HEALTH SCI 150pharm_ATI_pr_copy__2_.d
This has the highlighted answers that we need to go through.
1. A nurse is assessing a client who is receiving IV therapy. The nurse should identify which
of the following findings as a manifestation of fluid volume excess?
1. Decreased bowel sounds
2. Distended neck veins
3. Bilateral muscle weakness
4. Thready pulse
2. 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
3. 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.”
4. A nurse is reviewing the lab results of a client who has a prescription for sodium
polystyrene sulfonate every 6 hours. 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
5. 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.
,HEALTH SCI 150pharm_ATI_pr_copy__2_.d
6. A nurse 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
7. 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
8. 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
9. A nurse is assessing a client who is receiving heparin continuous IV. The client has an
aPPT 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 Page 193 in ATI book says monitor for hemorrhage which
would be tachycardia and hypotension
c. Decreased respiratory rate
d. Increased blood pressure I think this is right - Rosie
10. A nurse is preparing to administer medication to a client and discovers a medication error.
The nurse should recognize 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 Found this in ATI Med Administration 1 Skills
-Bailey
d. The charge nurse
,HEALTH SCI 150pharm_ATI_pr_copy__2_.d
11. 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
12. A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move steps into the box on the right, placing them in order
of performance. Use all the steps.) D, A, C, B, E Bailey has no idea… ADBCE
a. Remove the medication from the dispensing system
b. Compare the client’s wristband to the medication administration record
c. Open the medication package
d. Obtain the client’s apical heart rate
e. Document administration of the medication
13. 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 - contraindicated in alcohol use-Rosie
b. Chronic kidney disease You would want to avoid in Liver Disease-Rosie
c. Hepatitis B vaccine with the last week
d. Diabetes mellitus
14. 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
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
15. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The
nurse should monitor for which of the following as an indication of an allergic reaction
following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
, HEALTH SCI 150pharm_ATI_pr_copy__2_.d
16. A nurse is teaching a client who has angina about a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include in
the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17. A nurse is providing teaching to a client who has a new prescription for theophylline,
a sustained-release capsule. Which of the following statements by the client indicates
an understanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
17. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to the client who has diabetes mellitus which of the following actions
should the nurse take first?
a. Withdraw the regular insulin from the vial
b. Withdraw the NPH insulin from the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
C… because[Clear before cloudy] so push air into cloudy insulin first (nph),
remove no drug, move to clear insulin, push remaining air, then w/draw dose,
go back to cloudy and remove drug equal to amount of initial air injected..
NPH:cloudy Regular: clear.. ally
19. A nurse is preparing to administer subcutaneous heparin to a client. Which of the
following actions should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
20. A nurse is caring for a client who has a prescription for amoxicillin. Which of the
following findings indicates the client is experiencing an allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
This has the highlighted answers that we need to go through.
1. A nurse is assessing a client who is receiving IV therapy. The nurse should identify which
of the following findings as a manifestation of fluid volume excess?
1. Decreased bowel sounds
2. Distended neck veins
3. Bilateral muscle weakness
4. Thready pulse
2. 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
3. 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.”
4. A nurse is reviewing the lab results of a client who has a prescription for sodium
polystyrene sulfonate every 6 hours. 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
5. 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.
,HEALTH SCI 150pharm_ATI_pr_copy__2_.d
6. A nurse 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
7. 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
8. 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
9. A nurse is assessing a client who is receiving heparin continuous IV. The client has an
aPPT 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 Page 193 in ATI book says monitor for hemorrhage which
would be tachycardia and hypotension
c. Decreased respiratory rate
d. Increased blood pressure I think this is right - Rosie
10. A nurse is preparing to administer medication to a client and discovers a medication error.
The nurse should recognize 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 Found this in ATI Med Administration 1 Skills
-Bailey
d. The charge nurse
,HEALTH SCI 150pharm_ATI_pr_copy__2_.d
11. 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
12. A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move steps into the box on the right, placing them in order
of performance. Use all the steps.) D, A, C, B, E Bailey has no idea… ADBCE
a. Remove the medication from the dispensing system
b. Compare the client’s wristband to the medication administration record
c. Open the medication package
d. Obtain the client’s apical heart rate
e. Document administration of the medication
13. 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 - contraindicated in alcohol use-Rosie
b. Chronic kidney disease You would want to avoid in Liver Disease-Rosie
c. Hepatitis B vaccine with the last week
d. Diabetes mellitus
14. 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
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
15. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The
nurse should monitor for which of the following as an indication of an allergic reaction
following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
, HEALTH SCI 150pharm_ATI_pr_copy__2_.d
16. A nurse is teaching a client who has angina about a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include in
the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17. A nurse is providing teaching to a client who has a new prescription for theophylline,
a sustained-release capsule. Which of the following statements by the client indicates
an understanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
17. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to the client who has diabetes mellitus which of the following actions
should the nurse take first?
a. Withdraw the regular insulin from the vial
b. Withdraw the NPH insulin from the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
C… because[Clear before cloudy] so push air into cloudy insulin first (nph),
remove no drug, move to clear insulin, push remaining air, then w/draw dose,
go back to cloudy and remove drug equal to amount of initial air injected..
NPH:cloudy Regular: clear.. ally
19. A nurse is preparing to administer subcutaneous heparin to a client. Which of the
following actions should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
20. A nurse is caring for a client who has a prescription for amoxicillin. Which of the
following findings indicates the client is experiencing an allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
