ATI RN Pharmacology 2025/2026
QUESTIONS WITH ALL CORRECT
ANSWERS AND SOLUTIONS GRADED
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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 to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - CORRECT ANSWER --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 the serum potassium
level so the PN should monitor the client's serum potassium level
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin.
Which of the 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 -
CORRECT ANSWER --a. The client has a negative sputum culture
A client is caring for a client who develops an anaphylactic reaction to IV administration.
After assessing 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 - CORRECT ANSWER --d. Administer epinephrine IM
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 - CORRECT ANSWER --a. St. John's Wort
A nurse is caring for a client who has heart failure and a new prescription for lisinopril.
For which of the following adverse effects should the nurse monitor when administering
lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension - CORRECT ANSWER --d. Hypotension
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has
an PPT of 90 seconds. They should monitor the client for which of the following
changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure - CORRECT ANSWER --d. Increased blood pressure
A nurse is preparing to administer medication to a client and discovers a medication
error. The nurse should recognize that which of the following staff members is
responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse - CORRECT ANSWER --b. The nurse who identifies the error
A nurse is planning care for a client who is receiving morphine via continuous epidural
infusion. The nurse should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding - CORRECT ANSWER --a. Pruritus - Sign of allergic reaction to
morphine
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move the steps into the box on the right placing them in
the order of performance. Use all the steps.) - CORRECT ANSWER --a. Obtain the
client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
, A nurse is reviewing the medical record of an adult client who has a fever and a
prescription for acetaminophen. Which of the following findings should the nurse identify
as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWER --a. Alcohol use disorder
A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last
visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain - CORRECT ANSWER --c. Determine
medication adherence by the client
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
should monitor for which of the following as an indication of an allergic reaction following
the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia - CORRECT ANSWER --a. Urticaria
A nurse is teaching a client who has angina a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include in the
teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve." - CORRECT ANSWER --
c. "Keep the tablets at room temperature in their original glass bottle."
A nurse is providing teaching to a client who has a new prescription for theophylline a
sustained-released capsule. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn." - CORRECT ANSWER --d. "I will need to
have blood levels drawn."
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to client who has diabetes mellitus following actions should the nurse
take first?
QUESTIONS WITH ALL CORRECT
ANSWERS AND SOLUTIONS GRADED
A+
Save
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 to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - CORRECT ANSWER --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 the serum potassium
level so the PN should monitor the client's serum potassium level
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin.
Which of the 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 -
CORRECT ANSWER --a. The client has a negative sputum culture
A client is caring for a client who develops an anaphylactic reaction to IV administration.
After assessing 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 - CORRECT ANSWER --d. Administer epinephrine IM
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 - CORRECT ANSWER --a. St. John's Wort
A nurse is caring for a client who has heart failure and a new prescription for lisinopril.
For which of the following adverse effects should the nurse monitor when administering
lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension - CORRECT ANSWER --d. Hypotension
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has
an PPT of 90 seconds. They should monitor the client for which of the following
changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure - CORRECT ANSWER --d. Increased blood pressure
A nurse is preparing to administer medication to a client and discovers a medication
error. The nurse should recognize that which of the following staff members is
responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse - CORRECT ANSWER --b. The nurse who identifies the error
A nurse is planning care for a client who is receiving morphine via continuous epidural
infusion. The nurse should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding - CORRECT ANSWER --a. Pruritus - Sign of allergic reaction to
morphine
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move the steps into the box on the right placing them in
the order of performance. Use all the steps.) - CORRECT ANSWER --a. Obtain the
client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
, A nurse is reviewing the medical record of an adult client who has a fever and a
prescription for acetaminophen. Which of the following findings should the nurse identify
as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWER --a. Alcohol use disorder
A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last
visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain - CORRECT ANSWER --c. Determine
medication adherence by the client
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
should monitor for which of the following as an indication of an allergic reaction following
the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia - CORRECT ANSWER --a. Urticaria
A nurse is teaching a client who has angina a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include in the
teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve." - CORRECT ANSWER --
c. "Keep the tablets at room temperature in their original glass bottle."
A nurse is providing teaching to a client who has a new prescription for theophylline a
sustained-released capsule. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn." - CORRECT ANSWER --d. "I will need to
have blood levels drawn."
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to client who has diabetes mellitus following actions should the nurse
take first?
