Pharm ATI PROCTORED 2025
1. A nurse is assessing a client who reports using several herbal and
vitamin supplements daily, including saw palmetto. The nurse should
recognize that saw palmetto is a supplement used by clients to elicit which
of the following therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness: A. urinary health
promotion
Saw palmetto is used primarily for manifestations related to prostatic conditions,
such as benign prostatic hypertrophy (BPH). Its effectiveness has not been
scientifically proven, however. The nurse should teach the client to check with the
provider about interactions between saw palmetto and other medications.
2. 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. Wilm's tumor: a. Reye's syndrome
3. A nurse is providing teaching to a client who has chronic kidney failure with
an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of
the following therapeutic effects of epoetin alfa should the nurse include in
the teaching?
a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils: c. Promotes RBC production
, Pharm ATI PROCTORED 2025
4. A nurse is caring for a client who has peptic ulcer disease and reports
a headache. Which of the following medications should the nurse plan to
administer?
a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics): d. Acetaminophen (anlagesics)
5. A nurse is caring for a client who has prescription for clopidogrel. The
nurse should monitor the client for which of the following adverse effects? a.
Insomnia
b. Hypotension
c. Bleeding
d. Constipation: c. Bleeding
6. A nurse is teaching a newly licensed nurse about contraindications to
ceftriaxone. The nurse should include a severe allergy to which of the
following medications as contraindication to ceftriaxone? a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim: c. Piperacillin
7. A nurse is providing teaching to a newly licensed nurse about
metoclopramide. The nurse should include in the teaching that which of the
following conditions is a contraindication to this medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure: b. Intestinal obstruction
8. A nurse is assessing a client who has a new prescription for
chlorpromazine to treat schizophrenia. The client has a mask like facial
expression and is experiencing involuntary movements and tremors. Which
of the following medications should the nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
, Pharm ATI PROCTORED 2025
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine): a. Amantadine
9. A nurse is administering subQ epinephrine for a client who is experiencing
anaphylaxis.
The nurse should monitor the client for which of the following adverse
effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia: d. Tachycardia
10. A nurse is providing teaching to a client who has UTI and new prescription
for phenazopyridine and ciprofloxacin. Which of the following statements by
the client indicates the need for further teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of
the infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
d. I should notify my provider immediately if my urine turns an orange color.:
d. I should notify my provider immediately if my urine turns an orange color.
11. A nurse is caring for an older adult client who has a prescription for
zolpidem at bedtime to promote sleep. The nurse should plan to monitor the
client for which of the following adverse effects? a. Ecchymosis
b. Decreased urine output
c. Increased blood pressure
d. Dizziness: d. Dizziness
12. A nurse is reviewing laboratory values for a client who reports fatigue and
cold intolerance. The client has an increased thyroid stimulating hormone
(TSH) level and a decreased total T3 and T4 level. The nurse should anticipate
a prescription for which of the following medications?
1. A nurse is assessing a client who reports using several herbal and
vitamin supplements daily, including saw palmetto. The nurse should
recognize that saw palmetto is a supplement used by clients to elicit which
of the following therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness: A. urinary health
promotion
Saw palmetto is used primarily for manifestations related to prostatic conditions,
such as benign prostatic hypertrophy (BPH). Its effectiveness has not been
scientifically proven, however. The nurse should teach the client to check with the
provider about interactions between saw palmetto and other medications.
2. 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. Wilm's tumor: a. Reye's syndrome
3. A nurse is providing teaching to a client who has chronic kidney failure with
an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of
the following therapeutic effects of epoetin alfa should the nurse include in
the teaching?
a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils: c. Promotes RBC production
, Pharm ATI PROCTORED 2025
4. A nurse is caring for a client who has peptic ulcer disease and reports
a headache. Which of the following medications should the nurse plan to
administer?
a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics): d. Acetaminophen (anlagesics)
5. A nurse is caring for a client who has prescription for clopidogrel. The
nurse should monitor the client for which of the following adverse effects? a.
Insomnia
b. Hypotension
c. Bleeding
d. Constipation: c. Bleeding
6. A nurse is teaching a newly licensed nurse about contraindications to
ceftriaxone. The nurse should include a severe allergy to which of the
following medications as contraindication to ceftriaxone? a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim: c. Piperacillin
7. A nurse is providing teaching to a newly licensed nurse about
metoclopramide. The nurse should include in the teaching that which of the
following conditions is a contraindication to this medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure: b. Intestinal obstruction
8. A nurse is assessing a client who has a new prescription for
chlorpromazine to treat schizophrenia. The client has a mask like facial
expression and is experiencing involuntary movements and tremors. Which
of the following medications should the nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
, Pharm ATI PROCTORED 2025
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine): a. Amantadine
9. A nurse is administering subQ epinephrine for a client who is experiencing
anaphylaxis.
The nurse should monitor the client for which of the following adverse
effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia: d. Tachycardia
10. A nurse is providing teaching to a client who has UTI and new prescription
for phenazopyridine and ciprofloxacin. Which of the following statements by
the client indicates the need for further teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of
the infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
d. I should notify my provider immediately if my urine turns an orange color.:
d. I should notify my provider immediately if my urine turns an orange color.
11. A nurse is caring for an older adult client who has a prescription for
zolpidem at bedtime to promote sleep. The nurse should plan to monitor the
client for which of the following adverse effects? a. Ecchymosis
b. Decreased urine output
c. Increased blood pressure
d. Dizziness: d. Dizziness
12. A nurse is reviewing laboratory values for a client who reports fatigue and
cold intolerance. The client has an increased thyroid stimulating hormone
(TSH) level and a decreased total T3 and T4 level. The nurse should anticipate
a prescription for which of the following medications?
