ATI Pharmacology Proctored Exam Questions AND Correct Answers
A charge nurse is observing a newly licensed nurse provide care to a
group of clients. Which of the following action by the newly licensed
nurse requires the charge nurse to complete an incident report?
a. The nurse requests a higher dose of morphine for a client who
reports severe pain 30 min after receiving
morphine 2 mg IV bolus
b. The nurse administers ondansetron to a client who has two
episodes of vomiting after receiving
meperidine 75 mg IM.
c. A client who has a blood glucose level of 120 mg/dL receives her
morning dose of insulin
d. A client who has a lithium level of 1.8 mEq/L receives her morning
dose of lithium. - ✔✔A client who has a lithium level of 1.8 receives
her morning dose
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 - ✔✔d. Administer epinephrine IM
,A client who has active tuberculosis and is taking rifampin reports
that his urine and sweat have developed a red tinge. Which of the
following actions should the nurse take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis - ✔✔c. Document this as an expected
finding
A client who has Graves' disease is prescribed methimazole. Which of
the following effects should the nurse expect to see after the client
has taken the medication for 2 months?
a. Weight loss
b. Warmer skin
c. Increase in pulse rate
d. Increased sleeping - ✔✔Increased sleeping
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 - ✔✔c. Determine
medication adherence by the client
A new prescription for insulin glargine. which of the following
expected outcomes should the nurse include in the plan?
a. The client will take an additional dose of insulin glargine prior to
exercise
b. The client will use the deltoid muscle as an injection site
c. The client will administer insulin glargine before each meal
d. The client will wear his reading glasses when drawing up a dose of
insulin glargine - ✔✔The client will wear his reading glasses when
drawing insulin glargine
A nurse accidently administers the medication metformin instead of
metoprolol to a client. Which of the following actions should the
nurse take?
a. Monitor the client's thyroid function levels
b. Collect the client's uric acid level
c. Obtain the client's HDL level
d. Check the client's glucose level - ✔✔d. Check the client's glucose
level
A nurse in a provider's office is preparing to teach a middle adult
client who has a new diagnosis of metabolic syndrome and an HbA1c
, of 6.5%. Which of the following medications should the nurse plan to
teach the client about first?
a. Metformin
b. Regular-insulin
c. Insulin glargine
d. Exenatide - ✔✔Metformin
A nurse in the emergency department is caring for a client who
reports a severe headache. the client's blood pressure is 280/160 mm
hg. the nurse should plan to administer which of the following
medications?
a. Nitroprusside
b. Dobutamine
c. Epinephrine
d. Dexamethasone - ✔✔Nitroprusside
A nurse is administering 4 mg of hydromorphone to a client by mouth
every 4 hr. the medication is provided as hydromorphone 8 mg per
tablets. Which of the following actions is appropriate for the nurse to
take?
a. Return the remaining medication to the facility's pharmacy
b. Store the remaining half of the pill in the automated medication
dispensing system
c. Place the remaining half of the pill in the unit dose package
A charge nurse is observing a newly licensed nurse provide care to a
group of clients. Which of the following action by the newly licensed
nurse requires the charge nurse to complete an incident report?
a. The nurse requests a higher dose of morphine for a client who
reports severe pain 30 min after receiving
morphine 2 mg IV bolus
b. The nurse administers ondansetron to a client who has two
episodes of vomiting after receiving
meperidine 75 mg IM.
c. A client who has a blood glucose level of 120 mg/dL receives her
morning dose of insulin
d. A client who has a lithium level of 1.8 mEq/L receives her morning
dose of lithium. - ✔✔A client who has a lithium level of 1.8 receives
her morning dose
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 - ✔✔d. Administer epinephrine IM
,A client who has active tuberculosis and is taking rifampin reports
that his urine and sweat have developed a red tinge. Which of the
following actions should the nurse take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis - ✔✔c. Document this as an expected
finding
A client who has Graves' disease is prescribed methimazole. Which of
the following effects should the nurse expect to see after the client
has taken the medication for 2 months?
a. Weight loss
b. Warmer skin
c. Increase in pulse rate
d. Increased sleeping - ✔✔Increased sleeping
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 - ✔✔c. Determine
medication adherence by the client
A new prescription for insulin glargine. which of the following
expected outcomes should the nurse include in the plan?
a. The client will take an additional dose of insulin glargine prior to
exercise
b. The client will use the deltoid muscle as an injection site
c. The client will administer insulin glargine before each meal
d. The client will wear his reading glasses when drawing up a dose of
insulin glargine - ✔✔The client will wear his reading glasses when
drawing insulin glargine
A nurse accidently administers the medication metformin instead of
metoprolol to a client. Which of the following actions should the
nurse take?
a. Monitor the client's thyroid function levels
b. Collect the client's uric acid level
c. Obtain the client's HDL level
d. Check the client's glucose level - ✔✔d. Check the client's glucose
level
A nurse in a provider's office is preparing to teach a middle adult
client who has a new diagnosis of metabolic syndrome and an HbA1c
, of 6.5%. Which of the following medications should the nurse plan to
teach the client about first?
a. Metformin
b. Regular-insulin
c. Insulin glargine
d. Exenatide - ✔✔Metformin
A nurse in the emergency department is caring for a client who
reports a severe headache. the client's blood pressure is 280/160 mm
hg. the nurse should plan to administer which of the following
medications?
a. Nitroprusside
b. Dobutamine
c. Epinephrine
d. Dexamethasone - ✔✔Nitroprusside
A nurse is administering 4 mg of hydromorphone to a client by mouth
every 4 hr. the medication is provided as hydromorphone 8 mg per
tablets. Which of the following actions is appropriate for the nurse to
take?
a. Return the remaining medication to the facility's pharmacy
b. Store the remaining half of the pill in the automated medication
dispensing system
c. Place the remaining half of the pill in the unit dose package
