ATI pharmacology Proctored Exam
version 1 With NGN
1. 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
A. thyroid stimulating hormone (TSH) level is 2 microunits/
mL
B. Total t4 level is 2 mcg/dl: A. thyroid stimulating hormone
(TSH) level is 2 microunits/ mL
2. A nurse providing teaching to a client who has just been
prescribed pra- zosin (Minipress) which of the following client
statement indicate understand- ing of teaching:
A. I will not use a salt substitute while taking meds
B. I will move slowly from sitting to standing to prevent falls: B.
I will move slowly from sitting to standing to prevent falls
,3. A nurse is providing teaching to a patient who is
prescribed phenytoin
(Dilantin). Which statement by the patient indicates further
teaching
A. I should expect a rash to develop
B. I may develop hair or face or chest: A. I should expect a rash
to develop
4. 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
A. Read the prescription back to the provider after
transcribing
B. Write the trade name for the prescribed medicine: A. Read
the prescription back to the provider after transcribing
5. 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
A. I will keep a seizure frequency chart
,B. I will skip a dose if I am experiencing nausea: A. I will keep a
seizure frequency chart
6. 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
A. Apply a cardiac monitor
B. Provides foods high in potassium: A. Apply a cardiac
monitor
7. A nurse administers ceftazidime (Fortaz) to a client who
has a severe penicillin allergy. Which of the following client
findings requires an incident report
A. The client is also taking linsinophrel (Prinivil)
B.The client reports shortness of breath: B. The client reports
shortness of breath
8. A nurse is providing teaching to a female client who has
been newly diag- nosed 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
, A. Ethunyl estradiol/desogestrel (Cyclessa)
B. Fluroxetine (Prozac): A. Ethunyl estradiol/desogestrel
(Cyclessa)
9. 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
A. Take 1SL tablet three times a day before meals
B. Take 1SL tablet at onset of migrane: B. Take 1SL tablet at
onset of migrane
10. A nurse is reviewing a client's daily laboratory findings
before adminis- tering 0.125 mg of digoxin (Lanoxin). The
client's serum digoxin level is 0.7 ng/mL. Which of the
following actions should the nurse take
A. Give the medication
B. Request a dose increase: A. Give the medication
11. 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:
version 1 With NGN
1. 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
A. thyroid stimulating hormone (TSH) level is 2 microunits/
mL
B. Total t4 level is 2 mcg/dl: A. thyroid stimulating hormone
(TSH) level is 2 microunits/ mL
2. A nurse providing teaching to a client who has just been
prescribed pra- zosin (Minipress) which of the following client
statement indicate understand- ing of teaching:
A. I will not use a salt substitute while taking meds
B. I will move slowly from sitting to standing to prevent falls: B.
I will move slowly from sitting to standing to prevent falls
,3. A nurse is providing teaching to a patient who is
prescribed phenytoin
(Dilantin). Which statement by the patient indicates further
teaching
A. I should expect a rash to develop
B. I may develop hair or face or chest: A. I should expect a rash
to develop
4. 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
A. Read the prescription back to the provider after
transcribing
B. Write the trade name for the prescribed medicine: A. Read
the prescription back to the provider after transcribing
5. 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
A. I will keep a seizure frequency chart
,B. I will skip a dose if I am experiencing nausea: A. I will keep a
seizure frequency chart
6. 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
A. Apply a cardiac monitor
B. Provides foods high in potassium: A. Apply a cardiac
monitor
7. A nurse administers ceftazidime (Fortaz) to a client who
has a severe penicillin allergy. Which of the following client
findings requires an incident report
A. The client is also taking linsinophrel (Prinivil)
B.The client reports shortness of breath: B. The client reports
shortness of breath
8. A nurse is providing teaching to a female client who has
been newly diag- nosed 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
, A. Ethunyl estradiol/desogestrel (Cyclessa)
B. Fluroxetine (Prozac): A. Ethunyl estradiol/desogestrel
(Cyclessa)
9. 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
A. Take 1SL tablet three times a day before meals
B. Take 1SL tablet at onset of migrane: B. Take 1SL tablet at
onset of migrane
10. A nurse is reviewing a client's daily laboratory findings
before adminis- tering 0.125 mg of digoxin (Lanoxin). The
client's serum digoxin level is 0.7 ng/mL. Which of the
following actions should the nurse take
A. Give the medication
B. Request a dose increase: A. Give the medication
11. 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:
