ATI Pharmacology Proctored, Pharmacology ATI Proctored EXAM QUESTIONS AND ANSWERS

1. A provider prescribes phenobarbital for a client who has a seizure disorder. The medica- tion has a long half-life of 4 days. How many times per day should the nurse expect to ad- minister this medication? A. One B. Two C. Three D. Four 2. A staff educator is reviewing medication dosages and factors that influence medica- tion metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a rea- son to administer lower medication dosages? (Select all that apply.) A. Increased renal secretion B. Increased medication-metabolizing en- zymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes A. One (Medications with long half-lives re- main at their therapeutic levels be- tween doses for long periods of time. The nurse should expect to adminis- ter this medication once a day.) C. Liver failure E. Concurrent use of medication the same pathway metabolizes C. Liver failure decreases metabolism and thus increases the concentration of a medication. This requires de- creasing the dosage. E. When the same pathway metabo- lizes two medications, they compete for metabolism, thereby increasing the concentration of one or both medications. This requires decreas- ing the dosage of one or both 3. A nurse is preparing to administer eye drops to B. Ask the client to look up at the ceil- a client. Which of the following actions should the nurse take? (Select all that apply.) A. Have the client lie on her side. ing. D. Drop the medication into the cen- ter of the client's conjunctival sac. E. Instruct the client to close her eye B. Ask the client to look up at the ceiling. C. Tell the client to blink when the drops enter her eye. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation 4. A nurse is completing discharge teaching for a client who has a new prescription for trans- dermal patches. Which of the following state- ments should the nurse identify as an indica- tion that the client understands the instruc- tions? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch. 5. A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse gently after instillation (B. The client should look upward to keep the drops from falling onto her cornea. D. The nurse should drop the med- ication into the center of the conjunctival sac to pro- mote distribution. E. The client should close her eye gently to promote distribution of the medication) C. "I will apply the patch to an area of skin with no hair." (The client should apply the patch to a hairless area of skin to promote ab- sorption of the medication.) A. Obtain a blood specimen immedi- ately prior to administering the next dose of medication. (To verify trough levels of a med- take? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen. C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication,and obtain a blood specimen 30 min late 6. A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guide- lines? (Select all that apply.) A. Maintain skill competency. B. Determine the dosage. C. Monitor for adverse effects. D. Safeguard medications. E. Identify the client's diagnosis ication, the nurse should obtain a blood specimen immediately before administering the next dose of med- ication.) A. Maintain skill competency. C. Monitor for adverse ettects. D. Safeguard medications. (A.maintaining skill competency and using appropriate administration techniques are legal responsibilities of the nurse C. A nurse is legally responsible for monitoring for side and adverse ef- fects of medication D. Safeguarding of medications, such as controlled substances, is a legal responsibility of the nurse) 7. A nurse reviewing a client's health record notes C. Routine a new prescription for Lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? (A routine or standard prescription identifies medications to give on a A. Single B. Stat C. Routine D. Standing 8. A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis regular schedule with or without a termination date or a specific number of doses. The nurse will administer this medication every day until the provider discontinues it.) D. Frequency (This prescription does not include Gravidarum. The nurse should clarify which of the time or frequency of medication the following parts of the prescription with the administration. The nurse must clarify provider? A. Name B. Dosage C. Route D. Frequency 9. A nurse is admitting a client and completing a preassessment before administering medica- tions. Which of the following data should the nurse include in the preassessment? (Select all that apply.) A. Use of herbal teas B. Daily fluid intake C. Current health status D. Previous surgical history E. Food allergies this with the prescribing provide) A. Use of herbal teas C. Current health status E. Food allergies (A. The nurse should inquire about the client's use of herbal products, which often contain catteine, prior to medication administration because catteine can attect medication bio- transformation C. The nurse should review the client's current health status because new prescriptions can cause alterations in current health status 10. A nurse orienting a newly licens