client if they are taking sennosides? Select All
That Apply.
• Laxatives should be used for short-term therapy
• The medication does not cure hypothyroidism
• The color of the urine may change to a pink, red, violet, yellow, or
brownD. Make sure other forms of bowel regulation are being used
Question #3
PROCTORED ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
• When administering the drug senna to a client, a health care provider must inform
theclient of which of the following
• This drug is intended to lower blood pressure and is best used in
combinationwith other antihypertensives
• This drug is not intended for long term use
• The client must limit his/her fiber intake
• Advise client to change positions slowly to limit the risk of
orthostatichypotension
• When giving digoxin (Lanoxin) to a client, the health care provider notices
various signs and symptoms of an overdose. The health care provider knows to
give which of thefollowing to reverse digoxin toxicity
• Naloxone
• Vitamin K
• c. Digibind
d. Fluemanzil
• While providing an Angiotensin-converting enzyme (ACE) inhibitor, the client asks
what the action of the drug is. As a health care provider, you explain that the
action of an ACEinhibitor is
• To lower blood pressure by blocking the conversion of
angiotensin I tovasoconstrictor angiotensin II
• To inhibit reabsorption of sodium back into the body, ultimately increasing
urineoutput and lowering blood pressure
• To decrease heart rate and blood pressure by competing with Beta1 and
Beta2receptors in the heart and lungs
• To lower blood glucose by stimulating the release of insulin
• Which of the following types of insulin is “long-acting”?
• Lispro (Humalog)
• NPH (Humulin N)
• Regular insulin (Humulin R)
• d. Glargine (Lantus)
• What is the therapeutic use of metformin?
• Lower blood pressure.
• To diminish seizure activity.
, • The maintenance of a person’s blood glucose.
• Increase heart rate and decrease gastrointestinal secretions.
• What is the correct definition for absorption of a drug?
• Movement of drug from site of administration to various tissues of the body.
• Describes the absorption, distribution, metabolism & excretion of drugs.
• These types of drugs can be taken over the counter.
• This addresses how various drugs affect different forms of the body.
• What do you assess for in a client who is on Valproate? Select all that
apply. A. Suicidal thoughts
B. Monitor for seizures.
C. Bipolar disorder.
D. Migraines.
• What is true about food and drug precautions? Select all that apply.
• You must limit certain types of food or concurrent administration of certain
typesof drugs.
• Certain combinations of food and drugs can cause adverse reactions.
• Precautions may require limiting certain types of food or concurring drugs
ratherthan restricting the drug itself.
• When one drug changes the way, another drug affects that drug.
• ACE Inhibitors are used in the treatment of all EXCEPT:
• Hypertension
• Heart Failure
• c. Hypotension
d. Diabetic nephropathy
• Which of the following is used to treat migraine
headaches?
• a. Beta-blockers
• Cholinesterase Inhibitors
• ACE inhibitors
• Anti-epileptic drugs (AEDs)
• When administering a Serotonin Antagonist it is important to monitor for
• Intake and output
• Mental status changes
, • Respiratory rate
• Anorexia
• Which of the following is the antidote for
Heparin?
• a. Protamine sulfate
• Vitamin K
• Naloxone
• Toradol
• A client has been taking hydrocodone, and opioid analgesic for their moderate
pain, and they have taken over their prescribed dose. What should you give as the
antidote if they experience toxicity?
• Naloxone
• N-acetylcysteine
• Atropine
• Digoxin immune Fab
• A client is being educated on taking levothyroxine, a drug used to balance
thyroidactivity. What should you include in their education?
A. Don’t bother your health care professionals if you experience side
effects
B. Take this at the same time every day
• Thyroid tests are unnecessary while taking this drug
• It is okay to take this drug if you have recently had a myocardial infarction
• A client states he experiences anxiety and has panic attacks at least once a week.
Whatmight be helpful for this client?
• Phenytoin (Dilantin)
• Lithium
• Alprazolam (Xanax)
• Spironolactone
• Which of the following is NOT an opioid or NSAID?
• Morphine
• Ibuprofen
• Hydromorphone
• D. Acetaminophen
, • Why is it important to monitor ins and outs with clients using ACE inhibitors?
• To assess for renal impairment
• You must make sure the client is receiving adequate fluid intake
• To assess the client for potential heart failure
• You must assess for NSAID use
• To assess for decreased blood pressure
• Which drug goes through extensive first-pass hepatic metabolism?
• Heparin
• Insulin
• Propranolol
• Nitroglycerine
• Warfarin
• What nursing interventions should you do when a client is on Albuterol (select all
that apply)
• Assess lung sounds, Pulse, and Blood pressure before administering
• Monitor for changes in behavior
• Observe for paradoxical bronchospasms
• Assess for abdominal distention
• Note sputum color and texture
• What client could potentially take the drug Senna?
• A client with an eating disorder
• A client who has not passed stool in 5 days
• A client with anal fissures
• A client with a history of hemorrhoids
• A client who has hypersensitivity
Question #1
What is the category class of Lithium?
A. Antidiabetics,
biguanides
B. Mood stabilizers
C. Antiarrhythmics, anticonvulsants
D. Vascular headache suppressants
Question #2
What do you need to teach your client if they are taking sennosides? Select All
That Apply.
• Laxatives should be used for short-term therapy
• The medication does not cure hypothyroidism
• The color of the urine may change to a pink, red, violet, yellow, or
brownD. Make sure other forms of bowel regulation are being used
Question #3
