ATI RN Pharmacology Proctored Exam
Review 2024-2025
Fluid Volume Excess - A condition characterized by an increase in blood volume,
indicated by manifestations such as distended neck veins.
Hypertonic Solution - A solution that, when effective, improves cognition by correcting
sodium imbalance.
Nitroglycerin Transdermal Patch - A patch that should be removed prior to going to bed
to prevent tolerance and allow for a nitrate-free period.
Sodium Polystyrene Sulfonate (Kayexalate) - A medication that requires reporting a
potassium level of 5.2 mEq/L or higher, indicating the need for treatment.
Isoniazid and Rifampin - A treatment regimen for tuberculosis, adherence is indicated
by a negative sputum culture.
Anaphylactic Reaction - The immediate action to take is to administer epinephrine
intramuscularly.
Sertraline - A medication for which St. John's Wort should be avoided due to the risk of
serotonin syndrome.
Lisinopril - An antihypertensive that can cause hypotension, particularly after the first
dose.
Heparin IV Continuous Infusion - During this infusion, an increased pulse rate should be
monitored as it may indicate bleeding.
Medication Error - The nurse who caused the error is responsible for completing an
incident report.
Morphine via Continuous Epidural Infusion - During this infusion, pruritus should be
monitored as it may indicate an allergic reaction.
,Digoxin - The first step before administering digoxin is to compare the client's wristband
to the medication administration record.
Acetaminophen - A contraindication for acetaminophen is not specified in the provided
notes.
Alcohol use disorder - Patients with alcohol use disorder are at increased risk for liver
damage when taking acetaminophen.
Furosemide - What should be assessed first when administering furosemide?
Medication adherence by the client - Ensuring the client is taking the medication as
prescribed is crucial for effectiveness and safety.
Penicillin G IM - What indicates an allergic reaction to penicillin G?
Urticaria - Urticaria (hives) is a common sign of an allergic reaction.
Sublingual Nitroglycerin Tablets - What is the correct instruction for using sublingual
nitroglycerin tablets?
Place the tablet between your cheek and gum to dissolve - Sublingual tablets are
designed to dissolve under the tongue for rapid absorption.
Theophylline, Sustained-Release Capsule - What indicates understanding of teaching
about theophylline?
I will need to have blood levels drawn - Monitoring blood levels is important to avoid
toxicity with theophylline.
Mixing Regular Insulin and NPH Insulin - What is the first action when mixing regular
insulin and NPH insulin?
Inject air into the NPH vial - Injecting air into the NPH vial prevents contamination and
allows for proper mixing.
Subcutaneous Heparin - What is the correct action for administering subcutaneous
heparin?
Insert the needle at least 5 cm (2 in) from the umbilicus - Injecting away from the
umbilicus minimizes the risk of hitting major blood vessels.
Amoxicillin - What indicates an allergic reaction to amoxicillin?
Laryngeal edema - Laryngeal edema is a serious allergic reaction that requires
immediate attention.
, Medication Reconciliation - When should medication reconciliation be performed?
For a client who is transferred to a step-down unit - It's essential to ensure continuity of
care and medication accuracy during transfers.
Atorvastatin - What indicates the effectiveness of atorvastatin?
LDL 120 mg/dL - A reduction in LDL cholesterol is the primary goal of atorvastatin
therapy.
Morphine IV Push - What is the correct transcription in the medical record for morphine
IV push?
Morphine 6 mg IV push every 3 hr PRN acute pain - The record must accurately reflect
the dose, route, frequency, and indication for administration.
Cool and Edematous IV Infusion Site - What action should be taken for a cool and
edematous IV infusion site?
Initiate a new IV distal to the initial site - These symptoms may indicate infiltration or
phlebitis, requiring a new site for safety.
Clozapine - What teaching is important for a patient on clozapine?
Notify your provider if you develop a fever while taking this medication - Clozapine can
cause agranulocytosis; fever may indicate serious infection requiring immediate
evaluation.
Oral Contraceptive - They are effective immediately.
Oral Contraceptive - Some herbal supplements can decrease the effectiveness.
Oral Contraceptive - No need for backup contraception.
Oral Contraceptive - They have no side effects.
Dysphagia - Crush the medications for easier swallowing.
Dysphagia - Place the medications on the back of the client's tongue.
Dysphagia - Give them in a larger pill form.
Dysphagia - Offer food with the medications.
Omeprazole - Take with a full meal.
Review 2024-2025
Fluid Volume Excess - A condition characterized by an increase in blood volume,
indicated by manifestations such as distended neck veins.
Hypertonic Solution - A solution that, when effective, improves cognition by correcting
sodium imbalance.
Nitroglycerin Transdermal Patch - A patch that should be removed prior to going to bed
to prevent tolerance and allow for a nitrate-free period.
Sodium Polystyrene Sulfonate (Kayexalate) - A medication that requires reporting a
potassium level of 5.2 mEq/L or higher, indicating the need for treatment.
Isoniazid and Rifampin - A treatment regimen for tuberculosis, adherence is indicated
by a negative sputum culture.
Anaphylactic Reaction - The immediate action to take is to administer epinephrine
intramuscularly.
Sertraline - A medication for which St. John's Wort should be avoided due to the risk of
serotonin syndrome.
Lisinopril - An antihypertensive that can cause hypotension, particularly after the first
dose.
Heparin IV Continuous Infusion - During this infusion, an increased pulse rate should be
monitored as it may indicate bleeding.
Medication Error - The nurse who caused the error is responsible for completing an
incident report.
Morphine via Continuous Epidural Infusion - During this infusion, pruritus should be
monitored as it may indicate an allergic reaction.
,Digoxin - The first step before administering digoxin is to compare the client's wristband
to the medication administration record.
Acetaminophen - A contraindication for acetaminophen is not specified in the provided
notes.
Alcohol use disorder - Patients with alcohol use disorder are at increased risk for liver
damage when taking acetaminophen.
Furosemide - What should be assessed first when administering furosemide?
Medication adherence by the client - Ensuring the client is taking the medication as
prescribed is crucial for effectiveness and safety.
Penicillin G IM - What indicates an allergic reaction to penicillin G?
Urticaria - Urticaria (hives) is a common sign of an allergic reaction.
Sublingual Nitroglycerin Tablets - What is the correct instruction for using sublingual
nitroglycerin tablets?
Place the tablet between your cheek and gum to dissolve - Sublingual tablets are
designed to dissolve under the tongue for rapid absorption.
Theophylline, Sustained-Release Capsule - What indicates understanding of teaching
about theophylline?
I will need to have blood levels drawn - Monitoring blood levels is important to avoid
toxicity with theophylline.
Mixing Regular Insulin and NPH Insulin - What is the first action when mixing regular
insulin and NPH insulin?
Inject air into the NPH vial - Injecting air into the NPH vial prevents contamination and
allows for proper mixing.
Subcutaneous Heparin - What is the correct action for administering subcutaneous
heparin?
Insert the needle at least 5 cm (2 in) from the umbilicus - Injecting away from the
umbilicus minimizes the risk of hitting major blood vessels.
Amoxicillin - What indicates an allergic reaction to amoxicillin?
Laryngeal edema - Laryngeal edema is a serious allergic reaction that requires
immediate attention.
, Medication Reconciliation - When should medication reconciliation be performed?
For a client who is transferred to a step-down unit - It's essential to ensure continuity of
care and medication accuracy during transfers.
Atorvastatin - What indicates the effectiveness of atorvastatin?
LDL 120 mg/dL - A reduction in LDL cholesterol is the primary goal of atorvastatin
therapy.
Morphine IV Push - What is the correct transcription in the medical record for morphine
IV push?
Morphine 6 mg IV push every 3 hr PRN acute pain - The record must accurately reflect
the dose, route, frequency, and indication for administration.
Cool and Edematous IV Infusion Site - What action should be taken for a cool and
edematous IV infusion site?
Initiate a new IV distal to the initial site - These symptoms may indicate infiltration or
phlebitis, requiring a new site for safety.
Clozapine - What teaching is important for a patient on clozapine?
Notify your provider if you develop a fever while taking this medication - Clozapine can
cause agranulocytosis; fever may indicate serious infection requiring immediate
evaluation.
Oral Contraceptive - They are effective immediately.
Oral Contraceptive - Some herbal supplements can decrease the effectiveness.
Oral Contraceptive - No need for backup contraception.
Oral Contraceptive - They have no side effects.
Dysphagia - Crush the medications for easier swallowing.
Dysphagia - Place the medications on the back of the client's tongue.
Dysphagia - Give them in a larger pill form.
Dysphagia - Offer food with the medications.
Omeprazole - Take with a full meal.
