ATI Pharmacology Proctored Exam (Includes 7
Versions / 7 Sets Exam) Complete and Best
Document for ATI Pharmacology Proctored Exam
2024
ATI PHARMACOLOGY
Version 1
1|Page
,7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive.The client is beginning
medication therapy with zidovudine (Retrovir). Which of thefollowing statements should the nurse include in
the teaching. (Select all thatapply.) o Must be taken with other
retroviralmedicines.o Has few adverseeffects o Cures an
HIVinfection
o Prevents you from transmitting the HIVinfection o Increases CD4+
cellcount
8. A nurse is assessing a school age client who is experiencing seizure activity and isprescribed diazepam
(Valium) IV. The nurse should should clarify the order if the client is receivinga continuous infusion of which of
the followingIV: o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units of regularinsulin o 0.9%
sodiumchloride o 0.9% Sodium chloride with 20 mEq of potassiumchloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heartfailure.Which of the
following indicates an expectedfinding? o Activitytolerance o Orthostatichypotension o Loss of strength
o Increase in bloodpressure
10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of thefollowingtherapeutic effects
should the nursemonitor?
o Increased urineoutput o
Increasedenergy o Decreased anxiety
o Decreased spacity
11. Clinical findings of a client who has a prescription for lithium carbonate (Lithobid).Forwhich reasons
should the nurse withhold the medication and notify theprovider?
o Lithium level 1.0mEq/L o Potassium at
3.7mEq/L o Sodium at 143mEq/L
o Lithium level 2.5mEq/L
12. The nurse is caring for a client who has tuberculosis and is being treated withcombination medication
therapy. To test the effectiveness of the treatment, the nurse shouldperiodically monitor which of the following
laboratoryresults.
o TT o ESDrate
o Sputumculture oINR
13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and isexperiencingadverse effects.
Which of the following instructions should the nurse give to thisclient? o “Stand up slowly after taking
thismedication.” o“Monitorforincreasedurineoutput.” o “Take this medication with asnack.” o “Administer the
medication atbedtime.”
14. A nurse is reviewing the medication administration record for a client whohasmetastatic cancer and a
fentanyl (Duragesic) transdermal patch for pain. The client reports apain level of 10 on a scale of 0 to 10.
Which of the following medications should the nurseanticipate administering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol) o
Alprazolam(Xanax) o
Carbenezepine(Tegretol)
15. A nurse is caring for a client with PCA Morphine Sulfate. Which of thefollowing statements is nottrue?
o "I will not receive any pain medications during the lockoutperiod" o "I should push
the button when the pain becomessevere"
o "I will be asked to rate my painoccasionally" o "I don't have to
worry about getting an overdose of themedication"
,16.A nurse is caring for a client who is to receive a series of allergy tests. The nurseshould instruct the client to
avoid which medications for up to 4 weeks before theprocedure?
o Acetemetaphen(Tylenol) o Diphenhyramine(Benadryl) o
Albuterol(Accuneb) o Psuedoephedrine hydrochloride(Sudafed)
17. A nurse administered meperidine (Demerol) intramuscularly to a client with ananklefracture. Which of
the following actions should the nurse takenext? o Assesstheclient‟srespiratorystatus o Document on the clients
medicationrecord o Reassess the client's painlevel o Check the client's bloodpressure
18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily.Thenurse should
recognize that which of the following findings is a side effect of thismedication? o WBC 8,000mm3 o Serum
sodium 136mg/dL o Fasting blood glucose of 220mg/dL o Weight loss of 2.26 kg (5 lb) in 2weeks
19. A client with diabetes mellitus is admitted to the medical unit. The client has routinebefore- breakfast
prescription for 8 units of regular insulin and 18 units ofNPH. The primarycare provider adds an additional dose
of Regular insulin based on thefollowing:
Blood Glucose Regular InsulinDose
121 to 150 2 units
151 to 180 4 units
201. 200 6 units
201 to 250 8 units
> 250 Callprovider
The client‟s pre-breakfast glucose is 192 mg/dl. Which dosage of insulinshould the
nurseadminister?
o 8 units of Regular, 18 units ofNPH o 8 units of Regular,
24 units ofNPH o
14 units of Regular, 18 units ofNPH o
14 units of Regular, 24 units ofNPH
20. A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mgbymouth. Which
comments by the client indicates understanding regarding thismedication?
o“Iwilltakemymedicationatbedtime.” o “I will take this
medication withfood.”
o “I will stop taking this medication in 1 week, so I don‟t getaddicted.” o “I will take
vitamin C to increase the effectiveness of thismedication.”
21. A nurse is monitoring a client who is taking fosinopril (Monopril). The nurseshouldunderstand that this
has a beneficial effect on which of the bodysystems? o Gastrointestinal oCardiovascular o Pulmonary o
Reproductive
22. A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the followingisan expected
outcome for this client? Increasedappetite o Reducedbleeding o
o Improvedbreathing o
Reducedpain
23. A nurse is providing teaching to a client who just started taking lithium (Eskalith). Whichofthe following
statements indicates that the client understands theteaching?
o „I should inject this medicationsubcutaneously.‟ o “I should expect
to feel better in just a fewdays.”
o“IshouldcallmydoctorifIdevelophandtremors.” o “I should take this
medication on an emptystomach.”
3|Page
,24.A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse shouldmonitor for whichoutcome?
o A rapid increase inaPTT. o A sudden increase in heartrate. o A sudden decrease in heartrate. o A rapid decrease
ofaPTT.
25.A nurse is caring for a client who has rheumatoid arthritits. The client isprescribed methotrexate
(Rheumatrex). Which of the following should the nurse instruct the clientto monitor and report to
theprovider? o Sorethroat o Urinaryretention o Constipation Insomnia
26.A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). Thenurse notes that the client‟s
chart lists a penicillin allergy. Which of the following actions shouldthe nurse takefirst?
o o Notify the provider that the client is allergic to themedication. o Teach the client
about signs of allergic response. o Question the client about previous
allergicreactions. o Administer the medication and monitor the client for
allergicresponse.
27.A nurse is teaching a client who has decided to quit smoking about using anicotine transdermal system
(Nicotrol). Which of the following instructions should the nurseinclude? o Cleanse the skin with alcohol
before applying thepatch. o Moisten the patch and hold it against the skin until itadheres. o Apply the patch
first thing in the morning and remove it atbedtime. o Place the patch in the same skin area for the duration of
thetreatment.
28. A nurse is caring for a client who has been taking furosemide (Lasix) for 3 days to treatheart failure. Which of
the following findings indicate that the medication iseffective?
o Reduced levels ofHDL
o Potassium within the expected referencerange
o Clear lungsounds
o Increased level ofconsciousness
29. A client is questioning the nurse about why she is receiving frequent doses of IVantibiotics.
Which of the following responses by the nurse isappropriate? o It helps to
maintain a steady druglevel
o It helps to prevent the emergence of drug-resistantbacteria
o It decreases the risk of an allergicreaction
o It decreases the length of necessarytreatment
30. A female adult client is scheduled to start a prescription for azathioprine (Imuran) foractive Rheumatoid
Arthritis. The nurse should inform the client about the need for which ofthe following diagnostic tests
priormedication?
o Erythrosedimentationrate
o Bone densityscan
o Electrocardiogram o
PregnancyTest
31. A nurse is caring for a client who has been taking ferrous sulfate for the past 2 months.Which of the
following findings isexpected? o Increasedenergy o Reduced frequency ofcoughing o Increasedvision o
Decreasedinflammation
32. A nurse is caring for a client who has a prescription for Metformin (Glucophage) twicedaily.Which of the
following lab results projects the expectedoutcome?
o Hemoglobin A1C6.4% o Pre-meal plasma
glucose135mg/dl o Bedtime blood glucose
150mg/dl o Systolic blood pressure 146 mmHg
33. A nurse is teaching about IV betamethasone (CelestoneSoluspan) with a client who is at31 weeks of
gestation and is in premature labor. Which of the following information shouldthe nurse include in theteaching?
Versions / 7 Sets Exam) Complete and Best
Document for ATI Pharmacology Proctored Exam
2024
ATI PHARMACOLOGY
Version 1
1|Page
,7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive.The client is beginning
medication therapy with zidovudine (Retrovir). Which of thefollowing statements should the nurse include in
the teaching. (Select all thatapply.) o Must be taken with other
retroviralmedicines.o Has few adverseeffects o Cures an
HIVinfection
o Prevents you from transmitting the HIVinfection o Increases CD4+
cellcount
8. A nurse is assessing a school age client who is experiencing seizure activity and isprescribed diazepam
(Valium) IV. The nurse should should clarify the order if the client is receivinga continuous infusion of which of
the followingIV: o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units of regularinsulin o 0.9%
sodiumchloride o 0.9% Sodium chloride with 20 mEq of potassiumchloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heartfailure.Which of the
following indicates an expectedfinding? o Activitytolerance o Orthostatichypotension o Loss of strength
o Increase in bloodpressure
10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of thefollowingtherapeutic effects
should the nursemonitor?
o Increased urineoutput o
Increasedenergy o Decreased anxiety
o Decreased spacity
11. Clinical findings of a client who has a prescription for lithium carbonate (Lithobid).Forwhich reasons
should the nurse withhold the medication and notify theprovider?
o Lithium level 1.0mEq/L o Potassium at
3.7mEq/L o Sodium at 143mEq/L
o Lithium level 2.5mEq/L
12. The nurse is caring for a client who has tuberculosis and is being treated withcombination medication
therapy. To test the effectiveness of the treatment, the nurse shouldperiodically monitor which of the following
laboratoryresults.
o TT o ESDrate
o Sputumculture oINR
13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and isexperiencingadverse effects.
Which of the following instructions should the nurse give to thisclient? o “Stand up slowly after taking
thismedication.” o“Monitorforincreasedurineoutput.” o “Take this medication with asnack.” o “Administer the
medication atbedtime.”
14. A nurse is reviewing the medication administration record for a client whohasmetastatic cancer and a
fentanyl (Duragesic) transdermal patch for pain. The client reports apain level of 10 on a scale of 0 to 10.
Which of the following medications should the nurseanticipate administering?
o Hydromorphone(Dilaudid)
o Butorphanol(Stadol) o
Alprazolam(Xanax) o
Carbenezepine(Tegretol)
15. A nurse is caring for a client with PCA Morphine Sulfate. Which of thefollowing statements is nottrue?
o "I will not receive any pain medications during the lockoutperiod" o "I should push
the button when the pain becomessevere"
o "I will be asked to rate my painoccasionally" o "I don't have to
worry about getting an overdose of themedication"
,16.A nurse is caring for a client who is to receive a series of allergy tests. The nurseshould instruct the client to
avoid which medications for up to 4 weeks before theprocedure?
o Acetemetaphen(Tylenol) o Diphenhyramine(Benadryl) o
Albuterol(Accuneb) o Psuedoephedrine hydrochloride(Sudafed)
17. A nurse administered meperidine (Demerol) intramuscularly to a client with ananklefracture. Which of
the following actions should the nurse takenext? o Assesstheclient‟srespiratorystatus o Document on the clients
medicationrecord o Reassess the client's painlevel o Check the client's bloodpressure
18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily.Thenurse should
recognize that which of the following findings is a side effect of thismedication? o WBC 8,000mm3 o Serum
sodium 136mg/dL o Fasting blood glucose of 220mg/dL o Weight loss of 2.26 kg (5 lb) in 2weeks
19. A client with diabetes mellitus is admitted to the medical unit. The client has routinebefore- breakfast
prescription for 8 units of regular insulin and 18 units ofNPH. The primarycare provider adds an additional dose
of Regular insulin based on thefollowing:
Blood Glucose Regular InsulinDose
121 to 150 2 units
151 to 180 4 units
201. 200 6 units
201 to 250 8 units
> 250 Callprovider
The client‟s pre-breakfast glucose is 192 mg/dl. Which dosage of insulinshould the
nurseadminister?
o 8 units of Regular, 18 units ofNPH o 8 units of Regular,
24 units ofNPH o
14 units of Regular, 18 units ofNPH o
14 units of Regular, 24 units ofNPH
20. A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mgbymouth. Which
comments by the client indicates understanding regarding thismedication?
o“Iwilltakemymedicationatbedtime.” o “I will take this
medication withfood.”
o “I will stop taking this medication in 1 week, so I don‟t getaddicted.” o “I will take
vitamin C to increase the effectiveness of thismedication.”
21. A nurse is monitoring a client who is taking fosinopril (Monopril). The nurseshouldunderstand that this
has a beneficial effect on which of the bodysystems? o Gastrointestinal oCardiovascular o Pulmonary o
Reproductive
22. A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the followingisan expected
outcome for this client? Increasedappetite o Reducedbleeding o
o Improvedbreathing o
Reducedpain
23. A nurse is providing teaching to a client who just started taking lithium (Eskalith). Whichofthe following
statements indicates that the client understands theteaching?
o „I should inject this medicationsubcutaneously.‟ o “I should expect
to feel better in just a fewdays.”
o“IshouldcallmydoctorifIdevelophandtremors.” o “I should take this
medication on an emptystomach.”
3|Page
,24.A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse shouldmonitor for whichoutcome?
o A rapid increase inaPTT. o A sudden increase in heartrate. o A sudden decrease in heartrate. o A rapid decrease
ofaPTT.
25.A nurse is caring for a client who has rheumatoid arthritits. The client isprescribed methotrexate
(Rheumatrex). Which of the following should the nurse instruct the clientto monitor and report to
theprovider? o Sorethroat o Urinaryretention o Constipation Insomnia
26.A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). Thenurse notes that the client‟s
chart lists a penicillin allergy. Which of the following actions shouldthe nurse takefirst?
o o Notify the provider that the client is allergic to themedication. o Teach the client
about signs of allergic response. o Question the client about previous
allergicreactions. o Administer the medication and monitor the client for
allergicresponse.
27.A nurse is teaching a client who has decided to quit smoking about using anicotine transdermal system
(Nicotrol). Which of the following instructions should the nurseinclude? o Cleanse the skin with alcohol
before applying thepatch. o Moisten the patch and hold it against the skin until itadheres. o Apply the patch
first thing in the morning and remove it atbedtime. o Place the patch in the same skin area for the duration of
thetreatment.
28. A nurse is caring for a client who has been taking furosemide (Lasix) for 3 days to treatheart failure. Which of
the following findings indicate that the medication iseffective?
o Reduced levels ofHDL
o Potassium within the expected referencerange
o Clear lungsounds
o Increased level ofconsciousness
29. A client is questioning the nurse about why she is receiving frequent doses of IVantibiotics.
Which of the following responses by the nurse isappropriate? o It helps to
maintain a steady druglevel
o It helps to prevent the emergence of drug-resistantbacteria
o It decreases the risk of an allergicreaction
o It decreases the length of necessarytreatment
30. A female adult client is scheduled to start a prescription for azathioprine (Imuran) foractive Rheumatoid
Arthritis. The nurse should inform the client about the need for which ofthe following diagnostic tests
priormedication?
o Erythrosedimentationrate
o Bone densityscan
o Electrocardiogram o
PregnancyTest
31. A nurse is caring for a client who has been taking ferrous sulfate for the past 2 months.Which of the
following findings isexpected? o Increasedenergy o Reduced frequency ofcoughing o Increasedvision o
Decreasedinflammation
32. A nurse is caring for a client who has a prescription for Metformin (Glucophage) twicedaily.Which of the
following lab results projects the expectedoutcome?
o Hemoglobin A1C6.4% o Pre-meal plasma
glucose135mg/dl o Bedtime blood glucose
150mg/dl o Systolic blood pressure 146 mmHg
33. A nurse is teaching about IV betamethasone (CelestoneSoluspan) with a client who is at31 weeks of
gestation and is in premature labor. Which of the following information shouldthe nurse include in theteaching?
