ATI RN PHARMACOLOGY PROCTORED EXAM /RN
PHARMACOLOGY ATI PROCTORED ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
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
d. The client's liver function test results are within the expected
reference range - CORRECT ANSWERS-a. The client has a
negative sputum culture
A client is caring for a client who develops an anaphylactic
reaction to IV administration. After 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 - CORRECT ANSWERS-d.
Administer epinephrine IM
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 - CORRECT ANSWERS-a. St. John's Wort
A nurse is caring for a client who has heart failure and a new
prescription for lisinopril. For which of the following adverse
effects should the nurse monitor when administering lisinopril?
,a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension - CORRECT ANSWERS-d. Hypotension
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 - CORRECT ANSWERS-d.
Increased blood pressure
A nurse is preparing to administer medication to a client and
discovers a medication error. The nurse should recognize that
which of the following staff members is responsible for completing
an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse - CORRECT ANSWERS-b. The nurse who
identifies the error
A nurse is planning care for a client who is receiving morphine via
continuous epidural infusion. The nurse should monitor the client
for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding - CORRECT ANSWERS-a. Pruritus - Sign of
allergic reaction to morphine
,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.) - CORRECT ANSWERS-a.
Obtain the client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration
record
e. Document administration of the medication
A nurse is reviewing the medical record of an adult client who has
a fever and a prescription for acetaminophen. Which of the
following findings should the nurse identify as a contraindication
for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWERS-a. Alcohol use
disorder
A home health nurse is visiting a client who has heart failure and
a prescription for furosemide. The nurse identifies that the client
has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of
the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain - CORRECT
ANSWERS-c. Determine medication adherence by the client
A nurse is preparing to administer the initial dose of penicillin G
IM to a client. The nurse should monitor for which of the following
as an indication of an allergic reaction following the injection?
a. Urticaria
, b. Bradycardia
c. Pallor
d. Dyspepsia - CORRECT ANSWERS-a. Urticaria
A nurse is teaching a client who has angina a new prescription for
sublingual nitroglycerin tablets. Which of the following instructions
should the nurse include in the teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass
bottle."
d. "Place the tablet between your cheek and gum to dissolve." -
CORRECT ANSWERS-c. "Keep the tablets at room temperature
in their original glass bottle."
A nurse is providing teaching to a client who has a new
prescription for theophylline a sustained-released capsule. Which
of the following statements by the client indicates an
understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn." - CORRECT
ANSWERS-d. "I will need to have blood levels drawn."
A nurse is mixing regular insulin and NPH insulin in the same
syringe prior to administering it to client who has diabetes mellitus
following actions should the nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial - CORRECT ANSWERS-c.
Inject air into the NPH vial
PHARMACOLOGY ATI PROCTORED ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
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
d. The client's liver function test results are within the expected
reference range - CORRECT ANSWERS-a. The client has a
negative sputum culture
A client is caring for a client who develops an anaphylactic
reaction to IV administration. After 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 - CORRECT ANSWERS-d.
Administer epinephrine IM
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 - CORRECT ANSWERS-a. St. John's Wort
A nurse is caring for a client who has heart failure and a new
prescription for lisinopril. For which of the following adverse
effects should the nurse monitor when administering lisinopril?
,a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension - CORRECT ANSWERS-d. Hypotension
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 - CORRECT ANSWERS-d.
Increased blood pressure
A nurse is preparing to administer medication to a client and
discovers a medication error. The nurse should recognize that
which of the following staff members is responsible for completing
an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse - CORRECT ANSWERS-b. The nurse who
identifies the error
A nurse is planning care for a client who is receiving morphine via
continuous epidural infusion. The nurse should monitor the client
for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding - CORRECT ANSWERS-a. Pruritus - Sign of
allergic reaction to morphine
,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.) - CORRECT ANSWERS-a.
Obtain the client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration
record
e. Document administration of the medication
A nurse is reviewing the medical record of an adult client who has
a fever and a prescription for acetaminophen. Which of the
following findings should the nurse identify as a contraindication
for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWERS-a. Alcohol use
disorder
A home health nurse is visiting a client who has heart failure and
a prescription for furosemide. The nurse identifies that the client
has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of
the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain - CORRECT
ANSWERS-c. Determine medication adherence by the client
A nurse is preparing to administer the initial dose of penicillin G
IM to a client. The nurse should monitor for which of the following
as an indication of an allergic reaction following the injection?
a. Urticaria
, b. Bradycardia
c. Pallor
d. Dyspepsia - CORRECT ANSWERS-a. Urticaria
A nurse is teaching a client who has angina a new prescription for
sublingual nitroglycerin tablets. Which of the following instructions
should the nurse include in the teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass
bottle."
d. "Place the tablet between your cheek and gum to dissolve." -
CORRECT ANSWERS-c. "Keep the tablets at room temperature
in their original glass bottle."
A nurse is providing teaching to a client who has a new
prescription for theophylline a sustained-released capsule. Which
of the following statements by the client indicates an
understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn." - CORRECT
ANSWERS-d. "I will need to have blood levels drawn."
A nurse is mixing regular insulin and NPH insulin in the same
syringe prior to administering it to client who has diabetes mellitus
following actions should the nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial - CORRECT ANSWERS-c.
Inject air into the NPH vial
