ATI PHARMACOLOGY PROCTORED RN
Exam: Practice Questions with Correct
Answers
A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The
nurse should monitor the client for which of the following adverse reactions?
Thrombocytopenia
A nurse is caring for a client who has hemophilia A and is about to begin taking
desmopressin to prevent bleeding. The nurse should monitor the client for which of the
following adverse reactions?
Edema
A nurse is caring for a client who is about alteplase therapy to treat pulmonary embolism.
Which of the following drugs should the nurse have available in the event of a severe
adverse reaction?
Vitamin K
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and
reports taking aspirin 81 mg daily, including this morning. The nurse should identify that
this places the client at risk for which of the following complications?
Uncontrolled bleeding
A nurse is caring for a client who recently started alteplase therapy. The nurse should
monitor the client for which of the following adverse effects?
Headache
A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse
should monitor the client for which of the following adverse effects?
Hypertension
A nurse should identify that clopidogrel is contraindicated for clients who have which of
the following conditions?
Peptic Ulcer Disease
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin.
Which of the following findings should nurse identify as a possible indication of
hemorrhage?
Rapid Pulse
A nurse is caring for a client who is about to begin taking epoetin. An increase in which of
the following laboratory values should indicate to the nurse that the therapy is effective?
Hgb
A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia.
Which of the following instructions should the nurse include?
-Eat iron-enriched foods
-Spread the dosage across each day
-Take the drug on an empty stomach
-Increase dietary fiber
,A nurse is caring for a client who is taking ferrous sulfate to treat iron deficiency anemia
and develops toxicity. Which of the following drugs should the nurse expect to use to treat
this complication?
Deferoxamine
A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse
should assess the client for which of the following adverse effects?
Enlarged Spleen
A nurse is caring for a client who has chronic stable angina. The nurse should identify that
which of the following drugs inhibits the actions of adenosine diphosphate receptors (ADP)
on platelets and can be prescribed to reduce the client's risk for myocardial infarction?
Clopidogrel
A nurse in an emergency department is assessing a client who has been taking warfarin
and is experiencing rectal bleeding. Which of the following drugs should the nurse expect
to administer to the client?
Vitamin K
A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a
cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation
by which of the following mechanisms?
Inhibiting cyclooxygenase action in platelets
A n*urse is monitoring a client following ferrous sulfate administration. The nurse should
the client for which of the following adverse effects?
Constipation
A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan
to include information on which of the following topics to promote the effectiveness of the
drug?
Dietary modifications
A nurse is caring for a client who is about to begin therapy with recombinant factor IX to
treat hemophilia B. The client asks the nurse about the risk of disease transmission with
recombinant factor IX as compared with plasma-derived factor IX. The nurse should
explain that recombinant factor IX therapy practically eliminates the risk for which of the
following?
Creutzfeldt-Jakob disease
A nurse is administering epoetin intravenously to a client who has renal failure. Which of
the following actions should the nurse take?
Administer via IV bolus over 1 to 3 min
A nurse should assess a client who has megaloblastic anemia for indications of which of the
following vitamin deficiencies?
Vitamin B12
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein
thrombosis. Which of the following actions should the nurse take?
Administer the medication into the client's abdomen
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should
recognize that tamoxifen has which of the following therapeutic effects?
Antiestrogenic
A nurse is caring for a client who has a new prescription for enalapril. The nurse should
monitor the client for which of the following adverse effects of this medication?
, Hypotension
A nurse is reinforcing teaching with a client who has a new prescription for
hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following
instructions should the nurse include in the teaching?
Take the hydrochlorothiazide in the morning
A nurse is reinforcing teaching with a client who has a urinary tract infection and new
prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by
the client indicates a need for further teaching?
I should notify my provider immediately if my urine turns orange
A nurse is reinforcing teaching with a client who has gout and a new prescription for
allopurinol. The nurse should instruct the client to discontinue taking the medication for
which of the following adverse effects?
Fever
A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription for
lactose. The nurse should instruct the client that lactulose has which of the following
therapeutic effects?
Reduces ammonia levels
A nurse is collecting data from a client who has taken methimazole for a thyroid disorder
during the past month. Which of the following findings demonstrates an expected response
to methimazole?
Decrease in body temperature
A nurse is reinforcing teaching with a class of new parents about medications. The nurse
should include that aspirin is contraindicated for children who have a viral infection due to
the risk of developing which of the following adverse effects?
Reye's syndrome
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should
monitor the client for which of the following adverse effects?
Bleeding
A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event
due to thrombus in cerebral vessel. Which of the following drugs should the nurse expect to
administer?
Alteplase
A nurse is preparing to administer a prescribed dose of desmopressin to a client who has
hemophilia A. The client's laboratory results indicate that the client has a sodium level of
130 mEq/L. Which of the following actions should the nurse take?
Clarify the prescription with the provider
A nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic
anemia. The nurse should monitor which of the following laboratory values to determine
therapeutic effectiveness>
Reticulocyte count
A nurse is caring for an older adult client who has a new prescription for amitriptyline to
treat depression. Which of the following diagnostic tests should the nurse plan to obtain
prior to administering the medication?
Electrocardiogram
Exam: Practice Questions with Correct
Answers
A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The
nurse should monitor the client for which of the following adverse reactions?
Thrombocytopenia
A nurse is caring for a client who has hemophilia A and is about to begin taking
desmopressin to prevent bleeding. The nurse should monitor the client for which of the
following adverse reactions?
Edema
A nurse is caring for a client who is about alteplase therapy to treat pulmonary embolism.
Which of the following drugs should the nurse have available in the event of a severe
adverse reaction?
Vitamin K
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and
reports taking aspirin 81 mg daily, including this morning. The nurse should identify that
this places the client at risk for which of the following complications?
Uncontrolled bleeding
A nurse is caring for a client who recently started alteplase therapy. The nurse should
monitor the client for which of the following adverse effects?
Headache
A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse
should monitor the client for which of the following adverse effects?
Hypertension
A nurse should identify that clopidogrel is contraindicated for clients who have which of
the following conditions?
Peptic Ulcer Disease
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin.
Which of the following findings should nurse identify as a possible indication of
hemorrhage?
Rapid Pulse
A nurse is caring for a client who is about to begin taking epoetin. An increase in which of
the following laboratory values should indicate to the nurse that the therapy is effective?
Hgb
A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia.
Which of the following instructions should the nurse include?
-Eat iron-enriched foods
-Spread the dosage across each day
-Take the drug on an empty stomach
-Increase dietary fiber
,A nurse is caring for a client who is taking ferrous sulfate to treat iron deficiency anemia
and develops toxicity. Which of the following drugs should the nurse expect to use to treat
this complication?
Deferoxamine
A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse
should assess the client for which of the following adverse effects?
Enlarged Spleen
A nurse is caring for a client who has chronic stable angina. The nurse should identify that
which of the following drugs inhibits the actions of adenosine diphosphate receptors (ADP)
on platelets and can be prescribed to reduce the client's risk for myocardial infarction?
Clopidogrel
A nurse in an emergency department is assessing a client who has been taking warfarin
and is experiencing rectal bleeding. Which of the following drugs should the nurse expect
to administer to the client?
Vitamin K
A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a
cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation
by which of the following mechanisms?
Inhibiting cyclooxygenase action in platelets
A n*urse is monitoring a client following ferrous sulfate administration. The nurse should
the client for which of the following adverse effects?
Constipation
A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan
to include information on which of the following topics to promote the effectiveness of the
drug?
Dietary modifications
A nurse is caring for a client who is about to begin therapy with recombinant factor IX to
treat hemophilia B. The client asks the nurse about the risk of disease transmission with
recombinant factor IX as compared with plasma-derived factor IX. The nurse should
explain that recombinant factor IX therapy practically eliminates the risk for which of the
following?
Creutzfeldt-Jakob disease
A nurse is administering epoetin intravenously to a client who has renal failure. Which of
the following actions should the nurse take?
Administer via IV bolus over 1 to 3 min
A nurse should assess a client who has megaloblastic anemia for indications of which of the
following vitamin deficiencies?
Vitamin B12
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein
thrombosis. Which of the following actions should the nurse take?
Administer the medication into the client's abdomen
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should
recognize that tamoxifen has which of the following therapeutic effects?
Antiestrogenic
A nurse is caring for a client who has a new prescription for enalapril. The nurse should
monitor the client for which of the following adverse effects of this medication?
, Hypotension
A nurse is reinforcing teaching with a client who has a new prescription for
hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following
instructions should the nurse include in the teaching?
Take the hydrochlorothiazide in the morning
A nurse is reinforcing teaching with a client who has a urinary tract infection and new
prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by
the client indicates a need for further teaching?
I should notify my provider immediately if my urine turns orange
A nurse is reinforcing teaching with a client who has gout and a new prescription for
allopurinol. The nurse should instruct the client to discontinue taking the medication for
which of the following adverse effects?
Fever
A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription for
lactose. The nurse should instruct the client that lactulose has which of the following
therapeutic effects?
Reduces ammonia levels
A nurse is collecting data from a client who has taken methimazole for a thyroid disorder
during the past month. Which of the following findings demonstrates an expected response
to methimazole?
Decrease in body temperature
A nurse is reinforcing teaching with a class of new parents about medications. The nurse
should include that aspirin is contraindicated for children who have a viral infection due to
the risk of developing which of the following adverse effects?
Reye's syndrome
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should
monitor the client for which of the following adverse effects?
Bleeding
A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event
due to thrombus in cerebral vessel. Which of the following drugs should the nurse expect to
administer?
Alteplase
A nurse is preparing to administer a prescribed dose of desmopressin to a client who has
hemophilia A. The client's laboratory results indicate that the client has a sodium level of
130 mEq/L. Which of the following actions should the nurse take?
Clarify the prescription with the provider
A nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic
anemia. The nurse should monitor which of the following laboratory values to determine
therapeutic effectiveness>
Reticulocyte count
A nurse is caring for an older adult client who has a new prescription for amitriptyline to
treat depression. Which of the following diagnostic tests should the nurse plan to obtain
prior to administering the medication?
Electrocardiogram
