ATI Pharmacology Proctored Exam
Study online at https://quizlet.com/_gczrut
1. A nurse is assessing a client who is receiving intra- b. Distended neck veins
venous therapy. The nurse should identify which of
the following findings as a manifestation of fluid vol-
ume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
2. A nurse is caring for a client who has hyponatremia b. Improved cognition
and is receiving an infusion of a prescribed hypertonic
solution. Which of the following findings should indi-
cate 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 nurse is teaching a client who has a new prescription d. "Remove the patch prior
for a nitroglycerin transdermal patch. Which of the to going to bed."
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 nurse is reviewing he laboratory results of a client d. Potassium 5.2 mEq/L
who has a prescription for sodium polystyrene sul- - Hyperkalemia (serum
fonate (Kayexalate) every 6 hr. which of the following potassium level greater
should the nurse report to the provider? than 5.0 mEq/L) increases
, ATI Pharmacology Proctored Exam
Study online at https://quizlet.com/_gczrut
a. Creatinine 0.72 mg/dL the client risk for fatal car-
b. Sodium 138 mEq/L diac dysrhythmias. Kayex-
c. Magnesium 2 mEq/L alate is used to decrease
d. Potassium 5.2 mEq/L the serum potassium level
so the PN should monitor
the client's serum potassi-
um level
5. A nurse is caring for a client who has tuberculosis and a. The client has a negative
is taking isoniazid and rifampin. Which of the follow- sputum culture
ing 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
6. A client is caring for a client who develops an ana- d. Administer epinephrine
phylactic reaction to IV administration. After assessing IM
the client's respiratory status and stopping the med-
ication 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
7. A nurse is caring for a client who is taking sertraline a. St. John's Wort
and reports a desire to begin taking supplements.
Which of the following supplements should the nurse
, ATI Pharmacology Proctored Exam
Study online at https://quizlet.com/_gczrut
advise the client to avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. A nurse is caring for a client who has heart failure d. Hypotension
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 nurse is assessing a client who is receiving heparin d. Increased blood pres-
IV continuous IV. The client has an PPT of 90 seconds. sure
They should monitor the client for which of the follow-
ing changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
10. A nurse is preparing to administer medication to a b. The nurse who identi-
client and discovers a medication error. The nurse fies the error
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
, ATI Pharmacology Proctored Exam
Study online at https://quizlet.com/_gczrut
c. The nurse who caused the error
d. The charge nurse
11. A nurse is planning care for a client who is receiving a. Pruritus - Sign of aller-
morphine via continuous epidural infusion. The nurse gic reaction to morphine
should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
12. A nurse is preparing to administer digoxin orally to a a. Obtain the client's apical
client. Identify the sequence of steps the nurse should heart rate
take. (Move the steps into the box on the right placing b. Remove the medication
them in the order of performance. Use all the steps.) from the dispensing sys-
tem
c. Open the medication
package
d. Compare the client's
wristband to the med-
ication administration
record
e. Document administra-
tion of the medication
13. A nurse is reviewing the medical record of an adult a. Alcohol use disorder
client who has a fever and a prescription for aceta-
minophen. Which of the following findings should the b. Chronic kidney disease
nurse identify as a contraindication for receiving this
medication?
a. Alcohol use disorder
b. Chronic kidney disease
Study online at https://quizlet.com/_gczrut
1. A nurse is assessing a client who is receiving intra- b. Distended neck veins
venous therapy. The nurse should identify which of
the following findings as a manifestation of fluid vol-
ume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
2. A nurse is caring for a client who has hyponatremia b. Improved cognition
and is receiving an infusion of a prescribed hypertonic
solution. Which of the following findings should indi-
cate 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 nurse is teaching a client who has a new prescription d. "Remove the patch prior
for a nitroglycerin transdermal patch. Which of the to going to bed."
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 nurse is reviewing he laboratory results of a client d. Potassium 5.2 mEq/L
who has a prescription for sodium polystyrene sul- - Hyperkalemia (serum
fonate (Kayexalate) every 6 hr. which of the following potassium level greater
should the nurse report to the provider? than 5.0 mEq/L) increases
, ATI Pharmacology Proctored Exam
Study online at https://quizlet.com/_gczrut
a. Creatinine 0.72 mg/dL the client risk for fatal car-
b. Sodium 138 mEq/L diac dysrhythmias. Kayex-
c. Magnesium 2 mEq/L alate is used to decrease
d. Potassium 5.2 mEq/L the serum potassium level
so the PN should monitor
the client's serum potassi-
um level
5. A nurse is caring for a client who has tuberculosis and a. The client has a negative
is taking isoniazid and rifampin. Which of the follow- sputum culture
ing 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
6. A client is caring for a client who develops an ana- d. Administer epinephrine
phylactic reaction to IV administration. After assessing IM
the client's respiratory status and stopping the med-
ication 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
7. A nurse is caring for a client who is taking sertraline a. St. John's Wort
and reports a desire to begin taking supplements.
Which of the following supplements should the nurse
, ATI Pharmacology Proctored Exam
Study online at https://quizlet.com/_gczrut
advise the client to avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. A nurse is caring for a client who has heart failure d. Hypotension
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 nurse is assessing a client who is receiving heparin d. Increased blood pres-
IV continuous IV. The client has an PPT of 90 seconds. sure
They should monitor the client for which of the follow-
ing changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
10. A nurse is preparing to administer medication to a b. The nurse who identi-
client and discovers a medication error. The nurse fies the error
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
, ATI Pharmacology Proctored Exam
Study online at https://quizlet.com/_gczrut
c. The nurse who caused the error
d. The charge nurse
11. A nurse is planning care for a client who is receiving a. Pruritus - Sign of aller-
morphine via continuous epidural infusion. The nurse gic reaction to morphine
should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
12. A nurse is preparing to administer digoxin orally to a a. Obtain the client's apical
client. Identify the sequence of steps the nurse should heart rate
take. (Move the steps into the box on the right placing b. Remove the medication
them in the order of performance. Use all the steps.) from the dispensing sys-
tem
c. Open the medication
package
d. Compare the client's
wristband to the med-
ication administration
record
e. Document administra-
tion of the medication
13. A nurse is reviewing the medical record of an adult a. Alcohol use disorder
client who has a fever and a prescription for aceta-
minophen. Which of the following findings should the b. Chronic kidney disease
nurse identify as a contraindication for receiving this
medication?
a. Alcohol use disorder
b. Chronic kidney disease
