ATI PHARMACOLOGY 2025 ASSESSMENT B EXAM GRADED A+
LATEST UPDATE.
1. The nurse is caring for a client in a mental health clinic.
Provider Prescriptions
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to
150 mg twice daily.
Assessment
1200:
Client here for scheduled visit to discuss mood. Client reports they were pre-
viously prescribed sertraline for depression, however tapered off that medica-
tion 6 months ago. Client states "It made me gain weight and it completely took
away my sex drive, so I stopped taking it." The client reports "My depression
has just gotten so bad. I have been seeing a counselor and they encouraged
me to see a provider about trying a different medication."
1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss
the newly prescribed medication. Client has a follow-up visit with provider in
3 weeks and continues with weekly counseling.
For each body system below, click to specify the adver: Genitourinary- changes
in libido
GI- constipation metabolic- wt loss
Rationale:
When taking action, the nurse should educate the client about potential adverse
effects of bupropion. Common adverse effects of this medication include changes
in libido, constipation, and weight loss.
2. A nurse is caring for a client in a clinic.
Nurses' Notes
,3 months ago:
Client was educated on non-pharmacological interventions to lower blood
pressure such as exercise and a low-fat, low-sodium diet with fresh fruits and
vegetables. Client to return to office for a follow-up visit in 3 months.
Today:
Blood pressure is still elevated. Provider notified and prescription given to the
client. The client was educated on the medication.
,Vital Signs
3 months ago:
Temperature 36.7° C (98° F)
Pulse 75/min
Respiratory Rate 16/min
Blood Pressure 130/81 mm Hg
Oxygen Saturation 99% on room air
Today:
Temperature 36.4° C (97.5° F)
Pulse 77/min
Respiratory Rate 16/min
Blood Pressure 148/90 mm Hg
Oxygen Saturation 98% on room air
Provider Prescriptions
Today:
Captopril 12.5 mg twice a day by mouth
Which client statements indicate an understanding of the teaching? Click to
specify if the client statement indicates an underst: "I will notify my provider if I
feel sick."-Understanding
"I will eat foods high in potassium."
-Need for further education
"I should take this medication with meals."
-Need for further education
"Coughing is expected while taking this medication."-Need for further education
"I should take acetaminophen instead of ibuprofen for a headache." -Understanding
Rationale:
When evaluating outcomes, the nurse should identify that the client's statements:
"I will notify my provider if I feel sick" and "I should take acetaminophen instead
of ibuprofen for a headache" indicate an understanding of teaching. Captopril can
cause neutropenia. If a client develops manifestations of infection such as a fever or
sore throat, the provider should be notified. NSAIDS such as ibuprofen may reduce
, the effectiveness of captopril and should be avoided. The nurse should identify that
the client's statements: "I will eat foods high in potassium," "Coughing is expected
while taking this medication," and "I should take this medication with meals indicate
a need for further education. Hyperkalemia is an adverse effect of captopril. The
client should avoid potassium supplements and potassium-sparing supplements.
Coughing is an adverse effect of captopril and the nurse should notify the provider.
Captopril should be given one hour before meals or two hours after meals.
3. A nurse is caring for a client in a clinic and is reviewing their electronic
medical record (EMR).
Nurses' Notes
3 months ago:
Client was prescribed atorvastatin by provider. Client was educated to contin-
ue eating a diet low in saturated fats and to participate in regular exercise.
Client is to return to the office in 3 months for a follow-up visit.
Today:
Client here for a follow-up visit. Client reports last bowel movement was 1
day ago, increased appetite, and dark urine upon urination. Client reports
having some muscle weakness when working outside. Skin is warm, dry, and
intact. Color consistent with genetic background. Client states, "I am sleeping
so much better and seem to have increased energy, but I sometimes get
lightheaded." Client denies headache. Will report assessment findings to the
provider.
Provider Prescriptions
3 months ago:
Atorvastatin 40 mg once daily by mouth
For each body system below, cli: Gastrointestinal/Genitourinary- urine character-
istics
Musculoskeletal/Integumentary- muscle weakness
Neurological- dizziness
Rationale:
When recognizing cues for a client who is taking atorvastatin, the nurse should
identify that the findings of the client's urine characteristics, muscle weakness,
and dizziness indicate an adverse reaction to the medication. Atorvastatin can
cause dark urine, muscle pain, muscle spasms, and weakness, which could be an
LATEST UPDATE.
1. The nurse is caring for a client in a mental health clinic.
Provider Prescriptions
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to
150 mg twice daily.
Assessment
1200:
Client here for scheduled visit to discuss mood. Client reports they were pre-
viously prescribed sertraline for depression, however tapered off that medica-
tion 6 months ago. Client states "It made me gain weight and it completely took
away my sex drive, so I stopped taking it." The client reports "My depression
has just gotten so bad. I have been seeing a counselor and they encouraged
me to see a provider about trying a different medication."
1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss
the newly prescribed medication. Client has a follow-up visit with provider in
3 weeks and continues with weekly counseling.
For each body system below, click to specify the adver: Genitourinary- changes
in libido
GI- constipation metabolic- wt loss
Rationale:
When taking action, the nurse should educate the client about potential adverse
effects of bupropion. Common adverse effects of this medication include changes
in libido, constipation, and weight loss.
2. A nurse is caring for a client in a clinic.
Nurses' Notes
,3 months ago:
Client was educated on non-pharmacological interventions to lower blood
pressure such as exercise and a low-fat, low-sodium diet with fresh fruits and
vegetables. Client to return to office for a follow-up visit in 3 months.
Today:
Blood pressure is still elevated. Provider notified and prescription given to the
client. The client was educated on the medication.
,Vital Signs
3 months ago:
Temperature 36.7° C (98° F)
Pulse 75/min
Respiratory Rate 16/min
Blood Pressure 130/81 mm Hg
Oxygen Saturation 99% on room air
Today:
Temperature 36.4° C (97.5° F)
Pulse 77/min
Respiratory Rate 16/min
Blood Pressure 148/90 mm Hg
Oxygen Saturation 98% on room air
Provider Prescriptions
Today:
Captopril 12.5 mg twice a day by mouth
Which client statements indicate an understanding of the teaching? Click to
specify if the client statement indicates an underst: "I will notify my provider if I
feel sick."-Understanding
"I will eat foods high in potassium."
-Need for further education
"I should take this medication with meals."
-Need for further education
"Coughing is expected while taking this medication."-Need for further education
"I should take acetaminophen instead of ibuprofen for a headache." -Understanding
Rationale:
When evaluating outcomes, the nurse should identify that the client's statements:
"I will notify my provider if I feel sick" and "I should take acetaminophen instead
of ibuprofen for a headache" indicate an understanding of teaching. Captopril can
cause neutropenia. If a client develops manifestations of infection such as a fever or
sore throat, the provider should be notified. NSAIDS such as ibuprofen may reduce
, the effectiveness of captopril and should be avoided. The nurse should identify that
the client's statements: "I will eat foods high in potassium," "Coughing is expected
while taking this medication," and "I should take this medication with meals indicate
a need for further education. Hyperkalemia is an adverse effect of captopril. The
client should avoid potassium supplements and potassium-sparing supplements.
Coughing is an adverse effect of captopril and the nurse should notify the provider.
Captopril should be given one hour before meals or two hours after meals.
3. A nurse is caring for a client in a clinic and is reviewing their electronic
medical record (EMR).
Nurses' Notes
3 months ago:
Client was prescribed atorvastatin by provider. Client was educated to contin-
ue eating a diet low in saturated fats and to participate in regular exercise.
Client is to return to the office in 3 months for a follow-up visit.
Today:
Client here for a follow-up visit. Client reports last bowel movement was 1
day ago, increased appetite, and dark urine upon urination. Client reports
having some muscle weakness when working outside. Skin is warm, dry, and
intact. Color consistent with genetic background. Client states, "I am sleeping
so much better and seem to have increased energy, but I sometimes get
lightheaded." Client denies headache. Will report assessment findings to the
provider.
Provider Prescriptions
3 months ago:
Atorvastatin 40 mg once daily by mouth
For each body system below, cli: Gastrointestinal/Genitourinary- urine character-
istics
Musculoskeletal/Integumentary- muscle weakness
Neurological- dizziness
Rationale:
When recognizing cues for a client who is taking atorvastatin, the nurse should
identify that the findings of the client's urine characteristics, muscle weakness,
and dizziness indicate an adverse reaction to the medication. Atorvastatin can
cause dark urine, muscle pain, muscle spasms, and weakness, which could be an
