ca ATI Pharmacology Proctored Assessment Ca Exam Questions
And Answers.
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25
mg PO daily. After 6 weeks of treatment the nurse determines 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 - 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress)
which of the following client statement indicates understanding 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
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
A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which
of the following is the nurse required to do:
3) Read the prescription back to the provider after transcribing
4) Write the trade name for the prescribed medicine - 3) Read the prescription back to the
provider after transcribing
,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
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
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
A nurse is providing teaching to a female client who has been newly diagnosed 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)
A nurse providing teaching to a client who is diagnosed with migrane headaches. The client
is prescribed ergotamine (Ergostat) sublingual (SL). 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
, 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 mg/mL. Which of the following
actions should the nurse take:
1) Give the medication
2) Request a dose increase - 1) Give the medication
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
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 indicates 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
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 auscultation - 3) Decrease in intraocular pressure
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
And Answers.
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25
mg PO daily. After 6 weeks of treatment the nurse determines 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 - 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress)
which of the following client statement indicates understanding 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
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
A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which
of the following is the nurse required to do:
3) Read the prescription back to the provider after transcribing
4) Write the trade name for the prescribed medicine - 3) Read the prescription back to the
provider after transcribing
,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
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
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
A nurse is providing teaching to a female client who has been newly diagnosed 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)
A nurse providing teaching to a client who is diagnosed with migrane headaches. The client
is prescribed ergotamine (Ergostat) sublingual (SL). 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
, 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 mg/mL. Which of the following
actions should the nurse take:
1) Give the medication
2) Request a dose increase - 1) Give the medication
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
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 indicates 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
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 auscultation - 3) Decrease in intraocular pressure
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
