ATI RN PHARMACOLOGY PROCTORED EXAM LATEST
2024 -2025 TEST BANK/ RN ATI PHARMACOLOGY
PROCTORED/ COMPLETE 450 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+
A nurse is caring for a client who has breast cancer and reports pain. 1 hr. after
administration of prescribed morphine 10 mg IV. Which of the following
medications should the nurse expect to administer?
a. Naloxone IV
b. Morphine tablet
c. Lidocaine patch
d. Fentanyl transmucosal - ANSWER - d. Fentanyl transmucosal
c. Lidocaine patch
A nurse is assessing a client who reports taking over-the-counter antacids.
Which of the following findings should the nurse identify as a manifestation
of hypercalcemia?
a. Constipation
b. Decreased urine output
c. Positive Trousseau's sign
d. Headache - ANSWER - c. Positive Trousseau's sign
A nurse is teaching a client who is to begin cyclophosphamide therapy to treat
cancer. Which of the following adverse effects of this medication should the
nurse include in the teaching?
1. Bradycardia
pg. 1
,2. Hyperglycemia
3. Hypotension
4. Leukopenia - ANSWER - Leukopenia
A nurse is reviewing the medical record of a client who is receiving
vancomycin daily. the nurse should review which of the following laboratory
results prior to administering the next dose?
a. Total iron-binding count
b. Blood glucose level
c. Creatinine level
d. Thyroid-stimulating hormone level - ANSWER - creatinine level
a nurse is providing teaching to a client who has a new prescription for
phenelzine. which of the following foods should the nurse instruct the client
to avoid?
a. Canned tuna
b. Orange juice
c. Cheddar cheese
d. Sweet potatoes - ANSWER - Cheddar cheese
A nurse is preparing to administer nitroglycerin topical ointment to a client. which
of the following actions should the nurse plan to take?
a. Spread the medication over a 12.7 cm (5 in) area of the clients skin
b. Measure the dosage of medication using the applicator paper
c. Apply the medication to the same site for three consecutive days
d. Cover the medication on the clients skin with a sterile gauze pad - ANSWER -
measure dosage on medication applicator paper
pg. 2
,A nurse is caring for a client who is taking azathioprine to treat rheumatoid
arthritis. which of the following laboratory values indicates an adverse
effect of this medication?
a. Hct 45%
b. Platelets 250,000/mm3
c. BUN 15 mg/dL
d. WBC 3,000/mm3 - ANSWER - WBC 3000
A nurse is caring for a client who is to receive potassium replacement. The
provider's prescription reads. "Potassium chloride 30 mEq in 0.9% sodium
chloride 100 mL IV over 30 min." which of the following reasons should the nurse
clarify this prescription with the provider.
a. Potassium chloride should be diluted in dextrose 5% in water.
b. The potassium infusion rate is too rapid
c. Another formulation of potassium should be given IV
d. The client should be treated by giving potassium by IV bolus - ANSWER - b. The
potassium infusion rate is too rapid
A nurse is monitoring laboratory values for a client who has chronic heart failure
and is receiving digoxin. Which of the following values should the nurse report to
the provider?
a. Sodium 1.38 mEq/dL
b. Magnesium 1.5 mEq/L
c. BUN level 10 mg/dL
d. Potassium 2.9 mEq/L - ANSWER - d. Potassium 2.9 mEq/L
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 to the provider?
pg. 3
, a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - ANSWER - 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
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 -
ANSWER - a. The client has a negative sputum culture
A nurse is assessing a client who is taking an osmotic laxative which of the
following findings should the nurse identify as an indication of fluid volume
deficit?
a. Nausea
b. Weight gain
c. Headache
d. Oliguria - ANSWER - d. Oliguria
A nurse is reviewing the laboratory results of a client who is taking amitriptyline
which of the following laboratory values should the nurse report to the provider?
a. Total bilirubin 1.5 mg/dL
b. Potassium 4.2 mEq/L
pg. 4
2024 -2025 TEST BANK/ RN ATI PHARMACOLOGY
PROCTORED/ COMPLETE 450 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+
A nurse is caring for a client who has breast cancer and reports pain. 1 hr. after
administration of prescribed morphine 10 mg IV. Which of the following
medications should the nurse expect to administer?
a. Naloxone IV
b. Morphine tablet
c. Lidocaine patch
d. Fentanyl transmucosal - ANSWER - d. Fentanyl transmucosal
c. Lidocaine patch
A nurse is assessing a client who reports taking over-the-counter antacids.
Which of the following findings should the nurse identify as a manifestation
of hypercalcemia?
a. Constipation
b. Decreased urine output
c. Positive Trousseau's sign
d. Headache - ANSWER - c. Positive Trousseau's sign
A nurse is teaching a client who is to begin cyclophosphamide therapy to treat
cancer. Which of the following adverse effects of this medication should the
nurse include in the teaching?
1. Bradycardia
pg. 1
,2. Hyperglycemia
3. Hypotension
4. Leukopenia - ANSWER - Leukopenia
A nurse is reviewing the medical record of a client who is receiving
vancomycin daily. the nurse should review which of the following laboratory
results prior to administering the next dose?
a. Total iron-binding count
b. Blood glucose level
c. Creatinine level
d. Thyroid-stimulating hormone level - ANSWER - creatinine level
a nurse is providing teaching to a client who has a new prescription for
phenelzine. which of the following foods should the nurse instruct the client
to avoid?
a. Canned tuna
b. Orange juice
c. Cheddar cheese
d. Sweet potatoes - ANSWER - Cheddar cheese
A nurse is preparing to administer nitroglycerin topical ointment to a client. which
of the following actions should the nurse plan to take?
a. Spread the medication over a 12.7 cm (5 in) area of the clients skin
b. Measure the dosage of medication using the applicator paper
c. Apply the medication to the same site for three consecutive days
d. Cover the medication on the clients skin with a sterile gauze pad - ANSWER -
measure dosage on medication applicator paper
pg. 2
,A nurse is caring for a client who is taking azathioprine to treat rheumatoid
arthritis. which of the following laboratory values indicates an adverse
effect of this medication?
a. Hct 45%
b. Platelets 250,000/mm3
c. BUN 15 mg/dL
d. WBC 3,000/mm3 - ANSWER - WBC 3000
A nurse is caring for a client who is to receive potassium replacement. The
provider's prescription reads. "Potassium chloride 30 mEq in 0.9% sodium
chloride 100 mL IV over 30 min." which of the following reasons should the nurse
clarify this prescription with the provider.
a. Potassium chloride should be diluted in dextrose 5% in water.
b. The potassium infusion rate is too rapid
c. Another formulation of potassium should be given IV
d. The client should be treated by giving potassium by IV bolus - ANSWER - b. The
potassium infusion rate is too rapid
A nurse is monitoring laboratory values for a client who has chronic heart failure
and is receiving digoxin. Which of the following values should the nurse report to
the provider?
a. Sodium 1.38 mEq/dL
b. Magnesium 1.5 mEq/L
c. BUN level 10 mg/dL
d. Potassium 2.9 mEq/L - ANSWER - d. Potassium 2.9 mEq/L
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 to the provider?
pg. 3
, a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - ANSWER - 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
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 -
ANSWER - a. The client has a negative sputum culture
A nurse is assessing a client who is taking an osmotic laxative which of the
following findings should the nurse identify as an indication of fluid volume
deficit?
a. Nausea
b. Weight gain
c. Headache
d. Oliguria - ANSWER - d. Oliguria
A nurse is reviewing the laboratory results of a client who is taking amitriptyline
which of the following laboratory values should the nurse report to the provider?
a. Total bilirubin 1.5 mg/dL
b. Potassium 4.2 mEq/L
pg. 4
