Download A.T.I RN Pharmacology Proctored Exam 2024-2025 | Actual RN Pharmacology Test Bank and more Exams Nursing in PDF only on Docsity!
ATI RN Pharmacology Proctored Exam 2024-2025 |
Actual RN Pharmacology Test Bank with 200
Questions & Answers for ATI Success
1. Desmopressin Therapeutic Response Question: A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following findings indicates 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 Answer: B. Decrease in urine output Rationale: Desmopressin is a synthetic form of antidiuretic hormone (ADH), used to reduce excessive urination in diabetes insipidus. A therapeutic effect is seen as a decrease in urine output , indicating improved water reabsorption by the kidneys. An increase in serum sodium would be undesirable and indicates dehydration. 2. Orthostatic Hypotension Interventions (Select All That Apply) Question: A nurse in a provider’s office is assessing a client who reports dizziness and lightheadedness upon standing, and nocturia. Which of the following actions should the nurse take? (Select all that apply.) 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 Answers: A, B Rationale: These symptoms suggest orthostatic hypotension , possibly related to
antihypertensive medication or diuretics. Changing positions slowly (A) and checking orthostatic BP readings (B) help confirm and manage the condition. Options C, D, and E are not directly related or could worsen symptoms.
3. Epidural Anesthesia Complication Question: A nurse is assessing a client in labor receiving epidural anesthesia. Which of the following findings is the priority? A. Urinary retention B. Leg weakness C. Hypotension D. Temperature 39°C (102.2°F) ✅ Correct Answer: C. Hypotension Rationale: Hypotension is a common and serious adverse effect of epidural anesthesia due to sympathetic blockade. It can reduce placental perfusion and fetal oxygenation. While the other options are also important, they are not immediately life-threatening. 4. Medication Teaching – Parkinson’s Disease (Select All That Apply) Question: A client prescribed levodopa/carbidopa for Parkinson’s disease reports nausea, nightmares, and concerns about effectiveness. Which statements should the nurse include when teaching about this medication? (Select all that apply.) A. "Consumption of a high protein meal can reduce the effectiveness of the medication." B. "You may notice your urine becomes lighter in color." C. "You may initially notice an increase in involuntary movements." D. "You can experience vivid nightmares." E. "The medication can cause nausea." ✅ Correct Answers: A, C, D, E Rationale: - A: Protein interferes with absorption of levodopa. - C: Involuntary movements (dyskinesias) can occur initially.
minutes after taking it. Those unable to do so are at increased risk of esophageal irritation or ulceration , making this a contraindication.
7. Cyanocobalamin Nasal Teaching Question: A nurse is teaching a client with pernicious anemia about nasal cyanocobalamin. Which instruction should be included? 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 Answer: D. "Administer the medication into one nostril once per week." Rationale: Cyanocobalamin is a form of vitamin B12 given nasally once weekly. It should be avoided if the client has nasal congestion. Lifelong therapy is typically required for pernicious anemia. 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 providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching? A. "You will be weighed twice a week while receiving TPN." B. "Your blood sugar will be checked once a day." C. "You will have a central line placed to receive TPN." D. "Your intake and output will be measured every 2 days." - - correct ans- - C. "You will have a central line placed to receive TPN." A nurse is caring for a client who has a life-threatening ventricular dysrhythmia. Which of the following medications should the nurse anticipate administering? 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.
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer? A. Atropine B. Epinephrine C. Vitamin K D. Protamine - - correct ans- - C. Vitamin K A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take? 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
A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication? A. Give the medication in the morning daily. B. Administer the granules mixed with 20 oz of water. C. Give the medication at the onset of wheezing. D. Administer the medication 2 hr before exercise. - - correct ans- - A. Give the medication in the morning daily. A nurse is teaching a client who reports taking gingko biloba to improve his memory. Which of the following adverse effects should the nurse include in the teaching? A. Bleeding gums B. Decreased alertness C. Breast enlargement D. Bad breath- - - correct ans- - A. Bleeding gums A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? A. Expect to gain weight while taking this medication. B. Do not use salt substitutes while taking this medication. C. Count your pulse rate before taking the medication. D. Take the medication with food. - - correct ans- - B. Do not use salt substitutes while taking this medication. A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemolytic reaction?
A. Distended neck veins B. Client report of low back pain C. A productive cough D. Client report of tinnitus. - - correct ans- - B. Client report of low back pain A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following severe reactions to this medication? A. Ototoxicity B. Hypokalemia C. Tachycardia D. Postural hypotension. - - correct ans- - D. Postural hypotension A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking warfarin. For which of the following results should the nurse notify the provider? A. Platelets 190,000/mm B. Hct 44% C. PT 45 seconds D. Hgb 16 g/dL - - correct ans- - C. PT 45 seconds A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose? A. Vitamin K B. Glucagon C. Protamine D. Iron - - correct ans- - C. Protamine
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.) A. Urinary retention and constipation B. Tongue thrusting and lip smacking C. Fine hand tremors and pill rolling D. Facial grimacing and eye blinking E. Involuntary pelvic rocking and hip thrusting movements. - - correct ans- - B. Tongue thrusting and lip smacking D. Facial grimacing and eye blinking E. Involuntary pelvic rocking and hip thrusting movements A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil? A. Metronidazole B. Phenytoin C. Prednisone D. Isosorbide - - correct ans- - D. Isosobide A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Check the client's vital signs. B. Administer the medication to the correct client. C. Fill out an occurrence form. D. Notify the client's provider. - - correct ans- - A. Check the client's vital signs.
A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse? A. Glass of whole milk B. Celery sticks C. Bologna sandwich D. Sliced apples - - correct ans- - C. Bologna sandwich A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer? A. Methadone B. disulfiram C. Risperidone D. Lithium Carbonate - - correct ans- - A. Methadone A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make? A. "Were you trying to kill yourself by taking an overdose?" B. "I'm glad you called, and I want to send an ambulance to help you." C. "Do you know how many pills were in the bottle?" D. "You must have been feeling pretty depressed to do that." - - correct ans- - B. "I'm glad you called, and I want to send an ambulance to help you." A nurse is caring for a newborn who has respiratory depression. Which of the following medications should the nurse anticipate administering?
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - - correct ans- - 50gtt/min 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 ans- - D. Reason
- 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 of the medication? A. Blood pressure B. Respiratory rate C. Temperature D. Oxygen saturation - - correct ans- - A. Blood pressure 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. Blurred vision B. Insomnia C. Metallic taste
D. Tachypnea - - correct ans- - A. Blurred vision 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? A. Potassium level B. BUN C. INR D. WBC count - - correct ans- - D. WBC count A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take? A. Discontinue the infusion. B. Administer IV dextrose. C. Warm formula to room temperature. D. Obtain arterial blood gases. - - correct ans- - B. Administer IV dextrose. A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion? A. Headache B. Hypotension C. Chest pain D. Extravasation - - correct ans- - B. Hypotension
