PHARMACOLOGY ATI PROCTORED ACTUAL EXAM
TEST BANK 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
.A 12-month-old child just received the first measles, mumps, and rubella (mmR) vaccine. For which of the
following possible reactions to this vaccine should the nurse teach the parents to monitor? (Select all that
apply.)
A. Rash
B. Swollen glands
C. Bruising
D. Headache
E. Inconsolable crying - ANSWER-a, b, c
(A. A rash and fever can develop in children 1 to 2 weeks following
mmR immunization.
B. Swollen glands can develop in children 1 to 2 weeks following
mmR immunization.
C. A temporary low platelet count, causing bruising or bleeding, can occur occasionally following
mmR immunization)
.A charge nurse is planning a staff education session to discuss medications used during the care of a client
experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the
discussion? (Select all that apply.)
,A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate - ANSWER-A. Lorazepam
B. Diazepam
(A. Lorazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizure)
.A charge nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy.
Which of the following information should the charge nurse include in the teaching? (Select all that apply.)
A. Administer prophylactic antimicrobial therapy to clients who report exposure to a sexually transmitted
infection.
B. Administer prophylactic antimicrobial therapy to clients who are having orthopedic surgery.
C. Instruct clients who have a prosthetic heart valve about the need for prophylactic antimicrobial therapy
before dental work.
D. Consult the provider for prophylactic antimicrobial therapy for clients who have recurrent urinary tract
infections.
,E. Instruct clients to request prophylactic antimicrobial therapy immediately when they have an upper
respiratory infection - ANSWER-a, b, c, d
(A. Clients who suspect exposure to a sexually transmitted infection require prophylactic antimicrobial therapy
to prevent an infection.
B. Clients who are having orthopedic surgery require prophylactic antimicrobial therapy to prevent an
infection.
C. Clients who are having dental work and have a prosthetic heart valve should receive prophylactic
antimicrobial therapy to prevent an infection.
D. Clients who have recurrent urinary tract infections should receive prophylactic antimicrobial therapy to
prevent an infection)
.A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the following actions should
the nurse take? (Select all that apply.)
A. Stop the infusion.
B. Apply alcohol to the insertion site.
C. Apply warm compresses to the insertion site
D. Elevate the client's arm.
E. Obtain a specimen for culture at the insertion site - ANSWER-C. Apply warm compresses to the insertion site
D. Elevate the client's arm.
(C. Warm compresses can help promote healing of a hematoma.
D. Elevation of the arm helps reduce edema, which can cause pressure and pain and additional bleeding in the
area of the hematoma.)
, .A nurse at a provider's office is preparing to administer RV, DTaP, hib, PCV13, and IPV immunizations to a
4-month-old infant. Which of the following actions should the nurse plan to take? (Select all that apply.)
A. Administer IPV orally
B. Administer subcutaneous injections in the anterolateral thigh.
C. Administer Im injections in the deltoid muscle.
D. Give the infant his pacifier during vaccine injections.
E. Teach parents to give aspirin on a schedule for 24 hr after immunization - ANSWER-b, d
(B. Subcutaneous immunizations may be administered in either the anterolateral thigh or the outer aspect of
the upper arm to infants and children.
D.Giving the infant a pacifier during injections is a comfort measure that should be encouraged by the nurse.)
.A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential
contraindication to a medication for which of the following clients? (Select all that apply.)
A. A client at 8 weeks of gestation who asks for an Influenza immunization
B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC
Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy - ANSWER-B. A
client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy
(B. Glucocorticoids should not be taken by a client who has a possible systemic fungal infection. The nurse
should recognize a contraindication and notify the provider.