ATI PN PHARMACOLOGY PROCTORED EXAM
REVIEW QUESTIONS AND 100% CORRECT
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify w
B B B B B B B B B B B B B B B
hich of the following findings as a manifestation of fluid volume excess?
B B B B B B B B B B B
a. Decreased bowel sounds
B B B
b. Distended neck veins
B B B B
c. Bilateral muscle weakness
B B B
d. Thread pulse - ANSWER-
B B B B b. Distended neck veins
B B B
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
B B B B B B B B B B B B B B B B B B
hypertonic solution. Which of the following findings should indicate to the nurse that the treat
B B B B B B B B B B B B B B
ment is effective?
B B
a. Absent Chvostek's sign
B B B
b. Improved cognition
B B B
c. Decreased vomiting
B B B
d. Cardiac arrhythmias absent - ANSWER-
B B B B B b. Improved cognition
B B
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch.
B B B B B B B B B B B B B B B B
Which of the following instructions should the nurse include?
B B B B B B B B
a. "Discontinue the patch if you experience a headache."
B B B B B B B B
b. "Apply a new patch if you have chest pain."
B B B B B B B B B
c. "Cover the patch with dry gauze when taking a shower."
B B B B B B B B B B
d. "Remove the patch prior to going to bed." - ANSWER-
B B B B B B B B B B
d. "Remove the patch prior to going to bed."
B B B B B B B B
A nurse is reviewing he laboratory results of a client who has a prescription for sodium polysty
B B B B B B B B B B B B B B B B
rene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the pr
B B B B B B B B B B B B B B B B
ovider?
a. Creatinine 0.72 mg/dL
B B B
,b. Sodium 138 mEq/L
B B B
c. Magnesium 2 mEq/L
B B B
d. Potassium 5.2 mEq/L - ANSWER-
B d. Potassium 5.2 mEq/L -
B B B B B B B B
BHyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fata
B B B B B B B B B B B B B
l cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level so the PN sh
B B B B B B B B B B B B B B B
ould monitor the client's serum potassium level
B B B B B B
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which o
B B B B B B B B B B B B B B B B B
f the following outcomes indicates that the client is adhering to the medication regimen?
B B B B B B B B B B B B B
a. The client has a negative sputum culture
B B B B B B B
b. The client tests negative for HIV
B B B B B B
c. The client has a positive purified protein derivative test
B B B B B B B B B
d. The client's liver function test results are within the expected reference range - ANSWER-
B B B B B B B B B B B B B B
a. The client has a negative sputum culture
B B B B B B B
A client is caring for a client who develops an anaphylactic reaction to IV administration. After
B B B B B B B B B B B B B B B B
assessing the client's respiratory status and stopping the medication infusion. Which of the fol
B B B B B B B B B B B B B
lowing actions should the nurse take next?
B B B B B B
a. Replace the infusion with 0.9% sodium chloride
B B B B B B B B
b. Give diphenhydramine IM
B B B
c. Elevate the client's legs and feet
B B B B B B B
d. Administer epinephrine IM - ANSWER-
B B B B B d. Administer epinephrine IM
B B B
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supple
B B B B B B B B B B B B B B B B B B
ments. Which of the following supplements should the nurse advise the client to avoid?
B B B B B B B B B B B B B
a. St. John's Wort
B B B B
b. Ginger root
B B B
c. Black cohosh
B B
d. Coenzyme Q10 - ANSWER-
B B B B a. St. John's Wort
B B B
, A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For whi
B B B B B B B B B B B B B B B B B B
ch of the following adverse effects should the nurse monitor when administering lisinopril?
B B B B B B B B B B B B
a. Bradycardia
B
b. Hypokalemia
B
c. Tinnitus B
d. Hypotension - ANSWER-
B B B d. Hypotension
B
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of
B B B B B B B B B B B B B B B B B B B
90 seconds. They should monitor the client for which of the following changes in their vital sig
B B B B B B B B B B B B B B B B
ns?
a. Decreased temperature
B B B
b. Increased pulse rate
B B B
c. Decreased respiratory rate
B B B B
d. Increased blood pressure - ANSWER-
B B B B B d. Increased blood pressure
B B B
A nurse is preparing to administer medication to a client and discovers a medication error. The
B B B B B B B B B B B B B B B
nurse should recognize that which of the following staff members is responsible for completin
B B B B B B B B B B B B B B
g an incident report?
B B B
a. The quality improvement committee
B B B B B
b. The nurse who identifies the error
B B B B B B B
c. The nurse who caused the error
B B B B B B B
d. The charge nurse - ANSWER-
B B B B B b. The nurse who identifies the error
B B B B B B
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion
B B B B B B B B B B B B B B B
. The nurse should monitor the client for which of the following?
B B B B B B B B B B B
a. Pruritus B
b. Cough B B
c. TachypneaB
d. Gastric bleeding - ANSWER-
B B B B a. Pruritus - Sign of allergic reaction to morphine
B B B B B B B B
REVIEW QUESTIONS AND 100% CORRECT
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify w
B B B B B B B B B B B B B B B
hich of the following findings as a manifestation of fluid volume excess?
B B B B B B B B B B B
a. Decreased bowel sounds
B B B
b. Distended neck veins
B B B B
c. Bilateral muscle weakness
B B B
d. Thread pulse - ANSWER-
B B B B b. Distended neck veins
B B B
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
B B B B B B B B B B B B B B B B B B
hypertonic solution. Which of the following findings should indicate to the nurse that the treat
B B B B B B B B B B B B B B
ment is effective?
B B
a. Absent Chvostek's sign
B B B
b. Improved cognition
B B B
c. Decreased vomiting
B B B
d. Cardiac arrhythmias absent - ANSWER-
B B B B B b. Improved cognition
B B
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch.
B B B B B B B B B B B B B B B B
Which of the following instructions should the nurse include?
B B B B B B B B
a. "Discontinue the patch if you experience a headache."
B B B B B B B B
b. "Apply a new patch if you have chest pain."
B B B B B B B B B
c. "Cover the patch with dry gauze when taking a shower."
B B B B B B B B B B
d. "Remove the patch prior to going to bed." - ANSWER-
B B B B B B B B B B
d. "Remove the patch prior to going to bed."
B B B B B B B B
A nurse is reviewing he laboratory results of a client who has a prescription for sodium polysty
B B B B B B B B B B B B B B B B
rene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the pr
B B B B B B B B B B B B B B B B
ovider?
a. Creatinine 0.72 mg/dL
B B B
,b. Sodium 138 mEq/L
B B B
c. Magnesium 2 mEq/L
B B B
d. Potassium 5.2 mEq/L - ANSWER-
B d. Potassium 5.2 mEq/L -
B B B B B B B B
BHyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fata
B B B B B B B B B B B B B
l cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level so the PN sh
B B B B B B B B B B B B B B B
ould monitor the client's serum potassium level
B B B B B B
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which o
B B B B B B B B B B B B B B B B B
f the following outcomes indicates that the client is adhering to the medication regimen?
B B B B B B B B B B B B B
a. The client has a negative sputum culture
B B B B B B B
b. The client tests negative for HIV
B B B B B B
c. The client has a positive purified protein derivative test
B B B B B B B B B
d. The client's liver function test results are within the expected reference range - ANSWER-
B B B B B B B B B B B B B B
a. The client has a negative sputum culture
B B B B B B B
A client is caring for a client who develops an anaphylactic reaction to IV administration. After
B B B B B B B B B B B B B B B B
assessing the client's respiratory status and stopping the medication infusion. Which of the fol
B B B B B B B B B B B B B
lowing actions should the nurse take next?
B B B B B B
a. Replace the infusion with 0.9% sodium chloride
B B B B B B B B
b. Give diphenhydramine IM
B B B
c. Elevate the client's legs and feet
B B B B B B B
d. Administer epinephrine IM - ANSWER-
B B B B B d. Administer epinephrine IM
B B B
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supple
B B B B B B B B B B B B B B B B B B
ments. Which of the following supplements should the nurse advise the client to avoid?
B B B B B B B B B B B B B
a. St. John's Wort
B B B B
b. Ginger root
B B B
c. Black cohosh
B B
d. Coenzyme Q10 - ANSWER-
B B B B a. St. John's Wort
B B B
, A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For whi
B B B B B B B B B B B B B B B B B B
ch of the following adverse effects should the nurse monitor when administering lisinopril?
B B B B B B B B B B B B
a. Bradycardia
B
b. Hypokalemia
B
c. Tinnitus B
d. Hypotension - ANSWER-
B B B d. Hypotension
B
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of
B B B B B B B B B B B B B B B B B B B
90 seconds. They should monitor the client for which of the following changes in their vital sig
B B B B B B B B B B B B B B B B
ns?
a. Decreased temperature
B B B
b. Increased pulse rate
B B B
c. Decreased respiratory rate
B B B B
d. Increased blood pressure - ANSWER-
B B B B B d. Increased blood pressure
B B B
A nurse is preparing to administer medication to a client and discovers a medication error. The
B B B B B B B B B B B B B B B
nurse should recognize that which of the following staff members is responsible for completin
B B B B B B B B B B B B B B
g an incident report?
B B B
a. The quality improvement committee
B B B B B
b. The nurse who identifies the error
B B B B B B B
c. The nurse who caused the error
B B B B B B B
d. The charge nurse - ANSWER-
B B B B B b. The nurse who identifies the error
B B B B B B
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion
B B B B B B B B B B B B B B B
. The nurse should monitor the client for which of the following?
B B B B B B B B B B B
a. Pruritus B
b. Cough B B
c. TachypneaB
d. Gastric bleeding - ANSWER-
B B B B a. Pruritus - Sign of allergic reaction to morphine
B B B B B B B B