m m m m m
2021/2022 , RN ATI Pharmacology Proct
m m m m m
ored Exam 2022 /2023 m m m
1
ATI PHARMACOLOGY PROCTORED EXAM
m m m
1. Amnursemismcaring mfor mamclientmwhomismtomreceivem1,500mmLmofm0.9%msodiumchlo
ridemIVmover8mhours.mThemnursemplansmtomusemIVmtubing mwithmamdropmfactor mofm10g
tt/mL.
Howmmanymgtt/minmofmIVmfluidmshouldmthemclientmreceive?m(Roundmyourmanswertothemnea
restmwholenumber).
31gtt/min
2. Amnursemismadmitting mamclientmtomamlong-
termmcaremfacility.mWhilemreconcilingthemmedicationmprescribedmatmhomemwithmt
hosemprescribedminmthemfacility,mthemnursediscoversmamdiscrepancyminmthedosages
.mWhichmactionmshouldmthemnursetake?mo m Clarifymthemmedicationmdosagesmwithmth
eprovider.
o Changemthemprescribedmmedicationmdosagesmtomreconci
lemthediscrepancymoContactmthempharmacistmregarding mth
emdosagediscrepancies
o Askmamfamilymmember mtomverifymthemmedicationdosages
,3. Amnursemismcaring mformamclientmwhomismreceiving mamfentanylmtransde
rmalsystem(Duragesic).mWhatmismimportantmtomdocumentminmthemclient
’srecord?
o Fluidintake
o Skinintegr
m m
ity
o Respiratoryrate
moPulserate
, 4. Amnursem ism caring mformamclientmwhomhasmacutem anginamandmhasm amprescriptionmfornitro
glycerin.mWhichofmthemfollowing mismanmappropriateminterventionmformthemnursemtotakemwhe
nadministering mthismedication?
o Massagemthemnitroglycerinmointmentmcompletelymint
omtheskin.moReplacemthemnitroglycerinmtransdermalmpa
tchmeverym4hours.
o Administer mamsustainedmnitroglycerinmtabletorally.
o Administer mamnitroglycerinmtabletmsublinguallymeverym5minutes.
5. Amnursemismassessing mamschoolmagemclientmwhomismexperiencing mseizuremactivitymandmisp
rescribedmdiazepamm(Valium)mIV.mThemnursemshouldmshouldmclarifymthemorder mifmthemclientmi
smreceivinga mcontinuousinfusionmofmwhichmofmthemfollowingIV:
o LactatedmRingerssolution
o 0.9%mSodiummchloridemwithm100munitsm
ofmregularinsulinmo0.9%msodiumchloride
o 0.9%mSodiummchloridemwithm20mmEqmofmpotassiumchloride
om Amnursemismproviding mdischargemdietarymteaching mtomamclientmwhomhasmamsomething mandmismtaking mmedicationt
heophyllinemandmtomprovidemgeneralminstructionsmthemnursemshouldminclude?
Avoid mcaffeinated mbeverages
2. themnursemismmixing mregular minsulinmandmNPHmintomamsyringemfor mamclientmwhomhasmdiabetes
, mellitus.mWhichofmthemfollowing mactionsmshouldmthemnursemtakemfirst?
Inject mairmintomthemNPHmvial
3. amnursemismteaching mamclientmwhomhasmamnewmprescriptionmofmAlendronate
mformosteoporosis.mWhatinstructionsmshouldmthemnurseminclude?