RN ATI Pharmacology Proctored Test B 60 Questions

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Sample questions from RN ATI Pharmacology Proctored Test B 60 Questions

This material has 60 questions with answers and rationales. Here are the first 5.

1. 1.At a pediatric clinic, a caregiver reports giving a 6-year-old child an oral medication using a kitchen teaspoon. Which instruction should the nurse provide?

   • A.Use an oral syringe or a calibrated medication cup to measure each dose.
   • B.Use a household teaspoon, but fill it level rather than heaping.
   • C.Pour the medication into a dosing cup and measure it at eye level from above.
   • D.Estimate the dose by comparing it with the child's usual spoonful of food.

   Rationale: An oral syringe or calibrated medication cup provides a measurable dose and reduces errors from variable household spoon sizes. A level household teaspoon is not a reliable medication measure, and estimating from food can lead to underdosing or overdosing. Liquid should be read at eye level at the appropriate marking, not from above.

2. 2.A client is prescribed an extended-release tablet and says, "I have trouble swallowing pills, so I usually crush them." Which response is best?

   • A.Crush the tablet and mix it with a full glass of water so the dose is easier to swallow.
   • B.Do not crush this tablet; ask the pharmacist or prescriber whether a safe alternative formulation is available.
   • C.Chew the tablet thoroughly to release the medication gradually.
   • D.Split the tablet and take half in the morning and half in the evening.

   Rationale: Crushing or chewing many extended-release tablets disrupts the release mechanism and can cause rapid absorption and toxicity. Splitting is also unsafe unless the specific product is scored and approved for splitting. The nurse should verify a suitable alternative with the pharmacist or prescriber rather than alter the dosage form.

3. 3.Refer to the client's chart. Which action is most appropriate before the next gentamicin dose?

   • A.Administer the dose and encourage extra oral fluids to protect the kidneys.
   • B.Give the dose on time because the client is afebrile and the infection is improving.
   • C.Give half the dose without contacting the provider to reduce toxicity risk.
   • D.Hold the dose and contact the provider about the rising creatinine and elevated trough level.

   Rationale: The creatinine has increased from 0.8 to 1.6 mg/dL, and the gentamicin trough is 2.4 mcg/mL, above the stated target of less than 2 mcg/mL. These findings raise concern for impaired clearance and aminoglycoside toxicity, so the dose should be held while the provider is contacted. Improvement in fever does not make the abnormal trough safe, and the nurse should not independently change the dose or rely on fluids to prevent toxicity.

4. 4.During a home visit, a client who takes levothyroxine each morning says the medication is taken with breakfast and a calcium supplement. Which instruction should the nurse give?

   • A.Alternate taking levothyroxine and calcium on different days.
   • B.Take levothyroxine at bedtime with the evening meal to reduce stomach irritation.
   • C.Take levothyroxine on an empty stomach and separate it from calcium by at least 4 hours.
   • D.Take levothyroxine with calcium to improve absorption of both medications.

   Answer and rationale are in the full material.

5. 5.A toddler with an ear infection spits out part of an oral antibiotic dose immediately after administration. The caregiver asks whether to give the full dose again. Which response is best?

   • A.Skip the next scheduled dose to prevent the child from receiving too much medication.
   • B.Do not repeat the dose unless the pharmacist or prescriber advises you to do so.
   • C.Give half of the dose again to replace the portion that was spit out.
   • D.Give the full dose again because the child did not swallow all of it.

   Answer and rationale are in the full material.