ATI RN PHARMACOLOGY PROCTORED FINAL 2024 ACTUAL
EXAM 100 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
1. A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the
client received heparin at 1000. Which of the following laboratory values warrants an
incident report?
a. aPTT 90 seconds
b. Hgb 16 g/dL
c. INR 1.6
d. WBC 6000/mm³
Correct Answer: a. aPTT 90 seconds
Rationale: An aPTT of 90 seconds is significantly elevated and indicates a potential risk for
bleeding. This requires an incident report to ensure the client’s safety and appropriate
management.
2. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic
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
Correct Answer: d. Administer epinephrine IM
Rationale: Epinephrine is the first-line treatment for anaphylaxis because it helps reverse the
life-threatening effects such as airway constriction and low blood pressure.
,3. A nurse is caring for a client who is taking triamterene. For which of the following
laboratory values should the nurse withhold the medication?
a. Sodium 138 mEq/L
b. Potassium 5.3 mEq/L
c. Calcium 9.0 mg/dL
d. Magnesium 1.8 mEq/L
Correct Answer: b. Potassium 5.3 mEq/L
Rationale: Triamterene is a potassium-sparing diuretic. A potassium level of 5.3 mEq/L is
elevated and can lead to hyperkalemia, a potentially life-threatening condition.
4. A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps)
a. Obtain the client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
Correct Order: a, b, c, d, e
Rationale: Digoxin administration requires checking the apical heart rate first to ensure it is safe
to administer. After that, medication preparation, patient identification, and documentation
should follow.
5. A nurse is reviewing the list of current medications for a client who is to start a new
prescription for carbamazepine. The nurse should identify which of the following
medications interacts with carbamazepine?
a. Warfarin
b. Estrogen-containing contraceptives
,c. Ibuprofen
d. Furosemide
Correct Answer: b. Estrogen-containing contraceptives
Rationale: Carbamazepine can decrease the effectiveness of estrogen-containing contraceptives,
increasing the risk of unintended pregnancy.
6. A nurse is providing teaching to a client who has a new prescription for clozapine. Which
of the following statements should the nurse include in the teaching?
a. "You can take this medication on an empty stomach."
b. "Notify your provider if you develop a fever while taking this medication."
c. "This medication may cause weight loss."
d. "You should avoid grapefruit juice while taking this medication."
Correct Answer: b. "Notify your provider if you develop a fever while taking this medication."
Rationale: Clozapine can cause agranulocytosis, a potentially fatal condition. A fever could be
an early sign of infection, which needs immediate medical attention.
7. A nurse is reviewing the medication list of a client who has erectile dysfunction and is
requesting a prescription for sildenafil. The nurse should identify which of the following
medications is a contraindication for receiving sildenafil?
a. Lisinopril
b. Metoprolol
c. Nitroglycerin
d. Metformin
Correct Answer: c. Nitroglycerin
Rationale: Sildenafil is contraindicated with nitrates like nitroglycerin because the combination
can cause a severe drop in blood pressure.
, 8. A nurse in a medical-surgical unit is preparing to administer an influenza vaccine to a
client. The client tells the nurse, "I no longer want this vaccine." Which of the following
responses should the nurse make?
a. "The influenza vaccine is not mandatory."
b. "I will notify the provider that you have refused the vaccine."
c. "The influenza vaccine provides strong coverage, but I understand you would like to decline
right now."
d. "You should consider receiving the vaccine later."
Correct Answer: c. "The influenza vaccine provides strong coverage, but I understand you
would like to decline right now."
Rationale: This response acknowledges the client’s autonomy while providing information
about the benefits of the vaccine.
9. A nurse is discussing adverse reactions to pain medications in older adult clients with a
newly licensed nurse. Which of the following findings should the nurse include as risk
factors for an adverse drug reaction? (Select all that apply.)
a. Multiple health problems
b. Increased body fat percentage
c. Decreased renal function
d. Decreased hepatic function
e. Single medication use
Correct Answers: a. Multiple health problems, c. Decreased renal function, d. Decreased
hepatic function
Rationale: Older adults are at higher risk for adverse drug reactions due to polypharmacy,
decreased renal and hepatic function, and multiple comorbidities.
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