ATI PN Pharmacology Online Practice B Exam
Questions & Answers
A nurse on a medical-surgical unit is assisting in the care of a client who is postoperative following
left knee arthroplasty.
Vital Signs
Postoperative day 2, 0015:
Temperature 37.2°C (99° F)
Heart rate 84/min
Respiratory rate 20/min
Blood pressure 133/54 mmHg
Oxygen saturation 98% on room air
0730:
Temperature 38.4°C (101.1° F)
Heart rate 94/min
Respiratory rate 24/min
Blood pressure 123/54 mmHg
Oxygen saturation 96% on room air
Provider Prescriptions
Postoperative day 2, 0840:
Culture and sensitivity of incisional wound
Irrigate wound with normal saline
Pack open areas of incision with moistened gauze
CBC
Basic metabolic profile
Ciprofloxacin 400 mg IV every 12 hr
Acetaminophen 325 mg every 4 hr PRN pain or fever greater than or equal to 38.9° C (102° F)
Bisacodyl 10 mg PO daily
Oxycodone 10 mg PO stat - ANS ✔ - Complete the following sentence by using the lists of options.
The nurse should first _______________________, then ______________________.
1|Page
,Answer:
The nurse should first administer oxycodone, then culture surgical wound.
When taking action, the nurse should first administer the stat prescription of oxycodone to the
client, followed by culturing the surgical wound. Stat orders indicate that action should be taken
immediately. Further, the client is reporting pain of 8 on a 0 to 10 pain scale. The nurse should
administer pain medication and allow it to take effect prior to any pain-inducing activities, such as
treating the wound. The nurse should culture the surgical wound prior to providing wound care and
initiating the antibiotic.
A nurse is assisting in the care of a client in a provider's office.
Vital Signs
Initial visit:
Temperature 37.4° C (99.3° F)
Heart rate 80/min
Respiratory rate 20/min
Blood pressure 182/92 mm Hg
Oxygen saturation 95% on room air
1 month later:
Temperature 37.1° C (98.8° F)
Heart rate 54/min
Respiratory rate 20/min
Blood pressure 95/70 mm Hg
Oxygen saturation 97% on room air
Provider Prescriptions
Initial visit:
Metoprolol 10 mg PO daily
Furosemide 40 mg PO daily
Laboratory Results
Initial visit:
Sodium 138 mEq/L (136 to 145 mEq/L)
Potassium 4.2 mEq/L (3.5 mEq/L to 5 mEq/L)
BUN 16 mg/dL (10 mg/dL to 20 mg/dL)
2|Page
, Creatinine 0.8 mg/dL (0.5 mg/dL to 1 mg/dL)
1 month later:
Sodium 142 mEq/L (136 to 145 mEq/L)
Potassium 3.5 mEq/L (3.5 mEq/L to 5 mEq/L)
BUN 18 mg/dL (10 mg/dL to 20 mg/dL)
Creatinine 1 mg/dL (0.5 mg/dL to 1 mg/dL) - ANS ✔ - Drag words from the choices below to fill in
each blank in the following sentence.
The nurse is evaluating the client's data collection findings at the follow-up visit. The client's
__________________________ and ___________________ require follow-up by the provider.
Answer:
The nurse is evaluating the client's data collection findings at the follow-up visit. The client's blood
pressure and heart rate require follow-up by the provider.
When evaluating outcomes, the nurse should identify a heart rate of 54/min and a blood pressure of
95/70 mm Hg require follow-up by the provider. Metoprolol is a beta-blocker used to treat
hypertension and angina. An adverse effect of this medication is bradycardia, or a heart rate less
than 60/min. Furosemide is a high-ceiling diuretic used to treat hypertension and edema. An adverse
effect of this medication is deficient fluid volume due to excessive diuresis leading to hypotension.
A nurse is assisting in the care of an adult client on a postsurgical unit.
History and Physical
Day 1:
Client is postoperative from abdominal hysterectomy and bilateral oophorectomy. Past surgical
history includes cesarean birth times two. Medical history of GERD. Client has an allergy to penicillin
and sulfa drugs.
Alert and oriented. Moves all extremities. No vaginal bleeding. Abdominal dressing dry and intact.
Hypoactive bowel sounds. Indwelling urinary catheter in place draining clear yellow urine.
Provider Prescriptions
Day 3:
Prepare client for discharge to home. Urinary catheter to remain in place until follow-up
appointment next week.
Medications:
Esomeprazole 40 mg PO daily
3|Page
Questions & Answers
A nurse on a medical-surgical unit is assisting in the care of a client who is postoperative following
left knee arthroplasty.
Vital Signs
Postoperative day 2, 0015:
Temperature 37.2°C (99° F)
Heart rate 84/min
Respiratory rate 20/min
Blood pressure 133/54 mmHg
Oxygen saturation 98% on room air
0730:
Temperature 38.4°C (101.1° F)
Heart rate 94/min
Respiratory rate 24/min
Blood pressure 123/54 mmHg
Oxygen saturation 96% on room air
Provider Prescriptions
Postoperative day 2, 0840:
Culture and sensitivity of incisional wound
Irrigate wound with normal saline
Pack open areas of incision with moistened gauze
CBC
Basic metabolic profile
Ciprofloxacin 400 mg IV every 12 hr
Acetaminophen 325 mg every 4 hr PRN pain or fever greater than or equal to 38.9° C (102° F)
Bisacodyl 10 mg PO daily
Oxycodone 10 mg PO stat - ANS ✔ - Complete the following sentence by using the lists of options.
The nurse should first _______________________, then ______________________.
1|Page
,Answer:
The nurse should first administer oxycodone, then culture surgical wound.
When taking action, the nurse should first administer the stat prescription of oxycodone to the
client, followed by culturing the surgical wound. Stat orders indicate that action should be taken
immediately. Further, the client is reporting pain of 8 on a 0 to 10 pain scale. The nurse should
administer pain medication and allow it to take effect prior to any pain-inducing activities, such as
treating the wound. The nurse should culture the surgical wound prior to providing wound care and
initiating the antibiotic.
A nurse is assisting in the care of a client in a provider's office.
Vital Signs
Initial visit:
Temperature 37.4° C (99.3° F)
Heart rate 80/min
Respiratory rate 20/min
Blood pressure 182/92 mm Hg
Oxygen saturation 95% on room air
1 month later:
Temperature 37.1° C (98.8° F)
Heart rate 54/min
Respiratory rate 20/min
Blood pressure 95/70 mm Hg
Oxygen saturation 97% on room air
Provider Prescriptions
Initial visit:
Metoprolol 10 mg PO daily
Furosemide 40 mg PO daily
Laboratory Results
Initial visit:
Sodium 138 mEq/L (136 to 145 mEq/L)
Potassium 4.2 mEq/L (3.5 mEq/L to 5 mEq/L)
BUN 16 mg/dL (10 mg/dL to 20 mg/dL)
2|Page
, Creatinine 0.8 mg/dL (0.5 mg/dL to 1 mg/dL)
1 month later:
Sodium 142 mEq/L (136 to 145 mEq/L)
Potassium 3.5 mEq/L (3.5 mEq/L to 5 mEq/L)
BUN 18 mg/dL (10 mg/dL to 20 mg/dL)
Creatinine 1 mg/dL (0.5 mg/dL to 1 mg/dL) - ANS ✔ - Drag words from the choices below to fill in
each blank in the following sentence.
The nurse is evaluating the client's data collection findings at the follow-up visit. The client's
__________________________ and ___________________ require follow-up by the provider.
Answer:
The nurse is evaluating the client's data collection findings at the follow-up visit. The client's blood
pressure and heart rate require follow-up by the provider.
When evaluating outcomes, the nurse should identify a heart rate of 54/min and a blood pressure of
95/70 mm Hg require follow-up by the provider. Metoprolol is a beta-blocker used to treat
hypertension and angina. An adverse effect of this medication is bradycardia, or a heart rate less
than 60/min. Furosemide is a high-ceiling diuretic used to treat hypertension and edema. An adverse
effect of this medication is deficient fluid volume due to excessive diuresis leading to hypotension.
A nurse is assisting in the care of an adult client on a postsurgical unit.
History and Physical
Day 1:
Client is postoperative from abdominal hysterectomy and bilateral oophorectomy. Past surgical
history includes cesarean birth times two. Medical history of GERD. Client has an allergy to penicillin
and sulfa drugs.
Alert and oriented. Moves all extremities. No vaginal bleeding. Abdominal dressing dry and intact.
Hypoactive bowel sounds. Indwelling urinary catheter in place draining clear yellow urine.
Provider Prescriptions
Day 3:
Prepare client for discharge to home. Urinary catheter to remain in place until follow-up
appointment next week.
Medications:
Esomeprazole 40 mg PO daily
3|Page
