ATI Pharmacology Proctored Exam
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1. A nurse is assessing a client who is receiving in- b. Distended neck
travenous therapy. The nurse should identify which veins
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. A nurse is caring for a client who has hyponatremia b. Improved cogni-
and is receiving an infusion of a prescribed hyper- tion
tonic 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. A nurse is teaching a client who has a new prescrip- d. "Remove the
tion for a nitroglycerin transdermal patch. Which of patch prior to go-
the following instructions should the nurse include? ing to bed."
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
who has a prescription for sodium polystyrene sul- mEq/L - Hyper-
fonate (Kayexalate) every 6 hr. which of the following kalemia (serum
should the nurse report to the provider? potassium level
a. Creatinine 0.72 mg/dL greater than 5.0
b. Sodium 138 mEq/L mEq/L) increases
c. Magnesium 2 mEq/L the client risk for
d. Potassium 5.2 mEq/L fatal cardiac dys-
rhythmias. Kayex-
alate is used
to decrease the
, ATI Pharmacology Proctored Exam
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serum potassium
level so the PN
should monitor
the client's serum
potassium level
5. A nurse is caring for a client who has tuberculosis a. The client has
and is taking isoniazid and rifampin. Which of the fol- a negative sputum
lowing outcomes indicates that the client is adhering culture
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 epi-
phylactic reaction to IV administration. After assess- nephrine IM
ing 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 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
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?
, ATI Pharmacology Proctored Exam
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a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9. A nurse is assessing a client who is receiving heparin d. Increased blood
IV continuous IV. The client has an PPT of 90 seconds. pressure
They should monitor the client for which of the fol-
lowing 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
client and discovers a medication error. The nurse identifies 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
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
morphine via continuous epidural infusion. The nurse of allergic reaction
should monitor the client for which of the following? to morphine
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
12. A nurse is preparing to administer digoxin orally to a. Obtain the
a client. Identify the sequence of steps the nurse client's apical
should take. (Move the steps into the box on the right heart rate
placing them in the order of performance. Use all the b. Remove the
steps.) medication from
the dispensing
system
c. Open the med-
, ATI Pharmacology Proctored Exam
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ication package
d. Compare the
client's wristband
to the medica-
tion administration
record
e. Document ad-
ministration of the
medication
13. A nurse is reviewing the medical record of an adult a. Alcohol use dis-
client who has a fever and a prescription for aceta- order
minophen. Which of the following findings should the
nurse identify as a contraindication for receiving this b. Chronic kidney
medication? disease
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
14. A home health nurse is visiting a client who has c. Determine med-
heart failure and a prescription for furosemide. The ication adherence
nurse identifies that the client has gained 2.5 kg (5 lb.) by the client
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 nurse is preparing to administer the initial dose of a. Urticaria
penicillin G IM to a client. The nurse should monitor
for which of the following as an indication of an aller-
gic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
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