Pharmacology ATI PN Proctored Quiz

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Sample questions from Pharmacology ATI PN Proctored Quiz

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A medication administration record lists a client's prescribed dose as 0.25 mg. The available tablets contain 0.5 mg each. How many tablets should be administered?

   • A.4 tablets
   • B.2 tablets
   • C.1 tablet
   • D.0.5 tablet

   Rationale: The required amount is half of the available 0.5 mg tablet, so administer 0.5 tablet. One tablet would provide twice the prescribed dose, while two or four tablets would cause an even greater overdose. Verify that the tablet is scored and approved for splitting before dividing it.

2. 2.During a home visit, a client taking digoxin reports nausea and seeing yellow halos. The apical pulse is 54/min. Which actions are appropriate for the PN? Select all that apply.

   • A.Withhold the scheduled digoxin dose and promptly report the findings to the RN or provider.
   • B.Reassure the client that yellow vision is an expected effect that will resolve.
   • C.Give the dose with food to reduce nausea.
   • D.Ask about the client's most recent potassium result and report relevant findings.
   • E.Document the pulse, symptoms, and time they were reported.

   Rationale: A pulse of 54/min with nausea and yellow halos suggests possible digoxin toxicity, so the PN should withhold the dose according to protocol and promptly report the findings. Documenting the observations and checking for relevant potassium results support safe follow-up; hypokalemia can increase toxicity risk. Food does not make suspected toxicity safe, and yellow halos should not be dismissed as an expected effect.

3. 3.Which instruction is appropriate when reinforcing teaching about an enteric-coated tablet?

   • A.Chew the tablet thoroughly before swallowing.
   • B.Swallow the tablet whole unless the prescriber or pharmacist gives different instructions.
   • C.Take the tablet only when symptoms begin.
   • D.Crush the tablet and mix it with applesauce if swallowing is difficult.

   Rationale: Enteric coating protects the medication from stomach acid or protects the stomach from the medication, so the tablet should generally be swallowed whole. Crushing or chewing disrupts the coating and may change drug release or increase irritation. Taking a scheduled medication only when symptoms begin is not appropriate unless it was specifically prescribed that way.

4. 4.At change of shift, a PN receives report about four clients. Which medication-related finding should be reported to the RN first?

   • A.A client taking an opioid is difficult to arouse and has a respiratory rate of 8/min.
   • B.A client taking an oral antibiotic reports a mild metallic taste.
   • C.A client taking an antihistamine reports mild dry mouth.
   • D.A client taking a stool softener reports one loose stool.

   Answer and rationale are in the full material.

5. 5.The provider prescribes 750 mg of a medication. The pharmacy supplies 250 mg per 5 mL. How many milliliters should the PN administer?

   • A.5 mL
   • B.10 mL
   • C.15 mL
   • D.20 mL

   Answer and rationale are in the full material.