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ATI Pharmacology Proctor 2019
1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should
identify which of the following ;ndings as a manifestation of =uid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
2.) .) 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
3.) 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.”
,ATI PROTOCTORED ATI PHARMACOLOGY QUESTIONS
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d. “Remove the patch prior to going to bed.”
4.) 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 tothe provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 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
5.) 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 puri;ed protein derivative test
d. The client’s liver function test results are within the expected reference range
6.) A client is caring for a client who develops an anaphylactic reaction to IV
administration. A]er 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
,ATI PROTOCTORED ATI PHARMACOLOGY QUESTIONS
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7 A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
prescribed hypertonic solution. Which of the following ;ndings should indicate to the
nurse that the treatment is eFective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
8.) A nurse is caring for a client who has heart failure and a new prescription for lisinopril.
For which of the following adverse eFects should the nurse monitor when administering
lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9.) 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
10.) A nurse is preparing to administer medication to a client and discovers a medication
error. The nurse should recognize that which of the following staF members is
responsible for completing an incident report?
a. The quality improvement committee
, ATI PROTOCTORED ATI PHARMACOLOGY QUESTIONS
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b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
11 A nurse is providing teaching to a client about the administration of omeprazole. Which
of the following should the nurse include?
a. “You cannot take this medication with an antacid.”
b. “You should reduce your intake of calcium while taking this medication.”
c. “You should take this medication before meals.”
d. “You can take a second dose if symptoms persist up to 2 hours a]er the ;rst
dose.” .)A nurse is assessing for allergies with a client who is scheduled to receive the
in=uenza vaccine.
12.)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
systemc. Open the medication package
d. Compare the client’s wristband to the medication administration
record e. Document administration of the medication