ATI PHARMACOLOGY PROCTORED EXAM /PHARMACOLO
ATI 2023 PROCTORED EXAM ACTUAL QUESTIONS WITH DETAI
VERIFIED ANSWERS /A+ GRADE ASSURED
• A nurse is preparing to administer warfarin to a client who
has a new onset ofatrial fibrillation. The client asks the
nurse, “What does this medication do?” Which of the
following responses should the nurse make?
• “It helps your heart return to a normal rhythm.”
• “It dissolves blood clots.”
• “It can reduce your risk of having a stroke.”
• “It helps to prevent bleeding in atrial fibrillation.”
Rationale: C. The nurse should identify that atrial
fibrillation increases the client’s risk of having a stroke
due to clot formation in the atrium. Warfarincan prevent
clot formation when used long term, which will reduce the
client’s risk of having a stroke.
• A nurse is caring for a client who has diabetes insipidus. Which
of the followinglaboratory values should the nurse identify as
reflecting a contraindication to receiving vasopressin to treat
this disorder?
• Sodium 152 mEq/L
• Potassium 6.0 mEq/L
• Creatinine clearance 50 mL/min
• Aspartate aminotransferase (AST) 52 units/L
Rationale: C. Creatinine clearance should be above 87
mL/min for female clients and above 107 mL/min for male
clients. A creatinine clearance of 50 mL/min indicates renal
impairment and is a contraindication to receiving
vasopressin. Renal impairment increases the likelihood of
the life- threatening adverse effect of water intoxication
,• A nurse is reviewing the medication history of a client who
has mild intermittent asthma. The nurse should anticipate a
prescription for which of the following inhalers for the client?
• Ipratropium
• Albuterol sulfate
• Tiotropium
• Budesonide
Rationale: B. The nurse should anticipate a client who has
mild intermittentasthma to be prescribed albuterol sulfate.
Albuterol sulfate is a short acting
beta2-agonist that activates beta2-receptors in the
smooth muscle of the lung, allowing the client’s airway
and lungs to dilate, thereby relieving bronchospasm
and allowing the client to breathe.
• A nurse is caring for a client who has a dry nonproductive
cough. Which of the following types of medication should the
nurse recommend?
• Expectorant
• Mucolytic
• Bronchodilator
• Antitussive
Rationale: D. Antitussives suppress the cough reflex.
Expectorants help mobilize secretions. Mucolytics help
liquefy secretions.
• A nurse is caring for a client who has heart failure and is taking
oral furosemide40 mg daily. For which of the following
adverse effects should the client be taught to monitor and
notify the provider if it occurs?
• Nasal congestion
• Tremors
• Tinnitus
• Frontal headache
, Rationale: C. Loop diuretics such as furosemide can cause
ototoxicity. The client should be taught to notify the
provider if tinnitus, a full feeling in the ears, or hearing
loss occurs.
• A nurse is monitoring a client who is receiving terbutaline to
suppress pretermlabor. Which of the following findings
should indicate to the nurse that the client is experiencing an
adverse effect of the medication?
• BP 132/84 mmHg
• Blood glucose 106 mg/dL
• Decreased deep tendon reflexes
• Maternal heart rate >120/min
Rationale: D. A client who is receiving terbutaline can
experience tachycardia, which poses a significant risk to
the mother. Therefore, when the maternal heart rate
exceeds 120/min, the medication should be stopped.
Adverse effects result from activating beta 1 receptors as well
as beta2receptors.
• A nurse is teaching about levodopa with a family member of
a client who has Parkinson’s disease. Which of the following
pieces of information should the nurse include?
• “A full therapeutic response may take several months to
happen.”
• “This medication should be taken with
high-protein foods.”aa. “A full therapeutic
response might cause vivid dreams.” bb.“The
medication is given at the onset of mild
symptoms.”
Rationale: A. The nurse should inform the family member
that although levodopa is the most effective medication for
Parkinson’s disease, a full therapeutic response might not
occur for several months. Amino acids compete with
levodopa for intestinal absorption. Therefore, high-protein
ATI 2023 PROCTORED EXAM ACTUAL QUESTIONS WITH DETAI
VERIFIED ANSWERS /A+ GRADE ASSURED
• A nurse is preparing to administer warfarin to a client who
has a new onset ofatrial fibrillation. The client asks the
nurse, “What does this medication do?” Which of the
following responses should the nurse make?
• “It helps your heart return to a normal rhythm.”
• “It dissolves blood clots.”
• “It can reduce your risk of having a stroke.”
• “It helps to prevent bleeding in atrial fibrillation.”
Rationale: C. The nurse should identify that atrial
fibrillation increases the client’s risk of having a stroke
due to clot formation in the atrium. Warfarincan prevent
clot formation when used long term, which will reduce the
client’s risk of having a stroke.
• A nurse is caring for a client who has diabetes insipidus. Which
of the followinglaboratory values should the nurse identify as
reflecting a contraindication to receiving vasopressin to treat
this disorder?
• Sodium 152 mEq/L
• Potassium 6.0 mEq/L
• Creatinine clearance 50 mL/min
• Aspartate aminotransferase (AST) 52 units/L
Rationale: C. Creatinine clearance should be above 87
mL/min for female clients and above 107 mL/min for male
clients. A creatinine clearance of 50 mL/min indicates renal
impairment and is a contraindication to receiving
vasopressin. Renal impairment increases the likelihood of
the life- threatening adverse effect of water intoxication
,• A nurse is reviewing the medication history of a client who
has mild intermittent asthma. The nurse should anticipate a
prescription for which of the following inhalers for the client?
• Ipratropium
• Albuterol sulfate
• Tiotropium
• Budesonide
Rationale: B. The nurse should anticipate a client who has
mild intermittentasthma to be prescribed albuterol sulfate.
Albuterol sulfate is a short acting
beta2-agonist that activates beta2-receptors in the
smooth muscle of the lung, allowing the client’s airway
and lungs to dilate, thereby relieving bronchospasm
and allowing the client to breathe.
• A nurse is caring for a client who has a dry nonproductive
cough. Which of the following types of medication should the
nurse recommend?
• Expectorant
• Mucolytic
• Bronchodilator
• Antitussive
Rationale: D. Antitussives suppress the cough reflex.
Expectorants help mobilize secretions. Mucolytics help
liquefy secretions.
• A nurse is caring for a client who has heart failure and is taking
oral furosemide40 mg daily. For which of the following
adverse effects should the client be taught to monitor and
notify the provider if it occurs?
• Nasal congestion
• Tremors
• Tinnitus
• Frontal headache
, Rationale: C. Loop diuretics such as furosemide can cause
ototoxicity. The client should be taught to notify the
provider if tinnitus, a full feeling in the ears, or hearing
loss occurs.
• A nurse is monitoring a client who is receiving terbutaline to
suppress pretermlabor. Which of the following findings
should indicate to the nurse that the client is experiencing an
adverse effect of the medication?
• BP 132/84 mmHg
• Blood glucose 106 mg/dL
• Decreased deep tendon reflexes
• Maternal heart rate >120/min
Rationale: D. A client who is receiving terbutaline can
experience tachycardia, which poses a significant risk to
the mother. Therefore, when the maternal heart rate
exceeds 120/min, the medication should be stopped.
Adverse effects result from activating beta 1 receptors as well
as beta2receptors.
• A nurse is teaching about levodopa with a family member of
a client who has Parkinson’s disease. Which of the following
pieces of information should the nurse include?
• “A full therapeutic response may take several months to
happen.”
• “This medication should be taken with
high-protein foods.”aa. “A full therapeutic
response might cause vivid dreams.” bb.“The
medication is given at the onset of mild
symptoms.”
Rationale: A. The nurse should inform the family member
that although levodopa is the most effective medication for
Parkinson’s disease, a full therapeutic response might not
occur for several months. Amino acids compete with
levodopa for intestinal absorption. Therefore, high-protein
