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ATI Pharmacology Proctored Exam A 2019 Revision Guide 1. A nurse is preparing to administer 0.9% sodium chloride 1,500 mL to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL per hr? (Round to the n

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ATI Pharmacology Proctored Exam A 2019 Revision Guide 1. A nurse is preparing to administer 0.9% sodium chloride 1,500 mL to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL per hr? (Round to the nearest whole number.) - 188 mL/hr 2. An older adult client who has an infection is prescribed gentamicin. Which of the following client statements indicates a side effect of this medication and should be reported to the provider immediately? a. "I have had diarrhea for several days." b. “I have to turn the volume up on the TV to hear it.” c. "I'm losing more hair than usual when I shower." d. "My food seems to have a metallic taste to it." 3. A nurse is providing teaching to a client who is to start taking sumatriptan. For which of the following should the nurse instruct the client to monitor and report to the provider? a. Chest pain b. White patches on the tongue c. Bruising d. Insomnia 4. A nurse is caring for a client receiving zidovudine. For which of the following laboratory results should the nurse plan to monitor? a. Magnesium b. Serum albumin c. Serum Creatinine d. Hemoglobin 5. A nurse is providing teaching about self-administration of transdermal medication for a client who has a new prescription for nitroglycerin. Which of the following statements made by the client indicates a need for additional teaching? a. "I need to apply the patch to an area that is free of hair." b. "I will call the doctor if I have a headache." c. "I will check my blood pressure before applying the patch." d. "I need to rotate the location of my patch." 6. A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should recognize that which of the following medications is used to treat tuberculosis? (Select all that apply.) a. Rifampicin b. Mirtazapine c. Temazepam d. Infliximab e. Isoniazid 7. A nurse is providing teaching to a client who has a new prescription for a prefilled epinephrine injector. Which of the following should the nurse include in the teaching? a. Administer the medication subcutaneously. b. Massage the site for 10 seconds after injection. c. Expect to administer three injections. d. Store the auto-injector in the refrigerator. 8. A nurse is assessing a client who is receiving morphine for pain via secondary IV infusion. The nurse notes that the client’s respirations are 8/min and shallow. After stopping the morphine infusion, what should the nurse plan to do next? a. Monitor the client's respirations. b. Administer naloxone. c. Place the client in a supine position. d. Monitor the client's pain level.

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ATI RN COMPREHENSIVE
PREDICTOR RETAKE LATEST 2023
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,ATI RN COMPREHENSIVE PREDICTOR RETAKE LATEST 2023 GRA
ENDOCRINE DISORDERS
1. Nurse Ronn is assessing a client with a. Hypotension. 1. Answer C. Beca
possible Cushing’s syndrome. In a client withb. Thick, coarse skin. adipose tissue accu
Cushing’s syndrome, the nurse would expectc. Deposits of adipose tissue in the trunk and (moonface), and do
to find: dorsocervical area. Hypertension is cau
d. Weight gain in arms and legs. becomes thin and b
collagen. Muscle w
thin extremities.
2. A male client with primary diabetes a. ―Administer desmopressin while the suspension 2. Answer C. Des
insipidus is ready for discharge on is cold.‖ the intranasal route
desmopressin (DDAVP). Which instruction ―Your condition isn’t chronic, so you won’t need diabetes insipidus i
b. medical identificati
should nurse Lina provide? to wear a medical identification bracelet.‖ c.
times to alert medic
―You may not be able to use desmopressin
ensure proper treatm
nasally if you have nasal discharge or monitor fluid intake
blockage.‖ fluid replacement.
d. ―You won’t need to monitor your fluid
intake and output after you start taking
desmopressin.‖
3. Nurse Wayne is aware that a positive a. Hypocalcemia 3. Answer A. Chv
Chvostek’s sign indicate? a. b. Hyponatremia the client’s face lig
Hypocalcemia Hypokalemia below the temple. I
b. Hyponatremia d. Hypermagnesemia it indicates hypocal
Hypokalemia by weight loss, abd
d. Hypermagnesemia weakness, headach
Hypokalemia cause
weakness. Clients w
loss of deep tendon

,ATI RN COMPREHENSIVE PREDICTOR RETAKE LATEST 2023 GRA
4. In a 29-year-old female client who is a. Serum glucose level. 4. Answer A. Hyp
being successfully treated for Cushing’s b. Hair loss. glucocorticoid exce
syndrome, nurse Lyzette would expect a Bone mineralization. Cushing’s syndrom
decline in: d. Menstrual flow. the disorder, serum
a. Serum glucose level. is common in Cush
b. Hair loss. successful treatmen
Bone mineralization. declines. Osteoporo
d. Menstrual flow. syndrome; therefor

mineralization incre
Cushing’s syndrom
client experiences a
decline in it.
5. A male client has recently undergone a. It decreases cyclic adenosine monophosphate 5. Answer C. Cor
surgical removal of a pituitary tumor. Dr. (cAMP) production and affects the metabolic membrane receptor
Wong prescribes corticotropin (Acthar), 20 rate of target organs. that affect protein, f
units I.M. q.i.d. as a replacement therapy. b. It interacts with plasma membrane receptors to It doesn’t decrease
What is the mechanism of action of inhibit enzymatic actions. pituitary hormone,
corticotropin? c. It interacts with plasma membrane receptors to the threshold for wa
produce enzymatic actions that affect protein,
fat, and carbohydrate metabolism.
d. It regulates the threshold for water resorption in
the kidneys.

6. Capillary glucose monitoring is being a. Onset to be at 2 p.m. and its peak to be at 3 p.m. 6. Answer C. Reg
performed every 4 hours for a female client b. Onset to be at 2:15 p.m. and its peak to be at 3 insulin, has an onse
diagnosed with diabetic ketoacidosis. Insulin n p.m. of 2 to 4 hours. Bec
is administered using a scale of regular insulic. Onset to be at 2:30 p.m. and its peak to be at 4 2 p.m., the expecte
according to glucose results. At 2 p.m., the p.m. to 2:30 p.m. and the
client has a capillary glucose level of 250 d. Onset to be at 4 p.m. and its peak to be at 6 p.m.
mg/dl for which he receives 8 U of regular
insulin. Nurse Vince should expect the dose’s:

,ATI RN COMPREHENSIVE PREDICTOR
e
RETAKE LATEST 2023 GRA
7. A female client with Cushing’s syndroma. Depression 7. Answer A. Agi
is admitted to the medical-surgical unit. b. Neuropathy loss of appetite, and
During the admission assessment, nurse Tyzz Hypoglycemia signal depression, w
notes that the client is agitated and irritable, d. Hyperthyroidism Cushing’s syndrom
has poor memory, reports loss of appetite, and diabetes mellitus —
appears disheveled. These findings are Although hypoglyc
consistent with which problem? produces increased
appetite. Hyperthyr
signs as goiter, nerv
weight loss despite
8. Nurse Ruth is assessing a client after a a. Tetany 8. Answer A. Teta
thyroidectomy. The assessment reveals b. Hemorrhage glands are excised o

a.
muscle twitching and tingling, along with Thyroid storm surgery. Hemorrhag
numbness in the fingers, toes, and mouth ared. Laryngeal nerve damage thyroid surgery but
The nurse should suspect which hypotension, freque
complication? fullness at the incis
Thyroid storm is an
hyperthyroidism —
thyroidectomy. Lar
postoperatively, bu
and, possibly, acute
9. After undergoing a subtotal a. Primary hypothyroidism 9. Answer A. Lev
thyroidectomy, a female client develops b. Graves’ disease to treat primary hyp
ly.
hypothyroidism. Dr. Smith prescribes Thyrotoxicosis although it also ma
levothyroxine (Levothroid), 25 mcg P.O. daid. Euthyroidism hypothyroidism. It
For which condition is levothyroxine the disease and thyroto
preferred agent? are forms of hypert
used to describe no
require any thyroid
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