ATI PHARMACOLOGY PROCTORED EXAM 2024 LATEST
WITH 138 QUESTIONS AND CORRECT ANSWERS GRADED
A+
A nurse is reviewing a client's medical history before administering a new
prescription of atropine. Which of the following client conditions is
contraindicated?
a. Glaucoma
b. Diverticulitis
c. Diarrhea
d. Bronchospasm - ANSWER-Glaucoma
A nurse is providing teaching to a client who has a new prescription for
carbamazepine for the treatment of seizures. The nurse should instruct the client
to monitor for which of the following adverse effects?
a. insomnia
b. Blurred vision
c. Tachypnea
d. Metallic taste - ANSWER-b. Blurred vision
Math problem: A nurse is preparing to administer 4000 units of heparin available
is 10,000 units - ANSWER-0.4
A nurse is caring for a client who reports that his current pain medication is no
longer relieving her pain. Which of the following medications requires the nurse to
obtain a written rather than a verbal prescription from the provider?
a. Fentanyl
b. Butorphanol
c. Lorazepam
d. Pentazocine - ANSWER-Fentanyl
,A charge nurse is observing a newly licensed nurse provide care to a group of
clients. Which of the following action by the newly licensed nurse requires the
charge nurse to complete an incident report?
a. The nurse requests a higher dose of morphine for a client who reports severe
pain 30 min after receiving
morphine 2 mg IV bolus
b. The nurse administers ondansetron to a client who has two episodes of
vomiting after receiving
meperidine 75 mg IM.
c. A client who has a blood glucose level of 120 mg/dL receives her morning dose
of insulin
d. A client who has a lithium level of 1.8 mEq/L receives her morning dose of
lithium. - ANSWER-A client who has a lithium level of 1.8 receives her morning
dose
A nurse is assessing a client who is receiving intravenous 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 - ANSWER-b. Distended neck veins
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 - ANSWER-b. Improved cognition
,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." - ANSWER-d. "Remove the patch
prior to going to bed."
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 - ANSWER-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 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 -
ANSWER-a. The client has a negative sputum culture
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 - ANSWER-d. Administer epinephrine IM
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 - ANSWER-a. St. John's Wort
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 - ANSWER-d. Hypotension
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 - ANSWER-d. Increased blood pressure
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