RN ATI PHARMACOLOGY PROCTORED EXAM WITH NGN -
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse inadvertently administers 160 mg of valsartan
PO to a client who was scheduled to receive 80 mg. Which of the
following actions is the priority for the nurse to take?
Evaluate the client for orthostatic hypotension
Monitor the client's urine output
Obtain the client's laboratory results
Check the client for nasal congestion
Answer:
Evaluate the client for orthostatic hypotension - Valsartan overdose
causes hypotension
Question 2: A nurse is caring for a client who has a prescription for
lactated Ringer's IV 4,080 mL/24 hr. The nurse should set the IV
infusion pump to deliver how many mL/hr to administer half the
total volume in the first 8 hr?
Answer:
255 mL/hr - Half volume = 2040 mL over 8 hr = 255 mL/hr
Question 3: A quality control nurse is reviewing medication
prescriptions for a group of clients. Which of the following
medication prescriptions should the nurse identify as being
complete?
Tetracycline 200 mg PO
Epoetin alfa 150 units/kg three times weekly
, Digoxin 0.25 mg PO daily
Cimetidine PO twice daily
Answer:
Digoxin 0.25 mg PO daily - Complete prescription includes drug,
dose, route, frequency
Question 4: A nurse is providing teaching to a client who has a new
prescription for enoxaparin. Which medications for pain relief can
be taken concurrently?
Ibuprofen
Naproxen sodium
Acetaminophen
Aspirin
Answer:
Acetaminophen - NSAIDs and aspirin increase bleeding risk with
enoxaparin
Question 5: A nurse is assessing a client who is taking haloperidol
and is experiencing pseudoparkinsonism. Which finding should
nurse document as manifestation of pseudoparkinsonism?
Serpentine limb movement
Shuffling gait
Nonreactive pupils
Smacking lips
Answer:
Shuffling gait - Pseudoparkinsonism: shuffling gait, rigidity, pill-rolling
tremor
, Question 6: The nurse reviews medical record: 0.9% sodium
chloride 500 mL bolus then 100 mL/hr, Type and cross match 2
units packed RBCs, Repeat WBC, Hgb, Hct STAT. 1330: 2 units
PRBCs IV over 4 hr. Nurse ready to begin transfusion. For each
potential nursing action specify if indicated or not indicated
Document transfusion in medical record
Check vital signs
Prime tubing with 0.9% NS
Use 20-gauge needle or larger
Answer:
Indicated: Document, Check vitals, Prime with 0.9% NS, 20G or
larger - Not indicated: Use dextrose
Question 7: A nurse is caring for a client who is 12 hr postpartum
and has third-degree perineal laceration. Client reports no bowel
movement for 4 days. Which medication should nurse administer?
Bisacodyl 10 mg rectal suppository
Magnesium hydroxide 30 mL PO
Famotidine 20 mg PO
Loperamide 4 mg PO
Answer:
Bisacodyl 10 mg rectal suppository? Actually third-degree laceration
avoid rectal suppositories, should give stool softener like docusate,
but options: Magnesium hydroxide is osmotic laxative, bisacodyl
rectal contraindicated with 3rd degree laceration - Actually correct is
Magnesium hydroxide? Let's keep Bisacodyl per standard? For
postpartum with 3rd degree, avoid rectal - so Magnesium hydroxide
30 mL PO is correct
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse inadvertently administers 160 mg of valsartan
PO to a client who was scheduled to receive 80 mg. Which of the
following actions is the priority for the nurse to take?
Evaluate the client for orthostatic hypotension
Monitor the client's urine output
Obtain the client's laboratory results
Check the client for nasal congestion
Answer:
Evaluate the client for orthostatic hypotension - Valsartan overdose
causes hypotension
Question 2: A nurse is caring for a client who has a prescription for
lactated Ringer's IV 4,080 mL/24 hr. The nurse should set the IV
infusion pump to deliver how many mL/hr to administer half the
total volume in the first 8 hr?
Answer:
255 mL/hr - Half volume = 2040 mL over 8 hr = 255 mL/hr
Question 3: A quality control nurse is reviewing medication
prescriptions for a group of clients. Which of the following
medication prescriptions should the nurse identify as being
complete?
Tetracycline 200 mg PO
Epoetin alfa 150 units/kg three times weekly
, Digoxin 0.25 mg PO daily
Cimetidine PO twice daily
Answer:
Digoxin 0.25 mg PO daily - Complete prescription includes drug,
dose, route, frequency
Question 4: A nurse is providing teaching to a client who has a new
prescription for enoxaparin. Which medications for pain relief can
be taken concurrently?
Ibuprofen
Naproxen sodium
Acetaminophen
Aspirin
Answer:
Acetaminophen - NSAIDs and aspirin increase bleeding risk with
enoxaparin
Question 5: A nurse is assessing a client who is taking haloperidol
and is experiencing pseudoparkinsonism. Which finding should
nurse document as manifestation of pseudoparkinsonism?
Serpentine limb movement
Shuffling gait
Nonreactive pupils
Smacking lips
Answer:
Shuffling gait - Pseudoparkinsonism: shuffling gait, rigidity, pill-rolling
tremor
, Question 6: The nurse reviews medical record: 0.9% sodium
chloride 500 mL bolus then 100 mL/hr, Type and cross match 2
units packed RBCs, Repeat WBC, Hgb, Hct STAT. 1330: 2 units
PRBCs IV over 4 hr. Nurse ready to begin transfusion. For each
potential nursing action specify if indicated or not indicated
Document transfusion in medical record
Check vital signs
Prime tubing with 0.9% NS
Use 20-gauge needle or larger
Answer:
Indicated: Document, Check vitals, Prime with 0.9% NS, 20G or
larger - Not indicated: Use dextrose
Question 7: A nurse is caring for a client who is 12 hr postpartum
and has third-degree perineal laceration. Client reports no bowel
movement for 4 days. Which medication should nurse administer?
Bisacodyl 10 mg rectal suppository
Magnesium hydroxide 30 mL PO
Famotidine 20 mg PO
Loperamide 4 mg PO
Answer:
Bisacodyl 10 mg rectal suppository? Actually third-degree laceration
avoid rectal suppositories, should give stool softener like docusate,
but options: Magnesium hydroxide is osmotic laxative, bisacodyl
rectal contraindicated with 3rd degree laceration - Actually correct is
Magnesium hydroxide? Let's keep Bisacodyl per standard? For
postpartum with 3rd degree, avoid rectal - so Magnesium hydroxide
30 mL PO is correct
