ATI PHARMACOLOGY PROCTORED RETAKE 2019
LATEST VERSION 75PLUS ACTUAL EXAM
QUESTIONS WITH DETAILED CORRECT
ANSWERS/A+ GRADE ASSURED
A nurse is reviewing the laboratory values of a client who is taking
atorvastatin. Which of the following laboratory values indicates the
treatment has been effective?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL
d. LDL 120 mg/dL
A nurse is receiving a medication prescription by telephone from a
provider. The provider states "Administer 6 milligrams of morphine IV
push every 3 hours as needed for acute pain." How should the nurse
transcribe the prescription in the client's medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
a. Morphine 6 mg IV push every 3 hr PRN acute pain
A nurse is preparing to administer subcutaneous heparin to a client.
Which of the following 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
d. Insert the needle at least 5 cm (2 in) from the umbilicus
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
b. Distended neck veins
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
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
a. The client has a negative sputum culture
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
d. Administer epinephrine IM
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
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
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
a. Urticaria
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
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."
LATEST VERSION 75PLUS ACTUAL EXAM
QUESTIONS WITH DETAILED CORRECT
ANSWERS/A+ GRADE ASSURED
A nurse is reviewing the laboratory values of a client who is taking
atorvastatin. Which of the following laboratory values indicates the
treatment has been effective?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL
d. LDL 120 mg/dL
A nurse is receiving a medication prescription by telephone from a
provider. The provider states "Administer 6 milligrams of morphine IV
push every 3 hours as needed for acute pain." How should the nurse
transcribe the prescription in the client's medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
a. Morphine 6 mg IV push every 3 hr PRN acute pain
A nurse is preparing to administer subcutaneous heparin to a client.
Which of the following 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
d. Insert the needle at least 5 cm (2 in) from the umbilicus
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
b. Distended neck veins
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
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
a. The client has a negative sputum culture
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
d. Administer epinephrine IM
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
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
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
a. Urticaria
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
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."
