Download ATI RN PHARMACOLOGY PROCTORED EXAM ||2025-2026|| QUESTIONS WITH CORRECT ANSWERS (A+) and more Exams Pharmacology in PDF only on Docsity!
ATI RN PHARMACOLOGY PROCTORED EXAM ||2025-2026||
QUESTIONS WITH CORRECT ANSWERS (A+)
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration? A. PT B. Total iron-binding capacity C. WBC D. PTT A. PT A nurse is caring for a group of clients. Which of the following situations requires an incident report? A. Client experiences a seizure. B. A client vomits after receiving an oral medication. C. A client receives their insulin 1 hours before scheduled. D. A client receives their meal tray 20 min late. C. A client receives their insulin 1 hour before scheduled. A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate? A. Oxycodone blocks the sodium channel suspending nerve conduction. B. Oxycodone promotes vasodilation of cranial arteries. C. Oxycodone causes central nervous system depression. D. Oxycodone inhibits prostaglandin synthesis.
C. Oxycodone causes central nervous system depression. 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.) 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 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 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 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 B. Hypotension A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin? A. Ginkgo biloba B. Coenzyme C. Valerian D. Probiotics A. Ginkgo biloba A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention? A. Heart rate of 56/min B. Sa02 95% on 2 L/min of oxygen C. Respirations 22/min D. Blood pressure 106/68 mm Hg A. HR of 56/min
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 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 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 to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 325mcg per day. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?
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 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. 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. 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. 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 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 A. Nalbuphine
B. Hypocalcemia C. Hyponatremia D. Hypokalemia C. Hyponatremia A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication? A. Endocarditis B. Kidney transplant C. Seizures D. Hypokalemia 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. 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 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. 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. inject air into the NPH vial. A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication? A. The client has a history of anaphylaxis following a bee sting. B. The client has a first-degree relative who has Paget's disease. C. The client is postmenopausal. D. The client has immobility that restricts her to a supine position. D. The client has immobility that restricts her to a supine position. A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching? 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." 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." 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 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 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?
B. "You will need liver function tests before beginning therapy. " C. "Avoid consuming dairy products while taking this medication. " D. "You should take the medication in the morning." B. "You will need liver function tests before beginning therapy." 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. Bruxism B. Confusion C. Insomnia D. Weight loss B. Confusion 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." 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 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 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 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 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 D. Hypotension C. Dyspnea A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching? A. "I should take this medication with food." B. "I should expect to have facial swelling when taking this medication." C. "I should report a cough to my provider." D. "I should increase my intake of potassium-rich foods." C. " I should report a cough to my provider." A charge nurse is supervising a newly licensed nurse who is caring for a client who is receiving a transfusion of packed RBCs. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse? A. The nurse collects a urine specimen. B. The nurse sends a blood specimen to the laboratory. C. The nurse initiates an infusion of 0.9% sodium chloride. D. The nurse starts the transfusion of another unit of blood product.
D. The nurse starts the transfusion of another unit of blood product. 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 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. 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
