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ATI RN PHARMACOLOGY PROCTORED EXAM NEWEST
2024 ACTUAL EXAM COMPLETE 390 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse on a medical‑surgical unit administers a hypnotic medication to
an older adult client at 2100. The next morning, the client is drowsy and
wants to sleep instead of eating breakfast. Which of the following factors
should the nurse identify as a possible reason for the client's
drowsiness?
A. Reduced cardiac function
B. First‑pass effect
C. Reduced hepatic function
D. Increased gastric motility - ANSWER- C. Reduced hepatic function
Rationale:(Older adults have reduced hepatic function, which can
prolong the effects of medications the liver metabolizes. The client
probably needs a lower dosage of the hypnotic medication)
A nurse working in an emergency department is caring for a client who
has Benzodiazepine toxicity due to an overdose. Which of the following
actions is the nurse's priority?
A. Administer flumazenil.
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B. Identify the client's level of orientation.
C. Infuse IV fluids.
D. Prepare the client for gastric lavage - ANSWER- B. Identify the
client's level of orientation.
Rationale: (The first action the nurse should take when using the
nursing process is to assess the client. Identifying the client's level of
orientation is the priority action.)
A nurse is teaching a client who has a new prescription for
Escitalopram for treatment of generalized Anxiety disorder. Which of
the following statements by the client indicates understanding of the
teaching?
A. "I should take the medication on an empty stomach."
B. "I will follow a low‑sodium diet while taking this medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before swallowing." - ANSWER-
C. "I need to discontinue this medication slowly."
Rationale: (When discontinuing escitalopram, the client should taper
the medication slowly according to a prescribed tapered dosing
schedule to reduce the risk of withdrawal syndrome.)
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A nurse is providing teaching to a client who has a new prescription for
Buspirone to treat Anxiety. Which of the following information should
the nurse include?
A. "Take this medication on an empty stomach"
B. "Expect optimal therapeutic effects within 24 hr."
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency." - ANSWER- D.
"This medication has a low risk for dependency."
Rationale: (Buspirone has a low risk for physical or psychological
dependence or tolerance.)
A nurse is teaching a client who has OCD and has a new prescription
for Paroxetine. Which of the following instructions should the nurse
include?
A. "It can take several weeks before you feel like the medication is
helping."
B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive urges."
D. "Monitor for weight gain while taking this medication." - ANSWER-
A. "It can take several weeks before you feel like the medication is
helping."
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Rationale: (Paroxetine can take 1 to 4 weeks before the client reaches
full therapeutic benefit.)
A nurse is caring for a client who takes Paroxetine to treat PTSD and
reports that he grinds his teeth during the night. The nurse should
identify which of the following interventions to manage Bruxism? (Select
all that apply.)
A. Concurrent administration of buspirone
B. Administration of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
E. Increasing the dose of paroxetine - ANSWER- A. Concurrent
administration of buspirone
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
Rationale: (A. Concurrent administration of a low dose of buspirone is
an effective measure to manage the adverse effects of paroxetine
C.Using a mouth guard during sleep can decrease the risk for oral
damage resulting from bruxism.
D. Changing to different class of antidepressant medication that does
not have the adverse effect of bruxism is an effective measure)
ATI RN PHARMACOLOGY PROCTORED EXAM NEWEST
2024 ACTUAL EXAM COMPLETE 390 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse on a medical‑surgical unit administers a hypnotic medication to
an older adult client at 2100. The next morning, the client is drowsy and
wants to sleep instead of eating breakfast. Which of the following factors
should the nurse identify as a possible reason for the client's
drowsiness?
A. Reduced cardiac function
B. First‑pass effect
C. Reduced hepatic function
D. Increased gastric motility - ANSWER- C. Reduced hepatic function
Rationale:(Older adults have reduced hepatic function, which can
prolong the effects of medications the liver metabolizes. The client
probably needs a lower dosage of the hypnotic medication)
A nurse working in an emergency department is caring for a client who
has Benzodiazepine toxicity due to an overdose. Which of the following
actions is the nurse's priority?
A. Administer flumazenil.
,2|Page
B. Identify the client's level of orientation.
C. Infuse IV fluids.
D. Prepare the client for gastric lavage - ANSWER- B. Identify the
client's level of orientation.
Rationale: (The first action the nurse should take when using the
nursing process is to assess the client. Identifying the client's level of
orientation is the priority action.)
A nurse is teaching a client who has a new prescription for
Escitalopram for treatment of generalized Anxiety disorder. Which of
the following statements by the client indicates understanding of the
teaching?
A. "I should take the medication on an empty stomach."
B. "I will follow a low‑sodium diet while taking this medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before swallowing." - ANSWER-
C. "I need to discontinue this medication slowly."
Rationale: (When discontinuing escitalopram, the client should taper
the medication slowly according to a prescribed tapered dosing
schedule to reduce the risk of withdrawal syndrome.)
,3|Page
A nurse is providing teaching to a client who has a new prescription for
Buspirone to treat Anxiety. Which of the following information should
the nurse include?
A. "Take this medication on an empty stomach"
B. "Expect optimal therapeutic effects within 24 hr."
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency." - ANSWER- D.
"This medication has a low risk for dependency."
Rationale: (Buspirone has a low risk for physical or psychological
dependence or tolerance.)
A nurse is teaching a client who has OCD and has a new prescription
for Paroxetine. Which of the following instructions should the nurse
include?
A. "It can take several weeks before you feel like the medication is
helping."
B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive urges."
D. "Monitor for weight gain while taking this medication." - ANSWER-
A. "It can take several weeks before you feel like the medication is
helping."
, 4|Page
Rationale: (Paroxetine can take 1 to 4 weeks before the client reaches
full therapeutic benefit.)
A nurse is caring for a client who takes Paroxetine to treat PTSD and
reports that he grinds his teeth during the night. The nurse should
identify which of the following interventions to manage Bruxism? (Select
all that apply.)
A. Concurrent administration of buspirone
B. Administration of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
E. Increasing the dose of paroxetine - ANSWER- A. Concurrent
administration of buspirone
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
Rationale: (A. Concurrent administration of a low dose of buspirone is
an effective measure to manage the adverse effects of paroxetine
C.Using a mouth guard during sleep can decrease the risk for oral
damage resulting from bruxism.
D. Changing to different class of antidepressant medication that does
not have the adverse effect of bruxism is an effective measure)
