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Comprehensive ATI Pharmacology Proctored Exam
Bundle | Forms A, B, C + Retake Versions | Verified Q&A
with Detailed Rationales | Grade A+ Study Resource
,Table of Contents
ATI PHARMACOLOGY PROCTORED FORM A ............................................................................ 2
ATI PHARMACOLOGY PROCTORED FORM B .................................................................... 130
ATI PHARMACOLOGY PROCTORED FORM C................................................................. 268
ATI PHARMACOLOGY PROCTORED FORM RETAKES .................................................... 268
ATI PHARMACOLOGY PROCTORED FORM A
1. A nurse is caring for a client who is prescribed furosemide for
heart failure. Which of the following lab values should the nurse
monitor to detect an adverse effect?
a. Serum potassium
b. Serum calcium
c. Serum phosphate
d. Serum magnesium
Correct Answer: a. Serum potassium
Rationale: Furosemide is a loop diuretic that can cause hypokalemia.
Monitoring potassium is essential to prevent arrhythmias and muscle
weakness.
DIF: Application
REF: Diuretics / Electrolyte imbalances
OBJ: Monitor for adverse effects of loop diuretics
TOP: Nursing Process Step: Evaluation
, 2. A client is prescribed levothyroxine for hypothyroidism. Which
instruction should the nurse include in the teaching?
a. Take with food to reduce GI upset
b. Expect symptom improvement within 3–4 days
c. Take the medication at the same time each morning
d. Stop the medication if heart palpitations occur
Correct Answer: c. Take the medication at the same time each morning
Rationale: Levothyroxine should be taken on an empty stomach, ideally
in the morning, to maintain consistent absorption. Taking with food
decreases absorption; symptom improvement may take weeks;
palpitations may indicate overtreatment but client should contact
provider rather than stopping abruptly.
DIF: Comprehension
REF: Endocrine Pharmacology
OBJ: Educate clients on thyroid hormone therapy
TOP: Nursing Process Step: Implementation
3. A nurse is caring for a client receiving heparin infusion. Which of
the following should the nurse monitor to assess for therapeutic
effect?
a. aPTT (activated partial thromboplastin time)
b. PT/INR
c. Platelet count
d. Bleeding time
Correct Answer: a. aPTT (activated partial thromboplastin time)
Rationale: Heparin therapy is monitored via aPTT to guide dosing.
PT/INR is for warfarin. Platelet count is monitored for heparin-induced
, thrombocytopenia (HIT), but not primary therapeutic effect. Bleeding
time is outdated clinically.
DIF: Knowledge
REF: Anticoagulants
OBJ: Monitor anticoagulant therapy
TOP: Nursing Process Step: Evaluation
4. A nurse is preparing to administer digoxin to a client with heart
failure. Before giving the dose, which assessment is essential?
a. Apical pulse rate
b. Blood pressure
c. Respiratory rate
d. Daily weight
Correct Answer: a. Apical pulse rate
Rationale: Digoxin can cause bradycardia and arrhythmias. The apical
pulse must be checked; if under a threshold (often < 60 bpm, depending
on facility), the dose may be withheld. The others are important, but
the priority is the pulse.
DIF: Application
REF: Cardiac Glycosides
OBJ: Ensure safety prior to digoxin administration
TOP: Nursing Process Step: Assessment
5. A client is prescribed metformin for type 2 diabetes mellitus.
Which condition is a contraindication for this medication?
a. Hypertension
b. Chronic kidney disease