NGN ATI PHARMACOLOGY PROCTORED EXAM 2023 WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED

. A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the
client indicates an understanding of the teaching?
*A. "I will avoid drinking grapefruit juice."
B. "I should take this medication without food."
C. "I should expect my stools to turn clay-colored."
D. "It is not necessary to have routine lab tests done."
2. A nurse is caring for four clients. After administering morning medications, she realizes that the
nifedipine prescribed for one client was inadvertently administered to another client. Which of the
following actions should the nurse take first?
A. Notify the client's provider.
*B. Check the client's vital signs.
C. Fill out an occurrence form.
D. Administer the medication to the correct client.
3. A client is teaching a client who has a new prescription for hydrochlorothiazide for management of
hypertension. Which of the following instructions should the nurse include?
A. "Take this medication before bedtime."
*b. "Monitor for leg cramps."
c. "Avoid grapefruit juice.'
d. "Reduce intake of potassium-rich foods."
4. A nurse is providing teaching to a client who has angina pectoris and a new prescription for
nitroglycerin sublingual tablets. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart."
B. "I'll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period."
C. "I'll dial 911 when I have pain and then take the nitroglycerin tablets."
*D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5
minutes apart while waiting."
5. A nurse is teaching a client who has a new prescription for colesevelam to lower his low-density
lipoprotein level. Which of the following instructions should the nurse include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
6. A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I should expect to feel better after 24 hours of starting this medication."
B. "I should not take this medicine with grapefruit juice."
NGN ATI PHARMACOLOGY PROCTORED EXAM 2023
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
C. "I'll take this medicine with food."
*D. "I'll take this medicine first thing in the morning."
7. A nurse is teaching a client who has a new prescription for simvastatin. Which of the following
instructions should the nurse include?
A. "You should expect brown-colored urine."
*B. "You should avoid grapefruit juice."
C. "You should monitor for ringing in the ears."
D. "You should take the medication in the morning."
8. A nurse is teaching a client who has a new prescription for colesevelam to lower his low-density
lipoprotein level. Which of the following instructions should the nurse include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
9. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the
following findings should the nurse recognize as a potential adverse effect?
A. Urinary retention
*B. Weakness
C. Orthostatic hypotension
D. Blurred vision
10. A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following
prescriptions with the provider?
*A. Amoxicillin-clavulanate
B. Gentamicin
C. Erythromycin
D. Amphotericin B
11. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following
statements by the nurse indicates an understanding of the teaching?
A. "I should increase my intake of potassium-rich foods."
B. "I should expect to have facial swelling when taking this medication."
NGN ATI PHARMACOLOGY PROCTORED EXAM 2023
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
C. "I should take this medication with food."
*D. "I should report a cough to my provider."
12. A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the
following actions by the newly licensed nurse should prompt the charge nurse to intervene?
A. Verifies the medication against the prescription and medication label.
B. Scans the bar code on the medication administration record and the client’s arm band.
C. Checks the provider's orders and confirmed dosage in a medication reference guide.
*D. Documents medication administration prior to administering it.
13. A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the
following statements should the nurse include in the teaching?
A. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain."
B. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
C. “You can store the bottle of tablets in your bathroom medicine cabinet."
*D. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
14. A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the
following findings as an adverse effect of this medication?
*A. Tinnitus
B. Clay colored stools
C. Nystagmus
D. Respiratory depression
15. A nurse is teaching about necessary baseline examinations with a female client who is to start taking
atorvastatin. Which of the following baseline examinations should the nurse include in the teaching?
*A. Liver function tests
B. Hearing test
C. Papanicolaou test
D. Dental examination
16. A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client who has GERD.
Available is famotidine 40 mg/5 mL. How many mL should the nurse administer? (Round the answer to
the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) a
a. 2.5 | 2.5 mL
NGN ATI PHARMACOLOGY PROCTORED EXAM 2023
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
17. A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the
following medications should the nurse identify as having the potential to cause nephrotoxicity?
A. Omeprazole
*B. Vancomycin
C. Ondansetron
D. Diphenhydramine
18. A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision.
The nurse should monitor the client for which of the following adverse effects?
A. Diarrhea
B. Heartburn
C. Hiccups
*D. Orthostatic hypotension
19. A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase
inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires
intervention by the nurse?
A. Glass of whole milk
B. Celery sticks
*C. Bologna sandwich
D. Sliced apples
20. A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2
weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite,
but still feels very depressed and is still having trouble sleeping. Which of the following actions should the
nurse take?
A. Speak to the provider about adding an MAOI to the current medication regimen.
*B. Explain that antidepressants often take several weeks to be fully effective.
C. Tell the client that the provider will need to change citalopram to a different medication.
D. Recommend a sleep study be done on the client.
21. A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline."
Which of the following responses should the nurse make?
*A. "I'm glad you called, and I want to send an ambulance to help you."
NGN ATI PHARMACOLOGY PROCTORED EXAM 2023
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
B. "You must have been feeling pretty depressed to do that."
C. "Do you know how many pills were in the bottle?"
D. "Were you trying to kill yourself by taking an overdose?"
22. A nurse is caring for a client who is exhibiting severe manifestations of serotonin syndrome. Which of
the following is the priority nursing intervention?
A. Administering an anticonvulsant.
B. Padding side rails to prevent injury.
*C. Preparing for artificial ventilation.
D. Applying a cooling blanket.
23. A nurse is providing medication teaching for a client who has a new prescription for phenelzine. Which
of the following statements should the nurse include in the teaching?
*A. "You should change positions slowly while taking this medication."
B. "This medication is prescribed to help overcome alcohol addiction."
C. "You should omit foods containing oxalates while taking phenalzine."
D. "You should avoid drinking liquids after your evening meal."
24. A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily.
Which of the following statements by the client indicates understanding of the teaching?
A. "I should expect relief from depression within 3 to 4 days."
B. "I will take my fluoxetine at bedtime so I can sleep better."
*C. "I should notify my provider if I develop a skin rash."
D. "I will notice an improvement in my sex drive."
25. A nurse is providing discharge teaching to a client with a new prescription for phenelzine. The nurse
should instruct the client to avoid which of the following foods when taking this medication?
*A. Salami
B. Cottage cheese
C. Shellfish
D. Frozen peas