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ATI Pharmacology Proctored Exam (Latest 2025/2026 Update) 240 Questions with Verified Answers & Rationale |100% Correct | Graded A.

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A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client? A. Cardiovascular B. Immune C. Central nervous D. Gastrointestinal C. Central nervous (The nurse should realize that extrapyramidal effects are movement disorders that can be caused by a number of central nervous system medications, such as typical antipsychotic medications) A nurse is caring for a client who is taking oral Oxycodone The client states he is also taking Ibuprofen in three recommended doses daily. The nurse should identify that an interaction between these two medications will cause which of the following findings? A. A decrease in serum levels of ibuprofen, possibly leading to a need for increased doses of this medication B. A decrease in serum levels of oxycodone, possibly leading to a need for increased doses of this medication C. An increase in the expected therapeutic effect of both medications D. An increase in expected adverse effects for both medications C. An increase in the expected therapeutic effect of both medications (These medications work together to increase the pain relieving effects of both medications. Oxycodone is a narcotic analgesic, and ibuprofen is an NSAID. They work by different mechanisms, but pain is better relieved when they are taken together) A nurse is preparing to administer medications to a 4 month old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (Select all that apply.) A. Infants have a more rapid gastric emptying time. B. Infants have immature liver function. C. Infants' blood brain barrier is poorly developed. D. Infants have an increased ability to absorb topical medications. E. Infants have an increased number of protein binding sites. B. Infants have immature liver function. C. Infants' blood brain barrier is poorly developed. D. Infants have an increased ability to absorb topical medications. (B. Infants have immature liver function until 1 year of age. The nurse should administer medications the liver metabolizes in smaller dosages. C. Infants have a poorly developed blood brain barrier, which places them at risk for adverse effects from medications that pass through the blood brain barrier. The nurse should administer these medications in smaller dosages. D. Because infants have more blood flowing to the skin and their skin is thin, their medication absorption is increased, making them prone to toxicity from topical medications) A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client? A. Varicella vaccine B. Rubella vaccine C. Inactivated influenza vaccine D. Measles vaccine C. Inactivated influenza vaccine (During influenza season, providers recommend the inactivated influenza vaccine for women who are pregnant) A nurse on a medical surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness? A. Reduced cardiac function B. First pass effect C. Reduced hepatic function D. Increased gastric motility C. Reduced hepatic function (Older adults have reduced hepatic function, which can prolong the effects of medications the liver metabolizes. The client probably needs a lower dosage of the hypnotic medication) A provider prescribes phenobarbital for a client who has 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 A. One (Medications with long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this medication once a day.) A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer 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 the same pathway metabolizes C. Liver failure E. Concurrent use of medication the same pathway metabolizes C. Liver failure decreases metabolism and thus increases the concentration of a medication. This requires decreasing the dosage. E. When the same pathway metabolizes two medications, they compete for metabolism, thereby increasing the concentration of one or both medications. This requires decreasing the dosage of one or both A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A. Have the client lie on her side. B. Ask the client to look up at the ceiling. C. Tell the client to blink when the drops enter her eye. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation B. Ask the client to look up at the ceiling. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation (B. The client should look upward to keep the drops from falling onto her cornea. D. The nurse should drop the medication into the center of the conjunctival sac to promote distribution. E. The client should close her eye gently to promote distribution of the medication) A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch. C. "I will apply the patch to an area of skin with no hair." (The client should apply the patch to a hairless area of skin to promote absorption of the medication.)

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ATI Pharmacology
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ATI Pharmacology

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Uploaded on
January 12, 2025
Number of pages
161
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • ati pharmacology

Content preview

ATI Pharmacology Proctored Exam (Latest
i,- i,- i,- i,- i,-




2025/2026 Update) 240 Questions with i,- i,- i,- i,- i,-




Verified Answers & Rationale |100% Correct | i,- i,- i,- i,- i,- i,- i,-




Graded A. i,-




A nurse is reviewing a client's health record and notes that the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



client experiences permanent extrapyramidal effects caused by a
i,- i,- i,- i,- i,- i,- i,- i,-



previous medication. The nurse should recognize that the
i,- i,- i,- i,- i,- i,- i,- i,-



medication affected which of the following systems in the client?
i,- i,- i,- i,- i,- i,- i,- i,- i,-




A. Cardiovascular
i,-




B. Immune
i,-




C. Central nervous
i,- i,-




D. Gastrointestinal
i,- i,-i,- i,- C. Central nervous
i,- i,-




(The nurse should realize that extrapyramidal effects are
i,- i,- i,- i,- i,- i,- i,- i,-



movement disorders that can be caused by a number of central
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nervous system medications, such as typical antipsychotic
i,- i,- i,- i,- i,- i,- i,-



medications)


A nurse is caring for a client who is taking oral Oxycodone The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



client states he is also taking Ibuprofen in three recommended
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-

,doses daily. The nurse should identify that an interaction between
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



these two medications will cause which of the following findings?
i,- i,- i,- i,- i,- i,- i,- i,- i,-




A. A decrease in serum levels of ibuprofen, possibly leading to a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



need for increased doses of this medication
i,- i,- i,- i,- i,- i,-




B. A decrease in serum levels of oxycodone, possibly leading to a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



need for increased doses of this medication
i,- i,- i,- i,- i,- i,-




C. An increase in the expected therapeutic effect of both
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



medications
D. An increase in expected adverse effects for both medications
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-



C. An increase in the expected therapeutic effect of both
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



medications


(These medications work together to increase the pain-relieving
i,- i,- i,- i,- i,- i,- i,- i,-



effects of both medications. Oxycodone is a narcotic analgesic,
i,- i,- i,- i,- i,- i,- i,- i,- i,-



and ibuprofen is an NSAID. They work by different mechanisms,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



but pain is better relieved when they are taken together)
i,- i,- i,- i,- i,- i,- i,- i,- i,-




A nurse is preparing to administer medications to a 4-month-old
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



infant. Which of the following pharmacokinetic principles should
i,- i,- i,- i,- i,- i,- i,- i,-



the nurse consider when administering medications to this client?
i,- i,- i,- i,- i,- i,- i,- i,- i,-



(Select all that apply.) i,- i,- i,-




A. Infants have a more rapid gastric emptying time.
i,- i,- i,- i,- i,- i,- i,- i,-

,B. Infants have immature liver function.
i,- i,- i,- i,- i,-




C. Infants' blood-brain barrier is poorly developed.
i,- i,- i,- i,- i,- i,-




D. Infants have an increased ability to absorb topical medications.
i,- i,- i,- i,- i,- i,- i,- i,- i,-




E. Infants have an increased number of protein-binding sites.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



B. Infants have immature liver function.
i,- i,- i,- i,- i,-




C. Infants' blood-brain barrier is poorly developed.
i,- i,- i,- i,- i,- i,-




D. Infants have an increased ability to absorb topical medications.
i,- i,- i,- i,- i,- i,- i,- i,- i,-




(B. Infants have immature liver function until 1 year of age. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nurse should administer medications the liver metabolizes in
i,- i,- i,- i,- i,- i,- i,- i,-



smaller dosages. i,-




C. Infants have a poorly developed blood-brain barrier, which
i,- i,- i,- i,- i,- i,- i,- i,- i,-



places them at risk for adverse effects from medications that pass
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



through the blood-brain barrier. The nurse should administer
i,- i,- i,- i,- i,- i,- i,- i,-



these medications in smaller dosages.
i,- i,- i,- i,-




D. Because infants have more blood flowing to the skin and their
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



skin is thin, their medication absorption is increased, making
i,- i,- i,- i,- i,- i,- i,- i,- i,-



them prone to toxicity from topical medications)
i,- i,- i,- i,- i,- i,-




A nurse in a provider's office is reviewing the medical record of a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



client who is pregnant and is at her first prenatal visit. Which of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-

, the following immunizations may the nurse administer safely to
i,- i,- i,- i,- i,- i,- i,- i,- i,-



this client? i,-




A. Varicella vaccine
i,- i,-




B. Rubella vaccine
i,- i,-




C. Inactivated influenza vaccine
i,- i,- i,-




D. Measles vaccine
i,- i,- i,-i,- i,- C. Inactivated influenza vaccine
i,- i,- i,-




(During influenza season, providers recommend the inactivated
i,- i,- i,- i,- i,- i,- i,-



influenza vaccine for women who are pregnant)
i,- i,- i,- i,- i,- i,-




A nurse on a medical-surgical unit administers a hypnotic
i,- i,- i,- i,- i,- i,- i,- i,- i,-



medication to an older adult client at 2100. The next morning, the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



client is drowsy and wants to sleep instead of eating breakfast.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Which of the following factors should the nurse identify as a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



possible reason for the client's drowsiness?
i,- i,- i,- i,- i,-




A. Reduced cardiac function
i,- i,- i,-




B. First-pass effect
i,- i,-




C. Reduced hepatic function
i,- i,- i,-




D. Increased gastric motility
i,- i,- i,- i,-i,- i,- C. Reduced hepatic function
i,- i,- i,-

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