ATI PHARMACOLOGY PROCTORED EXAM WITH NGN
QUESTIONS 2 VERSIONS EACH WITH 70 QUESTIONS
WITH VERIFIED ANSWERS / RATED A+
1.) A professional nurse is assessing a patient 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
2.) A professional nurse is caring for a patient 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 professional nurse is teaching a patient 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 professional nurse is reviewing he laboratory results of a patient 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 - Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the patient risk for fatal cardiac dysrhythmias. Kayexalate is used to
decrease the serum potassium level, so the PN should monitor the patient's serum
potassium level
5.) A professional nurse is caring for a patient who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the patient is adhering to the
medication regimen?
a. The patient has a negative sputum culture
b. The patient tests negative for HIV
c. The patient has a positive purified protein derivative test
d. The patient’s liver function test results are within the expected reference range
6.) A patient is caring for a patient who develops an anaphylactic reaction to IV administration.
After assessing the patient’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 patient’s legs and feet
d. Administer epinephrine IM
, 7.) A professional nurse is caring for a patient who is taking sertraline and reports a desire to
begin taking supplements. Which of the following supplements should the nurse advise the
patient to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8.) A professional nurse is caring for a patient 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 professional nurse is assessing a patient who is receiving heparin IV continuous IV. The patient
has an PPT of 90 seconds. They should monitor the patient 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
10.) A professional nurse is preparing to administer medication to a patient 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
11.) A professional nurse is planning care for a patient who is receiving morphine via continuous
epidural infusion.
The nurse should monitor the patient for which of the following?
a. Pruritus – Sign of allergic reaction to morphine
b. Cough
c. Tachypnea
d. Gastric bleeding
12.) A professional nurse is preparing to administer digoxin orally to a patient. 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.)
a. Obtain the patient’s apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the patient’s wristband to the medication administration record
e. Document administration of the medication
QUESTIONS 2 VERSIONS EACH WITH 70 QUESTIONS
WITH VERIFIED ANSWERS / RATED A+
1.) A professional nurse is assessing a patient 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
2.) A professional nurse is caring for a patient 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 professional nurse is teaching a patient 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 professional nurse is reviewing he laboratory results of a patient 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 - Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the patient risk for fatal cardiac dysrhythmias. Kayexalate is used to
decrease the serum potassium level, so the PN should monitor the patient's serum
potassium level
5.) A professional nurse is caring for a patient who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the patient is adhering to the
medication regimen?
a. The patient has a negative sputum culture
b. The patient tests negative for HIV
c. The patient has a positive purified protein derivative test
d. The patient’s liver function test results are within the expected reference range
6.) A patient is caring for a patient who develops an anaphylactic reaction to IV administration.
After assessing the patient’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 patient’s legs and feet
d. Administer epinephrine IM
, 7.) A professional nurse is caring for a patient who is taking sertraline and reports a desire to
begin taking supplements. Which of the following supplements should the nurse advise the
patient to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8.) A professional nurse is caring for a patient 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 professional nurse is assessing a patient who is receiving heparin IV continuous IV. The patient
has an PPT of 90 seconds. They should monitor the patient 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
10.) A professional nurse is preparing to administer medication to a patient 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
11.) A professional nurse is planning care for a patient who is receiving morphine via continuous
epidural infusion.
The nurse should monitor the patient for which of the following?
a. Pruritus – Sign of allergic reaction to morphine
b. Cough
c. Tachypnea
d. Gastric bleeding
12.) A professional nurse is preparing to administer digoxin orally to a patient. 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.)
a. Obtain the patient’s apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the patient’s wristband to the medication administration record
e. Document administration of the medication
