ATI Pharmacology Proctored Exam Prep –
Review Questions | Latest Update 2026 |
Graded A+
A charge nurse is observing a newly licensed nurse provide care to a group of clients.
Which of the following action by the newly licensed nurse requires the charge nurse to
complete an incident report?
a. The nurse requests a higher dose of morphine for a client who reports severe pain 30
min after receiving
morphine 2 mg IV bolus
b. The nurse administers ondansetron to a client who has two episodes of vomiting after
receiving
meperidine 75 mg IM.
c. A client who has a blood glucose level of 120 mg/dL receives her morning dose of
insulin
d. A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium. -
correct answerA client who has a lithium level of 1.8 receives her morning dose
A client is caring for a client who develops an anaphylactic reaction to IV administration.
After assessing the client's respiratory status and stopping the medication infusion.
Which of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM - correct answerd. Administer epinephrine IM
A client who has active tuberculosis and is taking rifampin reports that his urine and
sweat have developed a red tinge. Which of the following actions should the nurse
take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis - correct answerc. Document this as an expected
finding
A client who has Graves' disease is prescribed methimazole. Which of the following
effects should the nurse expect to see after the client has taken the medication for 2
months?
a. Weight loss
b. Warmer skin
c. Increase in pulse rate
d. Increased sleeping - correct answerIncreased sleeping
,A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last
visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain - correct answerc. Determine medication
adherence by the client
A new prescription for insulin glargine. which of the following expected outcomes should
the nurse include in the plan?
a. The client will take an additional dose of insulin glargine prior to exercise
b. The client will use the deltoid muscle as an injection site
c. The client will administer insulin glargine before each meal
d. The client will wear his reading glasses when drawing up a dose of insulin glargine -
correct answerThe client will wear his reading glasses when drawing insulin glargine
A nurse accidently administers the medication metformin instead of metoprolol to a
client. Which of the following actions should the nurse take?
a. Monitor the client's thyroid function levels
b. Collect the client's uric acid level
c. Obtain the client's HDL level
d. Check the client's glucose level - correct answerd. Check the client's glucose level
A nurse in a provider's office is preparing to teach a middle adult client who has a new
diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following
medications should the nurse plan to teach the client about first?
a. Metformin
b. Regular-insulin
c. Insulin glargine
d. Exenatide - correct answerMetformin
A nurse in the emergency department is caring for a client who reports a severe
headache. the client's blood pressure is 280/160 mm hg. the nurse should plan to
administer which of the following medications?
a. Nitroprusside
b. Dobutamine
c. Epinephrine
d. Dexamethasone - correct answerNitroprusside
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the
medication is provided as hydromorphone 8 mg per tablets. Which of the following
actions is appropriate for the nurse to take?
a. Return the remaining medication to the facility's pharmacy
b. Store the remaining half of the pill in the automated medication dispensing system
c. Place the remaining half of the pill in the unit dose package
, d. Dispose of the remaining medication while another nurse observes - correct answerd.
Dispose of the remaining medication while another nurse observes
A nurse is administering medications to a client. which of the following medications
should the nurse plan to administer by a parental route?
a. Simvastatin
b. Captopril
c. Hydrochlorothiazide
d. Fondaparinux - correct answerFondaparinux
A nurse is administering naloxone to a client who has developed an adverse reaction to
morphine. The nurse should identify which of the following findings as a therapeutic
effect of naloxone?
a. Decreased nausea
b. Increased pain relief
c. Decreased blood pressure
d. Increased respiratory rate - correct answerd. Increased respiratory rate
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which
of the following should the nurse identify as an adverse effect of this medication?
a. Hypoglycemia
b. Bradycardia
c. Red man syndrome
d. Hypotension - correct answerb. Bradycardia
CNS effects: drowsiness sedation, depression ,confusion, anxiety, double vision, ataxia,
cognitive impairment, nystagmus
ii. Gingival hyperplasia, skin rash, dysrhythmias, hypotension
A nurse is assessing a client following the administration of ondansetron (Zofran).
Which of the following findings should indicate to the nurse that the ondansetron has
been effective?
a. Client reports a decrease in pain
b. Client reports a decrease in nausea
c. Client reports a decrease in coughing
d. Client reports a decrease in diarrhea - correct answerb. Client reports a decrease in
nausea
A nurse is assessing a client how has been taking digoxin and ...... which of the
following findings to the nurse indicates this client has developed digoxin toxicity?
a. Ringing in the ears
b. Hyperkalemia
c. Blurred vision
d. hypertension - correct answerc. Blurred vision
Review Questions | Latest Update 2026 |
Graded A+
A charge nurse is observing a newly licensed nurse provide care to a group of clients.
Which of the following action by the newly licensed nurse requires the charge nurse to
complete an incident report?
a. The nurse requests a higher dose of morphine for a client who reports severe pain 30
min after receiving
morphine 2 mg IV bolus
b. The nurse administers ondansetron to a client who has two episodes of vomiting after
receiving
meperidine 75 mg IM.
c. A client who has a blood glucose level of 120 mg/dL receives her morning dose of
insulin
d. A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium. -
correct answerA client who has a lithium level of 1.8 receives her morning dose
A client is caring for a client who develops an anaphylactic reaction to IV administration.
After assessing the client's respiratory status and stopping the medication infusion.
Which of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM - correct answerd. Administer epinephrine IM
A client who has active tuberculosis and is taking rifampin reports that his urine and
sweat have developed a red tinge. Which of the following actions should the nurse
take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis - correct answerc. Document this as an expected
finding
A client who has Graves' disease is prescribed methimazole. Which of the following
effects should the nurse expect to see after the client has taken the medication for 2
months?
a. Weight loss
b. Warmer skin
c. Increase in pulse rate
d. Increased sleeping - correct answerIncreased sleeping
,A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last
visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain - correct answerc. Determine medication
adherence by the client
A new prescription for insulin glargine. which of the following expected outcomes should
the nurse include in the plan?
a. The client will take an additional dose of insulin glargine prior to exercise
b. The client will use the deltoid muscle as an injection site
c. The client will administer insulin glargine before each meal
d. The client will wear his reading glasses when drawing up a dose of insulin glargine -
correct answerThe client will wear his reading glasses when drawing insulin glargine
A nurse accidently administers the medication metformin instead of metoprolol to a
client. Which of the following actions should the nurse take?
a. Monitor the client's thyroid function levels
b. Collect the client's uric acid level
c. Obtain the client's HDL level
d. Check the client's glucose level - correct answerd. Check the client's glucose level
A nurse in a provider's office is preparing to teach a middle adult client who has a new
diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following
medications should the nurse plan to teach the client about first?
a. Metformin
b. Regular-insulin
c. Insulin glargine
d. Exenatide - correct answerMetformin
A nurse in the emergency department is caring for a client who reports a severe
headache. the client's blood pressure is 280/160 mm hg. the nurse should plan to
administer which of the following medications?
a. Nitroprusside
b. Dobutamine
c. Epinephrine
d. Dexamethasone - correct answerNitroprusside
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the
medication is provided as hydromorphone 8 mg per tablets. Which of the following
actions is appropriate for the nurse to take?
a. Return the remaining medication to the facility's pharmacy
b. Store the remaining half of the pill in the automated medication dispensing system
c. Place the remaining half of the pill in the unit dose package
, d. Dispose of the remaining medication while another nurse observes - correct answerd.
Dispose of the remaining medication while another nurse observes
A nurse is administering medications to a client. which of the following medications
should the nurse plan to administer by a parental route?
a. Simvastatin
b. Captopril
c. Hydrochlorothiazide
d. Fondaparinux - correct answerFondaparinux
A nurse is administering naloxone to a client who has developed an adverse reaction to
morphine. The nurse should identify which of the following findings as a therapeutic
effect of naloxone?
a. Decreased nausea
b. Increased pain relief
c. Decreased blood pressure
d. Increased respiratory rate - correct answerd. Increased respiratory rate
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which
of the following should the nurse identify as an adverse effect of this medication?
a. Hypoglycemia
b. Bradycardia
c. Red man syndrome
d. Hypotension - correct answerb. Bradycardia
CNS effects: drowsiness sedation, depression ,confusion, anxiety, double vision, ataxia,
cognitive impairment, nystagmus
ii. Gingival hyperplasia, skin rash, dysrhythmias, hypotension
A nurse is assessing a client following the administration of ondansetron (Zofran).
Which of the following findings should indicate to the nurse that the ondansetron has
been effective?
a. Client reports a decrease in pain
b. Client reports a decrease in nausea
c. Client reports a decrease in coughing
d. Client reports a decrease in diarrhea - correct answerb. Client reports a decrease in
nausea
A nurse is assessing a client how has been taking digoxin and ...... which of the
following findings to the nurse indicates this client has developed digoxin toxicity?
a. Ringing in the ears
b. Hyperkalemia
c. Blurred vision
d. hypertension - correct answerc. Blurred vision
