ATI RN PHARMACOLOGY
PROCTORED EXAM TEST BANK
2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS
ALREADY A GRADED WITH
EXPERT FEEDBACK |CURRENTLY
TESTING |NEW AND REVISED
A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?
a. administer the medication outside the 5 cm (2 in) radius of the
umbilicus
b. aspirate for blood return before injecting
c. rub vigorously after the injection to promote absorption
d. place a pressure dressing on the injection site to prevent
bleeding -
....CORRECT ANSWER ...a. administer the medication outside the 5
cm (2 in) radius of the umbilicus
RATIONALE: -the nurse should administer the heparin by
subcutaneous injection to the abdomen in an area that is above the
iliac crest and at least 5 cm (2 in) away from the umbilicus
,-the nurse should not aspirate by pulling back on the plunger of the
heparin syringe to check for a blood return, because this will cause
the injection site to bruise
-the nurse should apply firm pressure to the injection site for 1-2 min
after the administration of the heparin to prevent bruising
A nurse at an urgent care clinic is collecting a history from a female
client who has a urinary tract infection. The nurse anticipates a
prescription for ciprofloxacin. The nurse should identify that which of
the following client statements indicates a contraindication for
administering this medication?
a. "I have tendonitis, so I haven't been able to exercise."
b. "I take a stool softener for chronic constipation."
c. "I take medicine for my thyroid."
d. "I am allergic to sulfa." - ....CORRECT ANSWER ...a. "I have
tendonitis, so I haven't been able to exercise."
RATIONALE: -the nurse should identify tendonitis as a
contraindication for taking ciprofloxacin due to the risk of tendon
rupture
-diarrhea is an adverse effect of this medication
-ciprofloxacin is a quinolone antibiotic
A nurse is reviewing the laboratory results for a client who is
receiving heparin via continuous IV infusion for deep-vein
,thrombosis. The nurse should discontinue the medication infusion for
which of the following client findings?
a. potassium 5.0 mEq/L
b. aPTT 2 times the control
c. hemoglobin 15 g/dL
d. platelets 96,000 mm3 - ....CORRECT ANSWER ...d. platelets
96,000 mm3 RATIONALE: -a platelet count of 96,000 mm3 is below
the expected range of 150,000-400,000 mm3. A platelet countless
than 100,000 mm3 while receiving heparin can indicate heparin-
induced thrombocytopenia, a potentially fatal condition that requires
stopping the infusion
-an Hgb of 15 g/dL is within the expected range or 14-18 g/dL for a
male and 12-16 g/dL for a female and is not an indication to stop the
heparin infusion
A nurse is caring for a client who is in labor. The client is receiving
oxytocin by continuous IV infusion with a maintenance IV solution.
The external FHR monitor indicates late decelerations. Which of the
following actions should the nurse take first?
a. turn the client to a side-lying position
b. disconnect the clients oxytocin from the maintenance IV
c. apply oxygen to the client by face mask
d. increase the client's maintenance IV infusion rate - ....CORRECT
ANSWER ...a. turn the client to a side-lying position
RATIONALE: -the greatest risk to the fetus experiencing late
decelerations is injury from uteroplacental insufficiency. Therefore,
, the priority action the nurse should take is to place the client in a
lateral position
-the nurse should increase the client's maintenance IV infusion rate
to maintain adequate blood flow and promote placental perfusion.
However, another action is the nurse's priority
-all of these CORRECT ANSWER s are correct, however, turning the
client to the side is the nurse's priority
A nurse is preparing to administer medications to a client who tells
the nurse, "I don't want to take my fluid pill until I get home today."
Which of the following actions should the nurse take?
a. document the refusal and inform the client's provider
b. file an incident report with the risk manager
c. contact the pharmacist to pick up the medication
d. give the client the medication to take home and document that
it was administered - ....CORRECT ANSWER ...a. document the refusal
and inform the client's provider
RATIONALE: -the nurse has the responsibility to verify that the client
understands the risks of refusing the medication so that an informed
decision can be made. The nurse should then document the refusal
in the client's medical record and notify the HCP
-an incident report is necessary for a medication error
-the nurse should follow protocols for discarding the medication. It is
not the role of the pharmacist to retrieve medications that a client
refuses to take
PROCTORED EXAM TEST BANK
2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS
ALREADY A GRADED WITH
EXPERT FEEDBACK |CURRENTLY
TESTING |NEW AND REVISED
A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?
a. administer the medication outside the 5 cm (2 in) radius of the
umbilicus
b. aspirate for blood return before injecting
c. rub vigorously after the injection to promote absorption
d. place a pressure dressing on the injection site to prevent
bleeding -
....CORRECT ANSWER ...a. administer the medication outside the 5
cm (2 in) radius of the umbilicus
RATIONALE: -the nurse should administer the heparin by
subcutaneous injection to the abdomen in an area that is above the
iliac crest and at least 5 cm (2 in) away from the umbilicus
,-the nurse should not aspirate by pulling back on the plunger of the
heparin syringe to check for a blood return, because this will cause
the injection site to bruise
-the nurse should apply firm pressure to the injection site for 1-2 min
after the administration of the heparin to prevent bruising
A nurse at an urgent care clinic is collecting a history from a female
client who has a urinary tract infection. The nurse anticipates a
prescription for ciprofloxacin. The nurse should identify that which of
the following client statements indicates a contraindication for
administering this medication?
a. "I have tendonitis, so I haven't been able to exercise."
b. "I take a stool softener for chronic constipation."
c. "I take medicine for my thyroid."
d. "I am allergic to sulfa." - ....CORRECT ANSWER ...a. "I have
tendonitis, so I haven't been able to exercise."
RATIONALE: -the nurse should identify tendonitis as a
contraindication for taking ciprofloxacin due to the risk of tendon
rupture
-diarrhea is an adverse effect of this medication
-ciprofloxacin is a quinolone antibiotic
A nurse is reviewing the laboratory results for a client who is
receiving heparin via continuous IV infusion for deep-vein
,thrombosis. The nurse should discontinue the medication infusion for
which of the following client findings?
a. potassium 5.0 mEq/L
b. aPTT 2 times the control
c. hemoglobin 15 g/dL
d. platelets 96,000 mm3 - ....CORRECT ANSWER ...d. platelets
96,000 mm3 RATIONALE: -a platelet count of 96,000 mm3 is below
the expected range of 150,000-400,000 mm3. A platelet countless
than 100,000 mm3 while receiving heparin can indicate heparin-
induced thrombocytopenia, a potentially fatal condition that requires
stopping the infusion
-an Hgb of 15 g/dL is within the expected range or 14-18 g/dL for a
male and 12-16 g/dL for a female and is not an indication to stop the
heparin infusion
A nurse is caring for a client who is in labor. The client is receiving
oxytocin by continuous IV infusion with a maintenance IV solution.
The external FHR monitor indicates late decelerations. Which of the
following actions should the nurse take first?
a. turn the client to a side-lying position
b. disconnect the clients oxytocin from the maintenance IV
c. apply oxygen to the client by face mask
d. increase the client's maintenance IV infusion rate - ....CORRECT
ANSWER ...a. turn the client to a side-lying position
RATIONALE: -the greatest risk to the fetus experiencing late
decelerations is injury from uteroplacental insufficiency. Therefore,
, the priority action the nurse should take is to place the client in a
lateral position
-the nurse should increase the client's maintenance IV infusion rate
to maintain adequate blood flow and promote placental perfusion.
However, another action is the nurse's priority
-all of these CORRECT ANSWER s are correct, however, turning the
client to the side is the nurse's priority
A nurse is preparing to administer medications to a client who tells
the nurse, "I don't want to take my fluid pill until I get home today."
Which of the following actions should the nurse take?
a. document the refusal and inform the client's provider
b. file an incident report with the risk manager
c. contact the pharmacist to pick up the medication
d. give the client the medication to take home and document that
it was administered - ....CORRECT ANSWER ...a. document the refusal
and inform the client's provider
RATIONALE: -the nurse has the responsibility to verify that the client
understands the risks of refusing the medication so that an informed
decision can be made. The nurse should then document the refusal
in the client's medical record and notify the HCP
-an incident report is necessary for a medication error
-the nurse should follow protocols for discarding the medication. It is
not the role of the pharmacist to retrieve medications that a client
refuses to take
