(Answered and Updated) ATI Pharmacology – Proctored
Assessment Summer (Answered and Updated) 2022/2023
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
3) Take the medication in the early morning
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
, 4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The
client aPTT is 4x the normal value and his INR is 2. Which of the following actions
should the nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin
1) Decrease the heparin
The nurse is caring for a client who is in labor. The client is receiving oxytocin
(pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution.
The external FHR monitor indicates late decelerations. Which of the following
actions should the nurse take first:
1) Turn the client to side lying position
2) Discontinue the client's IV meds
2) Discontinue the client's IV meds
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to
quit smoking. For which of the following side effects should the nurse assess the
client:
3) Insomnia
4) Tinnitus
3) Insomnia
A nurse is teaching a client about the use of risedronate (Actonel) to treat
osteoporosis. Which of the following client statements indicates a need for
further teaching:
3) I need to set up or stand after taking the risedronate
4) I need to take the risedronate with food
4) I need to take the risedronate with food
A nurse is caring for a client who is receiving haloperidol (Haldol). For which of
the following adverse effects should the nurse be observing:
1) Vomiting
2) Akathesia
2) Akathesia
A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which
should the nurse document to indicate the effectiveness of the therapy:
1) Increased platelet count
2) Increased RBC count
1) Increased platelet count
A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury.
Which of the following should the nurse document as a therapeutic outcome:
1) Increase in seizure threshold
2) Decrease flexor & extension spasticity
2) Decrease flexor & extension spasticity
A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat
anemia. For which should the nurse monitor related to this medication:
1) Paresthesias
2) Increased BP
Assessment Summer (Answered and Updated) 2022/2023
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
3) Take the medication in the early morning
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
, 4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The
client aPTT is 4x the normal value and his INR is 2. Which of the following actions
should the nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin
1) Decrease the heparin
The nurse is caring for a client who is in labor. The client is receiving oxytocin
(pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution.
The external FHR monitor indicates late decelerations. Which of the following
actions should the nurse take first:
1) Turn the client to side lying position
2) Discontinue the client's IV meds
2) Discontinue the client's IV meds
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to
quit smoking. For which of the following side effects should the nurse assess the
client:
3) Insomnia
4) Tinnitus
3) Insomnia
A nurse is teaching a client about the use of risedronate (Actonel) to treat
osteoporosis. Which of the following client statements indicates a need for
further teaching:
3) I need to set up or stand after taking the risedronate
4) I need to take the risedronate with food
4) I need to take the risedronate with food
A nurse is caring for a client who is receiving haloperidol (Haldol). For which of
the following adverse effects should the nurse be observing:
1) Vomiting
2) Akathesia
2) Akathesia
A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which
should the nurse document to indicate the effectiveness of the therapy:
1) Increased platelet count
2) Increased RBC count
1) Increased platelet count
A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury.
Which of the following should the nurse document as a therapeutic outcome:
1) Increase in seizure threshold
2) Decrease flexor & extension spasticity
2) Decrease flexor & extension spasticity
A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat
anemia. For which should the nurse monitor related to this medication:
1) Paresthesias
2) Increased BP
