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ATI PHARMACOLOGY PROCTORED EXAM||2025-2026||WITH NGN QUESTIONS&VERIFIED ANSWERS, Exams of Pharmacology

Excelsior CollegePharmacology

ATI PHARMACOLOGY PROCTORED EXAM||2025-2026||WITH NGN QUESTIONS&VERIFIED ANSWERS

Typology: Exams

2024/2025

Available from 04/22/2025

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ATI PHARMACOLOGY PROCTORED EXAM||2025-
2026||WITH NGN QUESTIONS&VERIFIED
ANSWERS
1. A nurse is collecting data from a client who takes daily medications and
that he wants to ask the provider for a prescription for SILDENAFIL.
The nurse knows that SILDENAFIL is contraindicated with which of the
following client’s medication?
- ISOSORBIDE (IMDUR)
2. A nurse is reinforcing teaching with a client who has PVD. The nurse
should recognize that which of the following statement by the
client indicates a need for further teaching?
- I WILL WEAR STOCKINGS WITH ELASTIC TOP
3. A nurse is collecting data from a client who has right-sided heart failure.
Which of the following should the nurse expect?
- Peripheral edema
4. The nurse is reinforcing teaching regarding diet to a client who has had a
myocardial infarction. Which of the following diet choices by the
client indicates an understanding of the
teaching?
- Baked turkey and salad
5. A nurse is reviewing the laboratory findings of a client who experienced
an acute myocardial infarction 6 years ago. Which of the
following laboratory values should the nurse expect to remain elevated at
this time?
- Troponin T
6. A nurse is collecting data from an older adult client who has been taking
digoxin for the past several months. For which of the
following manifestations of digoxin toxicity should the
nurse monitor?
- Anorexia
7. A nurse is caring for an older adult client who has left sided heart failure.
Which of the following findings should the nurse expect?
- Frothy sputum
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Download ATI PHARMACOLOGY PROCTORED EXAM||2025-2026||WITH NGN QUESTIONS&VERIFIED ANSWERS and more Exams Pharmacology in PDF only on Docsity!

ATI PHARMACOLOGY PROCTORED EXAM|| 2025 -

2026||WITH NGN QUESTIONS&VERIFIED

ANSWERS

1. A nurse is collecting data from a client who takes daily medications and that he wants to ask the provider for a prescription for SILDENAFIL. Thenurse knows that SILDENAFIL is contraindicated with which of the following client’s medication? - ISOSORBIDE (IMDUR) 2. A nurse is reinforcing teaching with a client who has PVD. The nurse should recognize that which of the following statement by the client indicates a need for further teaching? - I WILL WEAR STOCKINGS WITH ELASTIC TOP 3. A nurse is collecting data from a client who has right-sided heart failure. Which of the following should the nurse expect? - Peripheral edema 4. The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching? - Baked turkey and salad 5. A nurse is reviewing the laboratory findings of a client who experienced an acute myocardial infarction 6 years ago. Which of the following laboratory values should the nurse expect to remain elevated at this time? - Troponin T 6. A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor? - Anorexia 7. A nurse is caring for an older adult client who has left sided heart failure. Which of the following findings should the nurse expect? - Frothy sputum

8. A nurse is assisting with the care of a client 2 hr postoperative followinga cardiac catheterization. Which of the following actions should the nurse take? - Check the client’s distal pulses in both legs 9. A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching? - Adjust the thermostat so that the environment is warm 10. A nurse in an outpatient clinic is collecting data from a client who tells the nurse. “I have pain in my legs when I begin to walk, but the pain stops when I stop walking.” Which of the following conditions should the nurse suspect? - Peripheral vascular problems in both legs 11. A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate? - “A headache is a common adverse effect of this medication, but it i. will probably occur less often over time.

  1. A nurse is reinforcing teaching with a client who uses a nitroglycerine
  2. patch to treat angina. The client now has a new prescription for nitroglycerine sublingual tablets. Which of the following instructions should the nurse include?
  • Take the medication at first indication of chest pain
  1. A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and redness of her left calf. Besides the client seeing the provider. Which of the following interventions should the nurse suggest?
  • Elevate the leg.

should the nurse have available to reverse heparin’s effects?

  • Protamine sulfate
  1. A nurse is preparing to administer digoxin to a client who has left sided heart failure. Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.)
  • Dyspnea, Orthopnea, Tachycardia
  1. A nurse is talking with a client who says she knows someone who takes metoprolol for blood pressure and asks if the medication would be appropriate for her as well. Which of the following data from the client’s medical record should the nurse identify as a contraindication to metoprolol?
  • A history of sinus bradycardia
  1. A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for a client’s who have coronary artery disease for which of the following effects?
  • To prevent blood clotting
  1. A nurse is planning care for a group of clients on a medical-surgical unit. Which of the following actions should the nurse take first?
  • Collecting data from a client who reports unilateral calf pain when ambulating
  1. A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk?
  • LDL 172 mg/dL
  1. A nurse is collecting data from a client who has left sided heart failure. Which of the following findings should the nurse expect?
  • Shortness of breath while lying down
  1. A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)
  • Nausea, Tachycardia, Diaphoresis
  1. A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?
  • Exertion and anxiety can trigger the pain.
  1. A nurse in a provider’s office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?
  • Heart failure
  1. A nurse is caring for a client who is newly admitted and has angina. The client asks the nurse. “Why am I taking nitroglycerin?” Which of the following responses should the nurse make?
  • “Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart.”
  1. A nurse is caring for an older adult client who has a prescription for captopril. For which of the following possible adverse effect should the nurse instruct the client to notify the provider immediately?
    • Sore throat
  2. A nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. Which of the following laboratory values is a priority for the nurse to check before administering this medication?
    • Potassium
  3. A nurse is reviewing the medication record of a client who has heart failure and has a potassium level of 2.4 mEq/L. The nurse should identify which ofthe following medications as a possible cause of the client’s potassium level?
    • Furosemide

following statements by the client indicates an understanding of the teaching?

  • “I’ll dial 911 if one tablet does not relieve my pain.”
  1. A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?
  • Sublingual
  1. A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol. Which of the following statements by the client indicates an understanding of the teaching?
  • “I will sit on the side of the bed before I stand up.”
  1. A nurse is reinforcing teaching with a client who is taking hydrochlorothiazide. Which of the following information should the nurse include in the teaching?
  • Increase daily intake of foods high in potassium.
  1. A nurse is reviewing the morning laboratory results of electrolytes for four clients who are receiving digoxin. Which of the following clients should the nurse identify as being at risk for developing digoxin toxicity?
  • A client taking furosemide for chronic hypertension
  1. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?
  • Check the client’s vital signs.
  1. A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
  • Count the apical pulsations for a full minute.
  1. A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?
    • Intermittent claudication
  2. A nurse is reinforcing discharge teaching with a client who has recently diagnosed with heart failure. Which of the following statements should the nurse include in the teaching?
    • “Begin exercising twice per week.”
  3. A nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider?
    • Potassium level of 3.0 mEq/L
  4. A client with myocardial infarction suddenly becomes tachycardic, shows sign of air hunger, and begins coughing frothy, pink-tinged sputum. A nurse listens to breath sounds, expecting to hear bilateral:
    • Crackles
  5. A hospitalized client with a history of angina pectoris is ambulating in the corridor. The client suddenly complains of severe substernal chest pain. The nurse should take which action first?
    • Assist the client to sit or lie down.
  6. A client has an inoperable abdominal aortic aneurysm (AAA). The nurse teaches the client about the need for:
    • Antihypertensives
  7. A clinic nurse is obtaining cardiovascular data on a client. The nurse prepares to check the client’s apical pulse and places the stethoscope inwhich of the following positions?
    • At the midclavicular line at the fifth left intercostal space
  8. A licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis of myocardial infarction (MI). The client is experiencing chest
  • The client requires prophylactic antibiotics before treatment. 62. The client’s B - type natriuretic peptide (BNP) level is 691 pg/mL. Which of the following should the nurse institute when providing care for the client?
  • Take daily weights and monitor trends.
  1. A client with a history of angina pectoris complains of substernal chest pain. The nurse checks the client’s blood pressure and administers nitroglycerin grains 1/150 sublingually. Five minutes later, the client is stillexperiencing chest pain. If the blood pressure is still stable, the nurse should take which action next?
  • Administer another nitroglycerin tablet.
  1. A client is being discharged with a prescription for propranolol (Inderal). When providing instructions to the client about the medication, the nurse would include which of the following?
  • Medication should be withheld if the pulse rate drops below 60 beats per minute.
  1. Warfarin sodium (Coumadin) is prescribed for a client. The nurse expects that the health care provider will prescribe which of the following to monitor for a therapeutic effect of the medication?
  • Prothrombin time (PT)
  1. A child with a right to left cardiac shunt is receiving propranolol (Inderal- LA). The health care provider visits the child and writes prescriptions in the child’s record. The licensed practical nurse (LPN) reviews the prescriptionsand notes that the child is placed on a nothing by mouth (NPO) status. The LPN consults with the registered nurse an prepares to monitor which of the following most closely?
  • Glucose level
  1. A nurse is caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?
  • Bradycardia
  1. A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?
  • Bleeding
  1. A nurse is assisting with the plan of care for a client immediately followinga cardiac catherization with coronary angiography. An arterial closure device was used to close the access site. Which of the following interventions should the nurse recommend?
  • Have the client rest in bed for 2 hr.
  1. A nurse in a clinic is reviewing teaching about food choices with a clientwho has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
  • Kale
  1. A nurse is caring for a client who has gastroesophageal disease and prescription for metoclopramide. For which of the following adverse effects should the nurse monitor?
  • Sedation
  1. A nurse is reinforcing teaching with a client who is to start taking enteric- coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?
  • “It’s okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it.”
  1. A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?
  1. A nurse is reviewing medications foe a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?
    • Laxatives are contraindicated in clients who have a small bowel obstruction.
  2. A nurse is reinforcing teaching about cimetidine with a client who has peptic ulcer disease. Which of the following information should the nurseinclude in the teaching?
    • Wait at least 1 hr after taking the medication before taking an antacid
  3. A nurse is caring for a client who has metastatic cancer and has been taking morphine for several months to relieve severe pain. Which of the following prescriptions should the nurse expect when the client reports constipation unrelieved by laxative therapy?
    • Methylnaltrexone 83.A A nurse is reinforcing teaching with a client who has a new prescription for docusate sodium. The nurse should recognize which of the following statements indicates the client understands the teaching? i. - “I will have soft stools 1 to 3 days after starting this medication.”
  4. A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?
    • Take the medication 1 hr before meals.
  5. A nurse is reinforcing teaching with a client who has a new prescription for aluminum hydroxide to treat heartburn. Which of the following adverse effects of the medication should the nurse include in the teaching?
    • Constipation
  6. A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
  • “I will hold my breath at least 10 seconds after inhaling the medications.”
  1. A nurse is reinforcing discharge teaching with a client who has asthma anda new prescription for salmeterol. Which of the following instructions should the nurse include?
  • “This medication will provide long-term control of your asthma symptoms.”
  1. A nurse is reinforcing discharge teaching with a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
  • Eat foods that contain plenty of potassium.
  1. A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?
  • White coating in the mouth 90.A A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply.) - The medication will prevent wheezing. - The medication will open the airways. - The medication will decrease coughing episodes.
  1. A nurse is caring for a client who was exposed to anthrax. Which of the following antibiotics should the nurse plan to administer?
  • Ciprofloxacin
  1. A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?
  • “A pply the ointment in a thin line into the conjunctival **sac.”
  1. A nurse in a provider’s office** is collecting data from a client who has systemic lupus erythematosus (SLE) and takes hydroxychloroquine toreduce skin inflammation. The nurse should identify that which of the following is an adverse effect of this medication?

101. A nurse is caring for an older adult client who has a prescription for captopril. For which of the following possible adverse effects should the nurse instruct the client to notify the provider immediately? - Sore throat 102. A nurse is monitoring a client’s IV site. The nurse should report which of the following findings as manifestations of phlebitis? (Select all that apply.) - Erythema at the insertion site - Warmth at insertion site - Streak formation along the vein 103. A nurse is reviewing guidelines for prophylactic antibiotic therapy. The nurse should identify that prophylactic antibiotic therapy is not recommended for which of the following clients? - A client who has a fever of unknown origin 104. A nurse is reinforcing teaching about vancomycin with a client who has an infection. Which of the following information should the nurse include in the teaching? - “Notify your provider if you experience any changes in your hearing.” 105. A nurse is caring for a client who is receiving IV tobramycin and hasa prescription for peak and tough blood levels with the next dose scheduled for 1800. The nurse should expect the lab to draw blood samples at which of the following? - 1745 and 1830 106. A nurse is reinforcing teaching with a client who has cystic fibrosis and is receiving pancrelipase. The nurse should tell the client that which of the following is an effect of this medication? - Decreased fat in stools 107. A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she includes as an herbal supplement clients might use to treat osteoarthritis of the knee, hip, and wrists? - Glucosamine

108. A nurse is reinforcing teaching with a client who reports motion sickness about using an herbal supplement. The nurse should identify that the client can use which of the following herbal supplement to help control nausea? - Ginger root 109. A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction? - “I take my alendronate at the same day every week with an 8 ounces glass of milk.” 110. A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which of the following actions should the nurse plan to take? - Pinch the skin up at the chosen site with the nondominant hand before inserting the needle. 111. A nurse is preparing to administer enteric-coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client has ask the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make? - “ If I crush it you might experience a stomach ache or indigestion.” 112. A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide? - Take the medication in the evening hours. 113. A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include? - Wait up to 3 weeks to see the full effects of the medication. 114. A nurse is reinforcing discharge teaching for client who will continue to take lithium carbonate at home to manage bipolar disorder. which of the following instructions should the nurse include when reinforcing teaching?