ATI RN PHARMACOLOGY 2021 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2021 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
A home health nurse is visiting an older adult client who has Alzheimer's
disease. His caregiver tells the nurse she has been administering prescribed
Lorazepam, 1 mg three times per day, to the client for restlessness and
anxiety during the past few days. For which of the following adverse effects
should the nurse assess the client?
A. low-grade fever
B. sedation
C. diuresis
D. tonic-clonic seizures - ANSB. sedation
Lorazepam is a benzodiazepine with anti-anxiety and sedative effects. Older
adult clients, especially, are at risk for central nervous system depression
even with low doses of benzodiazepines. Clients who are 50 years or older
can have a more profound and prolonged sedation than younger clients.
A hospice nurse is caring for a client who has cancer and is taking naproxen
250 mg three times daily PO and gabapentin 1,800 mg three times daily PO
to manage pain. The client tells the nurse, "I'm having pain that keeps me
from doing what I'd like most of the time." Which of the following additions
should the nurse anticipate to the client's medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone - ANSD. oral oxycodone
The client's current pain regimen consists of a nonopioid analgesic,
naproxen, and an adjuvant medication for neuropathic pain, gabapentin.
According to the WHO analgesic ladder for cancer pain management, the
next addition to the pain regimen is an opioid for moderate pain. Oxycodone
is an oral opioid that relieves moderate to moderately severe pain;
therefore, it is an appropriate choice to add to the client's pain regimen.
A nurse in an outpatient facility is assessing a client who is prescribed
furosemide 40 mg daily, but the client reports that she has been taking
extra doses to promote weight loss. Which of the following findings should
indicate to the nurse that the client is dehydrated?
A. urine specific gravity 1.035
B. distended neck veins
C. BUN 18 mg/dL
D. bounding radial pulse - ANSA. urine specific gravity 1.035
, ATI RN PHARMACOLOGY 2021 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2021 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Oliguria, increased urine concentration, and an increase in urine specific
gravity greater than 1.030 are expected findings in clients who are
dehydrated.
A nurse is administering Adenosine via IV bolus for a client who has developed
paroxysmal atrial tachycardia. For which of the following findings should the
nurse assess the client during administration of Adenosine?
A. seizures
B. cinchonism
C. dyspnea
D. transient pallor of the face - ANSC. dyspnea
Dyspnea can occur during administration of adenosine due to
bronchoconstriction. Since adenosine has a very short half-life of about
10 seconds, this effect should be short-lived.
A nurse is administering Ciprofloxacin and Phenazopyridine to a client who has
a severe urinary tract infection [UTI]. The client asks why both medications
are needed. Which of the following responses should the nurse make?
A. phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride
B. combining phenazopyridine with ciprofloxacin hydrochloride shortens
the course of therapy.
C. the use of phenazopyridine allows for a lower dosage of ciprofloxacin
hydrochloride
D. ciprofloxacin hydrochloride treats the infection, and the phenazopyridine
treats pain - ANSD. ciprofloxacin hydrochloride treats the infection, and the
phenazopyridine treats pain
Ciprofloxacin hydrochloride is a broad-spectrum quinolone antibiotic and
phenazopyridine is a bladder analgesic/anesthetic that relieves burning and
pain in the bladder mucosa caused by bladder spasm and inflammation.
A nurse is administering insulin glulisine 10 units subcutaneously at 0720 to
an adolescent client who has type 1 diabetes mellitus. The nurse should
anticipate onset of action of the insulin at which of the following times?
A. 0800
B. 0745
C. 0900
D. 1030 - ANSB. 0745
, ATI RN PHARMACOLOGY 2021 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2021 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Insulin glulisine has a very short onset of action of 15 min. The nurse should
expect the onset of action around 0745 and ensure the client eats breakfast
immediately following administration of the insulin.
A nurse is administering oral hydroxyzine to a client. Which of the following
adverse effects should the nurse instruct the client to expect?
A. diarrhea
B. anxiety
C. nausea and vomiting
D. dry mouth - ANSD. dry mouth
Hydroxyzine has anticholinergic properties. Dry mouth is a common adverse
effect of this medication. The nurse should instruct the client to take sips
of water or suck hard candies to minimize this effect.
A nurse is administering subQ epinephrine for a client who is experiencing
anaphylaxis. The nurse should monitor the client for which of the following
adverse effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - ANSd. Tachycardia
A nurse is administering subQ heparin to a client who is at risk for DVT. Which
of the following should the nurse take?
a. Administer the medication into the client's abdomen
b. Inject the medication into a muscle
c. Massage the site after administering the medication
d. Use a 22 gauge needle to administer the medication - ANSa.
Administer the medication into the client's abdomen
A nurse is assessing a client who has a new prescription for chlorpromazine to
treat schizophrenia. The client has a mask like facial expression and is
experiencing involuntary movements and tremors. Which of the following
medications should the nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - ANSa. Amantadine
/PHARMACOLOGY ATI 2021 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
A home health nurse is visiting an older adult client who has Alzheimer's
disease. His caregiver tells the nurse she has been administering prescribed
Lorazepam, 1 mg three times per day, to the client for restlessness and
anxiety during the past few days. For which of the following adverse effects
should the nurse assess the client?
A. low-grade fever
B. sedation
C. diuresis
D. tonic-clonic seizures - ANSB. sedation
Lorazepam is a benzodiazepine with anti-anxiety and sedative effects. Older
adult clients, especially, are at risk for central nervous system depression
even with low doses of benzodiazepines. Clients who are 50 years or older
can have a more profound and prolonged sedation than younger clients.
A hospice nurse is caring for a client who has cancer and is taking naproxen
250 mg three times daily PO and gabapentin 1,800 mg three times daily PO
to manage pain. The client tells the nurse, "I'm having pain that keeps me
from doing what I'd like most of the time." Which of the following additions
should the nurse anticipate to the client's medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone - ANSD. oral oxycodone
The client's current pain regimen consists of a nonopioid analgesic,
naproxen, and an adjuvant medication for neuropathic pain, gabapentin.
According to the WHO analgesic ladder for cancer pain management, the
next addition to the pain regimen is an opioid for moderate pain. Oxycodone
is an oral opioid that relieves moderate to moderately severe pain;
therefore, it is an appropriate choice to add to the client's pain regimen.
A nurse in an outpatient facility is assessing a client who is prescribed
furosemide 40 mg daily, but the client reports that she has been taking
extra doses to promote weight loss. Which of the following findings should
indicate to the nurse that the client is dehydrated?
A. urine specific gravity 1.035
B. distended neck veins
C. BUN 18 mg/dL
D. bounding radial pulse - ANSA. urine specific gravity 1.035
, ATI RN PHARMACOLOGY 2021 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2021 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Oliguria, increased urine concentration, and an increase in urine specific
gravity greater than 1.030 are expected findings in clients who are
dehydrated.
A nurse is administering Adenosine via IV bolus for a client who has developed
paroxysmal atrial tachycardia. For which of the following findings should the
nurse assess the client during administration of Adenosine?
A. seizures
B. cinchonism
C. dyspnea
D. transient pallor of the face - ANSC. dyspnea
Dyspnea can occur during administration of adenosine due to
bronchoconstriction. Since adenosine has a very short half-life of about
10 seconds, this effect should be short-lived.
A nurse is administering Ciprofloxacin and Phenazopyridine to a client who has
a severe urinary tract infection [UTI]. The client asks why both medications
are needed. Which of the following responses should the nurse make?
A. phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride
B. combining phenazopyridine with ciprofloxacin hydrochloride shortens
the course of therapy.
C. the use of phenazopyridine allows for a lower dosage of ciprofloxacin
hydrochloride
D. ciprofloxacin hydrochloride treats the infection, and the phenazopyridine
treats pain - ANSD. ciprofloxacin hydrochloride treats the infection, and the
phenazopyridine treats pain
Ciprofloxacin hydrochloride is a broad-spectrum quinolone antibiotic and
phenazopyridine is a bladder analgesic/anesthetic that relieves burning and
pain in the bladder mucosa caused by bladder spasm and inflammation.
A nurse is administering insulin glulisine 10 units subcutaneously at 0720 to
an adolescent client who has type 1 diabetes mellitus. The nurse should
anticipate onset of action of the insulin at which of the following times?
A. 0800
B. 0745
C. 0900
D. 1030 - ANSB. 0745
, ATI RN PHARMACOLOGY 2021 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2021 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Insulin glulisine has a very short onset of action of 15 min. The nurse should
expect the onset of action around 0745 and ensure the client eats breakfast
immediately following administration of the insulin.
A nurse is administering oral hydroxyzine to a client. Which of the following
adverse effects should the nurse instruct the client to expect?
A. diarrhea
B. anxiety
C. nausea and vomiting
D. dry mouth - ANSD. dry mouth
Hydroxyzine has anticholinergic properties. Dry mouth is a common adverse
effect of this medication. The nurse should instruct the client to take sips
of water or suck hard candies to minimize this effect.
A nurse is administering subQ epinephrine for a client who is experiencing
anaphylaxis. The nurse should monitor the client for which of the following
adverse effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - ANSd. Tachycardia
A nurse is administering subQ heparin to a client who is at risk for DVT. Which
of the following should the nurse take?
a. Administer the medication into the client's abdomen
b. Inject the medication into a muscle
c. Massage the site after administering the medication
d. Use a 22 gauge needle to administer the medication - ANSa.
Administer the medication into the client's abdomen
A nurse is assessing a client who has a new prescription for chlorpromazine to
treat schizophrenia. The client has a mask like facial expression and is
experiencing involuntary movements and tremors. Which of the following
medications should the nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - ANSa. Amantadine
