ATI PHARMACOLOGY PROCTORED EXAM TEST BANK 200
QNS WITH 100% CORRECT ANSWERS| FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 100
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in
Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not
permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify
which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse Answer: b. Distended neck veins
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solution. Which of the following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent Answer: b. Improved cognition
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch.
Which of the following instructions should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed." Answer: d. "Remove the patch prior to going to
bed."
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 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?
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 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 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 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 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 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 Answer: d. Increased blood pressure
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
QNS WITH 100% CORRECT ANSWERS| FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 100
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in
Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not
permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify
which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse Answer: b. Distended neck veins
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solution. Which of the following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent Answer: b. Improved cognition
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch.
Which of the following instructions should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed." Answer: d. "Remove the patch prior to going to
bed."
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 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?
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 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 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 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 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 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 Answer: d. Increased blood pressure
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
