ATI Pharmacology Proctor 2019

1.) 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

2.) 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.) 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.) 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 - 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

5.) 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

6.) 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

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7.) 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.) 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.) 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.) 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 nurse is planning care for a client who is receiving morphine via continuous epidural infusion.

The nurse should monitor the client for which of the following?

a. Pruritus – Sign of allergic reaction to morphine

b. Cough

c. Tachypnea

d. Gastric bleeding

12.)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

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13.) 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.) 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 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.)A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin

tablets. Which of the following instructions should the nurse 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 nurse is providing teaching to a client who has a new prescription for theophylline, a

sustained-released capsule. Which of the following statements by the client 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 nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to

client who has diabetes mellitus following actions should the nurse 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 nurse is preparing to administer subcutaneous heparin to a client. Which of the following

should the nurse take?

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