ATI Pharmacology Proctor Exam Test with Solutions
1. b. Distended neck
veins
2. b. Improved cog-
nition
3. d. "Remove the
patch prior to go-
ing to bed."
4. d. Potassium 5.2
mEq/L - Hyper-
kalemia (serum
potassium level
greater than 5.0
mEq/L)
increases the
client risk for fa-
tal c...
ATI Pharmacology Proctor Exam Test with Solutions
1. b. Distended neck A nurse is assessing a client who is receiving intravenous
veins 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. b. Improved cog- A nurse is caring for a client who has hyponatremia and is
nition 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. d. "Remove the A nurse is teaching a client who has a new prescription
patch prior to go- for a nitroglycerin transdermal patch. Which of the follow-
ing to bed." ing 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 show-
er."
d. "Remove the patch prior to going to bed."
4. d. Potassium 5.2 A nurse is reviewing he laboratory results of a client
mEq/L - Hyper- who has a prescription for sodium polystyrene sulfonate
kalemia (serum (Kayexalate) every 6 hr. which of the following should the
potassium level nurse report to the provider?
greater than 5.0 a. Creatinine 0.72 mg/dL
mEq/L) b. Sodium 138 mEq/L
increases the c. Magnesium 2 mEq/L
client risk for fa- d. Potassium 5.2 mEq/L - Hyperkalemia (serum potas-
tal cardiac dys- sium level greater than 5.0 mEq/L) increases the client
rhythmias. Kayex- risk for fatal cardiac dysrhythmias. Kayexalate is used to
alate is used to decrease the serum potassium level, so the PN should
decrease monitor the client's serum potassium level
the serum potas-
, ATI Pharmacology Proctor Exam Test with Solutions
sium level, so the
PN should mon-
itor the client's
serum potassium
level
5. a. The client has a A nurse is caring for a client who has tuberculosis and
negative sputum is taking isoniazid and rifampin. Which of the following
culture 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. d. Administer epi- A client is caring for a client who develops an anaphy-
nephrine IM lactic 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
7. a. St. John's Wort 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. d. Hypotension 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 adminis-
tering lisinopril?
a. Bradycardia
, ATI Pharmacology Proctor Exam Test with Solutions
b. Hypokalemia
c. Tinnitus
d. Hypotension
9. d. Increased A nurse is assessing a client who is receiving heparin
blood pressure 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. b. The nurse who A nurse is preparing to administer medication to a client
identifies the er- and discovers a medication error. The nurse should rec-
ror ognize that which of the following staff members is re-
sponsible 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. Pruritus - Sign A nurse is planning care for a client who is receiving
of allergic reac- morphine via continuous epidural infusion. The nurse
tion to morphine 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. Obtain the A nurse is preparing to administer digoxin orally to a
client's apical client. Identify the sequence of steps the nurse should
heart rate take. (Move the steps into the box on the right, placing
b. Remove the them in the order of performance. Use all the steps.)
medication from a. Obtain the client's apical heart rate
the dispensing b. Remove the medication from the dispensing system
system c. Open the medication package
c. Open the med- d. Compare the client's wristband to the medication ad-
ication package ministration record
d. Compare the e. Document administration of the medication
, ATI Pharmacology Proctor Exam Test with Solutions
client's wristband
to the medica-
tion administra-
tion record
e. Document ad-
ministration of
the medication
13. b. Chronic kidney A nurse is reviewing the medical record of an adult client
disease 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. He-
patitis B vaccine within the last week d. Diabetes mellitus
14. c. Determine med- A home health nurse is visiting a client who has heart
ication adherence failure and a prescription for furosemide. The nurse iden-
by the client tifies 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. Urticaria 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. c. "Keep the A nurse is teaching a client who has angina a new
tablets at room prescription for sublingual nitroglycerin
temperature in tablets. Which of the following instructions should the
their original nurse include in the teaching?
glass bottle." a. "Discard any tablets you do not use every 6 months."
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