ATI PHARMACOLOGY PROCTORED REVIEW QUESTIONS
WITH ACCURATE ANSWERS
2) ESR
A client is being treated for heart failure and is receiving digoxin (Lanoxin) and
furosemide (Lasix). Based on the chart findings, which of the following actions
should the nurse take first:
3) Obtain an order for serum digoxin level
4) Review the client's blood pressure over the past 24 hours correct answer 3)
Obtain an order for serum digoxin level
A child is prescribed amoxicillin-clavulanic acid (Augmentin) for the treatment of
an ear infection. The child's mother asks the nurse why her child is receiving this
combination of two medications. The nurse appropriately responds by stating
that this medication is:
1) More effective
2) Known to decrease allergic reaction correct answer 1) More effective
A client has a history of myocardinal infarction (MI) is precribed aspirin (Ecotrin)
325 mg. The nurse correctly understands that the aspirin is ordered due to its
action as a:
3) Antiplatelet aggregate
4) Antipyretic correct answer 3) Antiplatelet aggregate
,A client has been taking propylthiouracil (PTU) for 4 weeks- what should an
outcome be:
3) Decrease heart rate
4) Increase body temp correct answer 3) Decrease heart rate
A client informs the nurse at the primary care providers office that he received a
prescription for timolol (timoptic) to treat glaucoma. Which of the following in the
client's history should concern you:
3) The client has a history of bradycardia
4) The client reports that he is taking loratadine (Claritan) correct answer 3) The
client has a history of bradycardia
A client is being started on ferrous sulfate. To enhance absorption, the nurse
should advise the client to take the medication with which of the following?
1) Calcium carbonate
2) Ascorbic acid correct answer 2) Ascorbic acid
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol)
25% is prescribed. Which of the following client findings should the nurse
recognize as being the best indication that the medication is achieving it's
therapeutic effect:
3) Decrease in intraocular pressure
,4)Lung fluids clear to ausculatation correct answer 3) Decrease in intraocular
pressure
A client is prescribed amitriptyline (Elavil). Which of the following adverse effects
should the nurse instruct the client to report:
3) Urinary retention
4) Decreased libido correct answer 3) Urinary retention
A client is receiving a heparin infusion for deep vein thrombosis. The nurse should
discontinue the medication infusion for which client findings:
3) Hemoglobin 15 g/dL
4) Platelets 96,000/mm3 correct answer 4) Platelets 96,000/mm3
A client newly diagnosed with hyperthyroidism is prescribed (Synthyroid) o.25 mg
PO daily. After 6 weeks of treatment, the nurse determines that the medication
was effective if the:
1) Thyroid-stimulating hormone (TSH) level is 2 microunits/mL
2) total t4 level is 3 mcg/dL correct answer 1) Thyroid-stimulating hormone (TSH)
level is 2 microunits/mL
A client newly diagnosed with hyperthyroidism is prescribed (Synthyroid) o.25 mg
PO daily. After 6 weeks of treatment, the nurse determines that the medication
was effective if the:
, 1) Thyroid-stimulating hormone (TSH) level is 2 microunits/mL2 total t4 level is 3
mcg/dL
2) total t4 level is 3 mcg/dL correct answer 1) Thyroid-stimulating hormone (TSH)
level is 2 microunits/mL2 total t4 level is 3 mcg/dL
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The
client aPTT is 4x the normal value and his INR is 2. Which of the following actions
should the nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin correct answer 1) Decrease the heparin
A client who has diabetes mellitus insulin lispro and is prescribed metoprolol
(Lopressor) for hypertension. Which of the following should the nurse observe for
in this client as an early indicator of hypoglycemia:
1) Sweating
2) Tachycardia correct answer 1) Sweating
A client who has hypothyroidism and is breastfeeding tells the nurse that she is
taking levothyroxine (Synthroid) and is concerned that it will be excreted in her
breast milk. Which of the following responses by the nurse is appropriate?
3) You will need to take the medication after breastfeeding the infant each
morning
4) You will need to decrease your medication while breastfeeding correct answer
3) You will need to take the medication after breastfeeding the infant each
morning
WITH ACCURATE ANSWERS
2) ESR
A client is being treated for heart failure and is receiving digoxin (Lanoxin) and
furosemide (Lasix). Based on the chart findings, which of the following actions
should the nurse take first:
3) Obtain an order for serum digoxin level
4) Review the client's blood pressure over the past 24 hours correct answer 3)
Obtain an order for serum digoxin level
A child is prescribed amoxicillin-clavulanic acid (Augmentin) for the treatment of
an ear infection. The child's mother asks the nurse why her child is receiving this
combination of two medications. The nurse appropriately responds by stating
that this medication is:
1) More effective
2) Known to decrease allergic reaction correct answer 1) More effective
A client has a history of myocardinal infarction (MI) is precribed aspirin (Ecotrin)
325 mg. The nurse correctly understands that the aspirin is ordered due to its
action as a:
3) Antiplatelet aggregate
4) Antipyretic correct answer 3) Antiplatelet aggregate
,A client has been taking propylthiouracil (PTU) for 4 weeks- what should an
outcome be:
3) Decrease heart rate
4) Increase body temp correct answer 3) Decrease heart rate
A client informs the nurse at the primary care providers office that he received a
prescription for timolol (timoptic) to treat glaucoma. Which of the following in the
client's history should concern you:
3) The client has a history of bradycardia
4) The client reports that he is taking loratadine (Claritan) correct answer 3) The
client has a history of bradycardia
A client is being started on ferrous sulfate. To enhance absorption, the nurse
should advise the client to take the medication with which of the following?
1) Calcium carbonate
2) Ascorbic acid correct answer 2) Ascorbic acid
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol)
25% is prescribed. Which of the following client findings should the nurse
recognize as being the best indication that the medication is achieving it's
therapeutic effect:
3) Decrease in intraocular pressure
,4)Lung fluids clear to ausculatation correct answer 3) Decrease in intraocular
pressure
A client is prescribed amitriptyline (Elavil). Which of the following adverse effects
should the nurse instruct the client to report:
3) Urinary retention
4) Decreased libido correct answer 3) Urinary retention
A client is receiving a heparin infusion for deep vein thrombosis. The nurse should
discontinue the medication infusion for which client findings:
3) Hemoglobin 15 g/dL
4) Platelets 96,000/mm3 correct answer 4) Platelets 96,000/mm3
A client newly diagnosed with hyperthyroidism is prescribed (Synthyroid) o.25 mg
PO daily. After 6 weeks of treatment, the nurse determines that the medication
was effective if the:
1) Thyroid-stimulating hormone (TSH) level is 2 microunits/mL
2) total t4 level is 3 mcg/dL correct answer 1) Thyroid-stimulating hormone (TSH)
level is 2 microunits/mL
A client newly diagnosed with hyperthyroidism is prescribed (Synthyroid) o.25 mg
PO daily. After 6 weeks of treatment, the nurse determines that the medication
was effective if the:
, 1) Thyroid-stimulating hormone (TSH) level is 2 microunits/mL2 total t4 level is 3
mcg/dL
2) total t4 level is 3 mcg/dL correct answer 1) Thyroid-stimulating hormone (TSH)
level is 2 microunits/mL2 total t4 level is 3 mcg/dL
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The
client aPTT is 4x the normal value and his INR is 2. Which of the following actions
should the nurse plan to take:
1) Decrease the heparin
2) Increase the warfarin correct answer 1) Decrease the heparin
A client who has diabetes mellitus insulin lispro and is prescribed metoprolol
(Lopressor) for hypertension. Which of the following should the nurse observe for
in this client as an early indicator of hypoglycemia:
1) Sweating
2) Tachycardia correct answer 1) Sweating
A client who has hypothyroidism and is breastfeeding tells the nurse that she is
taking levothyroxine (Synthroid) and is concerned that it will be excreted in her
breast milk. Which of the following responses by the nurse is appropriate?
3) You will need to take the medication after breastfeeding the infant each
morning
4) You will need to decrease your medication while breastfeeding correct answer
3) You will need to take the medication after breastfeeding the infant each
morning
