Download A.T.I RN Pharmacology Proctored Exam 2024-2025 – Full Test Bank of 200 Verified Questions and more Exams Nursing in PDF only on Docsity!
ATI RN Pharmacology Proctored Exam 2024- 2025
– Full Test Bank of 200 Verified Questions and
Answers | Latest ATI RN Proctored Exam Study
Guide for Nursing Students
1. Ondansetron Prescription Clarification Question: A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider? A. Dose B. Route C. Frequency D. Reason ✅ Correct Answer: D. Reason Rationale: A complete PRN (as-needed) prescription must include the reason for administration. Without it, the nurse cannot determine under what condition the medication should be given. 2. Nifedipine Assessment Question: A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration? A. Blood pressure B. Respiratory rate C. Temperature D. Oxygen saturation ✅ Correct Answer: A. Blood pressure Rationale: Nifedipine is a calcium channel blocker used to treat hypertension. It can cause hypotension, so blood pressure should be assessed prior to administration. 3. Carbamazepine Adverse Effect
Question: A nurse is providing teaching to a client who has a new prescription for carbamazepine. The nurse should instruct the client to monitor for which of the following adverse effects? A. Blurred vision B. Insomnia C. Metallic taste D. Tachypnea ✅ Correct Answer: A. Blurred vision Rationale: Blurred vision is a common adverse effect of carbamazepine, an anticonvulsant. The client should be instructed to report any vision changes.
4. Warfarin Lab Monitoring Question: A nurse is preparing to administer a scheduled dose of warfarin. Which of the following laboratory tests should the nurse review? A. PT B. Total iron-binding capacity C. WBC D. PTT ✅ Correct Answer: A. PT Rationale: Warfarin therapy requires monitoring of the prothrombin time (PT) to assess therapeutic anticoagulation and bleeding risk. 5. Filgrastim Effectiveness Question: A nurse is reviewing the laboratory data of a client receiving filgrastim. Which lab value indicates effectiveness? A. Potassium level B. BUN C. INR D. WBC count ✅ Correct Answer: D. WBC count Rationale: Filgrastim stimulates bone marrow to increase white blood cell (WBC) production, so effectiveness is measured by an increase in WBC count.
9. Parenteral Nutrition Hypoglycemia Question: A nurse identifies a hypoglycemic episode in a client on parenteral nutrition. What action should the nurse take? A. Discontinue the infusion B. Administer IV dextrose C. Warm formula to room temperature D. Obtain arterial blood gases ✅ Correct Answer: B. Administer IV dextrose Rationale: Dextrose is given immediately to treat hypoglycemia, especially in clients on TPN who may experience abrupt glucose changes. 10. Incident Report Question: Which of the following situations requires the nurse to complete an incident report? A. Client experiences a seizure B. Client vomits after oral meds C. Client receives insulin 1 hour early D. Client’s tray is 20 minutes late ✅ Correct Answer: C. Client receives insulin 1 hour early Rationale: Administering insulin at the incorrect time is a medication error and must be documented in an incident report, even if no harm occurred. 11. Oxycodone Respiratory Depression Question: A nurse notes a client has a respiratory rate of 8/min after receiving oxycodone. What explains this? A. Sodium channel blockade B. Vasodilation of cranial arteries C. CNS depression D. Prostaglandin inhibition ✅ Correct Answer: C. CNS depression Rationale: Oxycodone is an opioid that depresses the CNS, especially the respiratory center, leading to bradypnea.
12. IV Drop Rate Calculation Question: A nurse is to administer cefazolin 1 g in 100 mL over 30 min using tubing with a drop factor of 15 gtt/mL. What is the correct drop rate? ✅ Correct Answer: 50 gtt/min Calculation: (100 mL × 15 gtt/mL) ÷ 30 min = 1500 ÷ 30 = 50 gtt/min Rationale: Use the formula: Volume (mL) × Drop Factor (gtt/mL) ÷ Time (min) = Drops per minute. A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization? A. An older adult client living in a long-term care facility. B. A young adult who has an allergy to eggs C. A child who recently received the human papillomavirus vaccine. D. A client who has AIDS - - correct ans- - D. A client who has AIDS A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer? A. Propafenone B. Simvastatin C. Prochlorperazine D. Metformin - - correct ans- - C. Prochlorperazine A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer
D. Check the client's medical record for medication and food interactions. - - correct ans- - B. Consult a drug reference guide for possible interactions. A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements? A. Ginkgo biloba B. Calcium C. Vitamin C D. Zinc - - correct ans- - B. Calcium A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take? A. Obtain the client's weight three times a week. B. Check the client's WBC count daily. C. Keep the solution refrigerated until 1 hr before infusion. D. Change the solution every 36 hrs. - - correct ans- - C. Keep the solution refrigerated until 1 hr before infusion. A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client? A. Ask another nurse to check the medication dosage prior to administration. B. Verify a written order with the medication administration record. C. Use two client identifiers prior to administering the medication. D. Document the full name of the prescribed medication after administration. - - correct ans- - C. Use two client identifiers prior to administering the medication.
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take? A. Inject air into the vial to withdraw the short-acting insulin. B. Administer the insulin within 20 min of preparing it. C. Ensure the NPH insulin is drawn into the syringe first. D. use two separate syringes to mix the insulin. - - correct ans- - D. Use two separate syringes to mix the insulin. A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin? A. Sildenafil B. Gemfibrozil C. Lansoprazole D. Diazepam - - correct ans- - A. Sildenafil A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider? A. Nalbuphine B. Acetaminophen C. Ondansetron D. Insulin Glargine - - correct ans- - A. Nalbuphine A nurse is administering medications to a client who weighs 132 lb. The prescription reads chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol
A. Endocarditis B. Kidney transplant C. Seizures D. Hypokalemia - - correct ans- - A. Endocarditis A nurse is caring for a client in the clinic. Vital Signs 1 week ago: Temp 37 HR64/min RR 12/min BP 118/72 mm Hg Today: Temp 37.2 HR 82/min RR 16/min BP 110/68 mm Hg. Which of the following client statements indicates to the nurse the teaching was effective? A. "I will consume foods that are soft or semisolid." B. "I will avoid consuming alcoholic beverages." C. "I will perform oral hygiene using a firm-bristle toothbrush." D. "I will avoid taking folic acid supplements while taking this medication. - - correct ans- - A. "I will consume foods that are soft or semisolid." A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication? A. Increase in serum sodium. B. Decrease in urine output C. Increase in heart rate D. Decrease in blood pressure - - correct ans- - B. Decrease in urinary output.
A nurse in a provider's office is caring for a client. Nurses' Notes 3 months ago: Client seen in provider's office for routine physical. Today: Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void. What actions should the nurse take? (SATA). A. Advise the client to change positions slowly. B. Check the client for orthostatic hypotension. C. Monitor the client for dysrhythmias. D. Advise the client to restrict potassium intake. E. Advise the client to take the medication before bedtime. - - correct ans- - A. Advise the client to change positions slowly. B. Check the client for orthostatic hypotension. 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? A. Urinary retention B. Leg weakness C. Hypotension D. Temperature 39°C (102.2°F) - - correct ans- - C. Hypotension A nurse is caring for a client in a provider's office. Nurses' Notes Day 1: Client presents for evaluation of neurological changes, including stiffness of lower extremities, and shaking of hands. Client is married, has no known allergies, and no surgical history. Client is a retired airline pilot and the parent of five adult children. Day 7: Client reports having trouble sleeping due to nightmares and states, "I'm not sure this medication is doing what it's supposed to do." Client reports daily nausea.
A. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose. " B. "Plan to self-administer this medication for the next 6 months." C. "Lie down for 1 hour after administering the medication. " D. "Administer the medication into one nostril once per week." - - correct ans- - D. " Administer the medication into one nostril once per week." A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin transdermal patches 0.8 mg/hr daily. Which of the following statements by the client indicates an understanding of the teaching? A. "I can cut the patches in half to save money. " B. "I will apply a new patch to the same site whenever I replace it. " C. "I will take the patch off after dinner every night. " D. "I can put a second patch on if I have chest pain." - - correct ans- - C. " I will take the patch off after dinner every night." A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately? A. Leg tenderness B. Cramps C. Nausea D. Abdominal bloating - - correct ans- - A. leg tenderness 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. Fluid retention
C. Tinnitus D. Orthostatic hypotension - - correct ans- - B. Fluid retention 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? A. Dobutamine B. Epinephrine C. Dexamethasone D. Nitroprusside - - correct ans- - D. Nitroprusside A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication? A. Respiratory rate B. HR C. Pain level D. Temperature - - correct ans- - B. HR A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication? A. Constipation B. Weight loss C. Bruising D. Blurred vision - - correct ans- - C. Bruising
A. Verapamil B. Digoxin C. Dopamine D. Amiodarone - - correct ans- - D. Amiodarone A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation. Which of the following assessments is the nurse's priority? A. Heart rate B. Oxygen saturation C. Level of consciousness D. Temperature - - correct ans- - D. Level of consciousness A nurse is obtaining a medical history from a client who is to start warfarin therapy and currently uses herbal supplements at home. The nurse should inform the client that which of the following herbal supplements can interact adversely with warfarin? A. Black cohosh B. Echinacea C. Feverfew D. Flaxseed - - correct ans- - C. Feverfew A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? A. Prevents dysrhythmias B. Relieves pain
C. Dissolves blood clots D. Slows intestinal motility - - correct ans- - A. Prevents dysrhythmias A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make? A. A headache is likely due to the anxiety about the chest pain. B. A headache indicates tolerance to the medication. C. A headache is an expected adverse effect of the medication. D. A headache is an indication of an allergy to the medication. - - correct ans- - C. A Headache is an expected adverse effect of the medication. A nurse is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? A. Reduce intake of potassium-rich foods. B. Avoid grapefruit juice. C. Take this medication before bedtime. D. Monitor for leg cramps. - - correct ans- - D. Monitor for leg cramps A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing a hemolytic reaction? A. Vomiting B. Flushing C. Dyspnea
A. Weigh the client. B. Measure the client's blood pressure. C. Measure the client's apical pulse. D. Offer the client a light snack. - - correct ans- - C. Measure the client's apical pulse. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect? A. Blurred vision B. Orthostatic hypotension C. Urinary retention Muscle D. muscle weakness - - correct ans- - D. muscle weakness A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching? A. "The extra letters after the name of the medication mean it is a stronger dose. " B. "I will not have to do anything different because it is the same medication." C. "Now I will not have to diet to lose weight." D. "With the new medication, I should experience fewer side effects." - - correct ans- - D. "With the new medication, I should experience fewer side effects." A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make? A. "Take only one dose of nitroglycerin to reduce the risk of getting a headache."
B. "We will ask the provider to prescribe a different medication for you." C. "There's nothing that can be done to relieve the headaches that nitroglycerin causes." D. "Try taking a mild analgesic to relieve the headache." - - correct ans- - D. "Try taking a mild analgesic to relieve the headache." A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication? A. Blood pressure 160/94 mm Hg B. Heart rate 46/min C. Oxygen saturation 95% D. Respiratory rate 18/min - - correct ans- - B. Heart rate 46/min A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity? A. Ataxia B. Anorexia C. Photosensitivity D. Jaundice - - correct ans- - B. Anorexia A nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. Which of the following complications should the nurse suspect? A. Catheter occlusion B. Catheter migration C. Catheter dislodgment D. Catheter rupture - - correct ans- - C. Catheter dislodgment
