ATI NCLEX Pharmacology Assessment 1
ATI NCLEX Pharmacology Assessment 1
Containing 60 Questions and Answers
Updated 2024-2025.
(Dark Back Ground for better Visibility and eye Care)
A nurse is administering methotrexate to a client who has lymphosarcoma. The
nurse should encourage the client to maintain an adequate fluid intake to prevent
which of the following adverse effects of the medication
A. Kidney damage
B. Alopecia
C. Thrombocytopenia
D. Dermatitis - Answer: A
1
, ATI NCLEX Pharmacology Assessment 1
The pt needs 2,000-3,000 mL of fluids per day to promote medication excretion
and prevent kidney damage
A nurse is assessing a client for pain who is 4 hr postoperative following surgery
and still experiencing the effects of anesthesia. Which of the following findings
should the nurse identify as an indication that the client might be experiencing
pain and requires pain medication
A. Reduced blood glucose
B. Pupil constriction
C. Diaphoresis
D. Facial flushing - Answer: C
A client in pain can be come diaphroetic in an attempt to keep the body
temperature under control during stress
--
A, blood glucose can increase in a client who has pain as the body attempts to
make more energy available
B, pupils can dilate in a client who has pain to help improve vision
D, a client in pain can become pale as the body shifts blood to the central
circulation and away from the peripheral circulation
2
, ATI NCLEX Pharmacology Assessment 1
A nurse is assessing a client who has Alzheimer's disease and is taking oral
rivastigmine. Which of the following findings indicates the client is experiencing an
adverse effect of the medication
A. Diarrhea
B. Tachycardia
C. Dry skin
D. Weight gain - Answer: A
Diarrhea is an adverse effect of this med d/t the peripheral cholinergic effect of
the med
--
B, the med is a cholinesterase inhibitor, which causes cholinergic actions such as
bradycardia, AV block, and cardiac arrest
C,the med is a cholinesterase inhibitor, which causes cholinergic actions such a
diaphroesis
D, the med is a cholinesterase inhibitor, which causes cholinergic actions such as
anorexia, nausea, vomiting, diarrhea, and abdominal pain which can lead to
weight loss
A nurse is assessing a client who has been taking simvastatin and has alanine
aminotransferase (ALT) and aspartate aminotransferase (AST) elevations. Which of
the following findings is the nurse's priority assessment
3
, ATI NCLEX Pharmacology Assessment 1
A. Knowledge of the medication's adverse effects
B. Dietary intake of grapefruit
C. Changes in exercise routine
D. Recent weight gain - Answer: B
The greatest risk to this client is injury from liver damage due to elevated
simvastatin levels, finding out that the pt drinks grapefruit juice is priority.
Grapefruit juice inhibits the drug metabolizing enzyme and hepatic enzyme. The
result is increased blood levels of stimvastatin and the potential for serious
adverse effects, such as elevated liver enzymes and rhabdomyolysis (Potentially
fatal disintegration of muscle tissue)
A nurse is assessing a client who has chronic pain disorder and is requesting pain
medication. Which of the following findings should the nurse identify as the most
reliable indicator of the client's pain
A. The client's behavior
B. Changes in the client's vital signs
C. The client's facial expression
D. The client's verbal report - Answer: D
The nurse should ask the client about the location, quality, and intensity of the
pain
4
ATI NCLEX Pharmacology Assessment 1
Containing 60 Questions and Answers
Updated 2024-2025.
(Dark Back Ground for better Visibility and eye Care)
A nurse is administering methotrexate to a client who has lymphosarcoma. The
nurse should encourage the client to maintain an adequate fluid intake to prevent
which of the following adverse effects of the medication
A. Kidney damage
B. Alopecia
C. Thrombocytopenia
D. Dermatitis - Answer: A
1
, ATI NCLEX Pharmacology Assessment 1
The pt needs 2,000-3,000 mL of fluids per day to promote medication excretion
and prevent kidney damage
A nurse is assessing a client for pain who is 4 hr postoperative following surgery
and still experiencing the effects of anesthesia. Which of the following findings
should the nurse identify as an indication that the client might be experiencing
pain and requires pain medication
A. Reduced blood glucose
B. Pupil constriction
C. Diaphoresis
D. Facial flushing - Answer: C
A client in pain can be come diaphroetic in an attempt to keep the body
temperature under control during stress
--
A, blood glucose can increase in a client who has pain as the body attempts to
make more energy available
B, pupils can dilate in a client who has pain to help improve vision
D, a client in pain can become pale as the body shifts blood to the central
circulation and away from the peripheral circulation
2
, ATI NCLEX Pharmacology Assessment 1
A nurse is assessing a client who has Alzheimer's disease and is taking oral
rivastigmine. Which of the following findings indicates the client is experiencing an
adverse effect of the medication
A. Diarrhea
B. Tachycardia
C. Dry skin
D. Weight gain - Answer: A
Diarrhea is an adverse effect of this med d/t the peripheral cholinergic effect of
the med
--
B, the med is a cholinesterase inhibitor, which causes cholinergic actions such as
bradycardia, AV block, and cardiac arrest
C,the med is a cholinesterase inhibitor, which causes cholinergic actions such a
diaphroesis
D, the med is a cholinesterase inhibitor, which causes cholinergic actions such as
anorexia, nausea, vomiting, diarrhea, and abdominal pain which can lead to
weight loss
A nurse is assessing a client who has been taking simvastatin and has alanine
aminotransferase (ALT) and aspartate aminotransferase (AST) elevations. Which of
the following findings is the nurse's priority assessment
3
, ATI NCLEX Pharmacology Assessment 1
A. Knowledge of the medication's adverse effects
B. Dietary intake of grapefruit
C. Changes in exercise routine
D. Recent weight gain - Answer: B
The greatest risk to this client is injury from liver damage due to elevated
simvastatin levels, finding out that the pt drinks grapefruit juice is priority.
Grapefruit juice inhibits the drug metabolizing enzyme and hepatic enzyme. The
result is increased blood levels of stimvastatin and the potential for serious
adverse effects, such as elevated liver enzymes and rhabdomyolysis (Potentially
fatal disintegration of muscle tissue)
A nurse is assessing a client who has chronic pain disorder and is requesting pain
medication. Which of the following findings should the nurse identify as the most
reliable indicator of the client's pain
A. The client's behavior
B. Changes in the client's vital signs
C. The client's facial expression
D. The client's verbal report - Answer: D
The nurse should ask the client about the location, quality, and intensity of the
pain
4
