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1
ATI PHARMACOLOGY PROCTORED 2024
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EXAM (RETAKE INCLUDED) 2026 LATEST # # # #
MODIFIED WITH 250 REVISION QUESTIONS # # # #
AND VERIFIED CORRECT ANSWERS/GRADED
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A++
A nurse is assessing a client who is receiving intravenous therapy.
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The nurse should identify which of the following findings as a
# # # # # # # # # #
manifestation of fluid volume excess? # # # #
a. Decreased bowel sounds
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b. Distended neck veins
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c. Bilateral muscle weakness
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d. Thread pulse - b. Distended neck veins
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A nurse is caring for a client who has hyponatremia and is receiving
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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
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b. Improved cognition
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c. Decreased vomiting
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d. Cardiac arrhythmias absent - b. Improved cognition
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A nurse is teaching a client who has a new prescription for a
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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."
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,#
2
d. "Remove the patch prior to going to bed." - d. "Remove the patch
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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
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b. Sodium 138 mEq/L
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c. Magnesium 2 mEq/L
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d. Potassium 5.2 mEq/L - 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
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the serum potassium level so the PN should monitor the client's
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serum potassium level # #
A nurse is caring for a client who has tuberculosis and is taking
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isoniazid and rifampin. Which of the following outcomes indicates
# # # # # # # #
that the client is adhering to the medication regimen?
# # # # # # # #
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 - a. The client has a negative sputum culture
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A client is caring for a client who develops an anaphylactic reaction
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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
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b. Give diphenhydramine IM
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c. Elevate the client's legs and feet
# # # # # #
d. Administer epinephrine IM - d. Administer epinephrine IM
# # # # # # # #
,#
3
A nurse is caring for a client who is taking sertraline and reports a
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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
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c. Black cohosh
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d. Coenzyme Q10 - 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
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b. Hypokalemia
#
c. Tinnitus
#
d. Hypotension - d. Hypotension
# # # #
A nurse is assessing a client who is receiving heparin IV continuous
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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 - d. Increased blood pressure
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A nurse is preparing to administer medication to a client and
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discovers a medication error. The nurse should recognize that which
# # # # # # # # #
of the following staff members is responsible for completing an
# # # # # # # # #
incident report? #
a. The quality improvement committee
# # # #
b. The nurse who identifies the error
# # # # # #
c. The nurse who caused the error
# # # # # #
d. The charge nurse - b. The nurse who identifies the error
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,#
4
A nurse is planning care for a client who is receiving morphine via
# # # # # # # # # # # #
continuous epidural infusion. The nurse should monitor the client
# # # # # # # #
for which of the following?
# # # #
a. Pruritus
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b. Cough
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c. Tachypnea
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d. Gastric bleeding - a. Pruritus - Sign of allergic reaction to
# # # # # # # # # # #
morphine
A nurse is preparing to administer digoxin orally to a client. Identify
# # # # # # # # # # #
the sequence of steps the nurse should take. (Move the steps into
# # # # # # # # # # #
the box on the right placing them in the order of performance. Use
# # # # # # # # # # # #
all the steps.) - a. Obtain the client's apical heart rate
# # # # # # # # # #
b. Remove the medication from the dispensing system
# # # # # # #
c. Open the medication package
# # # #
d. Compare the client's wristband to the medication administration
# # # # # # # #
record
e. Document administration of the medication
# # # # #
A nurse is reviewing the medical record of an adult client who has a
# # # # # # # # # # # # #
fever and a prescription for acetaminophen. Which of the following
# # # # # # # # #
findings should the nurse identify as a contraindication for receiving
# # # # # # # # #
this medication?
#
a. Alcohol use disorder
# # #
b. Chronic kidney disease
# # #
c. Hepatitis B vaccine within the last week
# # # # # # #
d. Diabetes mellitus - a. Alcohol use disorder
# # # # # # #
b. Chronic kidney disease
# # #
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?
# # # # # #
1
ATI PHARMACOLOGY PROCTORED 2024
# # #
EXAM (RETAKE INCLUDED) 2026 LATEST # # # #
MODIFIED WITH 250 REVISION QUESTIONS # # # #
AND VERIFIED CORRECT ANSWERS/GRADED
# # #
A++
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 - 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 - 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."
# # # # # # # # # #
,#
2
d. "Remove the patch prior to going to bed." - 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 - 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?
# # # # # # # #
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 - 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 - d. Administer epinephrine IM
# # # # # # # #
,#
3
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 - 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 - 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 - d. Increased blood pressure
# # # # # # # #
A nurse is preparing to administer medication to a client and
# # # # # # # # # #
discovers a medication error. The nurse should recognize that which
# # # # # # # # #
of the following staff members is responsible for completing an
# # # # # # # # #
incident report? #
a. The quality improvement committee
# # # #
b. The nurse who identifies the error
# # # # # #
c. The nurse who caused the error
# # # # # #
d. The charge nurse - b. The nurse who identifies the error
# # # # # # # # # # #
,#
4
A nurse is planning care for a client who is receiving morphine via
# # # # # # # # # # # #
continuous epidural infusion. The nurse should monitor the client
# # # # # # # #
for which of the following?
# # # #
a. Pruritus
#
b. Cough
#
c. Tachypnea
#
d. Gastric bleeding - a. Pruritus - Sign of allergic reaction to
# # # # # # # # # # #
morphine
A nurse is preparing to administer digoxin orally to a client. Identify
# # # # # # # # # # #
the sequence of steps the nurse should take. (Move the steps into
# # # # # # # # # # #
the box on the right placing them in the order of performance. Use
# # # # # # # # # # # #
all the steps.) - a. Obtain the client's apical heart rate
# # # # # # # # # #
b. Remove the medication from the dispensing system
# # # # # # #
c. Open the medication package
# # # #
d. Compare the client's wristband to the medication administration
# # # # # # # #
record
e. Document administration of the medication
# # # # #
A nurse is reviewing the medical record of an adult client who has a
# # # # # # # # # # # # #
fever and a prescription for acetaminophen. Which of the following
# # # # # # # # #
findings should the nurse identify as a contraindication for receiving
# # # # # # # # #
this medication?
#
a. Alcohol use disorder
# # #
b. Chronic kidney disease
# # #
c. Hepatitis B vaccine within the last week
# # # # # # #
d. Diabetes mellitus - a. Alcohol use disorder
# # # # # # #
b. Chronic kidney disease
# # #
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?
# # # # # #
