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ATI RN Pharmacology Proctored Exam /RN Pharmacology ATI Proctored Actual Exam Questions And Correct Detailed Answers With Rationales| Graded A+| Version 1| 34. A Nurse Is Teaching A Client About Interferon Beta-1a. Which Of The Following Instructions Should The Nurse Give To Help The Client Avoid...

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ATI RN Pharmacology Proctored Exam
/RN Pharmacology ATI Proctored Actual
Exam Questions And Correct Detailed
Answers With Rationales| Graded A+|
Version 1| 2024-2025
VERSION 1
MULTIPLE CHOICE

1. A Nurse Is Preparing To Administer A Drug To A Client. In Which Of The Following
Sections Of A Drug Handbook Should The Nurse Look To Determine If The Drug
Has More Than One Use?
o A) Adverse Effects
o B) Indications
o C) Pharmacokinetics
o D) Nursing Implications

Correct Answer: B)

Rationale: The "Indications" Section Details The Approved Uses For A Drug,
Including Primary And Potential Off-Label Uses. This Is Where A Nurse Would Find
Information About Whether A Drug Serves Multiple Purposes.

2. A Nurse Is Reviewing A Drug Handbook Prior To Administering A Drug To A Client
Who Has Kidney Disease. The Handbook States That The Drug Can Be Administered
But Identifies Certain Risks. Which Of The Following Terms Describes These Risks?
o A) Contraindications
o B) Precautions
o C) Paradoxical Effects
o D) Adverse Effects

Correct Answer: B)

Rationale: "Precautions" Refer To Situations Where A Drug Can Be Used But With
Special Care Due To Potential Risks. They Guide Clinicians In Monitoring Patients
To Mitigate These Risks, Unlike Contraindications, Which Suggest That A Drug
Should Not Be Used At All.

3. A Nurse Is Caring For A Client Who Is Taking Diphenhydramine For Insomnia And
Reports Drowsiness. The Nurse Should Identify That Drowsiness Indicates Which Of
The Following?
o A) Therapeutic Effect
o B) Adverse Reaction

, o C) Contraindication
o D) Precaution

Correct Answer: A)

Rationale: Drowsiness Is A Desired Outcome Of Diphenhydramine, Which Is
Commonly Used As A Sleep Aid. This Means The Medication Is Exerting Its
Therapeutic Effect Rather Than Indicating An Adverse Reaction.

4. A Nurse Is Providing Teaching For A Client Who Has A New Prescription For A
Drug With A High Potential For Toxicity. Which Of The Following Information
Should The Nurse Include? (Select All That Apply)
1. Periodic Lab Tests Are Essential To Measure Serum Drug Levels
2. Monitoring For Indications Of Toxicity Is Important
3. Taking The Drug With An Inducing Agent Will Increase The Possibility Of
Toxicity
4. Taking The Smallest Effective Dose Is Crucial
5. Increasing Fluid Intake Is Recommended To Avoid Toxicity

Correct Answers: 1, 2, 4

Rationale: For Drugs With High Toxicity Risks, It Is Important To Monitor Serum
Levels (1), Be Vigilant For Signs Of Toxicity (2), And Use The Smallest Effective
Dose (4) To Reduce Adverse Effects. Increasing Fluid Intake May Help In Some
Contexts But Is Not Universally Required For Avoiding Toxicity.

5. A Nurse Is Providing Teaching To A Pregnant Client Who Is Taking Captopril, An
Ace Inhibitor, To Treat Hypertension. The Nurse Informs The Client That Captopril
Is A Teratogenic Drug. The Nurse Should Explain That Teratogenic Drugs Can Cause
Which Of The Following?
o A) Maternal Bleeding
o B) Maternal Blood Clots
o C) Gestational Diabetes
o D) Fetal Malformation

Correct Answer: D)

Rationale: Teratogenic Drugs Can Cause Congenital Malformations In The
Developing Fetus, Particularly During Critical Periods Of Development, Such As The
First Trimester.

6. When Reviewing A List Of Drugs In A Drug Handbook, A Nurse Can Identify The
Generic Name For A Drug In Which Of The Following Ways?
o A) It Begins With A Lower Case Letter
o B) It Is Listed In Parentheses Along With The Trade Name
o C) There Are Both Letters And Numbers In The Name
o D) The Chemical Name Is Listed In Parentheses Before The Generic Name

Correct Answer: A)

, Rationale: Generic Drug Names Are Conventionally Written With A Lowercase First
Letter, While Brand Names Begin With An Uppercase Letter. This Convention Helps
Differentiate Between The Two.

7. A Nurse Is Reviewing A Drug Reference. The Nurse Should Identify That Drugs In
The Same Class Share Which Of The Following Similarities?
o A) They Have Similar Mechanisms Of Action
o B) They Have The Same Half-Life
o C) They Are Administered By The Same Route
o D) They Have Similar Availability

Correct Answer: A)

Rationale: Drugs Within The Same Class Generally Exhibit Similar Mechanisms Of
Action, Which Informs Their Therapeutic Effects. However, Their Half-Lives,
Administration Routes, And Availability Can Differ Significantly.

8. A Nurse Is Caring For A Client Who Is Newly Admitted To The Facility For Chest
Pain. At Which Of The Following Times Should The Nurse Begin Teaching About
Drugs And Discharge Planning?
o A) After The Client Has A Definitive Diagnosis
o B) On The Day Of Discharge
o C) When The Client's Family Members Are Present
o D) As Soon As Possible

Correct Answer: D)

Rationale: Initiating Teaching Early Allows The Client To Process Information And
Ask Questions, Ultimately Enhancing Understanding And Preparedness For
Discharge.

9. A Nurse Is Caring For A Client Who Is Taking Acetaminophen And Codeine For
Pain Relief. These Analgesic Drugs Interact With One Another To Cause An Additive
Effect. The Nurse Should Identify Which Of The Following Characteristics Of
Additive Drug Interactions? (Select All That Apply)

1. Clients Can Achieve Desired Effects With The Use Of Lower Dosages
2. Taking The Two Drugs Together Can Reduce The Effects Of One Or Both
Drugs
3. Taking The Two Drugs Together Can Potentiate The Effects Of One Or Both
Drugs.
4. The Two Drugs Can Produce An Action Neither Would Have Produced Alone
5. Both Drugs Have Similar Actions

Correct Answers: 1, 5

Rationale: Additive Effects Occur When Two Drugs With Similar Actions Produce
A Combined Effect That Is Equal To The Sum Of Their Individual Effects. This Can
Allow For Lower Doses To Achieve Desired Outcomes, While Both Drugs Acting
Similarly Is A Characteristic Of Additive Interactions.

, 10. A Nurse Is Caring For A Client Who Arrived At An Er Department Following A Bee
Sting. Which Of The Following Findings Indicates An Anaphylactic Reaction?
(Select All That Apply)
1. Low Bp
2. Wheezing
3. Bradycardia
4. Peripheral Edema
5. Difficulty Swallowing

Correct Answers: 1, 2, 5

Rationale: Anaphylactic Reactions Can Present With Hypotension (1), Respiratory
Distress Such As Wheezing (2), And Swelling In The Throat, Leading To Difficulty
Swallowing (5). These Signs Indicate Severe Allergic Reactions Requiring Immediate
Intervention.

11. A Nurse Is Preparing To Teach A Client How To Take Care Of A Newly Created
Colostomy. The Nurse Should Identify Which Of The Following Factors Can
Decrease The Client's Ability To Learn? (Select All That Apply)
1. Impaired Cognitive Level
2. Language Barrier
3. Discomfort
4. Repetition Of Teaching
5. Unreadiness To Learn

Correct Answers: 1, 2, 3, 5

Rationale: Factors Such As Cognitive Impairment (1), Language Barriers (2),
Physical Discomfort (3), And A Lack Of Readiness To Learn (5) Can Significantly
Hinder A Client's Ability To Absorb And Retain New Information.

12. A Nurse Is Teaching A Client About The Adverse Effects Of Digoxin. Which Of The
Following Statements Should The Nurse Include In The Teaching?

o A) Adverse Effects Are Intended Effects Of The Med
o B) Adverse Effects Indicate A Severe Allergy To The Med
o C) Decrease Your Med Dose If Adverse Effects Occur
o D) Contact Your Provider If Adverse Effects Occur

Correct Answer: D)

Rationale: Clients Should Always Be Advised To Contact Their Healthcare Provider
If They Experience Adverse Effects, As These Can Indicate Complications Or
Require Dosage Adjustments.

10. A Nurse Is Obtaining A Client's Health History. The Client Reports No Allergies But
Has Experienced Mild Itching While Taking Amoxicillin In The Past. Which Of The
Following Responses Should The Nurse Make?
o A) Itching Is An Expected Adverse Effect Of Amoxicillin
o B) Itching Can Indicate Amoxicillin Toxicity

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