ATI RN Pharmacology Proctored Exam
Version 4| 70 Questions and Verified
Answers (2023/2024 Update)
- 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.
a. Insomnia
b. Tinnitus
c. Orthostatic hypotension
d. Fluid retention - 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?
a. Serum sodium 137 mEq/L
b. Hgb 15 g/dL
c. Hct 43%
d. Serum creatinine 2.5 mg/dL - 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?
a. Reduced calf circumference
b. Decreased INR
c. Presence of pedal pulses bilaterally
d. Platelets within the expected reference range - A nurse is preparing to administer nitroglycerin topical ointment to a client. Which of the
following actions should the nurse plan to take?
a. Spread the medication over 12.7 cm (5in) area of the client’s skin
b. Measure the dosage of medication using the applicator paper
c. Apply the medication to the same site for 3 consecutive days
d. Cover the medication on the client’s skin with a sterile gauze pad - 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 the medication for 2
months?
a. Weight loss
b. Increase in pulse rate
c. Increased sleeping
d. Warmer skin - A nurse is providing teaching to a client who has a prescription for omeprazole. Which of
the following instructions should the nurse include in the teaching?
a. Take the medication with evening meals
b. Crush the medication for easier swallowing
c. Long term use of the medication increases the risk of fractures
d. This medication might cause drowsiness - 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?
a. I will rotate the application site to avoid skin irritation
b. I cannot take sublingual tablet of nitroglycerin after applying the patch
c. I will move the patch to my leg if I get a headache
d. I will apply a new patch if I have chest pain - A nurse in a provider’s office is preparing to teach a middle adult client of metabolic
syndrome and an HbA1c of 6.5%. Which of the following medications should the nurse
plan to teach the client about first?
a. Metformin
b. Exenatide
c. Insulin glargine
d. Regular insulin - A nurse is caring for a client who is receiving IV amphotericin B. Which of the following
findings should the nurse identify as an acute infusion reaction?
a. Pedal edema
b. Dry cough
c. Hyperglycemia
d. Fever - A nurse is caring for a client who is receiving intravenous therapy and observes redness
and inflammation along the vein. The nurse would identify this finding as which of the
following complications of IV therapy?
a. Phlebitis
b. Infiltration
c. Venous spasm
d. Extravasation - A nurse is reviewing the plan of care with a client who has a new prescription for
lovastatin. Which of the following statements by the client should indicate to the nurse a
need for further assessment?
a. “I was just diagnosed with hepatitis B.”
b. “I should avoid drinking grapefruit juice.”
c. “I take metformin for my diabetes.”
d. “I am trying to decrease my dietary fat intake.” - 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?
a. “You should report monthly to have your blood drawn to monitor kidney function
while taking this medication.”
b. “You will need to take two or more medications to treat your disease.”
c. “You should anticipate taking medication to treat your disease for at least the next
three years.”
d. “You will need to undergo tuberculin skin tests every 6 months while taking
medication for your disease.”