ATI Pharmacology Proctored Review with accurate
answers /verified and updated /2024=2025
1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication was
effective if the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL: 2) Total T4 level is 2 mcg/dL
2. A nurse providing teaching to a client who has just been prescribed pra- zosin
(Minipress) which of the following client statement indicates under- standing of teaching:
1) I will not use a salt substitute while taking meds
2) I will move slowly from sitting to standing to prevent falls: 2) I will move slowly from sitting to
standing to prevent falls
3. A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin).
Which statement by the patient indicates further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest: 1) I should expect a rash to develop
4. A nurse is providing teaching to an adolescent and her family regarding a new
prescription of phenytoin (Dilantin) for a newly diagnosed seizure
disorder. Which of the following client statements indicates the understanding of the teaching
1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing nausea: 1) I will keep a seizure frequency chart
5. A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix)
and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L.
Which of the following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium: 1) Apply a cardiac monitor
6. A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
Which of the following client findings requires an incident report:
,1) The client is also taking linsinophrel (Prinivil)
2) The client reports shortness of breath: 2) The client reports shortness of breath
7. A nurse is providing teaching to a female client who has been newly diag- nosed with a
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that
phenytoin can decrease the effectiveness of which of the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
2) Fluroxetine (Prozac): 1) Ethunyl estradiol/desogestrel (Cyclessa)
8. Which of the following should the nurse include in her instructions:
1) Take 1SL tablet three times a day before meals
2) Take 1SL tablet at onset of migrane: 2) Take 1SL tablet at onset of migrane
9. A nurse is reviewing a client's daily laboratory findings before administering
0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the
following actions should the nurse take:
1) Give the medication
2) Request a dose increase: 1) Give the medication
10. A nurse is planning to provide medication education for a client who will begin a course
of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the
client to avoid during the course of therapy:
3) Coffee
4) Beer: 4) Beer
11. A nurse is teaching a client who has heart failure about a new prescription for captopril
(Capoten). Which of the following statements by the client indi- cates a need for further
teaching:
3) I will take the medication 1 hr before my meals
4) I will use a salt substitute with my meals: 4) I will use a salt substitute with my meals
12. A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is
prescribed. Which of the following client findings should the nurse recognize as being the
best indication that the medication is achieving it's therapeutic effect:
, 3) Decrease in intraocular pressure
4)Lung fluids clear to ausculatation: 3) Decrease in intraocular pressure
13. A nurse is educating a client who has a new prescription for simvastatin (Zacor).
Which of the following instructions should the nurse include in the
teaching plan: (Select all that apply):
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
3) Take the medication in the early morning
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long: 1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
14. A client taking IV heparin and oral warfarin (coumadin) for deep throm- bosis. The
client aPTT is 4x the normal value and his INR is 2. Which of the following actions should
the nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin: 1) Decrease the heparin
15. The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin)
by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR
monitor indicates late decelerations. Which of the following actions should the nurse take
first:
1) Turn the client to side lying position
2) Discontinue the client's IV meds: 2) Discontinue the client's IV meds
16. A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit
smoking. For which of the following side effects should the nurse assess the client:
3) Insomnia
4) Tinnitus: 3) Insomnia
17. A nurse is teaching a client about the use of risedronate (Actonel) to treat osteoporasis.
Which of the following client statements indicates a need for further teaching:
answers /verified and updated /2024=2025
1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication was
effective if the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL: 2) Total T4 level is 2 mcg/dL
2. A nurse providing teaching to a client who has just been prescribed pra- zosin
(Minipress) which of the following client statement indicates under- standing of teaching:
1) I will not use a salt substitute while taking meds
2) I will move slowly from sitting to standing to prevent falls: 2) I will move slowly from sitting to
standing to prevent falls
3. A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin).
Which statement by the patient indicates further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest: 1) I should expect a rash to develop
4. A nurse is providing teaching to an adolescent and her family regarding a new
prescription of phenytoin (Dilantin) for a newly diagnosed seizure
disorder. Which of the following client statements indicates the understanding of the teaching
1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing nausea: 1) I will keep a seizure frequency chart
5. A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix)
and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L.
Which of the following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium: 1) Apply a cardiac monitor
6. A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
Which of the following client findings requires an incident report:
,1) The client is also taking linsinophrel (Prinivil)
2) The client reports shortness of breath: 2) The client reports shortness of breath
7. A nurse is providing teaching to a female client who has been newly diag- nosed with a
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that
phenytoin can decrease the effectiveness of which of the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
2) Fluroxetine (Prozac): 1) Ethunyl estradiol/desogestrel (Cyclessa)
8. Which of the following should the nurse include in her instructions:
1) Take 1SL tablet three times a day before meals
2) Take 1SL tablet at onset of migrane: 2) Take 1SL tablet at onset of migrane
9. A nurse is reviewing a client's daily laboratory findings before administering
0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the
following actions should the nurse take:
1) Give the medication
2) Request a dose increase: 1) Give the medication
10. A nurse is planning to provide medication education for a client who will begin a course
of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the
client to avoid during the course of therapy:
3) Coffee
4) Beer: 4) Beer
11. A nurse is teaching a client who has heart failure about a new prescription for captopril
(Capoten). Which of the following statements by the client indi- cates a need for further
teaching:
3) I will take the medication 1 hr before my meals
4) I will use a salt substitute with my meals: 4) I will use a salt substitute with my meals
12. A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is
prescribed. Which of the following client findings should the nurse recognize as being the
best indication that the medication is achieving it's therapeutic effect:
, 3) Decrease in intraocular pressure
4)Lung fluids clear to ausculatation: 3) Decrease in intraocular pressure
13. A nurse is educating a client who has a new prescription for simvastatin (Zacor).
Which of the following instructions should the nurse include in the
teaching plan: (Select all that apply):
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
3) Take the medication in the early morning
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long: 1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
14. A client taking IV heparin and oral warfarin (coumadin) for deep throm- bosis. The
client aPTT is 4x the normal value and his INR is 2. Which of the following actions should
the nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin: 1) Decrease the heparin
15. The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin)
by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR
monitor indicates late decelerations. Which of the following actions should the nurse take
first:
1) Turn the client to side lying position
2) Discontinue the client's IV meds: 2) Discontinue the client's IV meds
16. A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit
smoking. For which of the following side effects should the nurse assess the client:
3) Insomnia
4) Tinnitus: 3) Insomnia
17. A nurse is teaching a client about the use of risedronate (Actonel) to treat osteoporasis.
Which of the following client statements indicates a need for further teaching:
