If you’re preparing for the ATI Pharmacology Proctored Exam 2020, you’re probably feeling a mix of nerves and excitement. Don’t worry – you’re not alone in this! The test is designed to challenge your knowledge of medications, dosages, and clinical scenarios, but with the right preparation, you’ll be ready to ace it. Let’s dive into some practice questions and tips to help you succeed.
Whether you’re a student or a professional looking to refresh your knowledge, understanding how to approach each question on the exam is key. By reviewing practice questions and familiarizing yourself with drug classifications and their uses, you’ll be setting yourself up for success.
And when it comes to preparation, using trusted resources like Ulosca.com can make a real difference. With tools that are specifically designed to boost your confidence and mastery of pharmacology, you’ll be prepared to take on the exam with ease!
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2020 ATI Pharmacology Proctored Exam Questions & Answers
Below are some sample questions you can use to test your pharmacology knowledge. These questions are based on real scenarios from the 2020 ATI Pharmacology Proctored Exam. Use them as a study guide to see where you stand, and make sure to review the explanations to deepen your understanding!
QUESTION 1:
A nurse is preparing to administer phenobarbital 3 mg/kg/day PO in two divided doses to a client who weighs 145 lbs. The amount available is phenobarbital 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer: 2 tablets per dose
Rationale: The nurse first calculates the dosage per day:
145 lbs ÷ 2.2 = 66 kg
3 mg/kg × 66 kg = 198 mg/day
Then divide the total daily dose by 2 for each dose:
198 mg ÷ 2 = 99 mg per dose.
Since each tablet contains 100 mg, the nurse should administer 2 tablets per dose.
QUESTION 2:
A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
A. AST
B. Troponin
C. T4
D. Hgb
Answer: D. Hgb
Rationale: Epoetin alfa stimulates red blood cell production. The most appropriate lab test to monitor its effectiveness is hemoglobin (Hgb), as it will reflect changes in the client’s red blood cell count and oxygen-carrying capacity.
QUESTION 3:
A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home. Which of the following resources should the nurse consult?
A. Pharmaceutical sales representative
B. Nursing team member
C. The client’s family
D. Nursing drug guide
Answer: D. Nursing drug guide
Rationale: A nursing drug guide provides reliable and evidence-based information about medications. This resource will help the nurse confirm the correct dose, route, and potential side effects of the unfamiliar medication.
QUESTION 4:
A nurse is reenforcing discharge teaching with the client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?
A. “You should administer this medication after meals.”
B. “This medication will help lower your blood sugar and manage your weight.”
C. “Exenatide is a long-acting insulin.”
D. “You can take this medication orally.”
Answer: B. “This medication will help lower your blood sugar and manage your weight.”
Rationale: Exenatide is a GLP-1 receptor agonist that helps lower blood sugar levels and may also assist with weight loss. It is administered via injection, not oral administration.
QUESTION 5:
A nurse is collecting a medication history from the parent of a preschooler who comes to the clinic for routine immunization. For which of the following findings should the nurse withhold the varicella immunization?
A. The child has a fever of 100.4°F (38°C).
B. The child is currently taking ibuprofen.
C. The child is allergic to neomycin.
D. The child has a history of mild chickenpox infection.
Answer: D. The child is allergic to neomycin
Rationale: The varicella vaccine contains neomycin, and if a child is allergic to neomycin, the vaccine should be withheld to prevent an allergic reaction.
QUESTION 6:
A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?
A. Administer 1 mL of the medication.
B. Administer 0.8 mL of the medication.
C. Administer 2 mL of the medication.
D. Administer 4 mL of the medication.
Answer: B. Administer 0.8 mL of the medication.
Rationale: The available concentration of morphine is 5 mg/mL. To administer a 4 mg dose, the nurse should calculate:
4 mg ÷ 5 mg/mL = 0.8 mL.
Therefore, the nurse should administer 0.8 mL of morphine.
QUESTION 7:
A nurse is caring for a client who has a prescription for cephalexin 1 g PO daily to be given in divided doses every 6 hours. Available is cephalexin 250 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer: 4 tablets
Rationale: To administer 1 g of cephalexin, the nurse should calculate the number of tablets as follows:
1,000 mg ÷ 250 mg = 4 tablets.
QUESTION 8:
A nurse is preparing to administer the hepatitis B vaccine IM to a 2-month-old infant. Which of the following actions should the nurse take?A. Administer the vaccine in the deltoid muscle.
B. Administer the vaccine in the vastus lateralis muscle.
C. Reconstitute the vaccine prior to administration.
D. Delay the vaccine if the infant has a fever.
Answer: B. Administer the vaccine in the vastus lateralis muscle.
Rationale: For infants, the vastus lateralis muscle is the recommended site for IM injections. This muscle is large and well-developed in infants, making it the safest and most effective site for vaccination.
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ATI Pharmacology Proctored Exam: Sample Questions & Answers
Sample Question 1:
A nurse is reviewing the medication history of a client who reports urinary retention. The nurse should recognize which of the following medications can cause this adverse reaction?
A) Donepezil
B) Scopolamine
C) Metoprolol
D) Acetaminophen
Answer: B) Scopolamine
Rationale: Scopolamine is an anticholinergic medication that can cause urinary retention by inhibiting bladder contraction. This side effect is particularly concerning in older adults.
Sample Question 2:
A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication?
A) Serum creatinine
B) Liver enzymes
C) WBC count
D) RBC count
Answer: B) Liver enzymes
Rationale: Tizanidine is metabolized by the liver, and monitoring liver enzymes (AST, ALT) is essential to detect potential hepatotoxicity.
Sample Question 3:
A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching? (Select all that apply)
A) Take the medication 15 minutes before exercising.
B) Follow a fixed-dosage schedule for long-term control of asthma.
C) Expect to lose weight while taking the medication.
D) Observe adverse effects such as tremors, restlessness, and palpitations.
E) Do not crush or chew tablets.
Answer:
A) Take the medication 15 minutes before exercising.
B) Follow a fixed-dosage schedule for long-term control of asthma.
E) Do not crush or chew tablets.
Rationale: Cromolyn is a mast cell stabilizer used for long-term asthma control. It should be taken before exercise, on a fixed schedule, and not crushed or chewed to ensure effectiveness.
Sample Question 4:
A nurse is reinforcing teaching for a client with a prescription for a beclomethasone (QVAR) inhaler to be used for the long-term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler?
A) Iron and Protein
B) Calcium and Vitamin D
C) Vitamin B12 and folic acid
D) Vitamin E and K
Answer: B) Calcium and Vitamin D
Rationale: Inhaled corticosteroids like beclomethasone can decrease calcium absorption and increase bone resorption, leading to potential bone loss. Adequate intake of calcium and vitamin D is recommended to mitigate this risk.
Sample Question 5:
A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following findings?
A) Weight loss
B) Infection
C) Hypoglycemia
D) Angina pain
Answer: B) Infection
Rationale: Prednisone is an immunosuppressive corticosteroid that can increase the risk of infections. Monitoring for signs of infection is crucial during therapy.
Sample Question 6:
A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The nurse should plan to monitor the client for which of the following findings?
A) Sedation
B) Nasal congestion
C) Productive cough
D) Constipation
Answer: B) Nasal congestion
Rationale: Prolonged use of phenylephrine nasal drops can lead to rebound nasal congestion, a condition known as rhinitis medicamentosa.
Sample Question 7:
A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma (POAG) during a screening examination. Which of the following data collection findings should the nurse expect?
A) Sudden loss of central vision
B) Intraocular pressure 19 mm Hg
C) No reports of pain
D) Intact peripheral vision
Answer: C) No reports of pain
Rationale: POAG often develops slowly and painlessly, with gradual loss of peripheral vision. Elevated intraocular pressure is a key risk factor.
Sample Question 8:
A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who has glaucoma. For which of the following adverse effects should this client be monitored?
A) Hypertension
B) Bradycardia
C) Seizures
D) Jaundice
Answer: B) Bradycardia
Rationale: Timolol is a non-selective beta-blocker that can decrease heart rate and blood pressure. Monitoring for bradycardia is essential during therapy.
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H2: ATI Pharmacology Proctored Exam Final Word
Preparing for the ATI Pharmacology Proctored Exam 2020 can feel overwhelming, but with consistent study and the right resources, you can confidently tackle the test. By reviewing practice questions, understanding medication classifications, and staying organized, you’ll set yourself up for success.
Remember, it’s not about memorizing every detail – it’s about understanding the key concepts and applying them to real-world scenarios.
At Ulosca.com, we’re here to support your preparation journey. Our study tools, including a comprehensive question bank and practice tests, are designed to reinforce your knowledge and help you identify areas for improvement. With the right preparation, you’ll be ready to confidently face the ATI Pharmacology Proctored Exam 2020 and take one step closer to achieving your nursing goals.