Exam (elaborations)

ATI Pharmacology Proctored Exam with Verified Answers

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ATI Pharmacology

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Institution ATI Pharmacology
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ATI Pharmacology Proctored Exam with Verified Answers

1. b. Distended neck veins: A nurse is assessing a client who is receiving in-
travenous therapy. The nurse should identify which of the following findings as a
manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
2. b. Improved cognition: A nurse is caring for a client who has hyponatremia and
is receiving an infusion of a prescribed hypertonic solution. Which of the following
findings should indicate to the nurse that the treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
3. d. "Remove the patch prior to going to bed.": A nurse is teaching a client who
has a new prescription for a nitroglycerin transdermal patch. Which of the 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. d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than
5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate
is used to decrease the serum potassium level so the PN should monitor the
client's serum potassium level: A nurse is reviewing he laboratory results of a
client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6
hr. which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
5. a. The client has a negative sputum culture: A nurse is caring for a client
who has tuberculosis and is taking isoniazid and rifampin. Which of the following
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

, ATI Pharmacology Proctored Exam with Verified Answers

6. d. Administer epinephrine IM: A client is caring for a client who develops an
anaphylactic reaction to IV 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
7. a. St. John's Wort: A nurse is caring for a client who is taking sertraline and
reports a desire to begin taking supplements. Which of the following supplements
should the nurse advise the client to avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. d. Hypotension: A nurse is caring for a client who has heart failure 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. d. Increased blood pressure: A nurse is assessing a client who is receiving
heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor
the client for which of the following changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
10. b. The nurse who identifies the error: A nurse is preparing to administer
medication to a client and discovers a medication error. The nurse 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
c. The nurse who caused the error
d. The charge nurse
11. a. Pruritus - Sign of allergic reaction to morphine: A nurse is planning care
for a client who is receiving morphine via continuous epidural infusion. The nurse

, ATI Pharmacology Proctored Exam with Verified Answers

should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
12. 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: 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.)
13. a. Alcohol use disorder

b. Chronic kidney disease: A nurse is reviewing the medical record of an adult
client who has a fever and a prescription for acetaminophen. Which of the following
findings should the nurse identify as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
14. c. Determine medication adherence by the client: A home health nurse is
visiting a client who has heart failure and a prescription for furosemide. The nurse
identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which
of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain
15. a. Urticaria: A nurse is preparing to administer the initial dose of penicillin G IM
to a client. The nurse should monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
16. c. "Keep the tablets at room temperature in their original glass bottle.": A
nurse is teaching a client who has angina a new prescription for sublingual nitro-

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