ATI Pharmacology Proctored exam
2024/2025 questions and
answers(LATEST 2024 /2025UPDATE)
A provider prescribes phenobarbital for a client who has a seizure disorder. The
II II II II II II II II II II II II
medication has a long half-life of 4 days. How many times per day should the nurse
II II II II II II II II II II II II II II II II
expect to administer this medication?
II II II II II
A. One II
B. Two II
C. Three II
D. Four - II II IIII IIII II A. One II
(Medications with long half-lives remain at their therapeutic levels between doses for
II II II II II II II II II II II
long periods of time. The nurse should expect to administer this medication once a
II II II II II II II II II II II II II II
day.)
II
A staff educator is reviewing medication dosages and factors that influence
II II II II II II II II II II
medication metabolism with a group of nurses at an in-service presentation. Which of
II II II II II II II II II II II II II
the following factors should the educator include as a reason to administer lower
II II II II II II II II II II II II II
medication dosages? (Select all that apply.)
II II II II II II
A. Increased renal secretion
II II II
B. Increased medication-metabolizing enzymes
II II II
C. Liver failure
II II
D. Peripheral vascular disease
II II II
E. Concurrent use of medication the same pathway metabolizes -
II II II II II II II II II IIII IIII II C. Liver failure
II II
E. Concurrent use of medication the same pathway metabolizes
II II II II II II II II
C. Liver failure decreases metabolism and thus increases the concentration of a
II II II II II II II II II II II
medication. This requires decreasing the dosage.
II II II II II II
E. When the same pathway metabolizes two medications, they compete for
II II II II II II II II II II
metabolism, thereby increasing the concentration of one or both medications. This
II II II II II II II II II II II
requires decreasing the dosage of one or both
II II II II II II II II
A nurse is preparing to administer eye drops to a client. Which of the following actions
II II II II II II II II II II II II II II II
should the nurse take? (Select all that apply.)
II II II II II II II II
A. Have the client lie on her side.
II II II II II II II
B. Ask the client to look up at the ceiling.
II II II II II II II II II
C. Tell the client to blink when the drops enter her eye.
II II II II II II II II II II II
D. Drop the medication into the center of the client's conjunctival sac.
II II II II II II II II II II II
,E. Instruct the client to close her eye gently after instillation -
II II B. Ask the client toII II II II II II II II II IIII IIII II II II II II
look up at the ceiling.
II II II II II
D. Drop the medication into the center of the client's conjunctival sac.
II II II II II II II II II II II
E. Instruct the client to close her eye gently after instillation
II II II II II II II II II II
(B. The client should look upward to keep the drops from falling onto her cornea.
II II II II II II II II II II II II II II
D. The nurse should drop the medication into the
II II II II II II II II II
center of the conjunctival sac to promote distribution.
II II II II II II II
E. The client should close her eye gently to promote distribution of the medication)
II II II II II II II II II II II II II
A nurse is completing discharge teaching for a client who has a new prescription for
II II II II II II II II II II II II II II
transdermal patches. Which of the following statements should the nurse identify as
II II II II II II II II II II II II
an indication that the client understands the instructions?
II II II II II II II II
A. "I will clean the site with an alcohol swab before I apply the patch."
II II II II II II II II II II II II II II
B. "I will rotate the application sites weekly."
II II II II II II II
C. "I will apply the patch to an area of skin with no hair."
II II II II II II II II II II II II II II
D. "I will place the new patch on the site of the old patch. -
II II II C. "I will apply the II II II II II II II II II II II IIII IIII II II II II II
patch to an area of skin with no hair."
II II II II II II II II II II
(The client should apply the patch to a hairless area of skin to promote absorption of
II II II II II II II II II II II II II II II
the medication.)
II II
A nurse reviewing a client's medical record notes a new prescription for verifying the
II II II II II II II II II II II II II
trough level of the client's medication. Which of the following actions should the nurse
II II II II II II II II II II II II II II
take?
II
A. Obtain a blood specimen immediately prior to administering the next dose of
II II II II II II II II II II II II
medication.
II
B. Verify that the client has been taking the medication for 24 hr before obtaining a
II II II II II II II II II II II II II II II
blood specimen.
II II
C. Ask the client to provide a urine specimen after the next dose of medication.
II II II II II II II II II II II II II II
D. Administer the medication,and obtain a blood specimen 30 min late -
II A. Obtain
II II II II II II II II II II IIII IIII II II
a blood specimen immediately prior to administering the next dose of medication.
II II II II II II II II II II II II
(To verify trough levels of a medication, the nurse should obtain a blood specimen
II II II II II II II II II II II II II
immediately before administering the next dose of medication.)
II II II II II II II II
A nurse is preparing a client's medications. Which of the following actions should the
II II II II II II II II II II II II II
nurse take in following legal practice guidelines? (Select all that apply.)
II II II II II II II II II II II
A. Maintain skill competency.
II II II
B. Determine the dosage.
II II II
C. Monitor for adverse effects.
II II II II
D. Safeguard medications.
II II
E. Identify the client's diagnosis -
II II II II II IIII IIII II A. Maintain skill competency.
II II II
,C. Monitor for adverse effects.
II II II II
D. Safeguard medications.
II II
(A.maintaining skill competency and using appropriate administration techniques are II II II II II II II II
legal responsibilities of the nurse
II II II II II
C. A nurse is legally responsible for monitoring for side and adverse effects of
II II II II II II II II II II II II II
medication
II
D. Safeguarding of medications, such as controlled substances, is a legal
II II II II II II II II II II
responsibility of the nurse)
II II II II
A nurse reviewing a client's health record notes a new prescription for Lisinopril 10
II II II II II II II II II II II II II
mg PO once every day. The nurse should identify this as which of the following types
II II II II II II II II II II II II II II II II
of prescription?
II II
A. Single II
B. Stat II
C. RoutineII
D. Standing -
II II IIII IIII II C. Routine II
(A routine or standard prescription identifies medications to give on a regular schedule
II II II II II II II II II II II II
with or without a termination date or a specific number of doses. The nurse will
II II II II II II II II II II II II II II II
administer
II II
this medication every day until the provider discontinues it.)
II II II II II II II II
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
II II II II II II II II II II II II II II
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify
II II II II II II II II II II II II II
which of the following parts of the prescription with the provider?
II II II II II II II II II II II
A. Name II
B. Dosage II
C. Route II
D. Frequency -
II II IIII IIII II D. Frequency II
(This prescription does not include the time or frequency of medication administration.
II II II II II II II II II II II
The nurse must clarify this with the prescribing provide)
II II II II II II II II II
A nurse is admitting a client and completing a preassessment before administering
II II II II II II II II II II II
medications. Which of the following data should the nurse include in the
II II II II II II II II II II II II
preassessment? (Select all that apply.)
II II II II II
A. Use of herbal teas
II II II II
B. Daily fluid intake
II II II
C. Current health status
II II II
D. Previous surgical history
II II II
, E. Food allergies -
II A. Use of herbal teas II II IIII IIII II II II II II
C. Current health status
II II II
E. Food allergies
II II
(A. The nurse should inquire about the client's use of herbal products, which often
II II II II II II II II II II II II II
contain caffeine, prior to medication administration because caffeine can affect
II II II II II II II II II II
medication biotransformation
II II
C. The nurse should review the client's current health status because new
II II II II II II II II II II II
prescriptions can cause alterations in current health status
II II II II II II II II
E. The nurse should inquire about food allergies during the preassessment to identify
II II II II II II II II II II II II
any potential reactions or interactions)
II II II II II
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
II II II II II II II II II II II II II
telephone prescription. Which of the following statements should the nurse identify as
II II II II II II II II II II II II
an indication that the newly licensed nurse understands the process?
II II II II II II II II II II
A. "A second nurse enters the prescription into the client's medical record."
II II II II II II II II II II II
B. "Another nurse should listen to the phone call."
II II II II II II II II
C. "The provider can clarify the prescription when he signs the health record."
II II II II II II II II II II II II
D. "I should omit the 'read back' if this is a one-time prescription -
II II IIB. "Another II II II II II II II II II II IIII IIII II II
nurse should listen to the phone call."
II II II II II II II
(A second nurse should listen to a telephone prescription to prevent errors in
II II II II II II II II II II II II
communication.)
II
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available
II II II II II II II II II II II II II
is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min.
II II II II II II II II II II II II II II II II II II
The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the
II II II II II II II II II II II II II II II II
manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest
II II II II II II II II II II II II II II
whole number. Do not use a trailing zero. -
II II 22 II II II II II II II IIII IIII II
A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The
II II II II II II II II II II II II II
amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride
II II II II II II II II II II II II II
(0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver how
II II II II II II II II II II II II II II II II II
many mL/hr? (Round
II II II II
the answer to the nearest whole number. Do not use a trailing zero. - 200
II II II II II II II II II II II II II IIII IIII II
A nurse is preparing to administer furosemide 80 mg PO daily. The amount available
II II II II II II II II II II II II II
is furosemide oral
II II II II
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the answer
II II II II II II II II II II II II II
to the nearest whole number. Do not use a trailing zero.) -
II II II 8 II II II II II II II II II IIII IIII II
2024/2025 questions and
answers(LATEST 2024 /2025UPDATE)
A provider prescribes phenobarbital for a client who has a seizure disorder. The
II II II II II II II II II II II II
medication has a long half-life of 4 days. How many times per day should the nurse
II II II II II II II II II II II II II II II II
expect to administer this medication?
II II II II II
A. One II
B. Two II
C. Three II
D. Four - II II IIII IIII II A. One II
(Medications with long half-lives remain at their therapeutic levels between doses for
II II II II II II II II II II II
long periods of time. The nurse should expect to administer this medication once a
II II II II II II II II II II II II II II
day.)
II
A staff educator is reviewing medication dosages and factors that influence
II II II II II II II II II II
medication metabolism with a group of nurses at an in-service presentation. Which of
II II II II II II II II II II II II II
the following factors should the educator include as a reason to administer lower
II II II II II II II II II II II II II
medication dosages? (Select all that apply.)
II II II II II II
A. Increased renal secretion
II II II
B. Increased medication-metabolizing enzymes
II II II
C. Liver failure
II II
D. Peripheral vascular disease
II II II
E. Concurrent use of medication the same pathway metabolizes -
II II II II II II II II II IIII IIII II C. Liver failure
II II
E. Concurrent use of medication the same pathway metabolizes
II II II II II II II II
C. Liver failure decreases metabolism and thus increases the concentration of a
II II II II II II II II II II II
medication. This requires decreasing the dosage.
II II II II II II
E. When the same pathway metabolizes two medications, they compete for
II II II II II II II II II II
metabolism, thereby increasing the concentration of one or both medications. This
II II II II II II II II II II II
requires decreasing the dosage of one or both
II II II II II II II II
A nurse is preparing to administer eye drops to a client. Which of the following actions
II II II II II II II II II II II II II II II
should the nurse take? (Select all that apply.)
II II II II II II II II
A. Have the client lie on her side.
II II II II II II II
B. Ask the client to look up at the ceiling.
II II II II II II II II II
C. Tell the client to blink when the drops enter her eye.
II II II II II II II II II II II
D. Drop the medication into the center of the client's conjunctival sac.
II II II II II II II II II II II
,E. Instruct the client to close her eye gently after instillation -
II II B. Ask the client toII II II II II II II II II IIII IIII II II II II II
look up at the ceiling.
II II II II II
D. Drop the medication into the center of the client's conjunctival sac.
II II II II II II II II II II II
E. Instruct the client to close her eye gently after instillation
II II II II II II II II II II
(B. The client should look upward to keep the drops from falling onto her cornea.
II II II II II II II II II II II II II II
D. The nurse should drop the medication into the
II II II II II II II II II
center of the conjunctival sac to promote distribution.
II II II II II II II
E. The client should close her eye gently to promote distribution of the medication)
II II II II II II II II II II II II II
A nurse is completing discharge teaching for a client who has a new prescription for
II II II II II II II II II II II II II II
transdermal patches. Which of the following statements should the nurse identify as
II II II II II II II II II II II II
an indication that the client understands the instructions?
II II II II II II II II
A. "I will clean the site with an alcohol swab before I apply the patch."
II II II II II II II II II II II II II II
B. "I will rotate the application sites weekly."
II II II II II II II
C. "I will apply the patch to an area of skin with no hair."
II II II II II II II II II II II II II II
D. "I will place the new patch on the site of the old patch. -
II II II C. "I will apply the II II II II II II II II II II II IIII IIII II II II II II
patch to an area of skin with no hair."
II II II II II II II II II II
(The client should apply the patch to a hairless area of skin to promote absorption of
II II II II II II II II II II II II II II II
the medication.)
II II
A nurse reviewing a client's medical record notes a new prescription for verifying the
II II II II II II II II II II II II II
trough level of the client's medication. Which of the following actions should the nurse
II II II II II II II II II II II II II II
take?
II
A. Obtain a blood specimen immediately prior to administering the next dose of
II II II II II II II II II II II II
medication.
II
B. Verify that the client has been taking the medication for 24 hr before obtaining a
II II II II II II II II II II II II II II II
blood specimen.
II II
C. Ask the client to provide a urine specimen after the next dose of medication.
II II II II II II II II II II II II II II
D. Administer the medication,and obtain a blood specimen 30 min late -
II A. Obtain
II II II II II II II II II II IIII IIII II II
a blood specimen immediately prior to administering the next dose of medication.
II II II II II II II II II II II II
(To verify trough levels of a medication, the nurse should obtain a blood specimen
II II II II II II II II II II II II II
immediately before administering the next dose of medication.)
II II II II II II II II
A nurse is preparing a client's medications. Which of the following actions should the
II II II II II II II II II II II II II
nurse take in following legal practice guidelines? (Select all that apply.)
II II II II II II II II II II II
A. Maintain skill competency.
II II II
B. Determine the dosage.
II II II
C. Monitor for adverse effects.
II II II II
D. Safeguard medications.
II II
E. Identify the client's diagnosis -
II II II II II IIII IIII II A. Maintain skill competency.
II II II
,C. Monitor for adverse effects.
II II II II
D. Safeguard medications.
II II
(A.maintaining skill competency and using appropriate administration techniques are II II II II II II II II
legal responsibilities of the nurse
II II II II II
C. A nurse is legally responsible for monitoring for side and adverse effects of
II II II II II II II II II II II II II
medication
II
D. Safeguarding of medications, such as controlled substances, is a legal
II II II II II II II II II II
responsibility of the nurse)
II II II II
A nurse reviewing a client's health record notes a new prescription for Lisinopril 10
II II II II II II II II II II II II II
mg PO once every day. The nurse should identify this as which of the following types
II II II II II II II II II II II II II II II II
of prescription?
II II
A. Single II
B. Stat II
C. RoutineII
D. Standing -
II II IIII IIII II C. Routine II
(A routine or standard prescription identifies medications to give on a regular schedule
II II II II II II II II II II II II
with or without a termination date or a specific number of doses. The nurse will
II II II II II II II II II II II II II II II
administer
II II
this medication every day until the provider discontinues it.)
II II II II II II II II
A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea
II II II II II II II II II II II II II II
and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify
II II II II II II II II II II II II II
which of the following parts of the prescription with the provider?
II II II II II II II II II II II
A. Name II
B. Dosage II
C. Route II
D. Frequency -
II II IIII IIII II D. Frequency II
(This prescription does not include the time or frequency of medication administration.
II II II II II II II II II II II
The nurse must clarify this with the prescribing provide)
II II II II II II II II II
A nurse is admitting a client and completing a preassessment before administering
II II II II II II II II II II II
medications. Which of the following data should the nurse include in the
II II II II II II II II II II II II
preassessment? (Select all that apply.)
II II II II II
A. Use of herbal teas
II II II II
B. Daily fluid intake
II II II
C. Current health status
II II II
D. Previous surgical history
II II II
, E. Food allergies -
II A. Use of herbal teas II II IIII IIII II II II II II
C. Current health status
II II II
E. Food allergies
II II
(A. The nurse should inquire about the client's use of herbal products, which often
II II II II II II II II II II II II II
contain caffeine, prior to medication administration because caffeine can affect
II II II II II II II II II II
medication biotransformation
II II
C. The nurse should review the client's current health status because new
II II II II II II II II II II II
prescriptions can cause alterations in current health status
II II II II II II II II
E. The nurse should inquire about food allergies during the preassessment to identify
II II II II II II II II II II II II
any potential reactions or interactions)
II II II II II
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
II II II II II II II II II II II II II
telephone prescription. Which of the following statements should the nurse identify as
II II II II II II II II II II II II
an indication that the newly licensed nurse understands the process?
II II II II II II II II II II
A. "A second nurse enters the prescription into the client's medical record."
II II II II II II II II II II II
B. "Another nurse should listen to the phone call."
II II II II II II II II
C. "The provider can clarify the prescription when he signs the health record."
II II II II II II II II II II II II
D. "I should omit the 'read back' if this is a one-time prescription -
II II IIB. "Another II II II II II II II II II II IIII IIII II II
nurse should listen to the phone call."
II II II II II II II
(A second nurse should listen to a telephone prescription to prevent errors in
II II II II II II II II II II II II
communication.)
II
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available
II II II II II II II II II II II II II
is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min.
II II II II II II II II II II II II II II II II II II
The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the
II II II II II II II II II II II II II II II II
manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest
II II II II II II II II II II II II II II
whole number. Do not use a trailing zero. -
II II 22 II II II II II II II IIII IIII II
A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The
II II II II II II II II II II II II II
amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride
II II II II II II II II II II II II II
(0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver how
II II II II II II II II II II II II II II II II II
many mL/hr? (Round
II II II II
the answer to the nearest whole number. Do not use a trailing zero. - 200
II II II II II II II II II II II II II IIII IIII II
A nurse is preparing to administer furosemide 80 mg PO daily. The amount available
II II II II II II II II II II II II II
is furosemide oral
II II II II
solution 10 mg/1 mL. how many mL should the nurse administer? (Round the answer
II II II II II II II II II II II II II
to the nearest whole number. Do not use a trailing zero.) -
II II II 8 II II II II II II II II II IIII IIII II
