PHARM ATI PROCTORED 2019
QUESTIONS WITH ACTUAL SOLUTIONS
2025.
A nurse is assessing a client who reports using several herbal and vitamin
VV VV VV VV VV VV VV VV VV VV VV VV
supplements daily, including saw palmetto. The nurse should recognize that saw
VV VV VV VV VV VV VV VV VV VV VV
palmetto is a supplement used by clients to elicit which of the following therapeutic
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
effects
VV
A. urinary health promotion
VV VV VV
B. immune system stimulation
VV VV VV
C. decreased leg pain from arterial disease
VV VV VV VV VV VV
D. prevention of nausea caused by motion sickness - ANSWER:A. urinary health
VV VV VV VV VV VV VV VV VV VV VV
promotion
VV
Saw palmetto is used primarily for manifestations related to prostatic conditions,
VV VV VV VV VV VV VV VV VV VV
such as benign prostatic hypertrophy (BPH). Its effectiveness has not been
VV VV VV VV VV VV VV VV VV VV VV
scientifically proven, however. The nurse should teach the client to check with the
VV VV VV VV VV VV VV VV VV VV VV VV VV
provider about interactions between saw palmetto and other medications.
VV VV VV VV VV VV VV VV VV
A nurse is providing teaching to a group of new parents about medications. The
VV VV VV VV VV VV VV VV VV VV VV VV VV
nurse
VV
should include that aspirin is contraindicated for children who have a viral infection
VV VV VV VV VV VV VV VV VV VV VV VV
due
VV
to the risk of developing which of the following adverse effects?
VV VV VV VV VV VV VV VV VV VV
a. VV Reye's syndrome VV
b. VV Visual disturbances VV
c. VV Diabetes mellitus VV
d. VV Wilm's tumor - ANSWER:a. Reye's syndrome
VV VV VV VV VV
A nurse is providing teaching to a client who has chronic kidney failure with an AV
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
fistula for hemodialysis and new prescription for epoetin alfa. Which of the following
VV VV VV VV VV VV VV VV VV VV VV VV VV
therapeutic effects of epoetin alfa should the nurse include in the teaching?
VV VV VV VV VV VV VV VV VV VV VV VV
a. VV Reduces blood pressure VV VV
b. VV Inhibits clotting of fistula VV VV VV
c. VV Promotes RBC production VV VV
d. VV Stimulates growth of neutrophils - ANSWER:c. Promotes RBC production
VV VV VV VV VV VV VV VV
,A nurse is caring for a client who has peptic ulcer disease and reports a headache.
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
Which of the following medications should the nurse plan to administer?
VV VV VV VV VV VV VV VV VV VV VV
a. VV Ibuprofen (NSAIDS) VV
b. VV Naproxen (NSAIDS) VV
c. VV Aspirin (NSAIDS) VV
d. VV Acetaminophen (anlagesics) - ANSWER:d. Acetaminophen (anlagesics) VV VV VV VV VV
A nurse is caring for a client who has prescription for clopidogrel. The nurse should
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
monitor the client for which of the following adverse effects?
VV VV VV VV VV VV VV VV VV VV
a. Insomnia
VV
b. Hypotension
VV
c. Bleeding
VV
d. Constipation - ANSWER:c. Bleeding
VV VV VV VV
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone.
VV VV VV VV VV VV VV VV VV VV VV
The nurse should include a severe allergy to which of the following medications as
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
contraindication to ceftriaxone?
VV VV VV
a. Gentamicin
VV
b. Clindamycin
VV
c. Piperacillin
VV
d. Sulfamethoxazole-trimethroprim - ANSWER:c. Piperacillin
VV VV VV VV
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The
VV VV VV VV VV VV VV VV VV VV VV VV
nurse should include in the teaching that which of the following conditions is a
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
contraindication to this medication? VV VV VV
a. VV Hyperthyroidism
b. VV Intestinal obstruction VV
c. VV Glaucoma
d. VV Low blood pressure - ANSWER:b. Intestinal obstruction
VV VV VV VV VV VV
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
schizophrenia. The client has a mask like facial expression and is experiencing
VV VV VV VV VV VV VV VV VV VV VV VV
involuntary movements and tremors. Which of the following medications should the
VV VV VV VV VV VV VV VV VV VV VV
nurse anticipate administering?
VV VV VV
a. Amantadine
VV
b. Bupropion (aytpical antidepressant)
VV VV VV
c. Phenelzine (MAOI)
VV VV
d. Hydroxyzine (Antihistamine) - ANSWER:a. Amantadine
VV VV VV VV VV
A nurse is administering subQ epinephrine for a client who is experiencing
VV VV VV VV VV VV VV VV VV VV VV
anaphylaxis.
VV
The nurse should monitor the client for which of the following adverse effects?
VV VV VV VV VV VV VV VV VV VV VV VV
a. Hypotension
VV
b. Hyperthermia
VV
, c. Hypoglycemia
VV
d. Tachycardia - ANSWER:d. Tachycardia
VV VV VV VV
A nurse is providing teaching to a client who has UTI and new prescription for
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
phenazopyridine and ciprofloxacin. Which of the following statements by the client
VV VV VV VV VV VV VV VV VV VV
indicates the need for further teaching?
VV VV VV VV VV VV
a. If the phenazopyridine upsets my stomach, I can take it with meals.
VV VV VV VV VV VV VV VV VV VV VV VV
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
d. I should notify my provider immediately if my urine turns an orange color. -
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
ANSWER:d. I should notify my provider immediately if my urine turns an orange
VV VV VV VV VV VV VV VV VV VV VV VV VV
color.
VV
A nurse is caring for an older adult client who has a prescription for zolpidem at
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
bedtime to promote sleep. The nurse should plan to monitor the client for which of
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
the following
VV VV
adverse effects? VV
a. Ecchymosis
VV
b. Decreased urine output
VV VV VV
c. Increased blood pressure
VV VV VV
d. Dizziness - ANSWER:d. Dizziness
VV VV VV VV
A nurse is reviewing laboratory values for a client who reports fatigue and cold
VV VV VV VV VV VV VV VV VV VV VV VV VV
intolerance. The client has an increased thyroid stimulating hormone (TSH) level
VV VV VV VV VV VV VV VV VV VV VV
and a decreased total T3 and T4 level. The nurse should anticipate a prescription
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
for which of
VV VV VV
the following medications?
VV VV
a. VV Methimazole
b. VV Somatropin
c. VV Levothyroxine
d. VV Propylthiouracil - ANSWER:c. Levothyroxine VV VV VV
A nurse is providing teaching to a client who has a new prescription for
VV VV VV VV VV VV VV VV VV VV VV VV VV
hydrochlorothiazide 50mg po daily to treat hypertension. Which of the following VV VV VV VV VV VV VV VV VV VV
instructions should the nurse include in the teaching?
VV VV VV VV VV VV VV VV
a. Take the hydrochlorothiazide as needed for edema
VV VV VV VV VV VV VV
b. Check your weight once each week
VV VV VV VV VV VV
QUESTIONS WITH ACTUAL SOLUTIONS
2025.
A nurse is assessing a client who reports using several herbal and vitamin
VV VV VV VV VV VV VV VV VV VV VV VV
supplements daily, including saw palmetto. The nurse should recognize that saw
VV VV VV VV VV VV VV VV VV VV VV
palmetto is a supplement used by clients to elicit which of the following therapeutic
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
effects
VV
A. urinary health promotion
VV VV VV
B. immune system stimulation
VV VV VV
C. decreased leg pain from arterial disease
VV VV VV VV VV VV
D. prevention of nausea caused by motion sickness - ANSWER:A. urinary health
VV VV VV VV VV VV VV VV VV VV VV
promotion
VV
Saw palmetto is used primarily for manifestations related to prostatic conditions,
VV VV VV VV VV VV VV VV VV VV
such as benign prostatic hypertrophy (BPH). Its effectiveness has not been
VV VV VV VV VV VV VV VV VV VV VV
scientifically proven, however. The nurse should teach the client to check with the
VV VV VV VV VV VV VV VV VV VV VV VV VV
provider about interactions between saw palmetto and other medications.
VV VV VV VV VV VV VV VV VV
A nurse is providing teaching to a group of new parents about medications. The
VV VV VV VV VV VV VV VV VV VV VV VV VV
nurse
VV
should include that aspirin is contraindicated for children who have a viral infection
VV VV VV VV VV VV VV VV VV VV VV VV
due
VV
to the risk of developing which of the following adverse effects?
VV VV VV VV VV VV VV VV VV VV
a. VV Reye's syndrome VV
b. VV Visual disturbances VV
c. VV Diabetes mellitus VV
d. VV Wilm's tumor - ANSWER:a. Reye's syndrome
VV VV VV VV VV
A nurse is providing teaching to a client who has chronic kidney failure with an AV
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
fistula for hemodialysis and new prescription for epoetin alfa. Which of the following
VV VV VV VV VV VV VV VV VV VV VV VV VV
therapeutic effects of epoetin alfa should the nurse include in the teaching?
VV VV VV VV VV VV VV VV VV VV VV VV
a. VV Reduces blood pressure VV VV
b. VV Inhibits clotting of fistula VV VV VV
c. VV Promotes RBC production VV VV
d. VV Stimulates growth of neutrophils - ANSWER:c. Promotes RBC production
VV VV VV VV VV VV VV VV
,A nurse is caring for a client who has peptic ulcer disease and reports a headache.
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
Which of the following medications should the nurse plan to administer?
VV VV VV VV VV VV VV VV VV VV VV
a. VV Ibuprofen (NSAIDS) VV
b. VV Naproxen (NSAIDS) VV
c. VV Aspirin (NSAIDS) VV
d. VV Acetaminophen (anlagesics) - ANSWER:d. Acetaminophen (anlagesics) VV VV VV VV VV
A nurse is caring for a client who has prescription for clopidogrel. The nurse should
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
monitor the client for which of the following adverse effects?
VV VV VV VV VV VV VV VV VV VV
a. Insomnia
VV
b. Hypotension
VV
c. Bleeding
VV
d. Constipation - ANSWER:c. Bleeding
VV VV VV VV
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone.
VV VV VV VV VV VV VV VV VV VV VV
The nurse should include a severe allergy to which of the following medications as
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
contraindication to ceftriaxone?
VV VV VV
a. Gentamicin
VV
b. Clindamycin
VV
c. Piperacillin
VV
d. Sulfamethoxazole-trimethroprim - ANSWER:c. Piperacillin
VV VV VV VV
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The
VV VV VV VV VV VV VV VV VV VV VV VV
nurse should include in the teaching that which of the following conditions is a
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
contraindication to this medication? VV VV VV
a. VV Hyperthyroidism
b. VV Intestinal obstruction VV
c. VV Glaucoma
d. VV Low blood pressure - ANSWER:b. Intestinal obstruction
VV VV VV VV VV VV
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
schizophrenia. The client has a mask like facial expression and is experiencing
VV VV VV VV VV VV VV VV VV VV VV VV
involuntary movements and tremors. Which of the following medications should the
VV VV VV VV VV VV VV VV VV VV VV
nurse anticipate administering?
VV VV VV
a. Amantadine
VV
b. Bupropion (aytpical antidepressant)
VV VV VV
c. Phenelzine (MAOI)
VV VV
d. Hydroxyzine (Antihistamine) - ANSWER:a. Amantadine
VV VV VV VV VV
A nurse is administering subQ epinephrine for a client who is experiencing
VV VV VV VV VV VV VV VV VV VV VV
anaphylaxis.
VV
The nurse should monitor the client for which of the following adverse effects?
VV VV VV VV VV VV VV VV VV VV VV VV
a. Hypotension
VV
b. Hyperthermia
VV
, c. Hypoglycemia
VV
d. Tachycardia - ANSWER:d. Tachycardia
VV VV VV VV
A nurse is providing teaching to a client who has UTI and new prescription for
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
phenazopyridine and ciprofloxacin. Which of the following statements by the client
VV VV VV VV VV VV VV VV VV VV
indicates the need for further teaching?
VV VV VV VV VV VV
a. If the phenazopyridine upsets my stomach, I can take it with meals.
VV VV VV VV VV VV VV VV VV VV VV VV
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
d. I should notify my provider immediately if my urine turns an orange color. -
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
ANSWER:d. I should notify my provider immediately if my urine turns an orange
VV VV VV VV VV VV VV VV VV VV VV VV VV
color.
VV
A nurse is caring for an older adult client who has a prescription for zolpidem at
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
bedtime to promote sleep. The nurse should plan to monitor the client for which of
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
the following
VV VV
adverse effects? VV
a. Ecchymosis
VV
b. Decreased urine output
VV VV VV
c. Increased blood pressure
VV VV VV
d. Dizziness - ANSWER:d. Dizziness
VV VV VV VV
A nurse is reviewing laboratory values for a client who reports fatigue and cold
VV VV VV VV VV VV VV VV VV VV VV VV VV
intolerance. The client has an increased thyroid stimulating hormone (TSH) level
VV VV VV VV VV VV VV VV VV VV VV
and a decreased total T3 and T4 level. The nurse should anticipate a prescription
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
for which of
VV VV VV
the following medications?
VV VV
a. VV Methimazole
b. VV Somatropin
c. VV Levothyroxine
d. VV Propylthiouracil - ANSWER:c. Levothyroxine VV VV VV
A nurse is providing teaching to a client who has a new prescription for
VV VV VV VV VV VV VV VV VV VV VV VV VV
hydrochlorothiazide 50mg po daily to treat hypertension. Which of the following VV VV VV VV VV VV VV VV VV VV
instructions should the nurse include in the teaching?
VV VV VV VV VV VV VV VV
a. Take the hydrochlorothiazide as needed for edema
VV VV VV VV VV VV VV
b. Check your weight once each week
VV VV VV VV VV VV