ATI PHARMACOLOGY PROCTORED EXAM 2023/2024/2025
QUESTIONS AND ANSWERS (LATEST 2024 /2025 UPDATE)
WITH CORRECT ANSWERS TO SCORE A+ FOR SUCCESS
A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The
client begins vomiting blood. After the heparin has been stopped, which of the following medications
should the nurse prepare to administer?
A. Vitamin k1
B. Atropine
C. Protamine
D. Calcium gluconate - CORRECT ANSWERS C (Protamine reverses the anticoagulant effect of
heparin)
A nurse is planning to administer IV Alteplase to a client who is demonstrating manifestations of a
massive Pulmonary Embolism. Which of the following interventions should the nurse plan to take?
A. Administer IM Enoxaparin along with the Alteplase dose.
B. Hold direct pressure on puncture sites for up to 30 min.
C. Administer Aminocaproic acid IV prior to alteplase infusion.
D. Prepare to administer Alteplase within 8 hr of manifestation onset. - CORRECT ANSWERS B (The
nurse should plan to hold direct pressure on puncture sites for 10 to 30 min or until oozing of blood
stops)
A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of
the following manifestations as adverse effects of daily aspirin therapy? (Select all that apply.)
A. Hypertension
B.Coffee-ground emesis
C.Tinnitus
D.Paresthesias of the extremities
E.Nausea - CORRECT ANSWERS b, c, e
(B. GI bleeding with dark stools or coffee-ground
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,emesis can be an adverse effect of aspirin therapy.
C. Tinnitus and hearing loss can occur as an adverse effect of aspirin therapy
E. Nausea, vomiting, and abdominal
pain can occur as a result of aspirin therapy)
A nurse is caring for a client who has Atrial Fibrillation and a new prescription for Dabigatran to
prevent development of Thrombosis. Which of the following medications is prescribed concurrently
to treat an adverse effect of Dabigatran?
A. Vitamin k1
B. Protamine
C. Omeprazole
D. Probenecid - CORRECT ANSWERS C (Omeprazole or another proton pump inhibitor is prescribed
for a client who is taking dabigatran and has abdominal pain and other GI findings that can occur as
adverse effects of dabigatran. The nurse should advise the client who has GI effects to take
dabigatran with food)
A nurse is caring for a client who is receiving daily doses of Oprelvekin. Which of the following
laboratory values should the nurse monitor to determine effectiveness of this medication?
A. Hemoglobin
B. Absolute neutrophil count
C. Platelet count
D. Total white blood count - CORRECT ANSWERS C (The expected outcome for oprelvekin is a
platelet count greater than 50,000/mm^3.)
A nurse is preparing to administer Filgrastim for the first time to a client who has just undergone a
bone marrow transplant. Which of the following interventions is appropriate?
A. Administer Im in a large muscle mass to prevent injury.
B. Ensure that the medication is refrigerated until just prior to administration.
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,C. Shake vial gently to mix well before withdrawing dose.
D. Discard vial after removing one dose of the medication - CORRECT ANSWERS D (Only one dose of
filgrastim should be withdrawn from the vial and the vial should then be discarded.)
A nurse is monitoring a client who is receiving Epoetin alfa for adverse effects. The nurse should
identify which of the following findings as an adverse effect of this medication? (Select all that apply)
A. Leukocytosis
B. Hypertension
C. Edema
D. Blurred vision
E. Headache - CORRECT ANSWERS b, e
(B.hypertension is an adverse effect of epoetin alfa
that the nurse should monitor for throughout treatment.
E.headache is an adverse effect of epoetin alfa)
A nurse is assessing a client who has chronic Neutropenia and who has been receiving Gilgrastim.
Which of the following actions should the nurse take to assess for an adverse effect of filgrastim?
A. Assess for bone pain.
B. Assess for right lower quadrant pain.
C. Auscultate for crackles in the bases of the lungs.
D. Auscultate the chest to listen for a heart murmur - CORRECT ANSWERS A (Bone pain is a
dose-related adverse effect of Filgrastim. It can be treated with acetaminophen and, if necessary, an
opioid analgesic)
A nurse is preparing to administer a transfusion of 300 mL of pooled platelets for a client who has
severe Thrombocytopenia. The nurse should plan to administer the transfusion over which of the
following time frames?
A. Within 30 min/unit
B. Within 60 min/unit
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, C. Within 2 hr/unit
D. Within 4 hr/unit - CORRECT ANSWERS A (Platelets are fragile and should be administered quickly
to reduce the risk of clumping. The nurse should administer the platelets within 15 to 30 min/unit)
A nurse is transfusing a unit of packed Red blood cells (PRBCs) for a client who has Anemia due to
Chemotherapy. The client reports a sudden headache and chills. The client's temperature is 2° F
higher than her baseline. In addition to notifying the provider, which of the following actions should
the nurse take? (Select all that apply.)
A. Stop the transfusion.
B. Place the client in a upright position with feet down.
C. Remove the blood bag and tubing from the IV catheter.
D. Obtain a urine specimen.
E. Infuse dextrose 5% in water through the IV - CORRECT ANSWERS a, c, d
(A. The nurse should stop the transfusion for a rise in temperature of 2° F and reports of chills and
fever. The client can be having a hemolytic reaction to the blood or a febrile reaction
C. The nurse should avoid infusing more PRBCs into the client's vein, and should remove the
blood bag and tubing from the client's IV catheter.
D. Obtaining a urine specimen to check for hemolysis is standard procedure when the client has a
reaction to a blood transfusion)
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a
long half-life of 4 days. How many times per day should the nurse expect to administer this
medication?
A. One
B. Two
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QUESTIONS AND ANSWERS (LATEST 2024 /2025 UPDATE)
WITH CORRECT ANSWERS TO SCORE A+ FOR SUCCESS
A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The
client begins vomiting blood. After the heparin has been stopped, which of the following medications
should the nurse prepare to administer?
A. Vitamin k1
B. Atropine
C. Protamine
D. Calcium gluconate - CORRECT ANSWERS C (Protamine reverses the anticoagulant effect of
heparin)
A nurse is planning to administer IV Alteplase to a client who is demonstrating manifestations of a
massive Pulmonary Embolism. Which of the following interventions should the nurse plan to take?
A. Administer IM Enoxaparin along with the Alteplase dose.
B. Hold direct pressure on puncture sites for up to 30 min.
C. Administer Aminocaproic acid IV prior to alteplase infusion.
D. Prepare to administer Alteplase within 8 hr of manifestation onset. - CORRECT ANSWERS B (The
nurse should plan to hold direct pressure on puncture sites for 10 to 30 min or until oozing of blood
stops)
A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of
the following manifestations as adverse effects of daily aspirin therapy? (Select all that apply.)
A. Hypertension
B.Coffee-ground emesis
C.Tinnitus
D.Paresthesias of the extremities
E.Nausea - CORRECT ANSWERS b, c, e
(B. GI bleeding with dark stools or coffee-ground
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,emesis can be an adverse effect of aspirin therapy.
C. Tinnitus and hearing loss can occur as an adverse effect of aspirin therapy
E. Nausea, vomiting, and abdominal
pain can occur as a result of aspirin therapy)
A nurse is caring for a client who has Atrial Fibrillation and a new prescription for Dabigatran to
prevent development of Thrombosis. Which of the following medications is prescribed concurrently
to treat an adverse effect of Dabigatran?
A. Vitamin k1
B. Protamine
C. Omeprazole
D. Probenecid - CORRECT ANSWERS C (Omeprazole or another proton pump inhibitor is prescribed
for a client who is taking dabigatran and has abdominal pain and other GI findings that can occur as
adverse effects of dabigatran. The nurse should advise the client who has GI effects to take
dabigatran with food)
A nurse is caring for a client who is receiving daily doses of Oprelvekin. Which of the following
laboratory values should the nurse monitor to determine effectiveness of this medication?
A. Hemoglobin
B. Absolute neutrophil count
C. Platelet count
D. Total white blood count - CORRECT ANSWERS C (The expected outcome for oprelvekin is a
platelet count greater than 50,000/mm^3.)
A nurse is preparing to administer Filgrastim for the first time to a client who has just undergone a
bone marrow transplant. Which of the following interventions is appropriate?
A. Administer Im in a large muscle mass to prevent injury.
B. Ensure that the medication is refrigerated until just prior to administration.
Ask for any Exams or Study materials from
()
,C. Shake vial gently to mix well before withdrawing dose.
D. Discard vial after removing one dose of the medication - CORRECT ANSWERS D (Only one dose of
filgrastim should be withdrawn from the vial and the vial should then be discarded.)
A nurse is monitoring a client who is receiving Epoetin alfa for adverse effects. The nurse should
identify which of the following findings as an adverse effect of this medication? (Select all that apply)
A. Leukocytosis
B. Hypertension
C. Edema
D. Blurred vision
E. Headache - CORRECT ANSWERS b, e
(B.hypertension is an adverse effect of epoetin alfa
that the nurse should monitor for throughout treatment.
E.headache is an adverse effect of epoetin alfa)
A nurse is assessing a client who has chronic Neutropenia and who has been receiving Gilgrastim.
Which of the following actions should the nurse take to assess for an adverse effect of filgrastim?
A. Assess for bone pain.
B. Assess for right lower quadrant pain.
C. Auscultate for crackles in the bases of the lungs.
D. Auscultate the chest to listen for a heart murmur - CORRECT ANSWERS A (Bone pain is a
dose-related adverse effect of Filgrastim. It can be treated with acetaminophen and, if necessary, an
opioid analgesic)
A nurse is preparing to administer a transfusion of 300 mL of pooled platelets for a client who has
severe Thrombocytopenia. The nurse should plan to administer the transfusion over which of the
following time frames?
A. Within 30 min/unit
B. Within 60 min/unit
Ask for any Exams or Study materials from
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, C. Within 2 hr/unit
D. Within 4 hr/unit - CORRECT ANSWERS A (Platelets are fragile and should be administered quickly
to reduce the risk of clumping. The nurse should administer the platelets within 15 to 30 min/unit)
A nurse is transfusing a unit of packed Red blood cells (PRBCs) for a client who has Anemia due to
Chemotherapy. The client reports a sudden headache and chills. The client's temperature is 2° F
higher than her baseline. In addition to notifying the provider, which of the following actions should
the nurse take? (Select all that apply.)
A. Stop the transfusion.
B. Place the client in a upright position with feet down.
C. Remove the blood bag and tubing from the IV catheter.
D. Obtain a urine specimen.
E. Infuse dextrose 5% in water through the IV - CORRECT ANSWERS a, c, d
(A. The nurse should stop the transfusion for a rise in temperature of 2° F and reports of chills and
fever. The client can be having a hemolytic reaction to the blood or a febrile reaction
C. The nurse should avoid infusing more PRBCs into the client's vein, and should remove the
blood bag and tubing from the client's IV catheter.
D. Obtaining a urine specimen to check for hemolysis is standard procedure when the client has a
reaction to a blood transfusion)
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a
long half-life of 4 days. How many times per day should the nurse expect to administer this
medication?
A. One
B. Two
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