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ATI RN PHARMACOLOGY PROCTORED EXAM 2023-2024 la
QUESTIONS AND CORRECT DETAILED ANSWERS
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1. A nurse is caring for a client who is taking phenytoin. For which of the following adverse effects should the nurse
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monitor and report to the provider?
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a. Cognitive impairment
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i. Phenytoin: Anticonvulsant, Antiarrhythmic. Adverse effects: suicidal thoughts, ataxia, agitation,
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confusion, dizziness, drowsiness, dysarthria. (davis drug guide).
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b. Tachycardia
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c. Elevated Blood Pressure
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d. Tinnitus
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2. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat angina.
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Which of the following instructions should the nurse include?
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a. “Stop taking the medication if you become dizzy.”
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i. Advise pt. To sit or lie down if experiencing dizziness or faintness
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b. “Check your pulse rate daily.” sh
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i. Adverse effects is bradycardia. Monitor patient’s pulse. If below 60/min, hold medication and notify
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provider. Pg.263 ati 6.0
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c. “Expect to see an increase in your urinary output.”
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d. “Call your provider if you lose more than 1 lb per week.”
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3. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing
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the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse
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take next?
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Sp
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a. Elevate the client’s legs and feet
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tz
b. Administer epinephrine IM
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i. Anaphylactic reaction: Treat with epinephrine, bronchodilators, and antihistamines. Provide respiratory
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support, and inform the provider. Pg.36 (ati 7.0)
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lOMoAR cPSD| 19500986
c. Replace the infusion with 0.9% sodium chloride
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d. Give diphenhydramine IM
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4. A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor augmentation. The nurse
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notes six contractions in a 10-min period with a nonreassuring FHR. Which of the following actions should the nurse
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take first?
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a. Administer terbutaline 0.25mg subq
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Sp
b. Discontinue the oxytocin IV infusion
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la
c. Turn the client to her left side
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d. Apply O2 at 10L/min via face mask
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5. A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a
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red-orange tinge. Which of the following actions should the nurse take?
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a. Prepare the client for dialysis
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sh
b. Instruct the client to increase his fluid intake
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c. Check the client’s liver function test results
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sh
i. For hepatotoxicity (jaundice, anorexia, and fatigue), monitor liver function. Pg. 376 (ati 7.0).
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d. Document this as an expected finding
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i.
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Discoloration of body fluids: inform patients of expected orange color of urine, saliva, sweat, and
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tears. Pg.376 (ati 7.0)
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A nurse is teaching a client about self-administration of enoxaparin (Lovenox). Which of the following instructions
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should the nurse include? SATA
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a. “Grasp the skin between the thumb and forefinger while injecting the medication.”
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i. Pinch up an area of skin, inject at a 90 degree angle. Pg. 193 (ati 7.0)
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ii. Medications Affecting Coagulation: Self-Administration of Enoxaparin (Active Learning Template -
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Medication, RM Pharm RN 7.0 Chp 25)
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b. “Alternate injection sites between the sides of the abdomen.”
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i. Rotate sites b/w right and left anterolateral and posterolateral abdominal walls at least 2 inches
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from umbilicus. Pg. 193
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c. “Expel the air bubble from the prefilled syringe.”
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lOMoAR cPSD| 19500986
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i.
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DO NOT expel the air bubble in the syringe unless adjustments must be made to the dose. Pg.
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193
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d. “Massage the insertion site after injecting the medication.”
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i. DO NOT rub the site 1 to 2 min after injection. Pg. 193 (ati 7.0)
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e. “Insert the entire length of the needle into the skin during injection.”
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sh
i. Insert needle completely pg. 193 (ati 7.0)
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8. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the following laboratory
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values should the nurse identify as outside the expected reference range for this client?
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a. aPTT 36 seconds
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b. Hgb 15.2 g/dL
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i. Normal: 12-18
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c. Hct 43%
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i. 36-54%
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d. INR 4.5
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i. INR of 2-3 for treatment of acute myocardial infarction, atrial fibrillation, pulmonary embolism, venous
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thrombosis, or tissue heart valves. Pg. 194 (ati 7.0)
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9. A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that
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the ondansetron is effective?
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a. Increased urinary output
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b. Decreased nausea
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i. Ondansetron is an antiemetic. Administer antiemetic such as ondansetron for GI discomfort
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(nausea and vomiting). Pg. 334 (ati 7.0).
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ii. Serotonin antagonist: prevents emesis pg. 221 (ati 7.0)
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c. Absence of peripheral neuropathy
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d. Reduced dizziness
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Sp
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Sp
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sh
ne
ATI RN PHARMACOLOGY PROCTORED EXAM 2023-2024 la
QUESTIONS AND CORRECT DETAILED ANSWERS
tz
sh
Sp
ne
1. A nurse is caring for a client who is taking phenytoin. For which of the following adverse effects should the nurse
la
monitor and report to the provider?
tz
sh
Sp
a. Cognitive impairment
ne
la
i. Phenytoin: Anticonvulsant, Antiarrhythmic. Adverse effects: suicidal thoughts, ataxia, agitation,
tz
sh
confusion, dizziness, drowsiness, dysarthria. (davis drug guide).
Sp
ne
b. Tachycardia
la
tz
sh
c. Elevated Blood Pressure
Sp
ne
d. Tinnitus
la
tz
sh
2. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat angina.
Sp
ne
Which of the following instructions should the nurse include?
la
tz
a. “Stop taking the medication if you become dizzy.”
sh
Sp
ne
i. Advise pt. To sit or lie down if experiencing dizziness or faintness
la
tz
b. “Check your pulse rate daily.” sh
Sp
ne
i. Adverse effects is bradycardia. Monitor patient’s pulse. If below 60/min, hold medication and notify
la
provider. Pg.263 ati 6.0
tz
sh
Sp
c. “Expect to see an increase in your urinary output.”
ne
la
d. “Call your provider if you lose more than 1 lb per week.”
tz
sh
Sp
3. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing
ne
the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse
la
tz
take next?
sh
Sp
ne
a. Elevate the client’s legs and feet
la
tz
b. Administer epinephrine IM
sh
Sp
ne
i. Anaphylactic reaction: Treat with epinephrine, bronchodilators, and antihistamines. Provide respiratory
la
support, and inform the provider. Pg.36 (ati 7.0)
sh
Sp
la
Sp
, ne
lOMoAR cPSD| 19500986
c. Replace the infusion with 0.9% sodium chloride
tz
sh
d. Give diphenhydramine IM
ne
4. A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor augmentation. The nurse
la
tz
notes six contractions in a 10-min period with a nonreassuring FHR. Which of the following actions should the nurse
sh
Sp
take first?
ne
la
a. Administer terbutaline 0.25mg subq
tz
sh
Sp
b. Discontinue the oxytocin IV infusion
ne
la
c. Turn the client to her left side
tz
sh
Sp
d. Apply O2 at 10L/min via face mask
ne
la
5. A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a
tz
sh
red-orange tinge. Which of the following actions should the nurse take?
Sp
ne
a. Prepare the client for dialysis
la
tz
sh
b. Instruct the client to increase his fluid intake
Sp
ne
c. Check the client’s liver function test results
la
tz
sh
i. For hepatotoxicity (jaundice, anorexia, and fatigue), monitor liver function. Pg. 376 (ati 7.0).
Sp
ne
d. Document this as an expected finding
la
tz
i.
sh
Discoloration of body fluids: inform patients of expected orange color of urine, saliva, sweat, and
Sp
ne
tears. Pg.376 (ati 7.0)
la
A nurse is teaching a client about self-administration of enoxaparin (Lovenox). Which of the following instructions
6.
tz
sh
Sp
should the nurse include? SATA
ne
la
a. “Grasp the skin between the thumb and forefinger while injecting the medication.”
tz
sh
Sp
i. Pinch up an area of skin, inject at a 90 degree angle. Pg. 193 (ati 7.0)
ne
la
ii. Medications Affecting Coagulation: Self-Administration of Enoxaparin (Active Learning Template -
tz
sh
Medication, RM Pharm RN 7.0 Chp 25)
Sp
ne
b. “Alternate injection sites between the sides of the abdomen.”
la
tz
sh
i. Rotate sites b/w right and left anterolateral and posterolateral abdominal walls at least 2 inches
Sp
ne
from umbilicus. Pg. 193
la
c. “Expel the air bubble from the prefilled syringe.”
sh
Sp
la
Sp
, ne
lOMoAR cPSD| 19500986
tz
sh
ne
i.
la
DO NOT expel the air bubble in the syringe unless adjustments must be made to the dose. Pg.
tz
sh
193
Sp
ne
d. “Massage the insertion site after injecting the medication.”
la
tz
sh
i. DO NOT rub the site 1 to 2 min after injection. Pg. 193 (ati 7.0)
Sp
ne
e. “Insert the entire length of the needle into the skin during injection.”
la
tz
sh
i. Insert needle completely pg. 193 (ati 7.0)
Sp
ne
8. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the following laboratory
la
tz
values should the nurse identify as outside the expected reference range for this client?
sh
Sp
ne
a. aPTT 36 seconds
la
tz
sh
b. Hgb 15.2 g/dL
Sp
ne
i. Normal: 12-18
la
tz
c. Hct 43%
sh
Sp
ne
i. 36-54%
la
tz
d. INR 4.5
sh
Sp
ne
i. INR of 2-3 for treatment of acute myocardial infarction, atrial fibrillation, pulmonary embolism, venous
la
thrombosis, or tissue heart valves. Pg. 194 (ati 7.0)
tz
sh
Sp
9. A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that
ne
the ondansetron is effective?
la
tz
sh
a. Increased urinary output
Sp
ne
b. Decreased nausea
la
tz
sh
i. Ondansetron is an antiemetic. Administer antiemetic such as ondansetron for GI discomfort
Sp
ne
(nausea and vomiting). Pg. 334 (ati 7.0).
la
tz
ii. Serotonin antagonist: prevents emesis pg. 221 (ati 7.0)
sh
Sp
ne
c. Absence of peripheral neuropathy
la
d. Reduced dizziness
sh
Sp
la
Sp
