ATI PHARMACOLOGY PROCTORED ACTUAL EXAM
WITH COMPLETE 400 QUESTIONS AND ANSWERS
[ 100% CORRECT & ALREADY GRADED A+ ]
A nurse is assessing a client who is receiving intravenous
therapy. The nurse should identify which of the following
findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
b. Distended neck veins
A nurse is caring for a client who has hyponatremia and is
receiving an
infusion of a prescribed hypertonic solution. Which of the
following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
b. Improved cognition
A nurse is teaching a client who has a new prescription for
a nitroglycerin
transdermal patch. Which of the following instructions
should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed."
d. "Remove the patch prior to going to bed."
,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?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
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
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
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
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
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
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
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
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.)
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
a. Alcohol use disorder
b. Chronic kidney disease
A home health nurse is visiting a client who has heart
failure and a prescription for furosemide. The nurse
WITH COMPLETE 400 QUESTIONS AND ANSWERS
[ 100% CORRECT & ALREADY GRADED A+ ]
A nurse is assessing a client who is receiving intravenous
therapy. The nurse should identify which of the following
findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
b. Distended neck veins
A nurse is caring for a client who has hyponatremia and is
receiving an
infusion of a prescribed hypertonic solution. Which of the
following findings should indicate to the nurse that the
treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
b. Improved cognition
A nurse is teaching a client who has a new prescription for
a nitroglycerin
transdermal patch. Which of the following instructions
should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed."
d. "Remove the patch prior to going to bed."
,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?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
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
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
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
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
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
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
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
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.)
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
a. Alcohol use disorder
b. Chronic kidney disease
A home health nurse is visiting a client who has heart
failure and a prescription for furosemide. The nurse
