lOMoARcPSD|285 053 80
lOMoARcPSD|285 053 80
ATI Pharmacology Proctored Exam 2026
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
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 absentb. 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." 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
, lOMoARcPSD|285 053 80
d. The mclient's mliver mfunction mtest mresults mare mwithin mthe mexpected mreference mrange m a. mThe
mclient mhas ma mnegative m sputum mculture m
m
A mclient mis mcaring mfor ma mclient mwho mdevelops man manaphylactic mreaction mto mIV madministration.
mAfter massessing mthe mclient's mrespiratory mstatus mand mstopping mthe mmedication minfusion. mWhich
mof mthe mfollowing mactions mshould mthe mnurse mtake m next? m
a. Replace mthe minfusion mwith m0.9% msodium mchloride m
b. Give mdiphenhydramine mIM m
c. Elevate mthe mclient's mlegs mand mfeet m
d. Administer mepinephrine mIM m
m
A mnurse mis mcaring mfor ma mclient mwho mis mtaking msertraline mand mreports ma mdesire mto mbegin
mtaking msupplements. mWhich mof mthe mfollowing msupplements mshould mthe mnurse madvise mthe
mclient mto mavoid? ma. mSt. mJohn's m Wort m
b. Ginger mroot m
c. Black mcohosh m
d. Coenzyme mQ10 m a. mSt. mJohn's mWort m
m
A mnurse mis mcaring mfor ma mclient mwho mhas mheart mfailure mand ma mnew mprescription mfor mlisinopril.
mFor mwhich mof mthe mfollowing madverse meffects mshould mthe mnurse mmonitor mwhen madministering
mlisinopril? ma. mBradycardia m
b. Hypokalemia m
c. Tinnitus m
d. Hypotension m
m
A mnurse mis massessing ma mclient mwho mis mreceiving mheparin mIV mcontinuous mIV. mThe mclient mhas man
mPPT mof m90 mseconds. mThey mshould mmonitor mthe m client mfor mwhich mof mthe mfollowing mchanges min
mtheir mvital msigns? m
a. Decreased mtemperature m
b. Increased mpulse mrate m
c. Decreased mrespiratory mrate m
d. Increased mblood mpressure m
m
A mnurse mis mpreparing mto madminister mmedication mto ma mclient mand mdiscovers ma mmedication merror.
mThe mnurse mshould mrecognize mthat mwhich mof mthe mfollowing mstaff mmembers mis mresponsible mfor
mcompleting man mincident mreport? m
a. The mquality mimprovement mcommittee m
b. The mnurse mwho midentifies mthe merror m
c. The mnurse mwho mcaused mthe merror m
d. The mcharge mnurse mb. mThe mnurse mwho midentifies mthe merror m
m
A mnurse mis mplanning mcare mfor ma mclient mwho mis mreceiving mmorphine mvia mcontinuous mepidural
minfusion. mThe mnurse mshould mmonitor mthe mclient mfor mwhich mof mthe mfollowing? ma. mPruritus m
b. Cough m
c. Tachypnea m
d. Gastric mbleeding m a. mPruritus m- mSign mof mallergic mreaction mto mmorphine m
m
A mnurse mis mpreparing mto madminister mdigoxin morally mto ma mclient. mIdentify mthe msequence mof
msteps mthe mnurse mshould mtake. m(Move mthe msteps minto mthe mbox mon mthe mright mplacing mthem min
, lOMoARcPSD|285 053 80
mthe morder mof mperformance. mUse mall mthe msteps.) m a. mObtain mthe mclient's mapical mheart mrate
mb. mRemove mthe mmedication mfrom mthe mdispensing msystem m
c. Open mthe mmedication mpackage m
d. Compare mthe mclient's mwristband mto mthe mmedication madministration mrecord m
e. Document madministration mof mthe mmedication m
A mnurse mis mreviewing mthe mmedical mrecord mof man madult mclient mwho mhas ma mfever mand ma
mprescription mfor macetaminophen. mWhich mof mthe mfollowing mfindings mshould mthe mnurse midentify
mas ma mcontraindication mfor mreceiving mthis mmedication? ma. mAlcohol muse mdisorder m
b. Chronic mkidney mdisease m
c. Hepatitis mB mvaccine mwithin mthe mlast mweek m
d. Diabetes mmellitus m a. mAlcohol muse mdisorder m
m
b. mChronic mkidney mdisease m
m
A mhome mhealth mnurse mis mvisiting ma mclient mwho mhas mheart mfailure mand ma mprescription mfor
mfurosemide. mThe mnurse midentifies mthat mthe mclient m has mgained m2.5 mkg m(5 mlb.) msince mthe mlast
mvisit m2 mdays mago. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mfirst? m
a. Encourage mthe mclient mto mdangle mthe mlegs mwhile msitting min ma mchair m
b. Teach mthe mclient mabout mfoods mlow min msodium m
c. Determine mmedication madherence mby mthe mclient m
d. Notify mthe mprovider mof mthe mclient's mweight mgain m c. mDetermine mmedication madherence
mby mthe mclient m
m
A mnurse mis mpreparing mto madminister mthe minitial mdose mof mpenicillin mG mIM mto ma mclient. mThe
mnurse mshould mmonitor mfor mwhich mof mthe mfollowing mas m an mindication mof m an mallergic mreaction
mfollowing mthe minjection? m
a. Urticaria m
b. Bradycardia m
c. Pallor m
d. Dyspepsia m
m
A mnurse mis mteaching ma mclient mwho mhas mangina ma mnew mprescription mfor msublingual
mnitroglycerin mtablets. mWhich mof mthe mfollowing minstructions mshould mthe mnurse minclude
min mthe mteaching? ma. m"Discard many mtablets myou mdo mnot muse mevery m6 mmonths." m
b. "Take mone mtablet meach mmorning m30 mminutes mprior mto meating." m
c. "Keep mthe mtablets mat mroom mtemperature min mtheir moriginal mglass mbottle." m
d. "Place mthe mtablet mbetween myour mcheek mand mgum mto mdissolve." m c. m"Keep mthe mtablets
mat mroom mtemperature min mtheir moriginal mglass mbottle." m
m
A mnurse mis mproviding mteaching mto ma mclient mwho mhas ma mnew mprescription mfor mtheophylline ma
msustained- mreleased m capsule. mWhich mof mthe mfollowing mstatements mby mthe mclient mindicates man
munderstanding mof mthe mteaching? m
a. "I mcan mtake mmy mmedication min mthe mmorning mwith mmy mcoffee." m
b. "I mmay msprinkle mthe mmedication min mapplesauce." m
lOMoARcPSD|285 053 80
ATI Pharmacology Proctored Exam 2026
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
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 absentb. 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." 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
, lOMoARcPSD|285 053 80
d. The mclient's mliver mfunction mtest mresults mare mwithin mthe mexpected mreference mrange m a. mThe
mclient mhas ma mnegative m sputum mculture m
m
A mclient mis mcaring mfor ma mclient mwho mdevelops man manaphylactic mreaction mto mIV madministration.
mAfter massessing mthe mclient's mrespiratory mstatus mand mstopping mthe mmedication minfusion. mWhich
mof mthe mfollowing mactions mshould mthe mnurse mtake m next? m
a. Replace mthe minfusion mwith m0.9% msodium mchloride m
b. Give mdiphenhydramine mIM m
c. Elevate mthe mclient's mlegs mand mfeet m
d. Administer mepinephrine mIM m
m
A mnurse mis mcaring mfor ma mclient mwho mis mtaking msertraline mand mreports ma mdesire mto mbegin
mtaking msupplements. mWhich mof mthe mfollowing msupplements mshould mthe mnurse madvise mthe
mclient mto mavoid? ma. mSt. mJohn's m Wort m
b. Ginger mroot m
c. Black mcohosh m
d. Coenzyme mQ10 m a. mSt. mJohn's mWort m
m
A mnurse mis mcaring mfor ma mclient mwho mhas mheart mfailure mand ma mnew mprescription mfor mlisinopril.
mFor mwhich mof mthe mfollowing madverse meffects mshould mthe mnurse mmonitor mwhen madministering
mlisinopril? ma. mBradycardia m
b. Hypokalemia m
c. Tinnitus m
d. Hypotension m
m
A mnurse mis massessing ma mclient mwho mis mreceiving mheparin mIV mcontinuous mIV. mThe mclient mhas man
mPPT mof m90 mseconds. mThey mshould mmonitor mthe m client mfor mwhich mof mthe mfollowing mchanges min
mtheir mvital msigns? m
a. Decreased mtemperature m
b. Increased mpulse mrate m
c. Decreased mrespiratory mrate m
d. Increased mblood mpressure m
m
A mnurse mis mpreparing mto madminister mmedication mto ma mclient mand mdiscovers ma mmedication merror.
mThe mnurse mshould mrecognize mthat mwhich mof mthe mfollowing mstaff mmembers mis mresponsible mfor
mcompleting man mincident mreport? m
a. The mquality mimprovement mcommittee m
b. The mnurse mwho midentifies mthe merror m
c. The mnurse mwho mcaused mthe merror m
d. The mcharge mnurse mb. mThe mnurse mwho midentifies mthe merror m
m
A mnurse mis mplanning mcare mfor ma mclient mwho mis mreceiving mmorphine mvia mcontinuous mepidural
minfusion. mThe mnurse mshould mmonitor mthe mclient mfor mwhich mof mthe mfollowing? ma. mPruritus m
b. Cough m
c. Tachypnea m
d. Gastric mbleeding m a. mPruritus m- mSign mof mallergic mreaction mto mmorphine m
m
A mnurse mis mpreparing mto madminister mdigoxin morally mto ma mclient. mIdentify mthe msequence mof
msteps mthe mnurse mshould mtake. m(Move mthe msteps minto mthe mbox mon mthe mright mplacing mthem min
, lOMoARcPSD|285 053 80
mthe morder mof mperformance. mUse mall mthe msteps.) m a. mObtain mthe mclient's mapical mheart mrate
mb. mRemove mthe mmedication mfrom mthe mdispensing msystem m
c. Open mthe mmedication mpackage m
d. Compare mthe mclient's mwristband mto mthe mmedication madministration mrecord m
e. Document madministration mof mthe mmedication m
A mnurse mis mreviewing mthe mmedical mrecord mof man madult mclient mwho mhas ma mfever mand ma
mprescription mfor macetaminophen. mWhich mof mthe mfollowing mfindings mshould mthe mnurse midentify
mas ma mcontraindication mfor mreceiving mthis mmedication? ma. mAlcohol muse mdisorder m
b. Chronic mkidney mdisease m
c. Hepatitis mB mvaccine mwithin mthe mlast mweek m
d. Diabetes mmellitus m a. mAlcohol muse mdisorder m
m
b. mChronic mkidney mdisease m
m
A mhome mhealth mnurse mis mvisiting ma mclient mwho mhas mheart mfailure mand ma mprescription mfor
mfurosemide. mThe mnurse midentifies mthat mthe mclient m has mgained m2.5 mkg m(5 mlb.) msince mthe mlast
mvisit m2 mdays mago. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mfirst? m
a. Encourage mthe mclient mto mdangle mthe mlegs mwhile msitting min ma mchair m
b. Teach mthe mclient mabout mfoods mlow min msodium m
c. Determine mmedication madherence mby mthe mclient m
d. Notify mthe mprovider mof mthe mclient's mweight mgain m c. mDetermine mmedication madherence
mby mthe mclient m
m
A mnurse mis mpreparing mto madminister mthe minitial mdose mof mpenicillin mG mIM mto ma mclient. mThe
mnurse mshould mmonitor mfor mwhich mof mthe mfollowing mas m an mindication mof m an mallergic mreaction
mfollowing mthe minjection? m
a. Urticaria m
b. Bradycardia m
c. Pallor m
d. Dyspepsia m
m
A mnurse mis mteaching ma mclient mwho mhas mangina ma mnew mprescription mfor msublingual
mnitroglycerin mtablets. mWhich mof mthe mfollowing minstructions mshould mthe mnurse minclude
min mthe mteaching? ma. m"Discard many mtablets myou mdo mnot muse mevery m6 mmonths." m
b. "Take mone mtablet meach mmorning m30 mminutes mprior mto meating." m
c. "Keep mthe mtablets mat mroom mtemperature min mtheir moriginal mglass mbottle." m
d. "Place mthe mtablet mbetween myour mcheek mand mgum mto mdissolve." m c. m"Keep mthe mtablets
mat mroom mtemperature min mtheir moriginal mglass mbottle." m
m
A mnurse mis mproviding mteaching mto ma mclient mwho mhas ma mnew mprescription mfor mtheophylline ma
msustained- mreleased m capsule. mWhich mof mthe mfollowing mstatements mby mthe mclient mindicates man
munderstanding mof mthe mteaching? m
a. "I mcan mtake mmy mmedication min mthe mmorning mwith mmy mcoffee." m
b. "I mmay msprinkle mthe mmedication min mapplesauce." m
