ATI Pharmacology Comprehensive Proctored 2019 A, B, C, Exam Questions and Answers with Rationales (Verified by Expert)
ATI Pharmacology Comprehensive Proctored 2019 A, B, C, Exam Questions and Answers with Rationales (Verified by Expert) ATI Pharmacology Comprehensive Proctored 2019 A, B, C, Exam Questions and Answers with Rationales (Verified by Expert) ATI Pharmacology Comprehensive Proctored 2019 A, B, C, Exam Questions and Answers with Rationales (Verified b
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ATI Pharmacology Comprehensive Proctored 2019 Exam C
Questions and Answers with Rationales
1.A nurse in a provider’s clinic is caring for a client who reports erectile
dysfunction and requests a prescription for sildenafil. Which of the followingmedications currently prescribed for the client is a contraindication to
taking sildenafil
ANS Isosorbide
Rationale: Clients who are on nitrates including isosorbide andnitroglycerin prepa- rations cannot take sildenafil, because of theserious medication interaction. There is the possibility of sudden deathdue to hypotension.
2.A nurse is educating a group of clients about the contraindications of
warfarin therapy. Which of the following statements should the nurse
include in the teaching
ANS “Clients who are pregnant should not take warfarin.”
Rationale: Warfarin therapy is contraindicated in the pregnant client
because it crosses the placenta and places the fetus at risk for
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bleeding.
3.A nurse is caring for a client who has prostate cancer. The nurse should
expect the provider to prescribe which of the following medications for
this client
ANS Leuprolide
Rationale: Leuprolide treats cancer of the prostate hormonally. It
antagonizes the androgens that androgen-dependent neoplasms
require.
4.A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following
herbal preparations reduces the effectiveness of this birth control method
ANS St. John’s wort
Rationale: St. John’s wort decreases the effectiveness of oral
contraceptives and can be responsible for breakthrough bleeding and
unintended pregnancies.
5.A nurse at a family practice clinic receives a call from a client who is
prescribed oral contraceptives but forgot to take one dose. The client
reports she is in the first week of a 28-day cycle pack. Which of the following
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instruc- tions should the nurse provide
ANS “Take the missed dose now, then continue the medication as
ordered.”
Rationale: The nurse should tell the client to take the missed dose
immediately, then continue with the pack as ordered. The nurse should
also tell the client to use an additional form of contraception for 7 days.
6.A nurse is providing education to a client who is in labor and has aprescrip- tion for a continuous IV infusion of oxytocin. Which of theinformation should the nurse include
ANS “Your contractions will become stronger and more frequent.”
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ATI Pharmacology Comprehensive Proctored 2019 Exam B
Questions and Answers with Rationales
- A nurse contacts a client’s provider on the telephone to obtain
prescription for pain medication. Which of following actions should nurse
take?
A.Write the order on a prescription pad designated for the client’s provider
B. Have the provider spell out the unfamiliar medication names
C. Read the prescription back to the provider using abbreviations
D. Consult with a second nurse for any questions regarding dosage
ANS Have the provider spell out the unfamiliar medication names.
Rationale – The nurse should ask the provider to spell out the name of
the medication if the stated name is one the nurse is not familiar with. - Nurse in clinic is caring who is taking aspirin for the treatment of
arthritis. The nurse should identify which of following findings as indication
that the client is beginning to exhibit salicylism?
A. Gastric distress
B. Oliguria
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C. Excessive bruising
D.Tinnitus
ANS Tinnitus
Rationale – Tinnitus is a manifestation of aspirin toxicity, also called
salicylism. Other manifestations include sweating, headache, and
dizziness.
- Circulating nurse is planning care for a client who is scheduled forsurgery and has latex allergy. Which of following actions should nurseinclude in plan of care?
A. Schedule the client for the last surgery of the day
B. Place monitoring cords and tubes in a stockinet
C. Choose rubber injection ports for fluid administration
D. Ensure phenytoin IV is readily available
ANS Place monitoring cords and tubes in a stockinet.
Rationale – The nurse should place monitoring devices in a stockinet to
prevent direct contact with the client’s skin. - Nurse is assessing a client who is receiving epoetin alfa to treat
anemia. Which of following findings should nurse monitor?
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A. Paresthesia
B. Increased blood pressure
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C. Fever
D. Respiratory depression
ANS Increased blood pressure
Rationale – The therapeutic effect of epoetin alfa is an increase in
hematocrit levels, which can result in an increase in a client’s blood
pressure. If the client’s hematocrit level rises too rapidly, hypertension
and seizures can result. The nurse should monitor the client’s blood
pressure and ensure hypertension is controlled prior to administering
the medication.
- Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client.
Which of following actions should nurse take prior to administering the
med- ication?
A. Ask the client to drink 8oz of water
B. Review the client’s most recent Hgb level
C. Obtain the client’s blood pressure
D. Determine if the client is allergic to NSAIDs
ANS Obtain the client’s blood pressure.
Rationale – HCTZ is a thiazide diuretic administered to promote urine
output and reduce blood pressure and edema. The nurse should obtain
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ATI Pharmacology Comprehensive Proctored 2019 Exam A
Questions and Answers with Rationales
1.A nurse is providing discharge instructions to a client who has heartfailure and a new prescription for captopril. Which of the following clientstatements indicates an understanding of the teaching?
a. “I should take this medication with food.”
b. “I should take naproxen if I develop joint pain.”
c. “I should tell my provider if I develop a sore throat.”
d. “I should expect the medication to cause my urine to look orange.”
ANS c. “I should tell my provider if I develop a sore throat.”
The client should report a sore throat to the provider because this can
indicate neutropenia, a serious adverse effect of captopril. Neutropenia
can be reversed if it is identified early and the medication is promptly
discontinued.
2.A nurse is providing teaching to a client who has peptic ulcer disease andis to start a new prescription for sucralfate. Which of the following actionsof sucralfate should the nurse include in the teaching?
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a. Decreases stomach acid and secretion
b. Neutralizes acid in the stomach
c. Forms a protective barrier
d.Treats ulcers by eradicating H. pylori
ANS C. For a a protective barrier over ulcers
Secretions by the parietal chief cells, hydrochloric acid and pepsin, canfurther irri- tate the ulcerated areas. Sucralfate, a mucosal protectant,forms a gel-like substance that coats the ulcer, creating a barrier tohydrochloric acid and pepsin.
3.A nurse is providing teaching to a client who has multiple sclerosis and a
new prescription for methylprednisolone. Which of the following
instructions should the nurse include? (SATA)
a. Blood glucose levels will be monitored during therapy
b. Avoid contact with people who have known infections
c.Take the medication 1 hr before breakfast
d. Decrease dietary intake of foods containing potassium
e. Grapefruit juice can increase the effects of the medication
ANS a. Blood glucose levels will be monitored during therapy
b. Avoid contact with people who have known infections
e. Grapefruit juice can increase the effects of the medication
a.The nurse should monitor the client for hyperglycemia while providing
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methylpred-
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nisolone to the client. Glucocorticoids, such as methylprednisolone,
increase serum glucose levels and can require management with insulinor antihyperglycemia.
b.The nurse should instruct the client to avoid exposures to infectious
agents, such as contact with those who have active infections or
illnesses. Glucocorticoids, which as methylprednisolone, depress the
immune system, placing the client at an increased risk for developing
an infection.
e. The nurse should in strict the client that grapefruit and grapefruit juicecan increase the level of methylprednisolone in the body.
4.The nurse is providing discharge teaching about handling medication to a
client who is to continue taking oral transmucosal fentanyl raspberryflavored lozenges on a stick. Which of the following information should the
nurse include in the teaching?
a. Chew on the medication stick to release the medication
b. Leave the medication stick in one location of the mouth until melted
c. Allow the medication 1 hr for the analgesia effects to begin
d. Store unused medication sticks in a storage container
ANS d. Store unused medication sticks in a storage container
The nurse should instruct the client to store unused, or partially used,
medications sticks in the safe storage container that comes in the kit
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