ATI Pharmacology Proctored Exam
Cloned Assessment – Brand New
Q&A (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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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." - ✔✔ANSWER✔✔-
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 - ✔✔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 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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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.) - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 identifies that the
client has gained 2.5 kg (5 lb.) since the last visit 2 days ago.
Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
Cloned Assessment – Brand New
Q&A (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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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." - ✔✔ANSWER✔✔-
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 - ✔✔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 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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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.) - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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 identifies that the
client has gained 2.5 kg (5 lb.) since the last visit 2 days ago.
Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
