2023 ATI PN
Pharmacology
EXAM QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 70 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Proctored Exam prep
• NCLEX-PN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,A nurse is assisting in the care of a client in the provider's office.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and
pseudoephedrine is no longer effective. Nasal mucosa is red and edematous.
Nares are patent. Frontal and maxillary sinuses are non-tender to palpation.
Oral mucosa is pink and moist.
3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal
mucosa is red and edematous. Nares are non-patent and nasal crusting is
present. Client reports mouth breathing due to nasal congestion. Frontal and
maxillary sinuses are tender to palpation. Oral mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies
3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client
to ____________________________________________ and
____________________________________.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client to use
saline nasal spray prior to administering medication and instill two sprays of
the medication in each nostril.
When generating solutions for a client who has a new prescription for fluticasone
propionate, the nurse should plan to reinforce teaching with the client about the
medication. The nurse should reinforce with the client to use a saline nasal spray
,prior to administering medication to remove nasal crusting. The nurse should also
reinforce to instill two sprays of fluticasone into each nostril to administer 100 mcg
per nostril.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL
to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The
nurse should ensure that the manual IV infusion is set to deliver how many
gtt/min? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
31 gtt/min
Follow these steps to calculate the infusion rate using the Dimensional
Analysis method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit
of measure being calculated on the left side of the equation.)
X gtt/min =
Step 2: Determine the ratio that contains the same unit as the unit being calculated.
(Place the ratio on the right side of the equation, ensuring that the unit in the
numerator matches the unit being calculated.)
X gtt/min = 15 gtt/1mL
Step 3: Place any remaining ratios that are relevant to the item on the right side of
the equation, along with any needed conversion factors, to cancel out unwanted
units of measurement.
X gtt/min = 15 gtt/1mL x 1,000 mL/8 hr x 1 hr/60 min
Step 4: Solve for X.
X gtt/min = 31.25 gtt/min
Step 5: Round if necessary. 31.25 = 31 gtt/min
Step 6: Determine whether the amount to administer makes sense. If the
prescription reads 0.9% sodium chloride 1,000 mL IV to infuse 8 hr and the drop
factor on the manual IV tubing is 15 gtt/mL, it makes sense to administer 31
gtt/min. The nurse should set the manual IV infusion to deliver 0.9% sodium
chloride 1,000 mL IV at 31 gtt/min over 8 hr.
, A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of
the following actions should the nurse take after instilling the eyedrops?
a. Ask the client to blink their eyes several times.
b. Apply pressure to the upper eyelid.
c. Press the nasolacrimal duct.
d. Tell the client to keep their eyes open for at least 15 seconds.
c. Press the nasolacrimal duct.
The nurse should press the client's nasolacrimal duct after instilling the eye drops
to prevent the medication from absorbing into systemic circulation.
A nurse is planning to reinforce teaching about newborn immunizations with
a client who is 24 hr postpartum. Which of the following information should
the nurse plan to include?
a. "Your baby will receive the first hepatitis B vaccine before discharge."
b. "Your baby will receive the rotavirus vaccine if your blood titer is low."
c. "Your baby will receive their first influenza vaccine at the 4-week
checkup."
d. "Your baby will receive the varicella vaccine if you have a history of
chickenpox."
a. "Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next
dose at age 1 to 2 months.
A nurse is reinforcing dietary teaching with a client who has a new
prescription for phenelzine. Which of the following foods should the nurse
include in the teaching as an appropriate food choice?
a. Yogurt
b. Avocado
c. Smoked salmon
Pharmacology
EXAM QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 70 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Proctored Exam prep
• NCLEX-PN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,A nurse is assisting in the care of a client in the provider's office.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and
pseudoephedrine is no longer effective. Nasal mucosa is red and edematous.
Nares are patent. Frontal and maxillary sinuses are non-tender to palpation.
Oral mucosa is pink and moist.
3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal
mucosa is red and edematous. Nares are non-patent and nasal crusting is
present. Client reports mouth breathing due to nasal congestion. Frontal and
maxillary sinuses are tender to palpation. Oral mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies
3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client
to ____________________________________________ and
____________________________________.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client to use
saline nasal spray prior to administering medication and instill two sprays of
the medication in each nostril.
When generating solutions for a client who has a new prescription for fluticasone
propionate, the nurse should plan to reinforce teaching with the client about the
medication. The nurse should reinforce with the client to use a saline nasal spray
,prior to administering medication to remove nasal crusting. The nurse should also
reinforce to instill two sprays of fluticasone into each nostril to administer 100 mcg
per nostril.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL
to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The
nurse should ensure that the manual IV infusion is set to deliver how many
gtt/min? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
31 gtt/min
Follow these steps to calculate the infusion rate using the Dimensional
Analysis method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit
of measure being calculated on the left side of the equation.)
X gtt/min =
Step 2: Determine the ratio that contains the same unit as the unit being calculated.
(Place the ratio on the right side of the equation, ensuring that the unit in the
numerator matches the unit being calculated.)
X gtt/min = 15 gtt/1mL
Step 3: Place any remaining ratios that are relevant to the item on the right side of
the equation, along with any needed conversion factors, to cancel out unwanted
units of measurement.
X gtt/min = 15 gtt/1mL x 1,000 mL/8 hr x 1 hr/60 min
Step 4: Solve for X.
X gtt/min = 31.25 gtt/min
Step 5: Round if necessary. 31.25 = 31 gtt/min
Step 6: Determine whether the amount to administer makes sense. If the
prescription reads 0.9% sodium chloride 1,000 mL IV to infuse 8 hr and the drop
factor on the manual IV tubing is 15 gtt/mL, it makes sense to administer 31
gtt/min. The nurse should set the manual IV infusion to deliver 0.9% sodium
chloride 1,000 mL IV at 31 gtt/min over 8 hr.
, A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of
the following actions should the nurse take after instilling the eyedrops?
a. Ask the client to blink their eyes several times.
b. Apply pressure to the upper eyelid.
c. Press the nasolacrimal duct.
d. Tell the client to keep their eyes open for at least 15 seconds.
c. Press the nasolacrimal duct.
The nurse should press the client's nasolacrimal duct after instilling the eye drops
to prevent the medication from absorbing into systemic circulation.
A nurse is planning to reinforce teaching about newborn immunizations with
a client who is 24 hr postpartum. Which of the following information should
the nurse plan to include?
a. "Your baby will receive the first hepatitis B vaccine before discharge."
b. "Your baby will receive the rotavirus vaccine if your blood titer is low."
c. "Your baby will receive their first influenza vaccine at the 4-week
checkup."
d. "Your baby will receive the varicella vaccine if you have a history of
chickenpox."
a. "Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next
dose at age 1 to 2 months.
A nurse is reinforcing dietary teaching with a client who has a new
prescription for phenelzine. Which of the following foods should the nurse
include in the teaching as an appropriate food choice?
a. Yogurt
b. Avocado
c. Smoked salmon
