ATI Pharmacology Proctored Exam: Expertly Crafted
Questions from Certified Elite Universities Worldwide
for Guaranteed Success
A nurse is caring for a client who has Preeclampsia and is receiving Magnesium Sulfate IV
continuous infusion. Which of the following findings should the nurse report to the provider?
A. 2+ deep tendon reflexes
B. 2+ pedal edema
C. 24 mL/hr urinary output
D. Respirations 12/mi - CORRECT ANSWER- -C (Urine output less than 25 to 30 mL/hr is
associated with magnesium sulfate toxicity and should be reported to the provider)
A nurse is caring for a client who has a new prescription for Oxytocin to stimulate uterine
contractions. Which of the following interventions should the nurse make? (Select all that
apply.)
A. Use an infusion pump for medication administration.
B. Obtain vital signs frequently and with every dosage change.
C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds.
D. Increase medication infusion rate rapidly.
E. Monitor fetal heart rate continuously - CORRECT ANSWER- -a, b, e
(A. Oxytocin must be administered by an infusion pump to ensure precise dosage.
B. Vital signs are monitored to assess for hypertension, an
adverse effect of oxytocin.
,E. Continuous FHR monitoring is required to
assess for fetal distress)
A nurse is providing teaching to a female client who is taking Testosterone to treat advanced
breast cancer. The nurse should tell the client that which of the following are adverse effects of
this medication? (Select all that apply.)
A. Deepening voice
B. Weight gain
C. Low blood pressure
D. Dry mouth
E. Facial hair - CORRECT ANSWER- -a, b, e
(A. Virilization, the development of adult male characteristics in a female, is an adverse effect of
testosterone. The nurse should tell the client that a deepening voice is an adverse effect of
testosterone.
B. Edema and weight gain are adverse effects of testosterone
E. Virilization is an adverse effect of testosterone.
The nurse should tell the client that the development of facial hair is an adverse effect of
testosterone)
A nurse is providing teaching to a client who will start Alfuzosin for treatment of Benign
Prostatic Hyperplasia. The nurse should instruct the client that which of the following is an
adverse effect of this medication?
A.Bradycardia
B. Edema
C. Hypotension
, D. Tremor - CORRECT ANSWER- -C (Alfuzosin relaxes muscle tone in veins and cardiac output
decreases, which leads to hypotension. Clients taking this medication are advised to rise
slowly from a sitting or lying position.)
A nurse is caring for a client who has angina and asks about obtaining a prescription for
sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated
with Sildenafil?
A. Aspirin
B. Isosorbide
C. Clopidogrel
D. Atorvastatin - CORRECT ANSWER- -B (Isosorbide is an organic nitrate that manages pain from
angina. Concurrent use of it is contraindicated because fatal hypotension can occur. The
client should avoid taking a nitrate medication for 24 hr after taking isosorbide.)
A nurse is teaching a client about Terbutaline. Which of the following statements by the client
indicates understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - CORRECT ANSWER- -A
(Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle
relaxation)
A nurse is explaining the mechanism of action of combination oral contraceptives to a group of
clients. The nurse should tell the clients that which of the following actions occur with the use
of combination oral contraceptives? (Select all that apply.)
Questions from Certified Elite Universities Worldwide
for Guaranteed Success
A nurse is caring for a client who has Preeclampsia and is receiving Magnesium Sulfate IV
continuous infusion. Which of the following findings should the nurse report to the provider?
A. 2+ deep tendon reflexes
B. 2+ pedal edema
C. 24 mL/hr urinary output
D. Respirations 12/mi - CORRECT ANSWER- -C (Urine output less than 25 to 30 mL/hr is
associated with magnesium sulfate toxicity and should be reported to the provider)
A nurse is caring for a client who has a new prescription for Oxytocin to stimulate uterine
contractions. Which of the following interventions should the nurse make? (Select all that
apply.)
A. Use an infusion pump for medication administration.
B. Obtain vital signs frequently and with every dosage change.
C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds.
D. Increase medication infusion rate rapidly.
E. Monitor fetal heart rate continuously - CORRECT ANSWER- -a, b, e
(A. Oxytocin must be administered by an infusion pump to ensure precise dosage.
B. Vital signs are monitored to assess for hypertension, an
adverse effect of oxytocin.
,E. Continuous FHR monitoring is required to
assess for fetal distress)
A nurse is providing teaching to a female client who is taking Testosterone to treat advanced
breast cancer. The nurse should tell the client that which of the following are adverse effects of
this medication? (Select all that apply.)
A. Deepening voice
B. Weight gain
C. Low blood pressure
D. Dry mouth
E. Facial hair - CORRECT ANSWER- -a, b, e
(A. Virilization, the development of adult male characteristics in a female, is an adverse effect of
testosterone. The nurse should tell the client that a deepening voice is an adverse effect of
testosterone.
B. Edema and weight gain are adverse effects of testosterone
E. Virilization is an adverse effect of testosterone.
The nurse should tell the client that the development of facial hair is an adverse effect of
testosterone)
A nurse is providing teaching to a client who will start Alfuzosin for treatment of Benign
Prostatic Hyperplasia. The nurse should instruct the client that which of the following is an
adverse effect of this medication?
A.Bradycardia
B. Edema
C. Hypotension
, D. Tremor - CORRECT ANSWER- -C (Alfuzosin relaxes muscle tone in veins and cardiac output
decreases, which leads to hypotension. Clients taking this medication are advised to rise
slowly from a sitting or lying position.)
A nurse is caring for a client who has angina and asks about obtaining a prescription for
sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated
with Sildenafil?
A. Aspirin
B. Isosorbide
C. Clopidogrel
D. Atorvastatin - CORRECT ANSWER- -B (Isosorbide is an organic nitrate that manages pain from
angina. Concurrent use of it is contraindicated because fatal hypotension can occur. The
client should avoid taking a nitrate medication for 24 hr after taking isosorbide.)
A nurse is teaching a client about Terbutaline. Which of the following statements by the client
indicates understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - CORRECT ANSWER- -A
(Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle
relaxation)
A nurse is explaining the mechanism of action of combination oral contraceptives to a group of
clients. The nurse should tell the clients that which of the following actions occur with the use
of combination oral contraceptives? (Select all that apply.)
