ATI RN Pharmacology Proctored Exam
2023
A. PT - 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
C. A client receives their insulin 1 hour before scheduled. - 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.
C. Oxycodone causes central nervous system depression. - 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.
50gtt/min - 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.)
,D. Reason - A nurse is preparing to transcribe a prescription for a client that
reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following
parts of the prescription should the nurse clarify with the provider?
A. Dose
B. Route
C. Frequency
D. Reason
A. Blood pressure - 1. A nurse is caring for a client who has a prescription for
nifedipine. Which of the following findings should the nurse assess prior to
administration of the medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation
A. Blurred vision - A nurse is providing teaching to a client who has a new
prescription for carbamazepine for the treatment of seizures. The nurse
should instruct the client to monitor for which of the following adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea
D. WBC count - A nurse is reviewing the laboratory data of a client who is
receiving filgrastim. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of the treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count
B. Administer IV dextrose. - A nurse is caring for a client who is receiving
parenteral nutrition and identifies that the client has hypoglycemia. Which of
the following actions should the nurse take?
,A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases.
B. Hypotension - A nurse is assessing a client who has septic shock and is
receiving dopamine by continuous IV infusion. Which of the following findings
indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation
A. Ginkgo biloba - A nurse is caring for a client who is taking warfarin and
reports taking several new herbal supplements. The nurse should identify
which of the following supplements is contraindicated for concurrent use with
warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics
A. HR of 56/min - A nurse is assessing a client with hypertension who is
receiving propranolol. Which of the following findings requires the nurse's
intervention?
A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
D. Blood pressure 106/68 mm Hg
D. A client who has AIDS - A nurse is preparing to administer the varicella
vaccine to a group of clients. The nurse should identify which of the following
clients as having a contraindication for receiving this immunization?
A. An older adult client living in a long-term care facility.
B. A young adult who has an allergy to eggs C. A child who recently received
the human papillomavirus vaccine.
, D. A client who has AIDS
C. Prochlorperazine - A nurse is caring for a client who is experiencing severe
vomiting. Which of the following medications should the nurse plan to
administer?
A. Propafenone
B. Simvastatin
C. Prochlorperazine
D. Metformin
325mcg per day. - A nurse is preparing to administer filgrastim 5 mcg/kg/day
subcutaneous to a client who weighs 143 lb. How many mcg should the nurse
administer per day? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
A. Administer epinephrine IM. - A nurse is caring for a client who develops an
anaphylactic reaction to IV antibiotic administration. After assessing the
client's respiratory status and stopping the medication infusion. Which of the
following actions should the nurse take next?
A. Administer epinephrine IM.
B. Replace the infusion with 0.9% sodium chloride.
C. Give diphenhydramine IM.
D. Elevate the client's legs and feet.
D. The client will wear his reading glasses when drawing up a dose of insulin
glargine. - A nurse is developing a teaching plan for an older adult client who
has a new prescription for insulin glargine. Which of the following expected
outcomes should the nurse include in the plan?
A. The client will administer insulin glargine before each meal.
B. The client will use the deltoid muscle as an injection site.
C. The client will take an additional dose of insulin glargine prior to exercise.
D. The client will wear his reading glasses when drawing up a dose of insulin
glargine.
B. Consult a drug reference guide for possible interactions. - A nurse is
preparing to administer medication to a client for the first time and needs to
2023
A. PT - 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
C. A client receives their insulin 1 hour before scheduled. - 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.
C. Oxycodone causes central nervous system depression. - 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.
50gtt/min - 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.)
,D. Reason - A nurse is preparing to transcribe a prescription for a client that
reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following
parts of the prescription should the nurse clarify with the provider?
A. Dose
B. Route
C. Frequency
D. Reason
A. Blood pressure - 1. A nurse is caring for a client who has a prescription for
nifedipine. Which of the following findings should the nurse assess prior to
administration of the medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation
A. Blurred vision - A nurse is providing teaching to a client who has a new
prescription for carbamazepine for the treatment of seizures. The nurse
should instruct the client to monitor for which of the following adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea
D. WBC count - A nurse is reviewing the laboratory data of a client who is
receiving filgrastim. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of the treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count
B. Administer IV dextrose. - A nurse is caring for a client who is receiving
parenteral nutrition and identifies that the client has hypoglycemia. Which of
the following actions should the nurse take?
,A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases.
B. Hypotension - A nurse is assessing a client who has septic shock and is
receiving dopamine by continuous IV infusion. Which of the following findings
indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation
A. Ginkgo biloba - A nurse is caring for a client who is taking warfarin and
reports taking several new herbal supplements. The nurse should identify
which of the following supplements is contraindicated for concurrent use with
warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics
A. HR of 56/min - A nurse is assessing a client with hypertension who is
receiving propranolol. Which of the following findings requires the nurse's
intervention?
A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
D. Blood pressure 106/68 mm Hg
D. A client who has AIDS - A nurse is preparing to administer the varicella
vaccine to a group of clients. The nurse should identify which of the following
clients as having a contraindication for receiving this immunization?
A. An older adult client living in a long-term care facility.
B. A young adult who has an allergy to eggs C. A child who recently received
the human papillomavirus vaccine.
, D. A client who has AIDS
C. Prochlorperazine - A nurse is caring for a client who is experiencing severe
vomiting. Which of the following medications should the nurse plan to
administer?
A. Propafenone
B. Simvastatin
C. Prochlorperazine
D. Metformin
325mcg per day. - A nurse is preparing to administer filgrastim 5 mcg/kg/day
subcutaneous to a client who weighs 143 lb. How many mcg should the nurse
administer per day? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
A. Administer epinephrine IM. - A nurse is caring for a client who develops an
anaphylactic reaction to IV antibiotic administration. After assessing the
client's respiratory status and stopping the medication infusion. Which of the
following actions should the nurse take next?
A. Administer epinephrine IM.
B. Replace the infusion with 0.9% sodium chloride.
C. Give diphenhydramine IM.
D. Elevate the client's legs and feet.
D. The client will wear his reading glasses when drawing up a dose of insulin
glargine. - A nurse is developing a teaching plan for an older adult client who
has a new prescription for insulin glargine. Which of the following expected
outcomes should the nurse include in the plan?
A. The client will administer insulin glargine before each meal.
B. The client will use the deltoid muscle as an injection site.
C. The client will take an additional dose of insulin glargine prior to exercise.
D. The client will wear his reading glasses when drawing up a dose of insulin
glargine.
B. Consult a drug reference guide for possible interactions. - A nurse is
preparing to administer medication to a client for the first time and needs to
