Summary I’ve given you all the different questions that ATI Pharm 2019-2026
has had on the exam. All the answers are correct. good luck
ATI PHARMACOLOGY PROCTORED EXAM2019/ PHARMACOLOGY PROCTORED
2021-2022 / ATI PHARMACOLOGY PROCTORED EXAM 2024-2026 WITH
VERIFIED ANSWERS GRADED A+
1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should iden9fy which of
the following ;ndings as a manifesta9on of =uid volume excess?
Decreased bowel sounds
Distended neck veins
Bilateral muscle weakness
Thread pulse - CORRECT ANSWER✔✔Distended neck veins
2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solu9on. Which of the following ;ndings should indicate to the nurse that the treatment is
eFec9ve?
b. Improved cogni?on c. Decreased vomi9ngd. Cardiac arrhythmias absent - CORRECT ANSWER✔✔b.
Improved cogni?on
3.) A nurse is teaching a client who has a new prescrip9on for a nitroglycerin transdermal patch. Which
of the following instruc9ons should the nurse include?
"Discon9nue the patch if you experience a headache."
"Apply a new patch if you have chest pain."
"Cover the patch with dry gauze when taking a shower."
"Remove the patch prior to going to bed." - CORRECT ANSWER✔✔"Remove the patch prior to going to
bed."
4.) A nurse is reviewing he laboratory results of a client who has a prescrip9on for sodium polystyrene
sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider?
,Crea9nine 0.72 mg/dL
Sodium 138 mEq/L
Magnesium 2 mEq/L
Potassium 5.2 mEq/L - CORRECT ANSWER✔✔Potassium 5.2 mEq/L
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 medica9on regimen?
a. The client has a nega?ve sputum culture ✓
b. The client tests nega9ve for HIV
c. The client has a posi9ve puri;ed protein deriva9ve test
d. The client's liver func9on test results are within the expected reference range - CORRECT ANSWER✔
✔a. The client has a nega?ve sputum culture ✓
6.) A client is caring for a client who develops an anaphylac?c reac9on to IV administra9on. A]er
assessing the client's respiratory status and stopping the medica9on infusion. Which of the following
ac9ons should the nurse take next?
Replace the infusion with 0.9% sodium chloride
Give diphenhydramine IM
Elevate the client's legs and feet
Administer epinephrine IM - CORRECT ANSWER✔✔Administer epinephrine IM
7.) 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 rootc. Black cohoshd. Coenzyme Q10 - CORRECT ANSWER✔✔a. St.
John's Wort
8.) A nurse is caring for a client who has heart failure and a new prescrip9on for lisinopril. For which of
the following adverse eFects should the nurse monitor when administering lisinopril?
,a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension - CORRECT ANSWER✔✔d. Hypotension
9.) A nurse is assessing a client who is receiving heparin IV con9nuous IV. The client has an PPT of 90
seconds. They should monitor the client for which of the following changes in their vital signs?
Decreased temperature
Increased pulse rate
Decreased respiratory rate - CORRECT ANSWER✔✔Increased pulse rate
10.) A nurse is preparing to administer medica9on to a client and discovers a medica9on error. The
nurse should recognize that which of the following staF members is responsible for comple9ng an
incident report?
The quality improvement commieee ✓
The nurse who iden?Res the error
The nurse who caused the error
The charge nurse - CORRECT ANSWER✔✔The nurse who iden?Res the error
11.) A nurse is planning care for a client who is receiving morphine via con9nuous epidural infusion. The
nurse should monitor the client for which of the following?
a. Pruritus b. Coughc. Tachypnea d. Gastric bleeding - CORRECT ANSWER✔✔a. Pruritus
12.)A nurse is preparing to administer digoxin orally to a client. Iden9fy the sequence of steps the nurse
should take. (Move the steps into the box on the right, placing them in the o✓rder of performance. Use
all the steps.)
Obtain the client's apical heart rate
Remove the medica?on from the dispensing system
Open the medica?on package
Compare the client's wristband to the medica?on
administra?on record - CORRECT ANSWER✔✔Obtain the client's apical heart rate
, Remove the medica?on from the dispensing system
Open the medica?on package
Compare the client's wristband to the medica?on
administra?on record
13.) A←nurse is reviewing the medical record of an adult client who has a fever and a prescrip9on for
acetaminophen. Which of the following ;ndings should the nurse iden9fy as a contraindica9on for
receiving this medica9on?
a. Alcohol use Disorder
b.
c. Hepa99s B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWER✔✔a. Alcohol use Disorder
14.) A home health nurse is visi9ng a client who has heart failure and a prescrip9on for furosemide.
The nurse iden9;es that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the
following ac9ons should the nurse take ;rst?
a. Encourage the client to dangle the legs while siing in a chair
b. Teach the client about foods low in sodium
c. Determine medica?on adherence by the client
d. No9fy the provider of the client's weight gain - CORRECT ANSWER✔✔c. Determine medica?on
adherence by the client
5.) A nurse is preparing to administer the ini9al dose of penicillin G IM to a client. The nurse should
monitor for which of the following as an indica9on of an allergic reac9on following the injec9on?
Ur?caria
Bradycardia
Pallor
has had on the exam. All the answers are correct. good luck
ATI PHARMACOLOGY PROCTORED EXAM2019/ PHARMACOLOGY PROCTORED
2021-2022 / ATI PHARMACOLOGY PROCTORED EXAM 2024-2026 WITH
VERIFIED ANSWERS GRADED A+
1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should iden9fy which of
the following ;ndings as a manifesta9on of =uid volume excess?
Decreased bowel sounds
Distended neck veins
Bilateral muscle weakness
Thread pulse - CORRECT ANSWER✔✔Distended neck veins
2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed
hypertonic solu9on. Which of the following ;ndings should indicate to the nurse that the treatment is
eFec9ve?
b. Improved cogni?on c. Decreased vomi9ngd. Cardiac arrhythmias absent - CORRECT ANSWER✔✔b.
Improved cogni?on
3.) A nurse is teaching a client who has a new prescrip9on for a nitroglycerin transdermal patch. Which
of the following instruc9ons should the nurse include?
"Discon9nue the patch if you experience a headache."
"Apply a new patch if you have chest pain."
"Cover the patch with dry gauze when taking a shower."
"Remove the patch prior to going to bed." - CORRECT ANSWER✔✔"Remove the patch prior to going to
bed."
4.) A nurse is reviewing he laboratory results of a client who has a prescrip9on for sodium polystyrene
sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider?
,Crea9nine 0.72 mg/dL
Sodium 138 mEq/L
Magnesium 2 mEq/L
Potassium 5.2 mEq/L - CORRECT ANSWER✔✔Potassium 5.2 mEq/L
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 medica9on regimen?
a. The client has a nega?ve sputum culture ✓
b. The client tests nega9ve for HIV
c. The client has a posi9ve puri;ed protein deriva9ve test
d. The client's liver func9on test results are within the expected reference range - CORRECT ANSWER✔
✔a. The client has a nega?ve sputum culture ✓
6.) A client is caring for a client who develops an anaphylac?c reac9on to IV administra9on. A]er
assessing the client's respiratory status and stopping the medica9on infusion. Which of the following
ac9ons should the nurse take next?
Replace the infusion with 0.9% sodium chloride
Give diphenhydramine IM
Elevate the client's legs and feet
Administer epinephrine IM - CORRECT ANSWER✔✔Administer epinephrine IM
7.) 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 rootc. Black cohoshd. Coenzyme Q10 - CORRECT ANSWER✔✔a. St.
John's Wort
8.) A nurse is caring for a client who has heart failure and a new prescrip9on for lisinopril. For which of
the following adverse eFects should the nurse monitor when administering lisinopril?
,a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension - CORRECT ANSWER✔✔d. Hypotension
9.) A nurse is assessing a client who is receiving heparin IV con9nuous IV. The client has an PPT of 90
seconds. They should monitor the client for which of the following changes in their vital signs?
Decreased temperature
Increased pulse rate
Decreased respiratory rate - CORRECT ANSWER✔✔Increased pulse rate
10.) A nurse is preparing to administer medica9on to a client and discovers a medica9on error. The
nurse should recognize that which of the following staF members is responsible for comple9ng an
incident report?
The quality improvement commieee ✓
The nurse who iden?Res the error
The nurse who caused the error
The charge nurse - CORRECT ANSWER✔✔The nurse who iden?Res the error
11.) A nurse is planning care for a client who is receiving morphine via con9nuous epidural infusion. The
nurse should monitor the client for which of the following?
a. Pruritus b. Coughc. Tachypnea d. Gastric bleeding - CORRECT ANSWER✔✔a. Pruritus
12.)A nurse is preparing to administer digoxin orally to a client. Iden9fy the sequence of steps the nurse
should take. (Move the steps into the box on the right, placing them in the o✓rder of performance. Use
all the steps.)
Obtain the client's apical heart rate
Remove the medica?on from the dispensing system
Open the medica?on package
Compare the client's wristband to the medica?on
administra?on record - CORRECT ANSWER✔✔Obtain the client's apical heart rate
, Remove the medica?on from the dispensing system
Open the medica?on package
Compare the client's wristband to the medica?on
administra?on record
13.) A←nurse is reviewing the medical record of an adult client who has a fever and a prescrip9on for
acetaminophen. Which of the following ;ndings should the nurse iden9fy as a contraindica9on for
receiving this medica9on?
a. Alcohol use Disorder
b.
c. Hepa99s B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWER✔✔a. Alcohol use Disorder
14.) A home health nurse is visi9ng a client who has heart failure and a prescrip9on for furosemide.
The nurse iden9;es that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the
following ac9ons should the nurse take ;rst?
a. Encourage the client to dangle the legs while siing in a chair
b. Teach the client about foods low in sodium
c. Determine medica?on adherence by the client
d. No9fy the provider of the client's weight gain - CORRECT ANSWER✔✔c. Determine medica?on
adherence by the client
5.) A nurse is preparing to administer the ini9al dose of penicillin G IM to a client. The nurse should
monitor for which of the following as an indica9on of an allergic reac9on following the injec9on?
Ur?caria
Bradycardia
Pallor
