ATI Pharmacology Proctored Exam 2022/2023 (COMPLETE SOLUTION WITH CORRECT
ANSWERS)
A home health nurse is visiting an older adult client who has Alzheimer's disease. His
caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 x
daily, to the client for restlessness and anxiety during the past few days. For which of
the following effects should the nurse assess the client?
A. Low-grade fever
B. Sedation
C. Diuresis
D. Tonic-clonic seizures - ansB
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 x
daily po and gabapentin 1,800mg 3 x daily po to manage pain. The client tells the nurse,
"I'm having pain that keeps me from doing what I'd like most of the time." which of the
following additions should the nurse anticipate to the client's medication regimen?
A. Oral meperidine
B. Parenteral naloxone
C. Parenteral diazepam
D. Oral oxycodone - ansD
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg
daily, but the client reports that she has been taking extra doses to promote weight loss.
Which of the following findings should indicate to the nurse that the client is
dehydrated?
A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18mg/dL
D. Bounding radial pulse - ansA
A nurse is administering adenosine via IV bolus for a client who has developed
paroxysmal atrial tachycardia. For which of the following findings should the nurse
assess the client during administration of adenosine?
A. Seizures
B. Cinchonism
C. Dyspnea
D. Transient pallor of the face - ansC
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe
UTI. The client asks why both medications are needed. Which of the following
responses should the nurse make?
A. Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride.
B. Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course
of therapy.
C. The use of phenazopyridine allows for a lower dosage of ciprofloxacin
hydrochloride.
D. Ciprofloxacin hydrochloride treats the infection and the phenazopyridine treats
pain. - ansD
, ATI Pharmacology Proctored Exam 2022/2023 (COMPLETE SOLUTION WITH CORRECT
ANSWERS)
A nurse is administering insulin glulisine 10 units subQ at 0730 to an adolescent client
who has type I diabetes mellitus. The nurse should anticipate onset of action of the
insulin at which of the following times?
a. 0800
b. 0745
c. 0900
d. 1030 - ansB
A nurse is administering oral hydroxyzine to a client. Which of the following adverse
effects should the nurse instruct the client to expect?
A. Diarrhea
B. Anxiety
C. Nausea and vomiting
D. Dry mouth - ansD
A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse effects?
A. Hypotension
B. Hyperthermia
C. Hypoglycemia
D. Tachycardia - ansD
A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the
following should the nurse take?
A. Administer the medication into the client's abdomen
B. Inject the medication into a muscle
C. Massage the site after administering the medication
D. Use a 22 gauge needle to administer the medication - ansA
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has. mask like facial expression and is experiencing
involuntary movements and tremors. Which of the following medications should the
nurse anticipate administering?
A. Amantadine
B. Bupropion (Atypical antidepressant)
C. Phenelzine (MAOI)
D. Hydroxyzine (Antihistamine) - ansA
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of
the following findings should alert the nurse that the client is experiencing acute
levothyroxine overdose?
A. Bradycardia
B. Cold intolerance
C. Tremor
D. Hypothermia - ansC
ANSWERS)
A home health nurse is visiting an older adult client who has Alzheimer's disease. His
caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 x
daily, to the client for restlessness and anxiety during the past few days. For which of
the following effects should the nurse assess the client?
A. Low-grade fever
B. Sedation
C. Diuresis
D. Tonic-clonic seizures - ansB
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 x
daily po and gabapentin 1,800mg 3 x daily po to manage pain. The client tells the nurse,
"I'm having pain that keeps me from doing what I'd like most of the time." which of the
following additions should the nurse anticipate to the client's medication regimen?
A. Oral meperidine
B. Parenteral naloxone
C. Parenteral diazepam
D. Oral oxycodone - ansD
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg
daily, but the client reports that she has been taking extra doses to promote weight loss.
Which of the following findings should indicate to the nurse that the client is
dehydrated?
A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18mg/dL
D. Bounding radial pulse - ansA
A nurse is administering adenosine via IV bolus for a client who has developed
paroxysmal atrial tachycardia. For which of the following findings should the nurse
assess the client during administration of adenosine?
A. Seizures
B. Cinchonism
C. Dyspnea
D. Transient pallor of the face - ansC
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe
UTI. The client asks why both medications are needed. Which of the following
responses should the nurse make?
A. Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride.
B. Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course
of therapy.
C. The use of phenazopyridine allows for a lower dosage of ciprofloxacin
hydrochloride.
D. Ciprofloxacin hydrochloride treats the infection and the phenazopyridine treats
pain. - ansD
, ATI Pharmacology Proctored Exam 2022/2023 (COMPLETE SOLUTION WITH CORRECT
ANSWERS)
A nurse is administering insulin glulisine 10 units subQ at 0730 to an adolescent client
who has type I diabetes mellitus. The nurse should anticipate onset of action of the
insulin at which of the following times?
a. 0800
b. 0745
c. 0900
d. 1030 - ansB
A nurse is administering oral hydroxyzine to a client. Which of the following adverse
effects should the nurse instruct the client to expect?
A. Diarrhea
B. Anxiety
C. Nausea and vomiting
D. Dry mouth - ansD
A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse effects?
A. Hypotension
B. Hyperthermia
C. Hypoglycemia
D. Tachycardia - ansD
A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the
following should the nurse take?
A. Administer the medication into the client's abdomen
B. Inject the medication into a muscle
C. Massage the site after administering the medication
D. Use a 22 gauge needle to administer the medication - ansA
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has. mask like facial expression and is experiencing
involuntary movements and tremors. Which of the following medications should the
nurse anticipate administering?
A. Amantadine
B. Bupropion (Atypical antidepressant)
C. Phenelzine (MAOI)
D. Hydroxyzine (Antihistamine) - ansA
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of
the following findings should alert the nurse that the client is experiencing acute
levothyroxine overdose?
A. Bradycardia
B. Cold intolerance
C. Tremor
D. Hypothermia - ansC
