ATI PHARMACOLOGY PROCTORED EXAMS SECRETS: A
ROADMAP TO A+
A nurse is teaching an adolescent client who has a new prescription for
Clomipramine for OCD. Which of the following instructions should the nurse
include to minimize an adverse effect of his medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die
A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic
effect associated with TCA use)
A nurse is caring for a school-age child who has a new prescription for
Atomoxetine. The nurse should monitor the client for which of the following
adverse effects of this medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency
B. Liver damage
(Liver damage is an adverse effect of atomoxetine. The nurse should monitor for
manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and
elevated liver enzymes)
A nurse is teaching the parents of a school-age child about transdermal
Methylphenidate. Which of the following instructions should the nurse include?
,A. Apply one patch twice per day.
B. Leave the patch on for 9 hr.
C. Apply the patch to the child's waist.
D. Use opened tray within 6 months.
B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
A nurse is teaching a school-age child and his parents about a new prescription
for Lisdexamfetamine. Which of the following information should the nurse
include in the teaching? (Select all that apply.)
A. An adverse effect of this medication is CNS stimulation.
B. Administer the medication before bedtime.
C. Monitor blood pressure while taking this medication.
D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
E. This medication raises the levels of dopamine in the brain
A. An adverse effect of this medication is CNS stimulation.
C. Monitor blood pressure while taking this medication.
E. This medication raises the levels of dopamine in the brain
(A. An adverse effect of lisdexamfetamine is CNS stimulation such as insomnia and
restlessness.
C. The nurse should instruct the client to monitor his blood pressure due to potential
cardiovascular effects of lisdexamfetamine.
E. Lisdexamfetamine, a CNS stimulant, works by raising the levels of norepinephrine
and dopamine in the CNS)
A nurse is providing teaching for a client who is withdrawing from alcohol and
has a new prescription for Propranolol. Which of the following information should
the nurse to include in the teaching?
,A. Increases the risk for seizure activity
B. Provides a form of aversion therapy
C. Decreases cravings
D. Results in mild hypertension
C. Decreases cravings
(Propranolol is an adjunct medication used during withdrawal to decrease the client's
craving for alcohol)
A charge nurse is planning a staff education session to discuss medications
used during the care of a client experiencing alcohol withdrawal. Which of the
following medications should the charge nurse include in the discussion? (Select
all that apply.)
A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate
A. Lorazepam
B. Diazepam
(A. Lorazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizure)
A nurse is providing teaching to a client who has a new prescription for Clonidine
to assist with maintenance of abstinence from opioids. The nurse should instruct
the client to monitor for which of the following adverse effects?
, A. Diarrhea
B. Dry mouth
C. Insomnia
D. Hypertension
B. Dry mouth
(Dry mouth is a common adverse effect associated with clonidine use)
A nurse is teaching a female client who has tobacco use disorder about Nicotine
replacement therapy. Which of the following statements by the client indicates
understanding of the teaching?
A. "I should avoid eating right before I chew a piece of nicotine gum."
B. "I will need to stop using the nicotine gum after 1 year."
C. "I know that nicotine gum is a safe alternative to smoking if I become
pregnant."
D. "I must chew the nicotine gum quickly for about 15 minutes.
A (The client should avoid eating or drinking 15 min prior to and while chewing the
nicotine gum)
A nurse in an acute mental health facility is caring for a client who is experiencing
withdrawal from Opioid use and has a new prescription for Clonidine. Which of
the following actions should the nurse identify as the priority?
A. Administer the clonidine on the prescribed schedule.
B. Provide ice chips at the client's bedside.
C. Educate the client on the effects of clonidine.
D. Obtain baseline vital signs
D (Assessment is the initial step of the nursing process. Obtaining the client's baseline
vital signs is the priority nursing action)
A nurse in the post-anesthesia recovery unit is caring for a client who received a
nondepolarizing neuromuscular blocking agent and has muscle weakness. The
nurse should anticipate a prescription for which of the following medications?
ROADMAP TO A+
A nurse is teaching an adolescent client who has a new prescription for
Clomipramine for OCD. Which of the following instructions should the nurse
include to minimize an adverse effect of his medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die
A. Wear sunglasses when outdoors.
(Wearing sunglasses when outdoors will decrease photophobia, an anticholinergic
effect associated with TCA use)
A nurse is caring for a school-age child who has a new prescription for
Atomoxetine. The nurse should monitor the client for which of the following
adverse effects of this medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency
B. Liver damage
(Liver damage is an adverse effect of atomoxetine. The nurse should monitor for
manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and
elevated liver enzymes)
A nurse is teaching the parents of a school-age child about transdermal
Methylphenidate. Which of the following instructions should the nurse include?
,A. Apply one patch twice per day.
B. Leave the patch on for 9 hr.
C. Apply the patch to the child's waist.
D. Use opened tray within 6 months.
B. Leave the patch on for 9 hr.
(Transdermal methylphenidate is administered for 9 hr/day.)
A nurse is teaching a school-age child and his parents about a new prescription
for Lisdexamfetamine. Which of the following information should the nurse
include in the teaching? (Select all that apply.)
A. An adverse effect of this medication is CNS stimulation.
B. Administer the medication before bedtime.
C. Monitor blood pressure while taking this medication.
D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
E. This medication raises the levels of dopamine in the brain
A. An adverse effect of this medication is CNS stimulation.
C. Monitor blood pressure while taking this medication.
E. This medication raises the levels of dopamine in the brain
(A. An adverse effect of lisdexamfetamine is CNS stimulation such as insomnia and
restlessness.
C. The nurse should instruct the client to monitor his blood pressure due to potential
cardiovascular effects of lisdexamfetamine.
E. Lisdexamfetamine, a CNS stimulant, works by raising the levels of norepinephrine
and dopamine in the CNS)
A nurse is providing teaching for a client who is withdrawing from alcohol and
has a new prescription for Propranolol. Which of the following information should
the nurse to include in the teaching?
,A. Increases the risk for seizure activity
B. Provides a form of aversion therapy
C. Decreases cravings
D. Results in mild hypertension
C. Decreases cravings
(Propranolol is an adjunct medication used during withdrawal to decrease the client's
craving for alcohol)
A charge nurse is planning a staff education session to discuss medications
used during the care of a client experiencing alcohol withdrawal. Which of the
following medications should the charge nurse include in the discussion? (Select
all that apply.)
A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate
A. Lorazepam
B. Diazepam
(A. Lorazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizure)
A nurse is providing teaching to a client who has a new prescription for Clonidine
to assist with maintenance of abstinence from opioids. The nurse should instruct
the client to monitor for which of the following adverse effects?
, A. Diarrhea
B. Dry mouth
C. Insomnia
D. Hypertension
B. Dry mouth
(Dry mouth is a common adverse effect associated with clonidine use)
A nurse is teaching a female client who has tobacco use disorder about Nicotine
replacement therapy. Which of the following statements by the client indicates
understanding of the teaching?
A. "I should avoid eating right before I chew a piece of nicotine gum."
B. "I will need to stop using the nicotine gum after 1 year."
C. "I know that nicotine gum is a safe alternative to smoking if I become
pregnant."
D. "I must chew the nicotine gum quickly for about 15 minutes.
A (The client should avoid eating or drinking 15 min prior to and while chewing the
nicotine gum)
A nurse in an acute mental health facility is caring for a client who is experiencing
withdrawal from Opioid use and has a new prescription for Clonidine. Which of
the following actions should the nurse identify as the priority?
A. Administer the clonidine on the prescribed schedule.
B. Provide ice chips at the client's bedside.
C. Educate the client on the effects of clonidine.
D. Obtain baseline vital signs
D (Assessment is the initial step of the nursing process. Obtaining the client's baseline
vital signs is the priority nursing action)
A nurse in the post-anesthesia recovery unit is caring for a client who received a
nondepolarizing neuromuscular blocking agent and has muscle weakness. The
nurse should anticipate a prescription for which of the following medications?
