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ATI PHARMACOLOGY PROCTORED EXAM LATEST VERSIONS 2024-2025 EXAMS COMPLETE QUESTIONS AND CORRECT ANSWERS|A+ GRADE
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“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
"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
"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
"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 b. Cough c. Tachypnea
"A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right placing them in the order of
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"
"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
b. Chronic kidney disease" "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
medication adherence by the client" "A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? a. Show the IV solution rate b. Initiate a new IV distal to the initial site c. Maintain the extremity below the level of the heart
"A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. "Diarrhea is a common adverse effect of this medication." b. "Ringing in the ears is an expected adverse effect of this medication." c. "Notify your provider if you develop a fever while taking this medication."
"Notify your provider if you develop a fever while taking this medication."" "A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? a. Abdominal pain is an expected adverse effect of oral contraceptives b. It can take up to 1 year to become pregnant after stopping an oral contraceptive c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive"
"A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) a. "Soak the inhaler in water after use." b. "Have your child take one inhalation as needed for shortness of breath." c. "Shake the device prior to administration." d. "A spacer will make it easier to use the device."
device prior to administration." d. "A spacer will make it easier to use the device." e. "Rinse your child's mouth following administration."" "A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the
"A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? a. "You will need liver function tests before beginning therapy." b. "Avoid consuming dairy products while taking this medication." c. "You may crush the medication and mix it with applesauce."
liver function tests before beginning therapy."" "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? 000/mm a. ePTT 90 seconds b. Hgb 16 g/dL c. INR 1.
"A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch
c. Lidocaine patch" "A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Constipation b. Decreased urine output c. Positive Trousseau's sign
"A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use? a. Subcutaneous b. Intraosseous/intravenous c. Central venous access device
"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
"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
"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
"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
meperidine 75 mg IM. c. A client who has a blood glucose level of 120 mg/dL receives her morning dose of insulin
"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. Assist the client to identify triggers for alcohol use b. Encourage participation in a 12-step program c. Implement seizure precautions
precautions" "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? a. Losartan and atorvastatin b. Propranolol and raloxifene c. Digoxin and levothyroxine
"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
Bruxism - Bruxism occurs in < 1 % of patient with citalopram. This should be addressed but is no an immediate health concern." "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? a. "I will dilute my child's medication in milk." b. "I will give my child the medication in a baby bottle." c. "I will rinse my child's mouth with water after she takes the medicine."
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? a. Western blot analysis
b. Liver function tests c. Pancreatic enzymes
"A new prescription for insulin glargine. which of the following expected outcomes should the nurse include in the plan? a. The client will take an additional dose of insulin glargine prior to exercise b. The client will use the deltoid muscle as an injection site c. The client will administer insulin glargine before each meal
"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 calcium gluconate if the client demonstrates which of the following findings? (Select all that apply) a. Decreased level of consciousness b. Systolic blood pressure 130 mmHg c. Urine output 80 mL in 4 hr d. Absence of deep tendon reflexes
Urine output 80 mL/hr Decreased LOC" "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 cannot take a sublingual tablet of nitroglycerin after applying the patch." b. "I will move the patch to my leg if I get a headache." c. "I will rotate the application site to avoid skin irritation."
site to avoid skin irritation" "A 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? a. Metformin b. Regular-insulin c. Insulin glargine
"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. Fluid retention - monitor for edema, weight gain, and/or indications of heart failure b. Tinnitus c. 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? a. Dry cough b. Fever c. Pedal edema
"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? a. Alopecia b. Peripheral edema c. Drowsiness (report adverse effects to provider - effects should soon subside)
"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. Warmer skin c. Increase in pulse rate
"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? a. Muscle pain - (potential overdose - stop med and notify provider) b. Hypoglycemia c. Weight gain
"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? a. aPTT 90 seconds b. Hgb 16 g/dL c. WBC 6,000/mm
"A nurse is administering medications to a client. which of the following medications should the nurse plan to administer by a parental route? a. Simvastatin b. Captopril c. Hydrochlorothiazide
"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/min b. Diaphoresis - dry skin c. Impaired short term memory d. Cold intolerance
Cold intolerance Impaired short-term memory" "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? a. Naproxen - increases the risk for bleeding b. Ranitidine c. Soy
"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?
"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? a. Total iron-binding count b. Blood glucose level c. Creatinine level
"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? a. "I will take the tablets at 1-minute intervals." b. "I will store the tablets in the refrigerator." c. " I will take the medication in 1 hour before exercising."
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? a. "Avoid eating large amounts of cabbage and broccoli" - b. "Use a firm-bristle toothbrush to brush your teeth" c. "Refrain from using an electric razor"
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. The client reports a history of nausea with cefuroxime b. The client has a history of severe PCN allergy c. The client has a BUN level of 18 mg/dL
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.? A. The medication vial sat at room temperature for 2 hr before it was administered B. The nurse flushed the client's IV line with dextrose 5% in water before and after medication was administered. C. The client had chemotherapy 12 hr before the medication was administered D. The client's absolute neutrophil count was 2,500/mm3 before the medication was
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? a. Platelets within the expected reference range b. Presence of pedal pulses bilaterally c. Reduced calf circumference
"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. Hct 43%
"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? a. "I should keep my tablets in a dark container at room temperature." b. "I should call 911 when I am having chest pain, before taking tablet." c. "I should allow the table to melt inside my cheek next to my gums even if it feels tingly."
"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? a. Recurrent headaches b. Hypothyroidism c. 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? a. Pallor b. Urticaria - mild allergic reaction c. Dyspepsia
"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? a. Mild thirst b. Transient fatigue c. Blurred vision - indicates severe toxicity
"On my ATI exam the question for lithium was about what to monitor for and the correct answer
"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
"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
"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
"A nurse is teaching 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 at room temperature in their original glass bottle."
the tablets at room temperature in their original glass bottle."" "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. "I should limit my fluid intake while on this medication."
in the morning with my coffee."" "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
"A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? a. Massage the site after administering the medication b. Use a 21-gauge needle for the injection c. Aspirate before injecting the medication
needle at least 5 cm (2 in) from the umbilicus" "A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema
b. Cardiac dysrhythmia Amoxicillin side effects include: Renal impairment, hyperkalemia, dysrhythmias, hypernatremia Allergic reaction: Urticaria, rash, hypotension, dyspnea, swelling of face/lips/tongue" "A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? a. A client who has a referral for social services b. A client who is transdermal to radiology c. A client who is transferal to a step-down unit
transferal to a step-down unit" "A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine specific gravity 1.
"A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate
"A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective? a. Client reports a decrease in pain b. Client reports a decrease in nausea c. Client reports a decrease in coughing
nausea" "A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include? a. IM administration is recommended if PO opioids are ineffective b. Respiratory depression decreases as opioid tolerance develops c. Meperidine is the opioid of choice for treating chronic pain
"A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? a. Flush the IV catheter b. Apply pressure to the IV site c. Elevate the extremity
"A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
"A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect? a. Oxygen saturation 96% b. PaCO2 30 mm Hg c. Increase in BP
"A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) a. Polypharmacy b. Increased rate of absorption c. Decreased percentage of body fat d. Multiple health problems
c. Decreased percentage of body fat d. Multiple health problems e. Decreased renal function" "A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Sodium 137 mEq/L b. Hct 4.3% c. Hgb 15 g/dL
"A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a. Apply firm pressure to the injection site following administration b. Administer the medication into the client's muscle c. Expel the air bubble from the syringe prior to injection
pressure to the injection site following administration" "A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." which of the following reasons should the nurse clarify this prescription with the provider. a. Potassium chloride should be diluted in dextrose 5% in water. b. The potassium infusion rate is too rapid c. Another formulation of potassium should be given IV
potassium infusion rate is too rapid" "A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? a. Sodium 1.38 mEq/dL b. Magnesium 1.5 mEq/L c. BUN level 10 mg/dL