ATI PHARMACOLOGY EXAM 2024-2025
WITH LATEST PROCTORED QUESTIONS
AND 100% CORRECT ANSWERS GRADED
A+
A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the following
physiological effects of pregnancy should the nurse take into consideration?
a. increased intestinal transit rate
b. accelerated excretion of fluids
c. reduced renal blood flow
d. decreased hepatic metabolism - ANS-b. accelerated excretion of fluids
there are physiologic changes in the kidneys with pregnancy, including accelerated excretion from
increased renal blood flow. this results in increased GFR, to compensate for these changes, dosages of
medications that GFR eliminates must be increased to achieve a comparable therapeutic effect.
a- pregnancy reduces tone and motility of the intestines, decreasing transit rate
c- renal blood flow doubles in pregnancy, increasing GFR and clearance of medications that GFR
eliminates
d- pregnancy causes changes in the liver, increased in liver metabolism
The client's current pain regimen consist of non-opioid analgesic and adjuvant medication for
neuropathic pain the next addition to pain regimen is an opioid for moderate pain
,A nurse is teaching a client about taking tetracycline PO which of the following statements should the
nurse include in the teaching?
a. Take this medication on a full stomach
b. limit your consumption of dairy products while taking this medicine
c. take this medication with your regular iron supplement
d. take antacids if you have an upset stomach from using a tetracycline - ANS-b-limit your consumption
of dairy products while taking this medication
an interval of at least two hours should separate tetracycline ingestion and the ingestion of products
that chelate this medication such as milk or calcium
In nurses caring for a client who has a new prescription for ergotamine. The nurse should recognize that
ergotamine is administered to treat which of the following conditions?
a. Raynaud's phenomenon
b. migraine headaches
c. ulcerative colitis
d. anemia - ANS-b - migraine headache
prevents or stops a migraine headache by blocking alpha adrenergic receptors in the cranial peripheral
vascular smooth muscle which causes vasoconstriction of dilated cerebral blood vessels
A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following
should the nurse include in the teaching as an adverse effect of lisinopril?
a. Tongue swelling
b. Low potassium level
c. Runny nose
d. Bruising - ANS-a-tongue swelling
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the following
findings should indicate to thee nurse that the treatment is effective?
a. decreased blood glucose
b. increased potassium
c. increased prostaglandin synthesis
,d. decreased inflammation - ANS-d. decreased inflammation
for Crohn's, a decrease in inflammation of the GI lining of the the pt's large intestine is a therapeutic
effect of taking budesonide. this med is a glucocorticoid that works by suppressing the immune system,
also inhibits the actions of prostaglandins and leukotrienes.
a- actually increased BG
b- budesonide has mineralocorticoid activity causing sodium, water retention, and potassium loss.
hypokalemia is an adverse effect and cause life-threatening dysrhythmias
c- actually inhibits, not increases prostaglandin synthesis.
a nurse in a providers office s assessing a client who reports taking a dietary supplement to reduce hot
flashes to menopause. which of the following supplements should the nurse expect the client to report
taking?
a. flaxseed
b. Ginkgo biloba
c. black cohosh
d. St. Johns wort - ANS-c. black cohosh
black cohosh is an herb that is used for the Tx of menopausal symptoms such as hot flashes, vaginal
dryness, irritability, and sleep disturbance
a nurse is preparing to administer a hydromorphone IV infusion to a client for pain. which of the
following actions should the nurse take?
a. administer the med over 4-5 minutes
b. place the client in a high-fowlers position
c. assess the client's pain level after administering the pain med
d. review the client's last set of vitals - ANS-a. administer the medication over 4-5 minutes
administer over 4-5 minutes to prevent the adverse effects of the medication such as respiratory
depression and cardiac arrest
, a nurse is providing teaching to a group of new parents about medications. the nurse should include
that aspirin is contraindicated for children who have a viral infection due to the risk of developing which
of the following adverse effects?
a. Reye's syndrome
b. visual disturbances
c. diabetes mellitus
d. Wilms' tumor - ANS-a. Reye's syndrome
aspirin should not be given to children or adolescents who have a viral infection like chickenpox due to
the risk of developing Reye's Syndrome
a nurse is teaching a client who had kidney transplant surgery about immunosuppressive medication.
which of the following adverse effects of these meds should the nurse include in the teaching?
a. increased urinary output
b. increased susceptibility to infection
c. increased hair loss
d. increased risk of autoimmune disorders - ANS-b. increased susceptibility to infection
immunosuppressive medications such as cyclosporine increase the risk of infection. as the medication
classification indicates, these medications impair immunity
a nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the
following statements should the nurse include in the teaching?
a. you might notice that you see better in dim areas
b. you should increase your fluid intake
c. you should expect to have excessive urination
d. you might experience difficulty sleeping - ANS-b. increase fluid intake
the nurse should inform the client that an adverse effect of morphine is constipation. therefore, the
nurse should encourage the client to increase oral fluids to promote motility of the bowel
WITH LATEST PROCTORED QUESTIONS
AND 100% CORRECT ANSWERS GRADED
A+
A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the following
physiological effects of pregnancy should the nurse take into consideration?
a. increased intestinal transit rate
b. accelerated excretion of fluids
c. reduced renal blood flow
d. decreased hepatic metabolism - ANS-b. accelerated excretion of fluids
there are physiologic changes in the kidneys with pregnancy, including accelerated excretion from
increased renal blood flow. this results in increased GFR, to compensate for these changes, dosages of
medications that GFR eliminates must be increased to achieve a comparable therapeutic effect.
a- pregnancy reduces tone and motility of the intestines, decreasing transit rate
c- renal blood flow doubles in pregnancy, increasing GFR and clearance of medications that GFR
eliminates
d- pregnancy causes changes in the liver, increased in liver metabolism
The client's current pain regimen consist of non-opioid analgesic and adjuvant medication for
neuropathic pain the next addition to pain regimen is an opioid for moderate pain
,A nurse is teaching a client about taking tetracycline PO which of the following statements should the
nurse include in the teaching?
a. Take this medication on a full stomach
b. limit your consumption of dairy products while taking this medicine
c. take this medication with your regular iron supplement
d. take antacids if you have an upset stomach from using a tetracycline - ANS-b-limit your consumption
of dairy products while taking this medication
an interval of at least two hours should separate tetracycline ingestion and the ingestion of products
that chelate this medication such as milk or calcium
In nurses caring for a client who has a new prescription for ergotamine. The nurse should recognize that
ergotamine is administered to treat which of the following conditions?
a. Raynaud's phenomenon
b. migraine headaches
c. ulcerative colitis
d. anemia - ANS-b - migraine headache
prevents or stops a migraine headache by blocking alpha adrenergic receptors in the cranial peripheral
vascular smooth muscle which causes vasoconstriction of dilated cerebral blood vessels
A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following
should the nurse include in the teaching as an adverse effect of lisinopril?
a. Tongue swelling
b. Low potassium level
c. Runny nose
d. Bruising - ANS-a-tongue swelling
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the following
findings should indicate to thee nurse that the treatment is effective?
a. decreased blood glucose
b. increased potassium
c. increased prostaglandin synthesis
,d. decreased inflammation - ANS-d. decreased inflammation
for Crohn's, a decrease in inflammation of the GI lining of the the pt's large intestine is a therapeutic
effect of taking budesonide. this med is a glucocorticoid that works by suppressing the immune system,
also inhibits the actions of prostaglandins and leukotrienes.
a- actually increased BG
b- budesonide has mineralocorticoid activity causing sodium, water retention, and potassium loss.
hypokalemia is an adverse effect and cause life-threatening dysrhythmias
c- actually inhibits, not increases prostaglandin synthesis.
a nurse in a providers office s assessing a client who reports taking a dietary supplement to reduce hot
flashes to menopause. which of the following supplements should the nurse expect the client to report
taking?
a. flaxseed
b. Ginkgo biloba
c. black cohosh
d. St. Johns wort - ANS-c. black cohosh
black cohosh is an herb that is used for the Tx of menopausal symptoms such as hot flashes, vaginal
dryness, irritability, and sleep disturbance
a nurse is preparing to administer a hydromorphone IV infusion to a client for pain. which of the
following actions should the nurse take?
a. administer the med over 4-5 minutes
b. place the client in a high-fowlers position
c. assess the client's pain level after administering the pain med
d. review the client's last set of vitals - ANS-a. administer the medication over 4-5 minutes
administer over 4-5 minutes to prevent the adverse effects of the medication such as respiratory
depression and cardiac arrest
, a nurse is providing teaching to a group of new parents about medications. the nurse should include
that aspirin is contraindicated for children who have a viral infection due to the risk of developing which
of the following adverse effects?
a. Reye's syndrome
b. visual disturbances
c. diabetes mellitus
d. Wilms' tumor - ANS-a. Reye's syndrome
aspirin should not be given to children or adolescents who have a viral infection like chickenpox due to
the risk of developing Reye's Syndrome
a nurse is teaching a client who had kidney transplant surgery about immunosuppressive medication.
which of the following adverse effects of these meds should the nurse include in the teaching?
a. increased urinary output
b. increased susceptibility to infection
c. increased hair loss
d. increased risk of autoimmune disorders - ANS-b. increased susceptibility to infection
immunosuppressive medications such as cyclosporine increase the risk of infection. as the medication
classification indicates, these medications impair immunity
a nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the
following statements should the nurse include in the teaching?
a. you might notice that you see better in dim areas
b. you should increase your fluid intake
c. you should expect to have excessive urination
d. you might experience difficulty sleeping - ANS-b. increase fluid intake
the nurse should inform the client that an adverse effect of morphine is constipation. therefore, the
nurse should encourage the client to increase oral fluids to promote motility of the bowel
