EXAM 2024-2025 /RN PHARMACOLOGY
ATI PROCTORED ACTUAL EXAM TEST
BANK 200 QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS| WELL
GRADED A+
A nurse is reviewing the medical record of a female client who asks about a prescription
for alendronate for the treatment of osteoporosis. Which of the following findings should
the nurse identify as a safety risk for the client when taking this medication?
A. The client has a history of anaphylaxis following a bee sting.
B. The client has a first-degree relative who has Paget's disease.
C. The client is postmenopausal.
D. The client has immobility that restricts her to a supine position. - CORRECT
ANSWERS-D. The client has immobility that restricts her to a supine position.
A nurse is teaching a client who has pernicious anemia to self-administer nasal
cyanocobalamin. Which of the following information should the nurse include in the
teaching?
A. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy
nose. "
B. "Plan to self-administer this medication for the next 6 months."
C. "Lie down for 1 hour after administering the medication. "
D. "Administer the medication into one nostril once per week." - CORRECT ANSWERS-
D. " Administer the medication into one nostril once per week."
A nurse is teaching a client who has stable angina and a new prescription for
nitroglycerin transdermal patches 0.8 mg/hr daily. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I can cut the patches in half to save money. "
B. "I will apply a new patch to the same site whenever I replace it. "
C. "I will take the patch off after dinner every night. "
D. "I can put a second patch on if I have chest pain." - CORRECT ANSWERS-C. " I will
take the patch off after dinner every night."
,A nurse is assessing a client who is taking combination oral contraceptives. Which of
the following findings should the nurse report to the provider immediately?
A. Leg tenderness
B. Cramps
C. Nausea
D. Abdominal bloating - CORRECT ANSWERS-A. leg tenderness
A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The
nurse should plan to monitor the client for which of the following adverse effects?
A. Insomnia
B. Fluid retention
C. Tinnitus
D. Orthostatic hypotension - CORRECT ANSWERS-B. Fluid retention
A nurse in the emergency department is caring for a client who reports a severe
headache. The client's blood pressure is 280/160 mm Hg. The nurse should plan to
administer which of the following medications?
A. Dobutamine
B. Epinephrine
C. Dexamethasone
D. Nitroprusside - CORRECT ANSWERS-D. Nitroprusside
A nurse is preparing to administer propranolol to a client. Which of the following should
the nurse assess prior to administering this medication?
A. Respiratory rate
B. HR
C. Pain level
D. Temperature - CORRECT ANSWERS-B. HR
A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct
the client to monitor and report which of the following adverse effects of the medication?
A. Constipation
B. Weight loss
C. Bruising
D. Blurred vision - CORRECT ANSWERS-C. Bruising
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin
extended release. Which of the following information should the nurse include in the
teaching?
A. "You may crush the medication and mix it with applesauce. "
,B. "You will need liver function tests before beginning therapy. "
C. "Avoid consuming dairy products while taking this medication. "
D. "You should take the medication in the morning." - CORRECT ANSWERS-B. "You
will need liver function tests before beginning therapy."
A nurse is caring for a client who has major depression and a new prescription for
citalopram. Which of the following adverse effects is the priority for the nurse to report to
the provider?
A. Bruxism
B. Confusion
C. Insomnia
D. Weight loss - CORRECT ANSWERS-B. Confusion
A nurse is providing teaching to a client who has a prescription for total parenteral
nutrition (TPN). Which of the following information should the nurse include in the
teaching?
A. "You will be weighed twice a week while receiving TPN."
B. "Your blood sugar will be checked once a day."
C. "You will have a central line placed to receive TPN."
D. "Your intake and output will be measured every 2 days." - CORRECT ANSWERS-C.
"You will have a central line placed to receive TPN."
A nurse is caring for a client who has a life-threatening ventricular dysrhythmia. Which
of the following medications should the nurse anticipate administering?
A. Verapamil
B. Digoxin
C. Dopamine
D. Amiodarone - CORRECT ANSWERS-D. Amiodarone
A nurse is assessing a client who received midazolam IV for moderate (conscious)
sedation. Which of the following assessments is the nurse's priority?
A. Heart rate
B. Oxygen saturation
C. Level of consciousness
D. Temperature - CORRECT ANSWERS-D. Level of consciousness
A nurse is obtaining a medical history from a client who is to start warfarin therapy and
currently uses herbal supplements at home. The nurse should inform the client that
which of the following herbal supplements can interact adversely with warfarin?
A. Black cohosh
B. Echinacea
, C. Feverfew
D. Flaxseed - CORRECT ANSWERS-C. Feverfew
A nurse in a coronary care unit is admitting a client who has had CPR following a
cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the
nurse why he is receiving that medication, the nurse should explain that it has which of
the following actions?
A. Prevents dysrhythmias
B. Relieves pain
C. Dissolves blood clots
D. Slows intestinal motility - CORRECT ANSWERS-A. Prevents dysrhythmias
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the
following laboratory tests should the nurse review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - CORRECT ANSWERS-A. PT
A nurse is caring for a group of clients. Which of the following situations requires an
incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - CORRECT ANSWERS-C. A client
receives their insulin 1 hour before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse notes that the
client's respiratory rate is 8/min. The nurse should identify that which of the following is
the pathophysiology for the client's respiratory rate?
A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
D. Oxycodone inhibits prostaglandin synthesis. - CORRECT ANSWERS-C. Oxycodone
causes central nervous system depression.
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via
intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL.
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - CORRECT ANSWERS-50gtt/min