ATI RN PHARMACOLOGY PROCTORED EXAM
/RN PHARMACOLOGY ATI PROCTORED
ACTUAL EXAM TEST BANK 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A nurse is preparing to administer a scheduled dose of warfarin to a client.
Which of the following laboratory tests should the nurse review prior to
administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - --ANSWER---A. PT
A nurse is caring for a group of clients. Which of the following situations
requires an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - --ANSWER---C. A client
receives their insulin 1 hour before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse
notes that the client's respiratory rate is 8/min. The nurse should identify
that which of the following is the pathophysiology for the client's respiratory
rate?
A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
,D. Oxycodone inhibits prostaglandin synthesis. - --ANSWER---C.
Oxycodone causes central nervous system depression.
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride
100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual
IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to
deliver how many gtt/min? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.) - --
ANSWER---50gtt/min
A nurse is preparing to transcribe a prescription for a client that reads
"ondansetron 8 mg by mouth every 12 hr PRN." Which of the following
parts of the prescription should the nurse clarify with the provider?
A. Dose
B. Route
C. Frequency
D. Reason - --ANSWER---D. Reason
1. A nurse is caring for a client who has a prescription for nifedipine. Which
of the following findings should the nurse assess prior to administration of
the medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation - --ANSWER---A. Blood pressure
A nurse is providing teaching to a client who has a new prescription for
carbamazepine for the treatment of seizures. The nurse should instruct the
client to monitor for which of the following adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea - --ANSWER---A. Blurred vision
A nurse is reviewing the laboratory data of a client who is receiving
filgrastim. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of the treatment?
,A. Potassium level
B. BUN
C. INR
D. WBC count - --ANSWER---D. WBC count
A nurse is caring for a client who is receiving parenteral nutrition and
identifies that the client has hypoglycemia. Which of the following actions
should the nurse take?
A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases. - --ANSWER---B. Administer IV dextrose.
A nurse is assessing a client who has septic shock and is receiving
dopamine by continuous IV infusion. Which of the following findings
indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation - --ANSWER---B. Hypotension
A nurse is caring for a client who is taking warfarin and reports taking
several new herbal supplements. The nurse should identify which of the
following supplements is contraindicated for concurrent use with warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics - --ANSWER---A. Ginkgo biloba
A nurse is assessing a client with hypertension who is receiving
propranolol. Which of the following findings requires the nurse's
intervention?
A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
, D. Blood pressure 106/68 mm Hg - --ANSWER---A. HR of 56/min
A nurse is preparing to administer the varicella vaccine to a group of
clients. The nurse should identify which of the following clients as having a
contraindication for receiving this immunization?
A. An older adult client living in a long-term care facility.
B. A young adult who has an allergy to eggs C. A child who recently
received the human papillomavirus vaccine.
D. A client who has AIDS - --ANSWER---D. A client who has AIDS
A nurse is caring for a client who is experiencing severe vomiting. Which of
the following medications should the nurse plan to administer?
A. Propafenone
B. Simvastatin
C. Prochlorperazine
D. Metformin - --ANSWER---C. Prochlorperazine
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to
a client who weighs 143 lb. How many mcg should the nurse administer per
day? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.) - --ANSWER---325mcg per day.
A nurse is caring for a client who develops an anaphylactic reaction to IV
antibiotic administration. After assessing the client's respiratory status and
stopping the medication infusion. Which of the following actions should the
nurse take next?
A. Administer epinephrine IM.
B. Replace the infusion with 0.9% sodium chloride.
C. Give diphenhydramine IM.
D. Elevate the client's legs and feet. - --ANSWER---A. Administer
epinephrine IM.
A nurse is developing a teaching plan for an older adult client who has a
new prescription for insulin glargine. Which of the following expected
outcomes should the nurse include in the plan?
A. The client will administer insulin glargine before each meal.
/RN PHARMACOLOGY ATI PROCTORED
ACTUAL EXAM TEST BANK 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A nurse is preparing to administer a scheduled dose of warfarin to a client.
Which of the following laboratory tests should the nurse review prior to
administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - --ANSWER---A. PT
A nurse is caring for a group of clients. Which of the following situations
requires an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - --ANSWER---C. A client
receives their insulin 1 hour before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse
notes that the client's respiratory rate is 8/min. The nurse should identify
that which of the following is the pathophysiology for the client's respiratory
rate?
A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
,D. Oxycodone inhibits prostaglandin synthesis. - --ANSWER---C.
Oxycodone causes central nervous system depression.
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride
100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual
IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to
deliver how many gtt/min? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.) - --
ANSWER---50gtt/min
A nurse is preparing to transcribe a prescription for a client that reads
"ondansetron 8 mg by mouth every 12 hr PRN." Which of the following
parts of the prescription should the nurse clarify with the provider?
A. Dose
B. Route
C. Frequency
D. Reason - --ANSWER---D. Reason
1. A nurse is caring for a client who has a prescription for nifedipine. Which
of the following findings should the nurse assess prior to administration of
the medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation - --ANSWER---A. Blood pressure
A nurse is providing teaching to a client who has a new prescription for
carbamazepine for the treatment of seizures. The nurse should instruct the
client to monitor for which of the following adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea - --ANSWER---A. Blurred vision
A nurse is reviewing the laboratory data of a client who is receiving
filgrastim. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of the treatment?
,A. Potassium level
B. BUN
C. INR
D. WBC count - --ANSWER---D. WBC count
A nurse is caring for a client who is receiving parenteral nutrition and
identifies that the client has hypoglycemia. Which of the following actions
should the nurse take?
A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases. - --ANSWER---B. Administer IV dextrose.
A nurse is assessing a client who has septic shock and is receiving
dopamine by continuous IV infusion. Which of the following findings
indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation - --ANSWER---B. Hypotension
A nurse is caring for a client who is taking warfarin and reports taking
several new herbal supplements. The nurse should identify which of the
following supplements is contraindicated for concurrent use with warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics - --ANSWER---A. Ginkgo biloba
A nurse is assessing a client with hypertension who is receiving
propranolol. Which of the following findings requires the nurse's
intervention?
A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
, D. Blood pressure 106/68 mm Hg - --ANSWER---A. HR of 56/min
A nurse is preparing to administer the varicella vaccine to a group of
clients. The nurse should identify which of the following clients as having a
contraindication for receiving this immunization?
A. An older adult client living in a long-term care facility.
B. A young adult who has an allergy to eggs C. A child who recently
received the human papillomavirus vaccine.
D. A client who has AIDS - --ANSWER---D. A client who has AIDS
A nurse is caring for a client who is experiencing severe vomiting. Which of
the following medications should the nurse plan to administer?
A. Propafenone
B. Simvastatin
C. Prochlorperazine
D. Metformin - --ANSWER---C. Prochlorperazine
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to
a client who weighs 143 lb. How many mcg should the nurse administer per
day? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.) - --ANSWER---325mcg per day.
A nurse is caring for a client who develops an anaphylactic reaction to IV
antibiotic administration. After assessing the client's respiratory status and
stopping the medication infusion. Which of the following actions should the
nurse take next?
A. Administer epinephrine IM.
B. Replace the infusion with 0.9% sodium chloride.
C. Give diphenhydramine IM.
D. Elevate the client's legs and feet. - --ANSWER---A. Administer
epinephrine IM.
A nurse is developing a teaching plan for an older adult client who has a
new prescription for insulin glargine. Which of the following expected
outcomes should the nurse include in the plan?
A. The client will administer insulin glargine before each meal.
