ATI PHARMACOLOGY PROCTORED EXAM ASSESSMENT

 Qwivy | Qwivy.com | www.qwivy.com

1. The nurse answers a patient's call light and finds the patient sitting up in bed and

requesting pain medication. What will the nurse do first?

A. Check the orders and give the patient the requested pain medication

B. Provide comfort measures to the patient

C. Assess the patient's pain and pain level

D. Evaluate the effectiveness of previous pain medications

2. A patient is in the intensive care unit because of an acute myocardial infarction. He is

experiencing severe ventricular dysrhythmias. The nurse will prepare to give which

drug of choice for this dysrhythmia?

A. Diltiazem (Cardizem)

B. Verapamil (Calan)

C. Amiodarone (Cordarone)

D. Adenosine (Adenocard)

 Qwivy | Qwivy.com | www.qwivy.com

3. A 40-year-old female patient is seen in the clinic. She has been newly diagnosed

with RA. Which medication does the nurse anticipate being ordered for the patient?

A. Adalimumab

B. Methotrexate

C. Infliximab

D. etanercept

4. When handling and administering vesicant drugs, the nurse will:

A. double flush the patient’s bodily secretions in the commode.

B. use sterile towels to clean up after chemotherapy spills.

C. mix chemotherapeutic drugs in the patient’s room.

D. teach the patient how to administer parenteral chemotherapeutic drugs.

5. A patient is admitted with salicylate toxicity. When assessing the patient, the nurse

anticipates which manifestation associated with salicylate toxicity?

A. Bradycardia

B. Hypoventilation

C. Constipation

D. Hyperglycemia

6. The nurse enters the patient's room to complete the discharge process and finds the

patient to be lying in bed unresponsive and breathing. The patient has a blood

glucose of 48mg/dL. What is the most appropriate response by the nurse?

A. Place a packet of sugar in the patient's mouth

B. Roll the patient to the side and administer glucagon

C. Start cardiopulmonary resuscitation (CPR)

D. Have the patient drink orange juice

 Qwivy | Qwivy.com | www.qwivy.com

7. The nurse has just administered the morning dose of a patient's lispro (Humalog)

insulin. Just after the injection, the dietary department calls to inform the patient

care unit that breakfast trays will be 45mins late. What will the nurse do next?

A. Inform the patient of the delay

B. Check the patient's blood glucose levels

C. Call dietary department to send a tray immediately

D. Give the patient food such as cereal, skim milk and juice

8. Which information will the nurse include when teaching a patient about thyroid

replacement therapy?

A. "Take this medication on an empty stomach"

B. "You will experience beneficial effects of the drug after one week of treatment"

C. "Stop taking the drug if you experience insomnia."

D. "Take the medication before bed"

9. patient with a history of chronic obstructive pulmonary disease and type 2 diabetes

has been treated for pneumonia for the past week. The patient has been receiving

intravenous corticosteroids as well as antibiotics as part of his therapy. At this time,

the pneumonia has resolved, but when monitoring the blood glucose levels, the

nurse notices that the level is still elevated. What is the best explanation for this

elevation?

A. The antibiotics may cause an increase in glucose levels.

B. The corticosteroids may cause an increase in glucose levels.

C. His type 2 diabetes has converted to type 1.

D. The hypoxia caused by the chronic obstructive pulmonary disease causes an

increased need for insulin.

 Qwivy | Qwivy.com | www.qwivy.com

10. The nurse is preparing to administer a transdermal patch to a patient and finds that

the patient already has a medication patch on his right upper chest. What will the

nurse do?

A. Remove the old medication patch and notify the health care provider

B. Apply the new patch without removing the old one

C. Remove the old patch and apply the new one in the same spot

D. Remove the old patch and apply the new patch to a different clean area

11. A patient is complaining of severe pain and has orders for morphine sulfate. The

nurse knows that the route that would give the slowest pain relief is which route?

A. IV

B. PO

C. Subcutaneous

D. IM

12. A patient is recovering from an appendectomy. She also has asthma and allergies

to shellfish and iodine. To manage her postoperative pain, the physician has

prescribed hydromorphone (Dilaudid). Which vital sign is of greatest concern?

A. Temperature

B. Respirations

C. Pulse

D. Blood pressure

 Qwivy | Qwivy.com | www.qwivy.com

13. The patient is diagnosed with Parkinson's disease and has been started on a

dopaminergic replacement drug therapy with carbidopa-levodopa, it is important

for the nurse to

A. assess the patient for dizziness and syncope when the patient is walking

B. administer the medication first thing in the morning

C. administer the medication on an empty stomach

D. remove protein from the patient's diet

14. Which drug will the nurse anticipate administering to a patient experiencing a

benzodiazepine overdose?

A. Flumazenil

B. Narcan

C. Methadone

D. Antabuse

 Qwivy | Qwivy.com | www.qwivy.com

15. Which statement is important for the nurse to include when teaching a patient

about disulfiram (Antabuse) therapy?

A. This medication will cure your alcoholism if you take as directed

B. This medication will cause your blood pressure to get very high if you drink alcohol

after taking it

C. "You cannot drink alcohol for at least 3-4 days after taking this medication

D. "If you miss a dose of Antabuse, double up the next time it is due"