ATI Pharmacology Proctored Exam
A nurse is assessing a client who is receiving intravenous therapy. The nurse should
identify which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse - CORRECT ANSWERS-b. Distended neck veins
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 - CORRECT ANSWERS-b. Improved cognition
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." - CORRECT ANSWERS-d. "Remove the
patch prior to going to bed."
A nurse is reviewing he laboratory results of a client who has a prescription for sodium
polystyrene sulfonate (Kayexalate) every 6 hr. 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 - CORRECT ANSWERS-d. Potassium 5.2 mEq/L -
Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk
for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium
level so the PN should monitor the client's serum potassium level
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 -
CORRECT ANSWERS-a. The client has a negative sputum culture
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,A client 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 - CORRECT ANSWERS-d. Administer epinephrine IM
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 - CORRECT ANSWERS-a. St. John's Wort
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 - CORRECT ANSWERS-d. Hypotension
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has
an PPT 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
c. Decreased respiratory rate
d. Increased blood pressure - CORRECT ANSWERS-d. Increased blood pressure
A nurse is preparing to administer medication to a client and discovers a medication
error. The nurse should recognize that 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
d. The charge nurse - CORRECT ANSWERS-b. The nurse who identifies the error
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
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, d. Gastric bleeding - CORRECT ANSWERS-a. Pruritus - Sign of allergic reaction to
morphine
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move the steps into the box on the right placing them in
the order of performance. Use all the steps.) - CORRECT ANSWERS-a. Obtain the
client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
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
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWERS-a. Alcohol use disorder
b. Chronic kidney disease
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 - CORRECT ANSWERS-c. Determine
medication adherence by the client
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 - CORRECT ANSWERS-a. Urticaria
A nurse is teaching a client who has angina 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."
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A nurse is assessing a client who is receiving intravenous therapy. The nurse should
identify which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse - CORRECT ANSWERS-b. Distended neck veins
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 - CORRECT ANSWERS-b. Improved cognition
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." - CORRECT ANSWERS-d. "Remove the
patch prior to going to bed."
A nurse is reviewing he laboratory results of a client who has a prescription for sodium
polystyrene sulfonate (Kayexalate) every 6 hr. 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 - CORRECT ANSWERS-d. Potassium 5.2 mEq/L -
Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk
for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium
level so the PN should monitor the client's serum potassium level
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 -
CORRECT ANSWERS-a. The client has a negative sputum culture
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,A client 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 - CORRECT ANSWERS-d. Administer epinephrine IM
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 - CORRECT ANSWERS-a. St. John's Wort
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 - CORRECT ANSWERS-d. Hypotension
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has
an PPT 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
c. Decreased respiratory rate
d. Increased blood pressure - CORRECT ANSWERS-d. Increased blood pressure
A nurse is preparing to administer medication to a client and discovers a medication
error. The nurse should recognize that 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
d. The charge nurse - CORRECT ANSWERS-b. The nurse who identifies the error
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
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, d. Gastric bleeding - CORRECT ANSWERS-a. Pruritus - Sign of allergic reaction to
morphine
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move the steps into the box on the right placing them in
the order of performance. Use all the steps.) - CORRECT ANSWERS-a. Obtain the
client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
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
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus - CORRECT ANSWERS-a. Alcohol use disorder
b. Chronic kidney disease
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 - CORRECT ANSWERS-c. Determine
medication adherence by the client
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 - CORRECT ANSWERS-a. Urticaria
A nurse is teaching a client who has angina 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."
3|Page
