ATI PHARMACOLOGY 2024/2025 PROCTORED EXAM-REVISED 100%CORRECT ANSWERS.(

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Alproviderlprescribeslphenobarbitallforlalclientlwholhaslalseizureldisorder.lThelmedicationlha
slallonglhalf-
lifelofl4ldays.lHowlmanyltimeslperldaylshouldlthelnurselexpectltoladministerlthislmedication?

A.lOnelB
.lTwolC.l
Three
D.lFourl-lANSWER-A.lOne

(Medicationslwithllonglhalf-
liveslremainlatltheirltherapeuticllevelslbetweenldoseslforllonglperiodslofltime.lThelnurselshou
ldlexpectltoladministerlthislmedicationloncelalday.)

Alstaffleducatorlislreviewinglmedicationldosageslandlfactorslthatlinfluencelmedicationlmeta
bolismlwithlalgrouploflnurseslatlanlin-
servicelpresentation.lWhichloflthelfollowinglfactorslshouldltheleducatorlincludelaslalreasonlt
oladministerllowerlmedicationldosages?l(Selectlalllthatlapply.)

A. Increasedlrenallsecretion
B. Increasedlmedication-
metabolizinglenzymeslC.lLiverlfailure
D.lPeripherallvascularldisease
E.lConcurrentluseloflmedicationlthelsamelpathwaylmetabolizesl-lANSWER-
C.lLiverlfailure
E.lConcurrentluseloflmedicationlthelsamelpathwaylmetabolizes

C.lLiverlfailureldecreaseslmetabolismlandlthuslincreaseslthelconcentrationloflalmedication.lT
hislrequiresldecreasingltheldosage.

E.lWhenlthelsamelpathwaylmetabolizesltwolmedications,ltheylcompetelforlmetabolism,lthere
bylincreasinglthelconcentrationloflonelorlbothlmedications.lThislrequiresldecreasingltheldos
ageloflonelorlboth

Alnurselislpreparingltoladministerleyeldropsltolalclient.lW hichloflthelfollowinglactionslshouldlthe
lnurseltake?l(Selectlalllthatlapply.)




A. Havelthelclientllielonlherlside.
B. Asklthelclientltollookluplatlthelceiling.
C. Telllthelclientltolblinklwhenltheldropslenterlherleye.
D. Droplthelmedicationlintolthelcenterloflthelclient'slconjunctivallsac.

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E. Instructlthelclientltolcloselherleyelgentlylafterlinstillationl-lANSWER-
B.lAsklthelclientltollookluplatlthelceiling.
D.lDroplthelmedicationlintolthelcenterloflthelclient'slconjunctivallsac.lE.lInst
ructlthelclientltolcloselherleyelgentlylafterlinstillation

(B.lThelclientlshouldllooklupwardltolkeepltheldropslfromlfallinglontolherlcornea.
D.lThelnurselshouldldroplthelmedicationlintolthelcenterl
oflthelconjunctivallsacltolpromoteldistribution.
E.lThelclientlshouldlcloselherleyelgentlyltolpromoteldistributionloflthelmedication)

Alnurselislcompletingldischargelteachinglforlalclientlwholhaslalnewlprescriptionlforltransderm
allpatches.lWhichloflthelfollowinglstatementslshouldlthelnurselidentifylaslanlindicationlthatlthel
clientlunderstandslthelinstructions?

A.l"IlwilllcleanlthelsitelwithlanlalcohollswablbeforelIlapplylthelpatch."lB.l"Ilwilll
rotatelthelapplicationlsiteslweekly."
C.l"Ilwilllapplylthelpatchltolanlarealoflskinlwithlnolhair."
D.l"Ilwilllplacelthelnewlpatchlonlthelsitelofltheloldlpatch.l-lANSWER-
C.l"Ilwilllapplylthelpatchltolanlarealoflskinlwithlnolhair."

(Thelclientlshouldlapplylthelpatchltolalhairlesslarealoflskinltolpromotelabsorptionloflthelmedic
ation.)

Alnurselreviewinglalclient'slmedicallrecordlnoteslalnewlprescriptionlforlverifyingltheltroughllev
elloflthelclient'slmedication.lW hichloflthelfollowinglactionslshouldlthelnurseltake?

A. Obtainlalbloodlspecimenlimmediatelylpriorltoladministeringlthelnextldoseloflmed
ication.
B. Verifylthatlthelclientlhaslbeenltakinglthelmedicationlforl24lhrlbeforelobtaininglalbloodl
specimen.
C. Asklthelclientltolprovidelalurinelspecimenlafterlthelnextldoseloflmedication.
D. Administerlthelmedication,andlobtainlalbloodlspecimenl30lminllatel-lANSWER-
A.lObtainlalbloodlspecimenlimmediatelylpriorltoladministeringlthelnextldoseloflmedication
.

(Tolverifyltroughllevelsloflalmedication,lthelnurselshouldlobtainlalbloodlspecimenlimmediatelyl
beforeladministeringlthelnextldoseloflmedication.)

Alnurselislpreparinglalclient'slmedications.lW hichloflthelfollowinglactionslshouldlthelnurseltakel
inlfollowingllegallpracticelguidelines?l(Selectlalllthatlapply.)

A. Maintainlskilllcompetency.

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B. Determineltheldosage.
C. Monitorlforladverseleffects.l
D.lSafeguardlmedications.
E.lIdentifylthelclient'sldiagnosisl-lANSWER-
A.lMaintainlskilllcompetency.lC.lMonitorlforladverseleffects.
D.lSafeguardlmedications.

(A.maintaininglskilllcompetencylandlusinglappropriateladministrationltechniqueslarellegallr
esponsibilitiesloflthelnurse

C.lAlnurselisllegallylresponsiblelforlmonitoringlforlsidelandladverseleffectsloflmedication

D.lSafeguardingloflmedications,lsuchlaslcontrolledlsubstances,lislallegallresponsibilityloflthel
nurse)

Alnurselreviewinglalclient'slhealthlrecordlnoteslalnewlprescriptionlforlLisinoprill10lmglPOlon
celeverylday.lThelnurselshouldlidentifylthislaslwhichloflthelfollowingltypesloflprescription?

A.lSinglel
B.lStat
C.lRoutine
D.lStandingl-lANSWER-C.lRoutine

(Alroutinelorlstandardlprescriptionlidentifieslmedicationsltolgivelonlalregularlschedulelwithlorl
withoutlalterminationldatelorlalspecificlnumberlofldoses.lThelnurselwillladminister
thislmedicationleveryldayluntillthelproviderldiscontinueslit.)

AlnurselislreviewinglalnewlprescriptionlforlOndansetronl4lmglPOlPRNlforlnausealandlvomiti
nglforlalclientlwholhaslHyperemesislGravidarum.lThelnurselshouldlclarifylwhichloflthelfollow
inglpartsloflthelprescriptionlwithlthelprovider?

A.lNamelB.
lDosagelC.l

Route
D.lFrequencyl-lANSWER-D.lFrequency

(Thislprescriptionldoeslnotlincludeltheltimelorlfrequencyloflmedicationladministration.lTheln
urselmustlclarifylthislwithlthelprescribinglprovide)

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Alnurselisladmittinglalclientlandlcompletinglalpreassessmentlbeforeladministeringlmed
ications.lWhichloflthelfollowingldatalshouldlthelnurselincludelinlthelpreassessment?l(S
electlalllthatlapply.)

A.lUseloflherballteaslB
.lDailylfluidlintake
C. Currentlhealthlstatus
D. Previouslsurgicallhistory
E. Foodlallergiesl-lANSWER-
A.lUseloflherballteaslC.lCurrentlhealthlstatus
E.lFoodlallergies

(A.lThelnurselshouldlinquirelaboutlthelclient'sluseloflherballproducts,lwhichloftenlcontainlcaf
feine,lpriorltolmedicationladministrationlbecauselcaffeinelcanlaffectlmedicationlbiotransfor
mation

C.lThelnurselshouldlreviewlthelclient'slcurrentlhealthlstatuslbecauselnewlprescriptionslcanlca
uselalterationslinlcurrentlhealthlstatus

E.lThelnurselshouldlinquirelaboutlfoodlallergieslduringlthelpreassessmentltolidentifylanylpot
entiallreactionslorlinteractions)

Alnurselorientinglalnewlyllicensedlnurselislreviewinglthelprocedurelforltakinglaltelephonelpr
escription.lW hichloflthelfollowinglstatementslshouldlthelnurselidentifylaslanlindicationlthatlth
elnewlyllicensedlnurselunderstandslthelprocess?

A.l"Alsecondlnurselenterslthelprescriptionlintolthelclient'slmedicallrecord."lB.l"An
otherlnurselshouldllistenltolthelphonelcall."
C.l"Thelproviderlcanlclarifylthelprescriptionlwhenlhelsignslthelhealthlrecord."
D.l"Ilshouldlomitlthel'readlback'liflthislislalone-timelprescriptionl-lANSWER-
B.l"Anotherlnurselshouldllistenltolthelphonelcall."

(Alsecondlnurselshouldllistenltolaltelephonelprescriptionltolpreventlerrorslinlcommunication.)

Alnurselislpreparingltoladministerlvancomycinl1lglbylintermittentlIVlbolus.lAvailablelislvanco
mycinl1lglinl100lmLlofldextrosel5%linlwaterl(D5W)ltolinfuseloverl45lmin.lTheldroplfactorloflth
elmanuallIVltubinglisl10lgtt/mL.lThelnurselshouldladjustlthelmanuallIVlinfusionltoldeliverlhowl
manylgtt/min?l(Roundlthelanswerltolthelnearestlwholelnumber.lDolnotluselaltrailinglzero.l-
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Alnurselislpreparingltoladministerlclindamycinl200lmglbylintermittentlIVlbolus.lThelamountlava
ilablelislclindamycinlinjectionl200lmglinl100lmLl0.9%lsodiumlchloride