Exam (elaborations)

ATI PHARMACOLOGY PROCTORED EXAM 2020 WITH NGN QUESTIONS: 2 VERSIONS EACH WITH 70 QUESTIONS AND VERIFIED ANSWERS /A+ GRADE

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ATI PHARMACOLOGY

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ATI PHARMACOLOGY PROCTORED EXAM 2020 WITH NGN QUESTIONS: 2 VERSIONS EACH WITH 70 QUESTIONS AND VERIFIED ANSWERS /A+ GRADE Sample Questions 1.) A nursing practitioner is assessing a patient who is receiving intravenous therapy. The nursing practitioner should identify which of the following findin...

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ati pharmacology proctored exam 2020 with ngn ques

Institution ATI PHARMACOLOGY
Course ATI PHARMACOLOGY

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ATI PHARMACOLOGY PROCTORED EXAM 2020 WITH
NGN QUESTIONS: 2 VERSIONS EACH WITH 70
QUESTIONS AND VERIFIED ANSWERS /A+ GRADE

1.) A nursing practitioner is assessing a patient who is receiving intravenous therapy. The
nursing practitioner 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.) A nursing practitioner is caring for a patient who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings should indicate
to the nursing practitioner that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
3.) A nursing practitioner is teaching a patient who has a new prescription for a nitroglycerin
transdermal patch.
Which of the following instructions should the nursing practitioner 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.) A nursing practitioner is reviewing he laboratory results of a patient who has a prescription for
sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the
nursing practitioner 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 - Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the patient risk for fatal cardiac dysrhythmias. Kayexalate is used to
decrease the serum potassium level, so the PN should monitor the patient's serum
potassium level
5.) A nursing practitioner is caring for a patient who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the patient is adhering to the
medication regimen?
a. The patient has a negative sputum culture
b. The patient tests negative for HIV
c. The patient has a positive purified protein derivative test
d. The patient’s liver function test results are within the expected reference range
6.) A patient is caring for a patient who develops an anaphylactic reaction to IV administration.
After assessing the patient’s respiratory status and stopping the medication infusion. Which
of the following actions should the nursing practitioner take next?

, a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the patient’s legs and feet
d. Administer epinephrine IM

7.) A nursing practitioner is caring for a patient who is taking sertraline and reports a desire to
begin taking supplements. Which of the following supplements should the nursing
practitioner advise the patient to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8.) A nursing practitioner is caring for a patient who has heart failure and a new prescription for
lisinopril. For which of the following adverse effects should the nursing practitioner monitor
when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9.) A nursing practitioner is assessing a patient who is receiving heparin IV continuous IV. The
patient has an PPT of 90 seconds. They should monitor the patient 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.)A nursing practitioner is preparing to administer medication to a patient and discovers a
medication error. The nursing practitioner should recognize that which of the following staff
members is responsible for completing an incident report?
a. The quality improvement committee
b. The nursing practitioner who identifies the error
c. The nursing practitioner who caused the error
d. The charge nurse
11.) A nursing practitioner is planning care for a patient who is receiving morphine via continuous
epidural infusion.
The nursing practitioner should monitor the patient for which of the following?
a. Pruritus – Sign of allergic reaction to morphine
b. Cough
c. Tachypnea
d. Gastric bleeding
12.)A nursing practitioner is preparing to administer digoxin orally to a patient. Identify the
sequence of steps the nursing practitioner 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 patient’s apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the patient’s wristband to the medication administration record
e. Document administration of the medication

, 13.)A nursing practitioner is reviewing the medical record of an adult patient who has a fever and a
prescription for acetaminophen. Which of the following findings should the nursing
practitioner 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.)A home health nursing practitioner is visiting a patient who has heart failure and a prescription
for furosemide. The nursing practitioner identifies that the patient has gained 2.5 kg (5 lb.)
since the last visit 2 days ago. Which of the following actions should the nursing practitioner
take first?
a. Encourage the patient to dangle the legs while sitting in a chair
b. Teach the patient about foods low in sodium
c. Determine medication adherence by the patient
d. Notify the provider of the patient’s weight gain
15.)A nursing practitioner is preparing to administer the initial dose of penicillin G IM to a patient.
The nursing practitioner 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.)A nursing practitioner is teaching a patient who has angina a new prescription for
sublingual nitroglycerin tablets. Which of the following instructions should the nursing
practitioner include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17.)A nursing practitioner is providing teaching to a patient who has a new prescription for
theophylline, a sustained-released capsule. Which of the following statements by the
patient indicates an understanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
18.)A nursing practitioner is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to patient who has diabetes mellitus following actions should the nursing
practitioner take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial

19.)A nursing practitioner is preparing to administer subcutaneous heparin to a patient. Which
of the following should the nursing practitioner take?

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Exam (elaborations)

ATI PHARMACOLOGY PROCTORED EXAM 2020 WITH NGN QUESTIONS: 2 VERSIONS EACH WITH 70 QUESTIONS AND VERIFIED ANSWERS /A+ GRADE

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