ATI PHARMACOLOGY PROCTORED 2023
EXAM 150 QUESTIONS AND CORRECT
ANSWERS AGRADE
A client is taking hydromorphone (Dilaudid) PO q4h at home. Following surgery,
Dilaudid IV q4h PRN and butorphanol tartrate (Stadol) IV q4h PRN are prescribed for
pain. The client received a dose of the Dilaudid IV four hours ago, and is again
requesting pain medication. What intervention should the nurse
implement?
A) Alternate the two medications q4h PRN for pain.
B) Alternate the two medications q2h PRN for pain.
C) Administer only the Dilaudid q4h PRN for pain.
D) Administer only the Stadol q4h PRN for pain. - ANSWER>> C) Administer only the
Dilaudid q4h PRN for pain.
Dilaudid is an opioid agonist. Stadol is an opioid agonist-antagonist. Use of an agonist-
antagonist for the
client who has been receiving opioid agonists may result in abrupt withdrawal
symptoms, and should be
avoided (C). (A, B, and D) do not reflect good nursing practice.
A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for
atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, the nurse
assesses the client.
,Which finding requires the most immediate intervention?
A) Heartburn.
B) Headache.
C) Constipation.
D) Vomiting. - ANSWER>> D) Vomiting.
Vomiting, anorexia and abdominal pain are early indications of digitalis toxicity. Since
Lipitor increases
the risk for digitalis toxicity, this finding requires the most immediate intervention by
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurse include in the client's instruction?
A) Notify the clinic of any changes in the color of urine.
B) Avoid overexposure to the sun.
C) Stop the medication after the diarrhea resolves.
D) Take the medication with food. - ANSWER>> D) Take the medication with food.
Flagyl, an amoebicide and antibacterial agent, may cause gastric distress, so the client
should be
instructed to take the medication on a full stomach (D). Urine may be red-brown or dark
from Flagyl, but
this side effect is not necessary to report (A). Photosensitivity (B) is not a side effect
associated with
Flagyl. Despite the resolution of clinical symptoms, antiinfective medications should be
taken for their
entire course because stopping the medication (C) can increase the risk of resistant
organisms.
,A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should
the nurse
provide?
A) "Yes, it is an oral insulin and has the same actions and properties as intermediate
insulin."
B) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same
manner as insulin."
C) "No, it is not an oral insulin and can be used only when some beta cell function is
present."
D) "No, it is not an oral insulin, but it is effective for those who are resistant to injectable
insulins." - ANSWER>> C) "No, it is not an oral insulin and can be used only when
some beta cell function is present."
An effective oral form of insulin has not yet been developed (C) because when insulin is
taken orally,
it is destroyed by digestive enzymes. Glipizide (Glucotrol) is an oral hypoglycemic agent
that enhances
pancreatic production of insulin. (A, B, and D) do not provide accurate information
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis.
The nurse
prepares for intravenous administration of edrophonium chloride (Tensilon). What is the
expected
outcome for this client following administration of this pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
, D) Decreased muscle weakness. - ANSWER>> D) Decreased muscle weakness.
Administration of edrophonium chloride (Tensilon), a cholinergic agent, will temporarily
reduce muscle
weakness (D), the most common complaint of newly-diagnosed clients with myasthenia
gravis. This medication is used to diagnose myasthenia gravis due to its short duration
of action. This drug would
temporarily reverse (A and B), not increase these symptoms. (C) is not a typical
complaint of clients with
myasthenia gravis, but weakness of specific muscles, especially after prolonged use, is
a common
symptom.
A category X drug is prescribed for a young adult female client. Which instruction is
most important for the nurse to teach this client?
A) Use a reliable form of birth control.
B) Avoid exposure to ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug. - ANSWER>> A) Use a reliable form of
birth control.
Drugs classified in the category X place a client who is in the first trimester of pregnancy
at risk for teratogenesis, so women in the childbearing years should be counseled to
use a reliable form of birth control (A) during drug therapy. (B) is not a specific
precaution with Category X drugs. The client should be encouraged to discuss plans for
pregnancy with the healthcare provider, so a safer alternative prescription (C) can be
provided if pregnancy occurs. Although the risk of birth defects during pregnancy
explains the restriction of these drugs during pregnancy, (D) is not indicated.
EXAM 150 QUESTIONS AND CORRECT
ANSWERS AGRADE
A client is taking hydromorphone (Dilaudid) PO q4h at home. Following surgery,
Dilaudid IV q4h PRN and butorphanol tartrate (Stadol) IV q4h PRN are prescribed for
pain. The client received a dose of the Dilaudid IV four hours ago, and is again
requesting pain medication. What intervention should the nurse
implement?
A) Alternate the two medications q4h PRN for pain.
B) Alternate the two medications q2h PRN for pain.
C) Administer only the Dilaudid q4h PRN for pain.
D) Administer only the Stadol q4h PRN for pain. - ANSWER>> C) Administer only the
Dilaudid q4h PRN for pain.
Dilaudid is an opioid agonist. Stadol is an opioid agonist-antagonist. Use of an agonist-
antagonist for the
client who has been receiving opioid agonists may result in abrupt withdrawal
symptoms, and should be
avoided (C). (A, B, and D) do not reflect good nursing practice.
A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for
atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, the nurse
assesses the client.
,Which finding requires the most immediate intervention?
A) Heartburn.
B) Headache.
C) Constipation.
D) Vomiting. - ANSWER>> D) Vomiting.
Vomiting, anorexia and abdominal pain are early indications of digitalis toxicity. Since
Lipitor increases
the risk for digitalis toxicity, this finding requires the most immediate intervention by
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurse include in the client's instruction?
A) Notify the clinic of any changes in the color of urine.
B) Avoid overexposure to the sun.
C) Stop the medication after the diarrhea resolves.
D) Take the medication with food. - ANSWER>> D) Take the medication with food.
Flagyl, an amoebicide and antibacterial agent, may cause gastric distress, so the client
should be
instructed to take the medication on a full stomach (D). Urine may be red-brown or dark
from Flagyl, but
this side effect is not necessary to report (A). Photosensitivity (B) is not a side effect
associated with
Flagyl. Despite the resolution of clinical symptoms, antiinfective medications should be
taken for their
entire course because stopping the medication (C) can increase the risk of resistant
organisms.
,A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should
the nurse
provide?
A) "Yes, it is an oral insulin and has the same actions and properties as intermediate
insulin."
B) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same
manner as insulin."
C) "No, it is not an oral insulin and can be used only when some beta cell function is
present."
D) "No, it is not an oral insulin, but it is effective for those who are resistant to injectable
insulins." - ANSWER>> C) "No, it is not an oral insulin and can be used only when
some beta cell function is present."
An effective oral form of insulin has not yet been developed (C) because when insulin is
taken orally,
it is destroyed by digestive enzymes. Glipizide (Glucotrol) is an oral hypoglycemic agent
that enhances
pancreatic production of insulin. (A, B, and D) do not provide accurate information
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis.
The nurse
prepares for intravenous administration of edrophonium chloride (Tensilon). What is the
expected
outcome for this client following administration of this pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
, D) Decreased muscle weakness. - ANSWER>> D) Decreased muscle weakness.
Administration of edrophonium chloride (Tensilon), a cholinergic agent, will temporarily
reduce muscle
weakness (D), the most common complaint of newly-diagnosed clients with myasthenia
gravis. This medication is used to diagnose myasthenia gravis due to its short duration
of action. This drug would
temporarily reverse (A and B), not increase these symptoms. (C) is not a typical
complaint of clients with
myasthenia gravis, but weakness of specific muscles, especially after prolonged use, is
a common
symptom.
A category X drug is prescribed for a young adult female client. Which instruction is
most important for the nurse to teach this client?
A) Use a reliable form of birth control.
B) Avoid exposure to ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug. - ANSWER>> A) Use a reliable form of
birth control.
Drugs classified in the category X place a client who is in the first trimester of pregnancy
at risk for teratogenesis, so women in the childbearing years should be counseled to
use a reliable form of birth control (A) during drug therapy. (B) is not a specific
precaution with Category X drugs. The client should be encouraged to discuss plans for
pregnancy with the healthcare provider, so a safer alternative prescription (C) can be
provided if pregnancy occurs. Although the risk of birth defects during pregnancy
explains the restriction of these drugs during pregnancy, (D) is not indicated.
