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ATI Custom ASN Pharm NSG 1540 Exam-3

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Title : ATI Custom ASN Pharm NSG 1540 Exam-3

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : PHARMACOLOGY (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 140 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Pharmacology questions tailored for RN students.

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1 :
A nurse is evaluating the effectiveness of allopurinol therapy for a client who has chronic gout. Which laboratory finding indicates the medication is achieving the desired therapeutic effect?

Serum creatinine level of 1.4 mg/dL

Blood glucose level of 130 mg/dL

Serum uric acid level of 5.8 mg/dL

White blood cell count of 11,000/mm³

Hint : 👀Look for the laboratory value reflecting improved urate control and reduced gout activity.

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2 :
A nurse is teaching a client undergoing chemotherapy about infection prevention strategies. Which instructions should the nurse include? (Select all that apply.)

Eat fresh fruits and vegetables frequently

Cover your mouth when coughing around others

Avoid large crowds and sick people

Wash hands frequently

Get all live vaccines immediately

Avoid hand hygiene

Report a fever over 100.4°F (38°C)

Use a shared towel with family members

Hint : 🧠Protecting weakened immune function requires minimizing exposure to external infection sources.

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3 :
A nurse is caring for a client who is receiving gentamicin. Which findings should the nurse recognize as possible manifestations of ototoxicity? (Select all that apply.)

Difficulty understanding speech in noisy environments

Reports of wobbly vision with head movement

Reports of dry mouth

Reports of dizziness or imbalance

Reports of ringing in the ears

Reports of blurred vision

Hint : 🎧Ototoxic drugs disrupt normal inner-ear function, affecting both hearing and balance.

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4 :
A nurse is reinforcing teaching to a client who is prescribed a broad-spectrum antibiotic. Which statement by the client indicates correct understanding of the purpose of this medication?

This medication helps my immune system produce more white blood cells.

This medication prevents me from getting any future infections.

This medication targets only the bacteria causing my infection.

This medication works against many types of bacteria until the exact cause is known.

Hint : 🔍This type of drug offers temporary wide antimicrobial coverage while awaiting precise culture results.

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5 :
A nurse is caring for a client who has a fever and plans to administer acetaminophen. Which action by the nurse demonstrates an evaluation of the client’s response to the medication?

Assessing the client’s temperature 1 hour after administering acetaminophen.

Checking the expiration date of the acetaminophen bottle.

Administering another dose of acetaminophen immediately.

Recording the client’s weight before giving acetaminophen.

Hint : 🩺Assessment must focus on the medication’s effect on the targeted clinical symptom, such as fever reduction.

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6 :
Provider’s order says: 100 mL Ceftriaxone Sodium 1 g to infuse over 30 minutes. What is the hourly rate?

Hint : ⏳Always convert minutes to hours when determining an accurate IV infusion rate.

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7 :
A nurse is teaching about the purpose of epoetin alfa to a client who has chronic kidney disease. Which statement by the client demonstrates understanding of the purpose of this medication?

This medication will help my body produce more red blood cells.

This medication will increase my white blood cell count to fight infection.

This medication will replace the iron my kidneys can no longer make.

This medication will prevent my blood from clotting too quickly.

Hint : 💉This therapy substitutes for diminished kidney hormone activity responsible for RBC formation.

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8 :
Which statement should a nurse include when teaching a parent about the safe use of medications for a child who has an illness causing a fever?

Avoid giving aspirin because it increases the risk for Reye’s syndrome.

Use aspirin only if the child has a high fever that does not respond to acetaminophen.

Give aspirin with food to reduce the risk of stomach upset.

Alternate aspirin and ibuprofen to control fever more effectively.

Hint : 🚫Some fever medications trigger dangerous pediatric complications during viral illnesses.

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9 :
A nurse is teaching a client who is beginning broad-spectrum antibiotic therapy. Which statements by the client indicate understanding of how to reduce the risk of developing a superinfection such as a yeast infection? (Select all that apply.)

I will wear loose-fitting, breathable underwear.

I will stop the antibiotic as soon as I feel better.

I will take the antibiotic with grapefruit juice to help absorption.

I will eat yogurt with live cultures while taking the antibiotic.

I will take a probiotic supplement during and after the antibiotic course.

I will avoid using scented soaps or feminine hygiene sprays.

Hint : 🧬Maintaining healthy normal flora helps prevent antibiotic-associated yeast imbalances.

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10 :
A nurse is reinforcing teaching with a client who has a new diagnosis of shingles and is prescribed acyclovir. Which client statement indicates understanding of when to begin antiviral therapy?

I can begin the medication anytime during the outbreak for the same effect.

I should start the medication within 72 hours of the rash appearing.

I should wait until the blisters scab over before starting the medication.

I should take the medication only if the pain becomes severe.

Hint : ⏰Antivirals work best when taken during active viral replication rather than delayed disease progression.

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Total Questions: 10

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Ans

ATI Custom ASN Pharm NSG 1540 Exam-3

No.

1 : A nurse is evaluating the effectiveness of allopurinol therapy for a client who has chronic gout. Which laboratory finding indicates the medication is achieving the desired therapeutic effect?

2 : A nurse is teaching a client undergoing chemotherapy about infection prevention strategies. Which instructions should the nurse include? (Select all that apply.)

3 : A nurse is caring for a client who is receiving gentamicin. Which findings should the nurse recognize as possible manifestations of ototoxicity? (Select all that apply.)

4 : A nurse is reinforcing teaching to a client who is prescribed a broad-spectrum antibiotic. Which statement by the client indicates correct understanding of the purpose of this medication?

5 : A nurse is caring for a client who has a fever and plans to administer acetaminophen. Which action by the nurse demonstrates an evaluation of the client’s response to the medication?

6 : Provider’s order says: 100 mL Ceftriaxone Sodium 1 g to infuse over 30 minutes. What is the hourly rate?

7 : A nurse is teaching about the purpose of epoetin alfa to a client who has chronic kidney disease. Which statement by the client demonstrates understanding of the purpose of this medication?

8 : Which statement should a nurse include when teaching a parent about the safe use of medications for a child who has an illness causing a fever?

9 : A nurse is teaching a client who is beginning broad-spectrum antibiotic therapy. Which statements by the client indicate understanding of how to reduce the risk of developing a superinfection such as a yeast infection? (Select all that apply.)

10 : A nurse is reinforcing teaching with a client who has a new diagnosis of shingles and is prescribed acyclovir. Which client statement indicates understanding of when to begin antiviral therapy?

1 :
A nurse is evaluating the effectiveness of allopurinol therapy for a client who has chronic gout. Which laboratory finding indicates the medication is achieving the desired therapeutic effect?

2 :
A nurse is teaching a client undergoing chemotherapy about infection prevention strategies. Which instructions should the nurse include? (Select all that apply.)

3 :
A nurse is caring for a client who is receiving gentamicin. Which findings should the nurse recognize as possible manifestations of ototoxicity? (Select all that apply.)

4 :
A nurse is reinforcing teaching to a client who is prescribed a broad-spectrum antibiotic. Which statement by the client indicates correct understanding of the purpose of this medication?

5 :
A nurse is caring for a client who has a fever and plans to administer acetaminophen. Which action by the nurse demonstrates an evaluation of the client’s response to the medication?

6 :
Provider’s order says: 100 mL Ceftriaxone Sodium 1 g to infuse over 30 minutes. What is the hourly rate?

7 :
A nurse is teaching about the purpose of epoetin alfa to a client who has chronic kidney disease. Which statement by the client demonstrates understanding of the purpose of this medication?

8 :
Which statement should a nurse include when teaching a parent about the safe use of medications for a child who has an illness causing a fever?

9 :
A nurse is teaching a client who is beginning broad-spectrum antibiotic therapy. Which statements by the client indicate understanding of how to reduce the risk of developing a superinfection such as a yeast infection? (Select all that apply.)

10 :
A nurse is reinforcing teaching with a client who has a new diagnosis of shingles and is prescribed acyclovir. Which client statement indicates understanding of when to begin antiviral therapy?