Download ATI CAPSTONE PHARMACOLOGY ASSESSMENT EXAMS 2023,2024 & 2025|500+Qs&As|updated 2025|A+PASS and more Exams Pharmacology in PDF only on Docsity!
SOLVED 2025
ATI CAPSTONE PHARMACOLOGY ASSESSMENT EXAMS
2023, 2024 & 2025 TEST BANK.ACTUAL EXAMS
500+Qs&As|LATEST UPDATE 2025/
Contents
ATI CAPSTONE PHARMACOLOGY ASSESSMENT 1 2023 (NGN) ................................................................................. 1 ATI CAPSTONE PHARMACOLOGY ASSESSMENT 2 2023 (NGN) ................................................................................ 18 ATI CAPSTONE PHARMACOLOGY ASSESSMENT 1 2024 (NGN) ............................................................................... 27 ATI CAPSTONE PHARMACOLOGY ASSESSMENT 2 2024 (NGN) ............................................................................... 39 ATI CAPSTONE PHARMACOLOGY FINAL EXAM 2025 ................................................................................................. 51 ATI CAPSTONE PHARMACOLOGY ASSESSMENT 1 2023 (NGN) A nurse is caring for a client who is receiving morphine. Which of the following assessments is priority? RR A nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma. Which of the following findings is the priority to report to the provider? bronchospasms A nurse is caring for a client who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders? (select all that apply.) Hyper Tension n BPH A nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse instruct? You should gargle with water after each use of this inhaler. A nurse is preparing to administer topotecan IV. Which of the following medications should the nurse expect to administer to control the adverse effects? Granisetron (antiemetic to prevent n/v) for clients receiving chemo A nurse is planning a staff education session on adverse effects of medications. Which of the following information should the nurse discuss about anticholinergic adverse effects? (select all that apply.) Blurred vision Tachycardia Constipation
A nurse is providing teaching to a client who has a new prescription for guaifenesin. which of the following information regarding the action of guaifenesin should the nurse include in the teaching? Guaifenesin increases cough production A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. The nurseshould monitor the client for which of the following outcomes as therapeutic response to the medication? Decreased anginal pain A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements indicates understanding of the teaching? "I might not realize the full effect of the medication for several weeks" take on empty stomach with glass of water, first thing in the morning 30 - 60 min prior to breakfast A nurse is assessing a client who has heart failure HF is taking digoxin. The nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider? vomiting (n/v, anorexia, blurred vision) A nurse is providing teaching for a client with a prescription for oral metronidazole. Which of the following statements is the priority teaching point? You should report a rash to your provider (fatal disorder Stevens-Johnson syndrome) A nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression. Which of the following is the priority instruction? Move slowly when standing from a lying down position (r/f orthostatic hypotension) A nurse is reviewing the medical record of a client who received his medications 1 hour ago. The client reports chest pain. This can be an adverse effect of which of the following medications? Albuterol (beta2 agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias) A nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following statements indicates an understanding of the instructions? “I can expect to feel some irritation when i put these drops in my eyes” A nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene. Which of the following should the nurse assess prior to initiating therapy? Pregnancy status (risk category X) A nurse is teaching a client to use transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should she include in the teaching? Apply a new patch every morning
is 1500-8000) A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following findings is an adverse effect of this medication? Muscle tenderness
(--> myopathy, rhabdomyolysis) A nurse is caring for a client with type 2 diabetes mellitus and began therapy with metformin 2 days ago. The client reports experiencing nausea/diarrhea. Which of the following statements should the nurse say? “Your symptoms are common adverse effects of metformin and should decrease with time” (GI manifestations at onset of therapy) A nurse is caring for 4 clients who have peptic ulcer disease. The nurse should recognize that misoprostol is contraindicated for which of the following clients? A client who might be pregnant (category X, can cause spontaneous abortion) A nurse is in the ICU and caring for a client with sudden onset of sustained supraventricular tachycardia SVT. Which of the following medications should the nurse prepare to administer? Adenosine (decreases electrical conduction through the AV node) A nurse is assessing a pt who has open angle glaucoma and a new prescription for timolol. The nurse should monitor for which adverse effects? Hypoglycemia A nurse is caring for a client who has varicella zoster. Which of the following medications should the nurse administer? Acyclovir A nurse is caring for a client who has recurrent lower UTIs. Which of the following medications should the nurse expect to administer? Nitrofurantoin abx for lower recurrent UTIs A nurse is teaching a client who is starting subcutaneous leuprolide for treatment of prostate cancer. Which of the following information should the nurse include in the teaching? Increase calcium intake (can cause bone loss) A nurse in ICU is monitoring a client who has cardiogenic shock and is receiving a continuous IV infusion of dopamine. Which of the following complications requires an immediate intervention by the nurse? Infiltration of the peripheral IV A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate? Fludrocortisone
A nurse is caring for a client with hyperlipidemia who has a new prescription for colesevelam. The nurse should monitor for which of the following as an adverse effect of colesevelam? Constipation (and dyspepsia) A nurse is providing teaching to a female client for ciprofloxacin. Which of the following statements indicates an understanding of the teaching? “I should wear protective clothing when I go outdoors” (and sunscreen to prevent sunburn bc r/f photosensitivity) 1 puff metered dose inhaler MDI, 2 puff albuterol , what is the correct order? have pt take one puff of albuterol pt rests for one min take 2nd puff of albuterol have pt rest for 5 min have pt take one puff of fluticasone A nurse is teaching a client who will start methimazole for hyperthyroidism. Which of the following statements from the client indicates understanding? “I will contact the provider if my throat becomes sore” (potential for agranulocytosis, notify provider immediately if fever, sore throat, or other indications of infection) A nurse is taching a client who has prostate cancer and a new prescription for leuprolide. Which of the following statements explains how it treats prostate cancer? Decreases the production of testosterone (initial increase, then desensitization and decrease in testosterone production) A nurse is caring for a client with difficulty voiding following surgery. The nurse notes a palpable bladderdistention. Which of the following medications should the nurse administer? Bethanechol (for nonobstructive urinary retention) A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client receives multiple oral medications, takes lispro insulin , and is starting to take pramlintide. Which of the following actions should the nurse take? Monitor for hypoglycemia for 3 hours after pramlintide administration (take before meals along with lispro insulin) A nurse is caring for a client who has HIV and a prescription for delavirdine. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication? Rash
(Steven-Johnson syndrome) A nurse is reviewing the health history of a client who has migraine headaches and asks about a prescription for sumatriptan. The nurse should identify which of the following as a contraindication for the medication? Coronary artery disease CAD (can cause coronary vasospasm, ECG changes, hypertension) A nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerin tablets. Which of the following information should the nurse include in the teaching? Store unused tablets at room temp (take one tablet every 5 mins, up to 3 tablets until pain resolves, call 911 after 1st tablet) A nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate. During previous infusions the client developed a fever and chills. Which of the following actions should the nurse prepare to take? Administer diphenhydramine prior to amphotericin administration (admin an antipyretic, corticosteroid, antihistamine, or antiemetic prior to to minimize the effects) A nurse is providing discharge instructions to a client who has a prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching? The medication reduces stomach acid (suppressing production of gastric acid, reduces baseline acid level and blocks production of all stimulated acid production within 2 hours of an oral dose) A nurse is caring for a client who has a prescription for hydrochlorothiazide HCTZ for the initial treatment of hypertension. Which of the following information should the nurse recognize as the action of this medication? HCTZ decreases the reabsorption of sodium and water in the distal renal tubule A nurse is teaching a client who is starting to take benzonatate. Which of the following statements by the client indicates an understanding? I should not drive while taking this medication (AE is sedation and dizziness) A nurse is caring for a client who reports using the herbal med garlic along with his prescribed warfarin. The nurse should identify which of the following is a potential adverse effect of taking both of these products concurrently? Increased ecchymosis (antiplatelet effects can increase bleeding) A nurse is reviewing laboratory data for a client who is taking niacin to correct plasma lipid levels. Which of the following lab findings should indicate to the nurse an adverse effect of this therapy? Elevated ALT
A nurse is reviewing the medication history of a client who has myasthenia gravis MG and is asking about starting neostigmine. The nurse should identify which of the following client conditions as a potential contraindication to cholinesterase inhibitor therapy? Peptic ulcer disease (r/f erosion and perforation) A nurse is caring for a client who has chemo induced anemia. The nurse should expect to administer which of the following medications to treat the anemia? Epoetin alfa A nurse is administering timolol to a client being treated for open-angle glaucoma. After administration the nurse should monitor for which of the following AE? Blurred vision, bradycardia, conjuntivitis A nurse is providing teaching to a pt who has a prescription for buspirone. Which of the following info should the nurse include in the teaching? Expect to have a full response from buspirone after 3 - 4 weeks A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching? Increase fluid intake while taking medication (incr fluid and dietary fiber to prevent constipation) A nurse is caring for an older adult client who is confirmed positive for HIV and will begin medication therapy. Which of the following instructions should the nurse give the client? (select all that apply.) You will be prescribed more than one medication to fight the virus Your medication plan can also include an antibiotic medication You will need to take the medication for the rest of your life A nurse is assessing a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as the priority? Deep tendon reflexes 1+ (indicates depressed CNS and possible mg sulf toxicity) A nurse is providing teaching to a client who has a new prescription for calcitonin. Which of the following statements by the client indicates an understanding of the medication’s adverse effects? “The medication can cause nausea” A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include? Take one tablet of the medication on the same date each month.
(maintain med level) A nurse is completing an admission assessment for a client who has been taking St. John's wort. The nurse should identify that which of the following meds can interact with St. John's wort? Citalopram (causing serotonin syndrome when combined with antidepressants, dec effect of BC, warfarin, cyclosporine, digoxin, CCB, steroids, HIV PI, and some chemo agents) A nurse is teaching the partner of a client who has DM how to manage episodes of severe hypoglycemia when the client is unresponsive. Which of the following actions should they do first? Administer glucagon IM to the client A nurse is providing teaching to a client who has a new prescription for ranitidine for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers by which of the following actions? It reduces gastric acid production (H antagonist) A nurse is caring for a pt who has a prescription for ipratropium inhaler to control COPD bronchospasm. The nurse should monitor the client for which of the following manifestations as an AE of the medication? Xerostomia (anticholinergic) A nurse in the PACU is caring for a pt who has received GA and has a manifestation of malignant hyperthermia, the nurse should expect to administer what med? Dantrolene A nurse is caring for a client who is receiving a continuous IV of heparin. The nurse should expect toadminister which of the following meds if the client experiences a heparin overdose? Protamine sulfate A nurse is preparing to administer IV mannitol to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication? Reduced intracranial pressure A nurse is preparing to initiate a peripheral IV line on an older adult client who has dehydration. Which of the following actions should the nurse take? (SATA) Apply traction to the skin when inserting the catheter Cleanse the insertion site with antiseptic swabs A nurse is providing teaching to a client who has fibromyalgia and a new prescription for pregabalin. Which of the following instructions should the nurse include in the teaching?
Acetaminophen overdose A nurse is providing teaching to a client who has T2D, and is starting to take immediate release exenatide , what statement is an understanding of the teaching? “I will take this med 1 hour before morning and evening meals” A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? (Select all that apply.) Educate the client about the possible consequences of not taking the medication Suggest the client take food with the medication to minimize Gl effects. Document the client's refusal in the medication administration record. Offer to administer the medication IM. Recommend the client ask the provider to prescribe an enteric-coated medication. A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy? Sitagliptin Glipizide Metoprolol Losartan A nurse is teaching a client who has a new prescription for isoniazid to treat tuberculosis. Which of thefollowing information should the nurse include in the teaching? "You will have frequent sputum tests to monitor the effectiveness of this medication." "You will be able to stop taking this medication after 1 month." "You can take an antacid containing aluminum at the same time as this medication.""You can expect to have constipation while taking this medication." A nurse is assessing a client who received ondansetron 1 hr ago. Which of the following findings should thenurse identify as a therapeutic effect of the medication? Decreased pain Suppressed emesis Suppressed cough Decreased fever A nurse is caring for a client who has chemotherapy-induced anemia. The nurse should expect to administerwhich of the following medications to treat the anemia? Sargramostim Filgrastim Epoetin Romiplostim
The nurse should expect to administer epoetin to a client who has chemotherapy-induced anemia. This medication stimulates red blood cell production and can reduce the need for periodic blood transfusions. A nurse is caring for a client who is having difficulty voiding following surgery. The nurse notes palpable bladder distention. Which of the following medications should the nurse anticipate administering to the client? Furosemide Lorazepam Bethanechol Atropine Bethanechol is a form of treatment for nonobstructive urinary retention, usually due to postoperative or postpartum status. Bethanechol stimulates the muscarinic receptors of the genitourinary tract, which causes relaxation of the trigone and sphincter muscles and contraction of the detrusor muscle. A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should thenurse take? (Select all that apply.) A nurse is completing an admission assessment for a client who has been taking St. John's wort. The nurseshould identify that which of the following medications can interact with St. John's wort? Rifampin Furosemide Citalopram Allopurinol St. John's wort interacts with many medications and can cause serotonin syndrome when combined with cocaine, amphetamines, and antidepressants, such as citalopram. St. John's wort decreases effectiveness of birth control pills, warfarin, cyclosporine, digoxin, calcium channel blockers, steroids, HIV protease inhibitors,and some chemotherapy agents. A nurse is assessing a client who started taking furosemide 2 days ago and has a potassium level of 3.1mEq/L. Which of the following findings should the nurse expect? Muscle rigidity of the extremities Bounding radial pulses Depressed deep tendon reflexes Increased bowel motility A potassium level of 3.1 mEq/L is lower than the expected reference range of 3.5 to 5 mEq/L and is an indication of hypokalemia. The nurse should expect depressed deep tendon reflexes in a client who has hypokalemia. A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the followingclient laboratory tests should the nurse monitor to detect an adverse effect of the medication? B-type natriuretic peptide (BNP) Creatinine
Leuprolide treats prostate cancer by decreasing the production of testosterone. It causes an initial increase in testosterone, which results in desensitization and a subsequent decrease in testosterone production. A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medicationsshould the nurse expect the provider to prescribe? Naloxone Bupropion Methadone Chlordiazepoxide The nurse should expect the provider to prescribe chlordiazepoxide, a benzodiazepine, to a client who is at risk for alcohol withdrawal delirium. Chlordiazepoxide can prevent the client from experiencing seizures as a result of withdrawal and lessen the effects of withdrawal. A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about starting neostigmine. The nurse should identify which of the following client conditions as a potential contraindication for cholinesterase inhibitor therapy? Cataracts Hypertension Hypothyroidism Peptic ulcer disease A nurse is providing teaching to a client who is starting to take aspirin. The nurse should instruct the client tomonitor for which of the following findings as an adverse effect of this medication? Black, tarry stools NystagmusDry mouth Peripheral edema A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which of thefollowing client statements indicates an understanding of the teaching? "I will expect to have dark urine while taking this medication." "I will take an extra dose of the medication if I have a breakthrough seizure." "I will have my blood checked to monitor the medication levels." "I will take this medication with an antacid to prevent indigestion." A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching? "I should not crush this medication before taking it." "I should discontinue this medication when my symptoms subside." "I will need to have regular eye exams while taking this medication." "If I miss a dose of my medication, I can take a double dose the next time." A nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take?
Apply a warming blanket prior to administration.Infuse the medication over 1 hr. Administer diphenhydramine prior to administration. Monitor vital signs once per hour following administration. A nurse is assessing a group of clients. Which of the following findings is the priority to report to the provider? A client who is receiving IM betamethasone and has a casual blood glucose of 198 mg/dLA client whose heart rate changes from 110/min to 75/min after receiving IV amiodarone A client who is receiving subcutaneous enoxaparin and reports slight bruising at the injection sites A client who is receiving continuous IV lidocaine and has a respiratory rate of 10/min Lidocaine is used to treat ventricular dysrhythmias. A decreased respiratory rate is a manifestation of lidocaine toxicity. Therefore, a client who is receiving lidocaine and has a decreased respiratory rate is unstable and this finding is the highest priority to report to the provider. A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of thefollowing findings is an expected therapeutic effect of this medication? Decreased excretion of urine sodium Increased urinary output Decreased serum glucose Increased blood pressure A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching? "This medication can cause constipation." "I will contact the provider if my throat becomes sore." "I will weigh myself once a week while on this medication." "This medication should be taken as needed when symptoms occur.” A nurse is reviewing the medical record of a client who has asthma and takes albuterol. Which of the followingfindings should the nurse identify as an adverse effect of albuterol? Fasting blood glucose 68 mg/dL Heart rate 110/min Respiratory rate 14/min Temperature 38° C (100.4° F) A nurse is assessing a client who has a prescription for haloperidol 0.5 mg PO three times daily. The medication administration record shows that the client received 5 mg per dose on the previous day. Which of the following manifestations is the nurse's priority to assess? Muscle stiffness Blurred vision Constipation Daytime drowsiness The nurse should recognize that the greatest risk to the client is developing neuroleptic malignant syndrome,an adverse reaction to haloperidol that is potentially fatal if not treated promptly. Manifestations of neuroleptic malignant syndrome include extreme muscle stiffness, sudden increase in temperature, diaphoresis, dysrhythmias, and fluctuations in blood pressure. A nurse erroneously administered a prescribed medication IV instead of IM to a client. Which of the followingactions is the nurse's priority? Assess the client.
- A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?
- B-type natriuretic peptide (BNP)
- Creatinine - The nurse should monitor creatinine, BUN and urine output for a client who is receiving gentamicin, and aminoglycoside antibiotic. Gentamicin is an aminoglycoside that has both nephrotoxic and ototoxic adverse effects.
- Amylase level
- A nurse is assessing a client who has diabetes insipidus and is starting intranasal desmopressin. Which of the following findings should indicate to the nurse that medication is effective?
- The client has clear mucus
- The client’s 24 hr urine output is 1.256 mL - Desmopressin is effective for the treatment of diabetes insipidus, a disorder of the posterior pituitary gland in which large amount of dilute urine are produced due to a deficiency in vasopressin. The action of desmopressin causes reabsorption of water and a decrease in urine volume. A urine output of 1.256 mL over 24 hr is within the expected reference range and indicates the medication is effective.
- A nurse is assessing a client who has a prescription for haloperidol 0.5 mg PO three times daily. The medication administration record shows that the client received 5 mg per dose on the previous day. Which of the following manifestations is the nurse’s priority to assess?
- Muscle stiffness - The nurse should recognize tha the greatest risk to the client is developing neuroleptic malignant syndrome, and adverse reaction to haloperidol that is potentially fatal if not treated promptly. Manifestations of neuroleptic malignant 1 syndrome include extreme muscle stiffness, sudden increase in temperature, diaphoresis, dysrhythmias, and fluctuations in blood pressure.
- Blurred vision
- Constipation
- A nurse is assessing a client who received ondansetron 1 hr. ago. Which of the following findigns should the nurse identify as a therapeutic effect of the medication?
- Decreased pain
- Suppressed emesis – Ondansetron suppresses nausea and vomiting induced by chemotherapy, anesthesia, radiation therapy, or morning sickness by blocking serotonin receptors in the upper GI tract and in the CNS
- Supresed cough
- Decreased fever
- A nurse is caring for a client who is receiving morphine. Which of the following assessments should the nurse perform first?
- Apical heart rate
- Blood pressure
- Respiratory rate – When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority assessment is respiratory rate. The nurse should withhold the morphine and notify the provider if the respiratory rate is less than 12/min.
- A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medications should the nurse expect the provider to prescribe?
- Naloxone
- Bupropion
- Methadone
- Chlordiazepoxide – The nurse should expect the provider to prescribe chlordiazepoxide, a benzodiazepine, to a client who is at risk for alcohol withdrawal delirium. Chlordiazepoxide can prevent the client form experiencing seizures as a result of withdrawal and lessen the effects of withdrawal.
- A nurse is teaching a client who is to start taking methyldopa for the treatment of hypertension. Which of the following information should the nurse include in the teaching?
- The medication can cause dizziness- Methyldopa can cause orthostatic hypotension and dizziness when the client is changing position. Therefore, the nurse should instruct the client to change position slowly while taking methyldopa.
- This medication can cause insomnia
- Expect to experience depression while taking this medication
- A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching?
- This medication kiss the bacteria in my stomach.
- This medication neutralizes stomach acid
- This medication coats the lining of my stomach.
- This medication reduces stomach acid – GERD is a condition in which gastric acids reflux from the stomach to the esophagus. Omeprazole is a proton inhibitor that suppresses the production of gastric acid. The medication reduces baseline acid levels and blocks production of nearly all stimulated acid production within 2 hrs. of an oral dose.
- A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: Diphenhydramine 50 mg by mouth once, one hour prior to transfusion. The nurse should identify this as which of the following types of prescription?
- PRN prescription
- Standing prescription
- Stat prescription
- Single prescription
