RN ATI Pharmacology Proctored Exam
Complete Questions and Guide Answers
1
ATI PHARMACOLOGY PROCTORED EXAM
1. A nurse is caring for a client who is to receive 1,500 mL of 0.9%
sodiumchlorideIV over8 hours. The nurse plans to use IV tubing with a drop
factor of 10gtt/mL.
How many gtt/min of IV fluid should the client receive? (Round your answertothe
nearest wholenumber).
31gtt/min
2. A nurse is admitting a client to a long-term care facility. While
reconcilingthe medication prescribed at home with those prescribed in the
facility, the nursediscovers a discrepancy in thedosages. Which action should
the nursetake?
o Clarify the medication dosages with theprovider.
o Change the prescribed medication dosages to
reconcilethediscrepancy oContact the pharmacist
regarding the dosagediscrepancies
o Ask a family member to verify the medicationdosages
,3. A nurse is caring for a client who is receiving a fentanyl
transdermalsystem(Duragesic). What is important to document in
theclient’srecord?
o Fluidintak
eo
Skinintegrit
y
o Respiratoryrat
eoPulserate
, 4. A nurse is caring for a client who has acute angina and has a prescription
fornitroglycerin. Whichof the following is an appropriate intervention for the nurse
totakewhenadministering thismedication?
o Massage the nitroglycerin ointment completely
intotheskin. oReplace the nitroglycerin transdermal
patchevery 4hours.
o Administer a sustained nitroglycerin tabletorally.
o Administer a nitroglycerin tablet sublingually every 5minutes.
5. A nurse is assessing a school age client who is experiencing seizure activity and
isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the
client isreceivinga continuousinfusion of which of the followingIV:
o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units
ofregularinsulin o0.9%
sodiumchloride
o 0.9% Sodium chloride with 20 mEq of potassiumchloride
o A nurse is providing discharge dietary teaching to a client who has a something and is taking
medicationtheophylline and to provide general instructions the nurse should include?
Avoid caffeinated beverages
2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes
, mellitus. Whichof the following actions should the nurse take first?
Inject air into the NPH vial
3. a nurse is teaching a client who has a new prescription of Alendronate
forosteoporosis. Whatinstructions should the nurse include?
Sit upright for at least 30 mins after taking the medication
4. a nurse is caring for a client who is postoperative following a thyroidectomy and is
receivingmorphinefor pain. Which of the following findings should the nurse recognize
as an adverse effect of morphine?
Bladder distention
5. nurse is teaching a client who has pernicious anemia to self-administer
cyanocobalamin.Which of thefollowing information should the nurse include in the
teaching?
Administer the medication into one nostril once per week
6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse
shouldinstructthe newly license nurse for medication reconciliation for which of the
following clients?
A client who has been transferred to a step-down unit