lOMoAR cPSD|19500986
ATI RN PHARMACOLOGY PROCTORED RETAKE 2023
AND 2019 RETAKE EXAMS EACH EXAM CONTAINS 70
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
2023 ATI RN PHARMACOLOGY PROCTORED RETAKE
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 bowelsounds
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’ssign
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 instructionsshould the nurse include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Coverthe 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’sliver 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’slegs and feet
d. Administer epinephrine IM
lOMoAR cPSD|19500986
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 ofsteps 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
lOMoAR cPSD|19500986
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 isteaching 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 atroom 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. “Ishould 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?
This will be retake for pharm 2019
- A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include?
A. Avoid caffeinated beverages
B. Take the medication with meals
C. Restrict milk products
D. Limit sodium intake
A - the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first?
A. Withdrawal NPH from the vial
B. Inject air into the NPH vial
C. Inject air into the regular vial
D. Withdrawal regular insulin from the vial
B - a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include?
A. Take the medication immediately after breakfast
B. Take the medication with an antacid
C. Sit upright for at least 30 mins after taking the medication
D. Drink orange juice with the medication
C - a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine?
A. Bladder distention
B. Productive cough
C. Gastrointestinal bleeding
D. Decrease deep tending reflexes
A - nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching?
A. Use nasal decongestion 15 mins before the medication if you have a stuffy nose
B. Lie down for 1 hour after administering the medication
C. Administer the medication into one nostril once per week
D. Plan to self-administer this medication for the next 6 months
C - a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients?
A. Client who is transported to radiology
B. A client who has a consultation for ….
C. A client who has a referral for social services
D. A client who has been transferred to a step-down unit
D - a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurses priority?
A. Back pain
B. Flushing
C. nausea
D. Uterine tachysystole
D - a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching?
A. Messages the site to enhance absorption
B. Injections the medication into a muscle
C. Administers the medication into the abdomen
D. Aspirates the medication after injection
C - a nurse is assessing a client how has been taking digoxin and …… which of the following findings to the nurse indicates this client has developed digoxin toxicity?
A. Ringing in the ears
B. Hyperkalemia
C. Blurred vision
D. hypertension
C - a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect?
A. Headache
B. Excessive salivation
C. Fever
D. Myoclonic seizure
B - a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications?
A. NPH insulin
B. Clopidogrel
C. Furosemide
D. Pantoprazole
B - a nurse is assessing a who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication?
A. Agitation
B. Report of blurred vision
C. Hypertension
D. Watery diarrhea
D - a nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching?
A. Cromolyn should take effect within 5 mins
B. Cromolyn should dilate the bronchioles
C. Cromolyn can be used after exercise
D. Cromolyn is a long-term management medication
D - a nurse is reviewing the medications of a client is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications?
A. Imipramine
B. Levothyroxine
C. Montelukast
D. Omeprazole
A - a nurse is reviewing a client’s medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated?
GLAUCOMA - a nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
A. insomnia
B. Blurred vision
C. Tachypnea
D. Metallic taste
B - math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units =
0.4 - a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider?
FENTANYL - charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report?
a client who has a lithium level of 1.8 receives her morning dose - a nurse is caring for a client who has a alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time?
A. Encourage participation in a 12 step program
B. Implement seizure precautions
B - a nurse is planning care for a group of clients. which of the following client’s medications should be monitored by the nurse for hearing loss related to a medication interaction?
FUROSEMIDE AND AMIKACIN - a nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse effects is the priority for the nurse to report to the provider?
A. Insomnia
B. Bruxism
C. confusion
D. Weight loss
B OR C - a nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter?
a vein on the clients wrist - a nurse is assessing a client who is in labor and is receiving epidural anesthesia. which of the following findings should the nurse identify as the priority?
Hypotension - a nursing is providing teaching to a client who has a prescription for omeprazole. which of the following instructions should the nurse include in the teaching?
long term use increases risk of fractures - a nurse is reviewing a client’s laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contact the provider?
Potassium 2.5 mEq/L - the nurse is assessing a client who takes glipizide for the treatment of type 2 diabetes mellitus. Which of the following findings indicates effectiveness of the medication?
Hgba1c 6.5% - a nurse in the emergency department is caring for a client who reports a severe headache. the client’s blood pressure is 280/160 mm hg. the nurse should plan to administer which of the following medications?
Nitroprusside - a nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. which of the following statements by the parent indicates an understanding of the teaching?
I will rinse my child’s mouth with water after she takes the medicine - a nurse is caring for a client who is to start therapy with lovastatin. the nurse should prepare the client for which of the following diagnostic assessments?
liver function test - a nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. which of the following expected outcomes should the nurse include in the plan?
the client will wear his reading glasses when drawing insulin glargine - a nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infusion and prepare to administer claim gluconate if the client demonstrates which of the following findings? Select all that apply
A. absence of deep-tendon reflexes
B. urine output 80 mL/hr
C. decreased LOC
A, B, C - a nurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching?
I will rotate application site to avoid skin irritation - Nurse in a provider’s office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medications should the nurse plan to teach the client about first?
Metformin - a nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. which of the following statements is appropriate for the nurse to make?
you will need to take two or more medication to treat your disease - a nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. which of the following actions should the nurse include in the plan of care?
monitor for hearing loss - a nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. the nurse should notify the provider that the client is taking which of the following over-the counter medications?
salicylic acid - A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching?
notify provider for the appearance of a skin rash - a nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. which of the following laboratory tests should the nurse review to evaluate for an adverse effect of this medication?
ALT - A nurse is teaching a client who has multiple allergies about using an epinephrine auto-injector. Which of the following instructions should the nurse include?
Administer the medication through clothing if necessary - for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
I should stay upright for 15 minutes after taking this medication. - nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. the nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer?
1.3 - a nurse is caring for a client who has heart failure. the nurse administered furosemide 60 mg IV bolus 30 min earlier. for which of the following findings should the nurse notify the provider?
client reports difficulty hearing - A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?
Orthostatic hypotension - a nurse is wanting to report a n infusion reaction for a client who is receiving a dose via IV of amphotericin B. which is the following findings that indicate to the nurse that the patient is experiencing an acute infusion reaction?
Fever - a nurse is providing teaching to a client who has a new prescription for paroxetine. the nurse should instruct the client to monitor for which of the following adverse effects?
drowsiness or Peripheral edema - A client who has Graves’ disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken he medication for 2 months?
increased sleeping - a nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse effect of this medication?
muscle pain - a nurse is reviewing a client’s 0800 laboratory values at 1100. the nurse notes that the client received heparin at 1000. which of the following laboratory values warrants an incident report?
aPtt 90 - a nurse is administering medications to a client. which of the following medications should the nurse plan to administer by a parental route.
Fondaparinux - a nurse is assessing a client who takes levothyroxine for hypothyroidism. the nurse should identify that which of the following findings indicates the need for an increase in dosage? Select all that apply
A. heart rate 46
B. cold intolerance
C. impaired short-term memory
A, B ,C - a nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over the counter products. which of the following products should the nurse instruct the client to avoid?
Naproxen - A nurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching?
Leukopenia - a nurse is reviewing the medical record of a client who is receiving vancomycin daily. the nurse should review which of the following laboratory results prior to administering the next dose?
creatinine level - a nurse is providing teaching to a client who has a new prescription for phenelzine. which of the following foods should the nurse instruct the client to avoid?
Cheddar cheese - a nurse eis preparing to administer nitroglycerin topical ointment to a client. which of the following actions should the nurse plan to take?
measure dosage on medication applicator paper - a nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. which of the following laboratory values indicates an adverse effect of this medication?
WBC 3000 - a nurse is providing teaching to a client who has a new prescription for phenelzine. the nurse instruct the client to avoid which of the following foods?
smoked salmon - a nurse is reviewing the laboratory data of a client who is receiving filgrastim. which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
WBC count - a nurse is planning to administer medications to a client who weighs 198 lb. he prescription reads, “filgrastim 5mcg/kg, subcutaneous, daily”. available is filgrastim 300 mcg/mL. how many ml should the nurse plan to give with each dose?
1.5 - a nurse is providing teaching to a client who has a new prescription for nitroglycerin. which of the following client statements indicates an understanding of the teaching?
I will call 911 if pain is not relieved after taking the medication - a nurse is providing discharge teaching to a client who is receiving warfarin. Which of the following statements is appropriate to make?
Avoid eating large amounts of cabbage and broccoli - a nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. which of the following client information is the priority for the nurse to report to the provider?
a client with a history of severe Penicillin allergy - a nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. for which of the following data, discovered after the medication was administered, should the nurse file an incident report.?
vile sat out for 2 hours at room temperature before administration - A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following findings should indicate to the nurse that the therapy is effective?
platelets within the expected range - A nurse receives a prescription to give tobramycin to a client daily. Which of the following laboratory values should the nurse report to the provider?
serum creatinine 2.5 - a nurse is providing teaching to a client who has a new prescription for nitroglycerin sublingual. which of the following client responses indicates an understanding of the teaching?
keep tablets in dark container at room temperature - A nurse is reviewing a client’s medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?
History of alcohol use disorder - 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?
Urticaria - A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is the nurse’s priority?
mild thirst