ATI PHARMACOLOGY PROCTORED EXAM (GRADED

A)

Pharmacology Practice

1. A nurse is reviewing laboratory results for a client who is receiving heparin via continuous

IV infusion for deep-vein thrombosis. The nurse should discontinue the medication

infusion for which of the following client findings?

A) Potassium mEq/L

B) aPTT times the control

C) Hemoglobin g/dL

D) Platelets 96,000/mm^3

2. A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over

1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the

manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole

number. Use a leading zero if it applies. Do not use a trailing zero.)

3. A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary

incontinence. The nurse should instruct the client to report which of the following

findings as an adverse effect of the medication? (Select all that apply.)

A) Dry mouth

B) Tinnitus

C) Blurred vision

D) Bradycardia

E) Dry eyes

4. A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of

the following client outcomes should the nurse administer chlordiazepoxide?

A) Minimizes diaphoresis

B) Maintain abstinence

C) Lessen craving

D) Prevent delirium tremens

5. A nurse is assessing a client who is taking amitriptyline for depression. Which of the

following findings should the nurse identify as an adverse effect of the medication?

A) Tinnitus

B) Urinary frequency

C) Dry mouth

D) Diarrhea

6. A nurse is providing follow-up care to a client who is taking lisinopril. Which of the

following manifestations should the nurse instruct the client to report as an adverse

effect of lisinopril?

A) Drowsiness

B) Hallucinations

C) Persistent cough

D) Weight gain

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ATI PHARMACOLOGY PROCTORED EXAM (GRADED

A)

7. A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The

nurse should report which of the following findings to the provider as an adverse effect

of the medication?

A) Constipation

B) Tinnitus

C) Hypoglycemia

D) Joint pain

8. A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets

for pain. Which of the following information should the nurse include in the teaching?

A) The med should be taken 1hr prior to eating

B) It takes 48 hours for therapeutic effects to occur

C) Tablets should not be crushed or chewed

D) Decreased respiration might occur

9. A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who

has a urinary tract infection. The nurse should identify which of the following statements

as an indication that the client understands the teaching?

A) I will take this med with an antacid to prevent GI upset

B) I will stop taking this med when I no longer have pain upon urination

C) I will report any signs of tendon pain/swelling

D) I will take this med with milk

10. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription

for ranitidine. Which of the following instructions should the nurse include?

A) Take med on empty stomach for full effect

B) You may discontinue this med when stomach discomfort subsides

C) Report skin yellowing

D) Store med in fridge

11. A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that

which of the following medications can potentiate nephrotoxicity if administered

concurrently?

A) Famotidine

B) Levofloxacin

C) Metoclopramide

D) Gentamicin

12. A nurse is providing discharge teaching to a client who has a new prescription for

furosemide twice daily. The nurse should include which of the following instructions in

the teaching? (Select all that apply.)

A) Take second dose at bedtime.

B) Increase intake of potassium rich foods.

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ATI PHARMACOLOGY PROCTORED EXAM (GRADED

A)

C) Obtain weight weekly.

D) Monitor for muscle weakness

E) Dangle your legs from the side of the bed before standing

13. A nurse in the emergency department is caring for a client who has myasthenia gravis and

is in a cholinergic crisis. Which of the following medications should the nurse plan to

administer?

A) Potassium iodide

B) Glucagon

C) Atropine

D) Protamine

14. A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of

the following information should the nurse include in the teaching?

A) Plan to increase dosage each weak by 200mg increments

B) Prolonged use of this medication can cause glaucoma.

C) Drink 2L of water daily

D) Fine red rash is transient and can be treated with antihistamines

15. A nurse is instructing a client on the application of nitroglycerin transdermal patches.

Which of the following statements by the client indicates an understanding of the teaching?

A) I should apply a patch every 5min if I develop chest pain

B) I will take the patch off right after my evening meal

C) I will leave the patch off at least 1 day each week

D) I should discard the used patch by flushing it down the toilet

16. A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new

prescription for sucralfate. Which of the following actions of sucralfate should the nurse

 include in the teaching?

A) Decreases stomach acid secretion

B) Neutralizes acids in the stomach

C) Forms a protective barrier over ulcers

D) Treats ulcers by eradicating H. pylori

17. A nurse is teaching about neural tube defects to a client who is planning a pregnancy.

Which of the following vitamins should the nurse instruct the client to start taking before

 becoming pregnant?

A) Folic acid

B) Thiamine

C) Pyridoxine

D) Riboflavin

18. A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and

reports urticaria. Which of the following actions should the nurse take?

A) Request a change in the type of the antibiotic

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