ATI RN Pharmacology Proctored Exam
Version 1| 70 Questions and Verified
Answers (2023/2024 Update)
Q A nurse is preparing to administer filgrastim 5mcg/kg/day subcutaneous to a client who
weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer
to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
a. 325 mcg
Q A nurse is preparing to initiate IV therapy for a client. Which of the following sites
should the nurse use to place the peripheral IV catheter?
a. Nondominant dorsal venous arch
b. Dominant distal dorsal vein
c. Nondominant forearm basilic vein
d. Dominant antecubital vein
Q A nurse is assessing a client who is taking an osmotic laxative which of the following
findings should the nurse identify as an indication of fluid volume deficit?
a. Nausea
b. Weight gain
c. Headache
d. Oliguria
Q A nurse is reviewing the laboratory results of a client who is taking amitriptyline which
of the following laboratory values should the nurse report to the provider?
a. Total bilirubin 1.5 mg/dL
b. Potassium 4.2 mEq/L
c. Hct 0.44%
d. WBC count 5,000/mm3
Q
Q A nurse is caring for a client who is taking lithium and reports starting a new exercise
program. The nurse should assess the client for which of the following electrolyte
imbalances?
a. Hypocalcemia
b. Hypokalemia
c. Hyponatremia
d. Hypomagnesemia
Q A nurse is assessing a client a]er administering phenytoin IV bolus for a seizure. Which
of the following should the nurse identify as an adverse effect of this medication?
a. Hypoglycemia
b. Bradycardia
c. Red man syndrome
d. Hypotension
Q A nurse is consulting a formulary about a client’s new prescription for raloxifene. The
nurse should identify that this medication is used to treat which of the following
conditions?
a. Osteoporosis
b. Hypothyroidism
c. Urinary tract infection
d. Deep vein thrombosis
Q 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
Q 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
Q 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.”
Q 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
Q 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