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ATI Pharmacology Proctored Exam Predictor 2024 with NGN Questions and Correct Answers

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ATI Pharmacology Proctored Exam Predictor 2024 with NGN Questions and Correct Answers 1. The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may...

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  • January 7, 2024
  • February 6, 2025
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ATI Pharmacology Proctored Exam Predictor 2024 with NGN
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Questions and Correct Answers
1. A nurse is discussing medication safety with a new mother who is no longer pregnant. All of the
following drugs are unsafe during pregnancy, but which one can be taken while breastfeeding without
known harm to the infant?
C.
A. Lithium
B. Methotrexate
C. Ibuprofen
D. Nicotine
2. Which statement from a client demonstrates an understanding of self-care while taking warfarin?
A.
A. "If I take a course of antibiotics, my warfarin dosage might need adjustment."
B. "Pink-colored urine is expected due to the metabolic byproducts of the dye in this medication."
C. "I can use herbal remedies, but I should avoid aspirin unless my provider approves it."
D. "If my INR drops below two, I should eat spinach to boost my iron levels."
3. A male client tells the nurse that he wakes up once or twice each night to urinate and has trouble
initiating his urine stream, describing it as "annoying." After examination, the healthcare provider
determines he has moderate prostate enlargement. The client, who is sexually active, states that he does
not want any medication that could affect his sexual function. Which treatment does the nurse anticipate
the provider will prescribe?
D.
A. Silodosin
B. Transurethral prostatectomy
C. Finasteride
D. Doxazosin
4. A 50-year-old postmenopausal woman who has undergone a hysterectomy experiences moderate to
severe hot flashes and is considering estrogen therapy. What information should the nurse provide
regarding estrogen therapy side effects?
B.
A. A combination of estrogen and progesterone increases side effects.
B. Estrogen therapy in a transdermal form has fewer side effects.
C. Women in her age group rarely experience side effects from estrogen therapy.
D. An intravaginal estrogen preparation may be the best option.
5. A client with a pseudomonas aeruginosa infection has been prescribed intravenous piperacillin and
tobramycin. Why might the nurse question this antibiotic combination?

, B.
A. This combination increases the risk of tendon rupture.
B. Penicillins deactivate aminoglycosides.
C. Aminoglycosides alone are effective against pseudomonas, so penicillin is unnecessary and could
trigger an allergy.
D. Aminoglycosides raise the likelihood of a penicillin allergy.
6. A client with bronchitis is taking oral trimethoprim/sulfamethoxazole 160/800 mg twice daily. Before
the third dose, the nurse notices the client has a widespread rash, fever, a heart rate of 100 beats per
minute, appears unwell, and reports feeling sick. What is the appropriate nursing action?
C.
A. Request an order to switch to intravenous trimethoprim/sulfamethoxazole.
B. Begin probiotic therapy.
C. Stop the medication and inform the provider about the symptoms.
D. Administer the dose and request an antipyretic prescription.
7. A cancer patient who has been using an opioid pain reliever four times daily for chronic pain reports
needing higher doses for relief. What should the nurse explain?
A.
A. "Over time, people can develop a tolerance to opioids. We can discuss adjusting your dosage with the
provider."
B. "You should take your medication more frequently to manage the pain better."
C. "You are developing an addiction and should switch to a different medication. We can talk to your
provider about it."
D. "Your risk of respiratory depression increases the longer you take opioids."
8. A client experiencing an acute gout attack asks how colchicine differs from probenecid and allopurinol.
Which statement suggests the client needs further education about the purpose and use of these
medications?
B.
A. "Allopurinol inhibits uric acid production."
B. "All of these medications should be used together during an acute attack, and NSAIDs should be
included for pain relief."
C. "Colchicine helps reduce inflammation caused by uric acid."
D. "Probenecid assists in uric acid elimination through the kidneys."
9. When would a bronchodilator be the most beneficial treatment?
D.
A. Irregular breathing, snoring, and brief episodes of apnea
B. Fine, scattered crackles heard bilaterally in the lung bases

, C. Coarse crackles detected in the right lower lobe
D. Shallow breathing with wheezing sounds in the upper lung fields
10. Parents of a child with asthma ask why their child cannot use oral corticosteroids more often since they
work so well. What is the nurse’s best response?
B.
A. "Frequent use of this medication may lead to decreased effectiveness."
B. "Long-term steroid use can slow growth."
C. "Your child may develop a hypersensitivity reaction to this medication."
D. "Systemic steroids are more toxic in children."
11. A client taking warfarin presents with bruises, dark tarry stools, and an international
normalized ratio (INR) of 4.3. What is the nurse’s action? A
1. Hold the warfarin and consult the provider regarding the next steps.
2. Give an ampule of vitamin K, then call the physician to report client status.
3. Explain to the client the nurse may ask the provider to order a test for leukemia.
4. Give the warfarin with a dark green salad and check the next stool for blood.


12. The nurse will caution a client taking immunosuppressant drugs to avoid which dietary
supplement? C
1. Glucosamine
2. Feverfew
3. Echinacea
4. Black cohosh
13. A client will begin taking fexofenadine for hay fever. What education should be included
regarding the use of this second-generation antihistamine? A
1. Citrus fruit juices can inactivate this class of medications.
2. Fexofenadine has cholinergic side effects. It causes excessive salivation.
3. Fexofenadine must be taken at bedtime.
4. Fexofenadine must be taken apart from food


14. A client is discharged from the hospital with a prescription for
trimethoprim/sulfamethoxazole. What must the nurse include in the discharge teaching? D
1. Take folic acid supplements.
2. Eat foods that are high in potassium.
3. Take the medication with food.
4. Drink eight to ten glasses of water each day.


15. Naloxone is effective because of which action? A

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