ATI Pharmacology Proctored Exam: Superior
Questions & Expert Solutions from World-Leading
Universities for Guaranteed Success
A nurse is caring for a client who has a new prescription for Oxytocin to stimulate uterine
contractions. Which of the following interventions should the nurse make? (Select all that
apply.)
A. Use an infusion pump for medication administration.
B. Obtain vital signs frequently and with every dosage change.
C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds.
D. Increase medication infusion rate rapidly.
E. Monitor fetal heart rate continuously - CORRECT ANSWER- -a, b, e
(A. Oxytocin must be administered by an infusion pump to ensure precise dosage.
B. Vital signs are monitored to assess for
hypertension, an adverse effect of oxytocin.
E. Continuous FHR monitoring is
required to assess for fetal distress)
A nurse is caring for a client who is in labor and receiving IV Opioid analgesics. Which of the
following actions should the nurse take?
A. Instruct the client to self-ambulate every 2 hr.
B. Offer oral hygiene every 2 hr.
C. Anticipate medication administration 2 hr prior to delivery.
,D. Monitor fetal heart rate every 2 hr - CORRECT ANSWER- -B (Oral hygiene should be
offered on a regular basis to a client receiving opioid analgesics due to the adverse effects
of dry mouth, nausea, and vomiting)
Examination
A nurse is teaching a client about Terbutaline. Which of the following statements by the
client indicates understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - CORRECT ANSWER- -A
(Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle
relaxation)
A nurse is caring for a client who has Preeclampsia and is receiving Magnesium Sulfate IV
continuous infusion. Which of the following findings should the nurse report to the
provider?
A. 2+ deep tendon reflexes
B. 2+ pedal edema
C. 24 mL/hr urinary output
D. Respirations 12/mi - CORRECT ANSWER- -C (Urine output less than 25 to 30 mL/hr is
associated with magnesium sulfate toxicity and should be reported to the provider)
A nurse is reviewing a new prescription for Terbutaline with a client who has a history of
preterm labor. Which of the following client statements indicates understanding of the
teaching?
A. "I can increase my activity now that I've started on this medication."
B. "I will increase my daily fluid intake to 3 quarts."
, C. "I will report increasing intensity of contractions to my doctor."
D. "I am glad this will prevent preterm labor." - CORRECT ANSWER- -C (The client should
report increasing intensity, frequency, or duration of contractions to the provider because
these are manifestations of preterm labor)
A nurse is providing teaching for a client who has gout and a new prescription for
Allopurinol. For which of the following adverse effects should the client be taught to
monitor? (Select all that apply.)
A. Stomatitis
B. Insomnia
C. Nausea
D. Rash
E. Increased gout pain - CORRECT ANSWER- -c, d, e
(C. Nausea and vomiting are adverse effects that can be caused by allopurinol.
D. Rash and other hypersensitivity reactions can be caused by allopurinol. The client
should be taught to contact the provider for any manifestation of hypersensitivity
so that the medication can be discontinued.
E. An increase in gout attacks can occur during the first few months in a client who is taking
allopurinol.)
A nurse is caring for a client who has a new prescription for Adalimumab for Rheumatoid
Arthritis. Based on the route of administration of Adalimumab, which of the following
should the nurse plan to monitor?
A. The vein for thrombophlebitis during IV administration
Questions & Expert Solutions from World-Leading
Universities for Guaranteed Success
A nurse is caring for a client who has a new prescription for Oxytocin to stimulate uterine
contractions. Which of the following interventions should the nurse make? (Select all that
apply.)
A. Use an infusion pump for medication administration.
B. Obtain vital signs frequently and with every dosage change.
C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds.
D. Increase medication infusion rate rapidly.
E. Monitor fetal heart rate continuously - CORRECT ANSWER- -a, b, e
(A. Oxytocin must be administered by an infusion pump to ensure precise dosage.
B. Vital signs are monitored to assess for
hypertension, an adverse effect of oxytocin.
E. Continuous FHR monitoring is
required to assess for fetal distress)
A nurse is caring for a client who is in labor and receiving IV Opioid analgesics. Which of the
following actions should the nurse take?
A. Instruct the client to self-ambulate every 2 hr.
B. Offer oral hygiene every 2 hr.
C. Anticipate medication administration 2 hr prior to delivery.
,D. Monitor fetal heart rate every 2 hr - CORRECT ANSWER- -B (Oral hygiene should be
offered on a regular basis to a client receiving opioid analgesics due to the adverse effects
of dry mouth, nausea, and vomiting)
Examination
A nurse is teaching a client about Terbutaline. Which of the following statements by the
client indicates understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production - CORRECT ANSWER- -A
(Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle
relaxation)
A nurse is caring for a client who has Preeclampsia and is receiving Magnesium Sulfate IV
continuous infusion. Which of the following findings should the nurse report to the
provider?
A. 2+ deep tendon reflexes
B. 2+ pedal edema
C. 24 mL/hr urinary output
D. Respirations 12/mi - CORRECT ANSWER- -C (Urine output less than 25 to 30 mL/hr is
associated with magnesium sulfate toxicity and should be reported to the provider)
A nurse is reviewing a new prescription for Terbutaline with a client who has a history of
preterm labor. Which of the following client statements indicates understanding of the
teaching?
A. "I can increase my activity now that I've started on this medication."
B. "I will increase my daily fluid intake to 3 quarts."
, C. "I will report increasing intensity of contractions to my doctor."
D. "I am glad this will prevent preterm labor." - CORRECT ANSWER- -C (The client should
report increasing intensity, frequency, or duration of contractions to the provider because
these are manifestations of preterm labor)
A nurse is providing teaching for a client who has gout and a new prescription for
Allopurinol. For which of the following adverse effects should the client be taught to
monitor? (Select all that apply.)
A. Stomatitis
B. Insomnia
C. Nausea
D. Rash
E. Increased gout pain - CORRECT ANSWER- -c, d, e
(C. Nausea and vomiting are adverse effects that can be caused by allopurinol.
D. Rash and other hypersensitivity reactions can be caused by allopurinol. The client
should be taught to contact the provider for any manifestation of hypersensitivity
so that the medication can be discontinued.
E. An increase in gout attacks can occur during the first few months in a client who is taking
allopurinol.)
A nurse is caring for a client who has a new prescription for Adalimumab for Rheumatoid
Arthritis. Based on the route of administration of Adalimumab, which of the following
should the nurse plan to monitor?
A. The vein for thrombophlebitis during IV administration
