ATI RN Pharmacology Proctored Exam
Questions and Correct Answers
Question 1
A nurse is caring for a client who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the client may be
experiencing tardive dyskinesia when the client exhibits which of the following?
(Select all that apply.)
A. Urinary retention and constipation
B. Tongue thrusting and lip smacking
C. Fine hand tremors and pill rolling
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements.
Correct Answer
B. Tongue thrusting and lip smacking
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements
Question 2
A nurse is caring for a client is who has a deep vein thrombosis and is prescribed
heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units
in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest tenth/whole number. Use a leading zero if it applies.
Do not use a trailing zero.)
Correct Answer
24
Page 1 of 99
,Question 3
A nurse is preparing to administer a hydromorphone IV infusion to a client for pain.
Which of the following actions should the nurse take?
A. Administer the medication over 4-5 minutes
B. Place the client in a high-Fowler's position
C. Assess the client's pain level after administering the medication
D. Review the client's last set of vital signs
Correct Answer
A. Administer the medication over 4-5 minutes
Question 4
A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The
client is scheduled to receive a tube feeding at 0700. At wish of the following times
should the nurse plan to administer insulin lispro subcutaneously?
A. 0600
B. 0630
C. 0645
D. 0730
Correct Answer
C. 0645
Question 5
Amlodipine manages what?
A. constipation
B. hypertension
C. migraines
D. hypercholesterolemia
Correct Answer
B. hypertension
Page 2 of 99
,Question 6
Which of the following abbreviations indicates the greatest frequency of medication
administration?
A. BID
B. TID
C. QID
D. Q8h
Correct Answer
C. QID
Question 7
A nurse is assessing an older adult client who is receiving digoxin. The nurse should
recognize that which of the following findings is a manifestation of digoxin toxicity?
A. Ataxia
B. Anorexia
C. Photosensitivity
D. Jaundice
Correct Answer
B. Anorexia
Question 8
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which
of the following findings is a manifestation of acute hemolytic reaction?
A. Distended neck veins
B. Client report of low back pain
C. A productive cough
D. Client report of tinnitus.
Correct Answer
B. Client report of low back pain
Page 3 of 99
, Question 9
A nurse is caring for a client who has a central venous catheter and reports hearing a
gurgling sound on the side of the catheter insertion. Which of the following
complications should the nurse suspect?
A. Catheter occlusion
B. Catheter migration
C. Catheter dislodgment
D. Catheter rupture
Correct Answer
C. Catheter dislodgment
Question 10
What is the therapeutic levels for digoxin?
A. 0.2-0.5
B. 0.5-2
C. 1.0-1.8
D. 2.0-5.0
Correct Answer
A. 0.2-0.5
Question 11
A nurse is teaching a newly license nurse about medication reconciliation. The nurse
should instruct the newly license nurse for medication reconciliation for which of the
following clients?
A. A client who has a referral for social services.
B. A client who is transported to radiology.
C. A client who is transferred to a step-down unit.
D. A client who has a consultation for physical therapy.
Correct Answer
C. A client who is transferred to a step-down unit.
Page 4 of 99
Questions and Correct Answers
Question 1
A nurse is caring for a client who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the client may be
experiencing tardive dyskinesia when the client exhibits which of the following?
(Select all that apply.)
A. Urinary retention and constipation
B. Tongue thrusting and lip smacking
C. Fine hand tremors and pill rolling
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements.
Correct Answer
B. Tongue thrusting and lip smacking
D. Facial grimacing and eye blinking
E. Involuntary pelvic rocking and hip thrusting movements
Question 2
A nurse is caring for a client is who has a deep vein thrombosis and is prescribed
heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units
in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest tenth/whole number. Use a leading zero if it applies.
Do not use a trailing zero.)
Correct Answer
24
Page 1 of 99
,Question 3
A nurse is preparing to administer a hydromorphone IV infusion to a client for pain.
Which of the following actions should the nurse take?
A. Administer the medication over 4-5 minutes
B. Place the client in a high-Fowler's position
C. Assess the client's pain level after administering the medication
D. Review the client's last set of vital signs
Correct Answer
A. Administer the medication over 4-5 minutes
Question 4
A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The
client is scheduled to receive a tube feeding at 0700. At wish of the following times
should the nurse plan to administer insulin lispro subcutaneously?
A. 0600
B. 0630
C. 0645
D. 0730
Correct Answer
C. 0645
Question 5
Amlodipine manages what?
A. constipation
B. hypertension
C. migraines
D. hypercholesterolemia
Correct Answer
B. hypertension
Page 2 of 99
,Question 6
Which of the following abbreviations indicates the greatest frequency of medication
administration?
A. BID
B. TID
C. QID
D. Q8h
Correct Answer
C. QID
Question 7
A nurse is assessing an older adult client who is receiving digoxin. The nurse should
recognize that which of the following findings is a manifestation of digoxin toxicity?
A. Ataxia
B. Anorexia
C. Photosensitivity
D. Jaundice
Correct Answer
B. Anorexia
Question 8
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which
of the following findings is a manifestation of acute hemolytic reaction?
A. Distended neck veins
B. Client report of low back pain
C. A productive cough
D. Client report of tinnitus.
Correct Answer
B. Client report of low back pain
Page 3 of 99
, Question 9
A nurse is caring for a client who has a central venous catheter and reports hearing a
gurgling sound on the side of the catheter insertion. Which of the following
complications should the nurse suspect?
A. Catheter occlusion
B. Catheter migration
C. Catheter dislodgment
D. Catheter rupture
Correct Answer
C. Catheter dislodgment
Question 10
What is the therapeutic levels for digoxin?
A. 0.2-0.5
B. 0.5-2
C. 1.0-1.8
D. 2.0-5.0
Correct Answer
A. 0.2-0.5
Question 11
A nurse is teaching a newly license nurse about medication reconciliation. The nurse
should instruct the newly license nurse for medication reconciliation for which of the
following clients?
A. A client who has a referral for social services.
B. A client who is transported to radiology.
C. A client who is transferred to a step-down unit.
D. A client who has a consultation for physical therapy.
Correct Answer
C. A client who is transferred to a step-down unit.
Page 4 of 99
