ATI PHARMACOLOGY PROCTORED
REVIEW QUESTIONS AND SOLUTIONS
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
xx xx xx xx xx xx xx xx xx
0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
was effective if the:
xx xx xx xx
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
xx xx xx xx xx xx xx xx
2) Total t4 level is 2 mcg/dL - ANSWER: 2) Total T4 level is 2 mcg/dL
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
A nurse providing teaching to a client who has just been prescribed prazosin
xx xx xx xx xx xx xx xx xx xx xx xx
(Minipress) which of the following client statement indicates understanding of teaching:
xx xx xx xx xx xx xx xx xx xx xx
1) I will not use a salt substitute while taking meds
xx xx xx xx xx xx xx xx xx xx
2) I will move slowly from sitting to standing to prevent falls - ANSWER: 2) I will move
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
slowly from sitting to standing to prevent falls
xx xx xx xx xx xx xx xx
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
xx xx xx xx xx xx xx xx xx xx xx xx xx
statement by the patient indicates further teaching:
xx xx xx xx xx xx xx
1) I should expect a rash to develop
xx xx xx xx xx xx xx
2) I may develop hair or face or chest - ANSWER: 1) I should expect a rash to develop
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
A nurse is providing teaching to an adolescent and her family regarding a new
xx xx xx xx xx xx xx xx xx xx xx xx xx
prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of
xx xx xx xx xx xx xx xx xx xx xx xx
the following client statements indicates the understanding of the teaching:
xx xx xx xx xx xx xx xx xx xx
1) I will keep a seizure frequency chart
xx xx xx xx xx xx xx
2) I will skip a dose if I am experiencing nausea - ANSWER: 1) I will keep a seizure
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
frequency chart
xx xx
A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix)
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6
xx xx xx xx xx xx xx xx xx xx xx xx
mEq/L. Which of the following actions should the nurse take first:
xx xx xx xx xx xx xx xx xx xx xx
1) Apply a cardiac monitor
xx xx xx xx
2) Provides foods high in potassium - ANSWER: 1) Apply a cardiac monitor
xx xx xx xx xx xx xx xx xx xx xx xx
,A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
xx xx xx xx xx xx xx xx xx xx xx xx xx
Which of the following client findings requires an incident report:
xx xx xx xx xx xx xx xx xx xx
1) The client is also taking linsinophrel (Prinivil)
xx xx xx xx xx xx xx
2) The client reports shortness of breath - ANSWER: 2) The client reports shortness of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
breath
xx
A nurse is providing teaching to a female client who has been newly diagnosed with a
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client
xx xx xx xx xx xx xx xx xx xx xx xx xx
that phenytoin can decrease the effectiveness of which of the following:
xx xx xx xx xx xx xx xx xx xx xx
1) Ethunyl estradiol/desogestrel (Cyclessa)
xx xx xx
2) Fluroxetine (Prozac) - ANSWER: 1) Ethunyl estradiol/desogestrel (Cyclessa)
xx xx xx xx xx xx xx xx
Which of the following should the nurse include in her instructions:
xx xx xx xx xx xx xx xx xx xx
1) Take 1SL tablet three times a day before meals
xx xx xx xx xx xx xx xx xx
2) Take 1SL tablet at onset of migrane - ANSWER: 2) Take 1SL tablet at onset of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
migrane
xx
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg
xx xx xx xx xx xx xx xx xx xx xx xx
of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
following actions should the nurse take:
xx xx xx xx xx xx
1) Give the medication
xx xx xx
2) Request a dose increase - ANSWER: 1) Give the medication
xx xx xx xx xx xx xx xx xx xx
A nurse is planning to provide medication education for a client who will begin a
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
course of therapy with metronidazole (Flagyl). Which of the following should the nurse
xx xx xx xx xx xx xx xx xx xx xx xx xx
instruct the client to avoid during the course of therapy:
xx xx xx xx xx xx xx xx xx xx
3) Coffee
xx
4) Beer - ANSWER: 4) Beer
xx xx xx xx xx
A nurse is teaching a client who has heart failure about a new prescription for captopril
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
(Capoten). Which of the following statements by the client indicates a need for further
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
teaching:
xx
3) I will take the medication 1 hr before my meals
xx xx xx xx xx xx xx xx xx xx
4) I will use a salt substitute with my meals - ANSWER: 4) I will use a salt substitute
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
with my meals
xx xx xx
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25%
xx xx xx xx xx xx xx xx xx xx xx xx
is prescribed. Which of the following client findings should the nurse recognize as
xx xx xx xx xx xx xx xx xx xx xx xx xx
being the best indication that the medication is achieving it's therapeutic effect:
xx xx xx xx xx xx xx xx xx xx xx xx
, 3) Decrease in intraocular pressure
xx xx xx xx
4)Lung fluids clear to ausculatation - ANSWER: 3) Decrease in intraocular pressure
xx xx xx xx xx xx xx xx xx xx xx
A nurse is educating a client who has a new prescription for simvastatin (Zacor).
xx xx xx xx xx xx xx xx xx xx xx xx xx
Which of the following instructions should the nurse include in the teaching plan:
xx xx xx xx xx xx xx xx xx xx xx xx xx
(Select all that apply):
xx xx xx xx
1) Report muscle pain to provider
xx xx xx xx xx
2) Do not take the medication with grapefruit juice
xx xx xx xx xx xx xx xx
3) Take the medication in the early morning
xx xx xx xx xx xx xx
4) Minimize intake of alcoholic beverages
xx xx xx xx xx
5) Expect therapy with this medication to be life long - ANSWER: 1) Report muscle
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pain to provider
xx xx xx
2) Do not take the medication with grapefruit juice
xx xx xx xx xx xx xx xx
4) Minimize intake of alcoholic beverages
xx xx xx xx xx
5) Expect therapy with this medication to be life long
xx xx xx xx xx xx xx xx xx
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client
xx xx xx xx xx xx xx xx xx xx xx xx xx
aPTT is 4x the normal value and his INR is 2. Which of the following actions should
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the nurse plan to take:
xx xx xx xx xx
1) Decrease the heparin
xx xx xx
2) Increase the warfarin - ANSWER: 1) Decrease the heparin
xx xx xx xx xx xx xx xx xx
The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin)
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
by continuous IV infusion, piggy backed into a maintenance IV solution. The external
xx xx xx xx xx xx xx xx xx xx xx xx xx
FHR monitor indicates late decelerations. Which of the following actions should the
xx xx xx xx xx xx xx xx xx xx xx xx
nurse take first:
xx xx xx
1) Turn the client to side lying position
xx xx xx xx xx xx xx
2) Discontinue the client's IV meds - ANSWER: 2) Discontinue the client's IV meds
xx xx xx xx xx xx xx xx xx xx xx xx xx
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
smoking. For which of the following side effects should the nurse assess the client:
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
3) Insomnia
xx
4) Tinnitus - ANSWER: 3) Insomnia
xx xx xx xx xx
A nurse is teaching a client about the use of risedronate (Actonel) to treat
xx xx xx xx xx xx xx xx xx xx xx xx xx
osteoporasis. Which of the following client statements indicates a need for further
xx xx xx xx xx xx xx xx xx xx xx xx
teaching:
xx
3) I need to set up or stand after taking the risedronate
xx xx xx xx xx xx xx xx xx xx xx
4) I need to take the risedronate with food - ANSWER: 4) I need to take the risdronate
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
with food
xx xx
REVIEW QUESTIONS AND SOLUTIONS
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
xx xx xx xx xx xx xx xx xx
0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
was effective if the:
xx xx xx xx
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
xx xx xx xx xx xx xx xx
2) Total t4 level is 2 mcg/dL - ANSWER: 2) Total T4 level is 2 mcg/dL
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
A nurse providing teaching to a client who has just been prescribed prazosin
xx xx xx xx xx xx xx xx xx xx xx xx
(Minipress) which of the following client statement indicates understanding of teaching:
xx xx xx xx xx xx xx xx xx xx xx
1) I will not use a salt substitute while taking meds
xx xx xx xx xx xx xx xx xx xx
2) I will move slowly from sitting to standing to prevent falls - ANSWER: 2) I will move
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
slowly from sitting to standing to prevent falls
xx xx xx xx xx xx xx xx
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
xx xx xx xx xx xx xx xx xx xx xx xx xx
statement by the patient indicates further teaching:
xx xx xx xx xx xx xx
1) I should expect a rash to develop
xx xx xx xx xx xx xx
2) I may develop hair or face or chest - ANSWER: 1) I should expect a rash to develop
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
A nurse is providing teaching to an adolescent and her family regarding a new
xx xx xx xx xx xx xx xx xx xx xx xx xx
prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of
xx xx xx xx xx xx xx xx xx xx xx xx
the following client statements indicates the understanding of the teaching:
xx xx xx xx xx xx xx xx xx xx
1) I will keep a seizure frequency chart
xx xx xx xx xx xx xx
2) I will skip a dose if I am experiencing nausea - ANSWER: 1) I will keep a seizure
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
frequency chart
xx xx
A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix)
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6
xx xx xx xx xx xx xx xx xx xx xx xx
mEq/L. Which of the following actions should the nurse take first:
xx xx xx xx xx xx xx xx xx xx xx
1) Apply a cardiac monitor
xx xx xx xx
2) Provides foods high in potassium - ANSWER: 1) Apply a cardiac monitor
xx xx xx xx xx xx xx xx xx xx xx xx
,A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
xx xx xx xx xx xx xx xx xx xx xx xx xx
Which of the following client findings requires an incident report:
xx xx xx xx xx xx xx xx xx xx
1) The client is also taking linsinophrel (Prinivil)
xx xx xx xx xx xx xx
2) The client reports shortness of breath - ANSWER: 2) The client reports shortness of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
breath
xx
A nurse is providing teaching to a female client who has been newly diagnosed with a
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client
xx xx xx xx xx xx xx xx xx xx xx xx xx
that phenytoin can decrease the effectiveness of which of the following:
xx xx xx xx xx xx xx xx xx xx xx
1) Ethunyl estradiol/desogestrel (Cyclessa)
xx xx xx
2) Fluroxetine (Prozac) - ANSWER: 1) Ethunyl estradiol/desogestrel (Cyclessa)
xx xx xx xx xx xx xx xx
Which of the following should the nurse include in her instructions:
xx xx xx xx xx xx xx xx xx xx
1) Take 1SL tablet three times a day before meals
xx xx xx xx xx xx xx xx xx
2) Take 1SL tablet at onset of migrane - ANSWER: 2) Take 1SL tablet at onset of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
migrane
xx
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg
xx xx xx xx xx xx xx xx xx xx xx xx
of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
following actions should the nurse take:
xx xx xx xx xx xx
1) Give the medication
xx xx xx
2) Request a dose increase - ANSWER: 1) Give the medication
xx xx xx xx xx xx xx xx xx xx
A nurse is planning to provide medication education for a client who will begin a
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
course of therapy with metronidazole (Flagyl). Which of the following should the nurse
xx xx xx xx xx xx xx xx xx xx xx xx xx
instruct the client to avoid during the course of therapy:
xx xx xx xx xx xx xx xx xx xx
3) Coffee
xx
4) Beer - ANSWER: 4) Beer
xx xx xx xx xx
A nurse is teaching a client who has heart failure about a new prescription for captopril
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
(Capoten). Which of the following statements by the client indicates a need for further
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
teaching:
xx
3) I will take the medication 1 hr before my meals
xx xx xx xx xx xx xx xx xx xx
4) I will use a salt substitute with my meals - ANSWER: 4) I will use a salt substitute
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
with my meals
xx xx xx
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25%
xx xx xx xx xx xx xx xx xx xx xx xx
is prescribed. Which of the following client findings should the nurse recognize as
xx xx xx xx xx xx xx xx xx xx xx xx xx
being the best indication that the medication is achieving it's therapeutic effect:
xx xx xx xx xx xx xx xx xx xx xx xx
, 3) Decrease in intraocular pressure
xx xx xx xx
4)Lung fluids clear to ausculatation - ANSWER: 3) Decrease in intraocular pressure
xx xx xx xx xx xx xx xx xx xx xx
A nurse is educating a client who has a new prescription for simvastatin (Zacor).
xx xx xx xx xx xx xx xx xx xx xx xx xx
Which of the following instructions should the nurse include in the teaching plan:
xx xx xx xx xx xx xx xx xx xx xx xx xx
(Select all that apply):
xx xx xx xx
1) Report muscle pain to provider
xx xx xx xx xx
2) Do not take the medication with grapefruit juice
xx xx xx xx xx xx xx xx
3) Take the medication in the early morning
xx xx xx xx xx xx xx
4) Minimize intake of alcoholic beverages
xx xx xx xx xx
5) Expect therapy with this medication to be life long - ANSWER: 1) Report muscle
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pain to provider
xx xx xx
2) Do not take the medication with grapefruit juice
xx xx xx xx xx xx xx xx
4) Minimize intake of alcoholic beverages
xx xx xx xx xx
5) Expect therapy with this medication to be life long
xx xx xx xx xx xx xx xx xx
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client
xx xx xx xx xx xx xx xx xx xx xx xx xx
aPTT is 4x the normal value and his INR is 2. Which of the following actions should
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the nurse plan to take:
xx xx xx xx xx
1) Decrease the heparin
xx xx xx
2) Increase the warfarin - ANSWER: 1) Decrease the heparin
xx xx xx xx xx xx xx xx xx
The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin)
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
by continuous IV infusion, piggy backed into a maintenance IV solution. The external
xx xx xx xx xx xx xx xx xx xx xx xx xx
FHR monitor indicates late decelerations. Which of the following actions should the
xx xx xx xx xx xx xx xx xx xx xx xx
nurse take first:
xx xx xx
1) Turn the client to side lying position
xx xx xx xx xx xx xx
2) Discontinue the client's IV meds - ANSWER: 2) Discontinue the client's IV meds
xx xx xx xx xx xx xx xx xx xx xx xx xx
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
smoking. For which of the following side effects should the nurse assess the client:
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
3) Insomnia
xx
4) Tinnitus - ANSWER: 3) Insomnia
xx xx xx xx xx
A nurse is teaching a client about the use of risedronate (Actonel) to treat
xx xx xx xx xx xx xx xx xx xx xx xx xx
osteoporasis. Which of the following client statements indicates a need for further
xx xx xx xx xx xx xx xx xx xx xx xx
teaching:
xx
3) I need to set up or stand after taking the risedronate
xx xx xx xx xx xx xx xx xx xx xx
4) I need to take the risedronate with food - ANSWER: 4) I need to take the risdronate
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
with food
xx xx
