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ATI PHARMACOLOGY PROTOCTORED
EXAM 2023- 2024 GUARANTEED PASS
GRADED A+
1. A nurse is assessing a client who is receiving intravenous therapy. The
nurse should identifywhich of the following findings as a manifestation
of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
2. A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribedhypertonic solution. Which of the following
findings should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
3. A nurse is teaching a client who has a new prescription for a
nitroglycerin transdermal patch.Which of the following instructions
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should the nurse include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
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d. “Remove the patch prior to going to bed.”
4. A nurse is reviewing he laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr.
which of the following should the nurse report tothe provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater
than 5.0 mEq/L) increases the client risk for fatal cardiac
dysrhythmias. Kayexalate is used to decrease theserum potassium
level, so the PN should monitor the client's serum potassium level
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid
and rifampin. Which ofthe following outcomes indicates that the client is
adhering to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference
range
6. A client is caring for a client who develops an anaphylactic reaction to IV
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administration. Afterassessing 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
7. A nurse is caring for a client who is taking sertraline and reports a desire
to begin taking supplements. Which of the following supplements should
the nurse advise the client to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. A nurse is caring for a client who has heart failure and a new prescription
for lisinopril. For whichof the following adverse effects should the nurse
monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
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ATI PHARMACOLOGY PROTOCTORED
EXAM 2023- 2024 GUARANTEED PASS
GRADED A+
1. A nurse is assessing a client who is receiving intravenous therapy. The
nurse should identifywhich of the following findings as a manifestation
of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
2. A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribedhypertonic solution. Which of the following
findings should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
3. A nurse is teaching a client who has a new prescription for a
nitroglycerin transdermal patch.Which of the following instructions
1
,2|Page
should the nurse include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
2
,3|Page
d. “Remove the patch prior to going to bed.”
4. A nurse is reviewing he laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr.
which of the following should the nurse report tothe provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater
than 5.0 mEq/L) increases the client risk for fatal cardiac
dysrhythmias. Kayexalate is used to decrease theserum potassium
level, so the PN should monitor the client's serum potassium level
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid
and rifampin. Which ofthe following outcomes indicates that the client is
adhering to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference
range
6. A client is caring for a client who develops an anaphylactic reaction to IV
3
, 4|Page
administration. Afterassessing 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
7. A nurse is caring for a client who is taking sertraline and reports a desire
to begin taking supplements. Which of the following supplements should
the nurse advise the client to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. A nurse is caring for a client who has heart failure and a new prescription
for lisinopril. For whichof the following adverse effects should the nurse
monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
4
