ATI RN PHARMACOLOGY NEWEST 2024 ACTUAL
EXAM COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS
1. A provider prescribes phenobarbital for a client with a seizure disorder. The medication has
a long half-life of 4 days. How many times per day should the nurse expect to administer this
medication?
A) One
B) Two
C) Three
D) Four
✔✔ Answer: A) One
Explanation: Medications with long half-lives maintain therapeutic levels for extended periods,
so phenobarbital is administered once daily.
2. A staff educator is reviewing factors that influence medication metabolism. Which factors
should result in lower medication dosages? (Select all that apply)
A) Increased renal secretion
B) Increased medication-metabolizing enzymes
C) Liver failure
D) Peripheral vascular disease
E) Concurrent use of medication metabolized by the same pathway
✔✔ Answers:
C) Liver failure
E) Concurrent use of medication metabolized by the same pathway
Explanation: Liver failure reduces metabolism, increasing drug concentration, and concurrent
medication use can lead to competition for metabolism.
3. A nurse is preparing to administer eye drops. Which actions should the nurse take? (Select
all that apply)
A) Have the client lie on their side
B) Ask the client to look up at the ceiling
C) Instruct the client to blink as the drops enter the eye
D) Drop the medication into the conjunctival sac
E) Instruct the client to close their eye gently after administration
✔✔ Answers:
B) Ask the client to look up at the ceiling
,ESTUDY
D) Drop the medication into the conjunctival sac
E) Instruct the client to close their eye gently after administration
Explanation: These actions help ensure proper distribution of the medication.
4. A nurse is teaching a client about using transdermal patches. Which statement indicates
the client understands the instructions?
A) "I will clean the site with an alcohol swab before applying the patch."
B) "I will rotate the application sites weekly."
C) "I will apply the patch to a hairless area of skin."
D) "I will place the new patch over the old patch site."
✔✔ Answer: C) "I will apply the patch to a hairless area of skin."
Explanation: A hairless area enhances absorption.
5. When verifying the trough level of a client's medication, what action should the nurse
take?
A) Obtain a blood sample immediately before administering the next dose
B) Ensure the client has been taking the medication for at least 24 hours
C) Collect a urine sample after the next dose
D) Administer the medication and draw blood 30 minutes later
✔✔ Answer: A) Obtain a blood sample immediately before administering the next dose
Explanation: Trough levels are measured right before the next dose to determine the lowest
concentration of the drug in the bloodstream.
6. A nurse is preparing medications. Which legal responsibilities should the nurse follow?
(Select all that apply)
A) Maintain skill competency
B) Determine the dosage independently
C) Monitor for adverse effects
D) Safeguard medications
E) Identify the client's diagnosis
✔✔ Answers:
A) Maintain skill competency
C) Monitor for adverse effects
D) Safeguard medications
Explanation: These are part of the legal responsibilities for safe medication administration.
7. A nurse sees a prescription for lisinopril 10 mg PO once daily. What type of prescription is
this?
A) Single
B) Stat
C) Routine
D) Standing
,ESTUDY
✔✔ Answer: C) Routine
Explanation: A routine prescription is given on a regular schedule without a specific end date
unless stopped by the provider.
8. A nurse reviews a new prescription for ondansetron 4 mg PO PRN for nausea. Which part
of the prescription needs clarification?
A) Name of the medication
B) Dosage
C) Route
D) Frequency
✔✔ Answer: D) Frequency
Explanation: The prescription does not specify how often the medication should be given.
9. A nurse is completing a preassessment before administering medications. What
information should be included? (Select all that apply)
A) Use of herbal teas
B) Daily fluid intake
C) Current health status
D) Previous surgical history
E) Food allergies
✔✔ Answers:
A) Use of herbal teas
C) Current health status
E) Food allergies
Explanation: Herbal products can affect medication metabolism, and knowing health status and
allergies is critical for safe administration.
10. A nurse reviewing the procedure for taking a telephone prescription hears the newly
licensed nurse say the following. Which statement indicates correct understanding?
A) "A second nurse enters the prescription into the client's medical record."
B) "Another nurse should listen to the phone call."
C) "The provider can clarify the prescription when signing the record."
D) "I should omit the 'read back' as this is a one-time prescription."
✔✔ Answer: B) "Another nurse should listen to the phone call."
Explanation: Having a second nurse listen helps prevent communication errors.
11. A nurse is teaching a client about calorie reduction for weight loss. To lose one pound per
week, how many calories should the client reduce daily?
A) 100 calories
B) 250 calories
C) 500 calories
, ESTUDY
D) 1,000 calories
✔✔ Answer: C) 500 calories
Explanation: A deficit of 500 calories per day leads to a 3,500-calorie deficit per week,
equivalent to one pound of weight loss.
12. What is the recommended daily salt intake according to the Dietary Guidelines for
Americans?
A) Less than 1,500 mg
B) Less than 2,300 mg
C) Less than 3,000 mg
D) Less than 2,500 mg
✔✔ Answer: B) Less than 2,300 mg
Explanation: The recommendation is to limit salt intake to prevent hypertension and
cardiovascular diseases.
13. During pregnancy, what is the recommended daily intake of folic acid to prevent neural
tube defects?
A) 200 mcg
B) 400 mcg
C) 600 mcg
D) 800 mcg
✔✔ Answer: C) 600 mcg
Explanation: Adequate folic acid intake helps prevent neural tube defects in the developing
fetus.
14. What is a common patient teaching point for weight loss to avoid inconsistent results
when monitoring progress?
A) Weigh yourself daily
B) Weigh yourself weekly
C) Avoid using scales
D) Only weigh at the doctor's office
✔✔ Answer: B) Weigh yourself weekly
Explanation: Weekly weighing helps track progress without being misled by daily fluctuations in
weight.
15. What is the BMI range for overweight classification?
A) Less than 18.5
B) 18.5 to 24.9
C) 25 to 29.9
D) Greater than 30
✔✔ Answer: C) 25 to 29.9
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