ATI RN PHARMACOLOGY PROCTORED EXAM
LATEST 2024 -2025 TEST BANK/ COMPLETE 500
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
A nurse is teaching the parents of a child who has a new prescription for
Desipramine. The nurse should instruct the parents that which of the following
adverse effects is the priority to report to the provider?
A. Constipation
B. Suicidal thoughts
C. Photophobia
D. Dry mouth - ANSWER - B. Suicidal thoughts
Rationale;
(The greatest risk to this client is injury from a suicide attempt; therefore,
this is the priority. Desipramine can cause suicidal thoughts and behaviors
which puts the client at risk. The parents should monitor and report any
indication of increased depression or thoughts of suicidal behavior.)
A nurse is caring for a client who received Prochlorperazine 4 hr ago. The client
reports spasms of his face. The nurse should anticipate a prescription for which
of the following medications?
A. Fomepizole
B. Naloxone
C. Phytonadione
D. Diphenhydramine - ANSWER - D
(An adverse effect of prochlorperazine is acute dystonia, which is
evidenced by spasms of the muscles in the face, neck, and tongue.
pg. 1
,Diphenhydramine is used to suppress extrapyramidal effects of
prochlorperazin)
A nurse is planning to administer Ondansetron IV for an older adult client who
has a history of diabetes mellitus and cardiac myopathy and is receiving
chemotherapy for cancer. For which of the following adverse effects of
ondansetron should the nurse monitor? (Select all that apply.)
A. Headache
B. Diarrhea
C. Shortened PR interval
D. Hyperglycemia
E. Prolonged QT interval - ANSWER - a, b, e
(A. headache is a common adverse effect of ondansetron.
B. Diarrhea or constipation are both adverse effects of ondansetron
E. A prolonged QT interval is a possible adverse effect of ondansetron that
can lead to torsades de pointes, a serious dysrhythmia.)
A nurse is providing instructions about the use of laxatives to a client who has
heart failure. The nurse should tell the client he should avoid which of the
following laxatives?
A. Sodium phosphate
B. Psyllium
C. Bisacodyl
D. Polyethylene glycol - ANSWER - A
(Typically, clients who have heart failure are on a sodium‑restricted diet.
Absorption of sodium from sodium phosphate causes fluid retention and is
contraindicated for clients who have heart failure.)
pg. 2
,A nurse is caring for a client who has Diabetes and is experiencing Nausea due to
Gastroparesis. The nurse should anticipate a prescription for which of the
following medications?
A. Lubiprostone
B. Metoclopramide
C. Bisacodyl
D. Loperamide - ANSWER - B
(Metoclopramide is a dopamine antagonist that is used to treat nausea and
also increases gastric motility. It can relieve the bloating and nausea of
diabetic gastroparesis.)
A nurse is teaching an adolescent client who has a new prescription for
Clomipramine for OCD. Which of the following instructions should the nurse
include to minimize an adverse effect of his medication?
A. Wear sunglasses when outdoors.
B. Check your temperature daily.
C. Take this medication in the morning.
D. Add extra calories to your die - ANSWER - A. Wear sunglasses when outdoors.
Rationale;
(Wearing sunglasses when outdoors will decrease photophobia, an
anticholinergic effect associated with TCA use)
A nurse is caring for a school‑age child who has a new prescription for
Atomoxetine. The nurse should monitor the client for which of the following
adverse effects of this medication?
A. Kidney toxicity
B. Liver damage
C. Seizure activity
D. Adrenal insufficiency - ANSWER - B. Liver damage
Rationale;
pg. 3
, (Liver damage is an adverse effect of atomoxetine. The nurse should
monitor for manifestations such as jaundice, upper abdominal tenderness,
darkening of urine, and elevated liver enzymes)
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 - ANSWER - A. One
Rationale;
(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 nurse manager is reviewing the facility's policies for IV therapy with the
members of his team. The nurse manager should remind the team that which of
the following techniques helps minimize the risk of catheter embolism?
A. Performing hand hygiene before and after IV insertion
B. Rotating IV sites at least every 72 hr
C. Minimizing tourniquet time
D. Avoiding reinserting the needle into an IV catheter - ANSWER - D. Avoiding
reinserting the needle into an IV catheter
(The nurse manager should remind the members of the team to avoid
reinserting the stylet needle into an IV catheter. This action can result in
severing the end of the catheter and consequently cause a catheter
embolism)
pg. 4
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