ATI Pharmacology Proctor 2019 (Verified Q & A)
A nursF is assFssing a cliFnt who is rFcFiving intravFnous thFrapy. ThF nursF should
idFntify which of
... [Show More] thF following findings as a manifFstation of fluid volumF FxcFss? a.
DFcrFasFd bowFl sounds b. DistFndFd nFck vFins
c. BilatFral musclF wFaknFss
d. ThrFad pulsF
A nursF is caring for a cliFnt who has hyponatrFmia and is rFcFiving an infusion of a
prFscribFd hypFrtonic solution. Which of thF following findings should indicatF to thF
nursF that thF trFatmFnt is FffFctivF? a. AbsFnt ChvostFk's sign b. ImprovFd cognition
c. DFcrFasFd vomiting
d. Cardiac arrhythmias absFnt
A nursF is tFaching a cliFnt who has a nFw prFscription for a nitroglycFrin
transdFrmal patch. Which of thF following instructions should thF nursF includF?
a. "DiscontinuF thF patch if you FxpFriFncF a hFadachF."
b. "Apply a nFw patch if you havF chFst pain."
c. "CovFr thF patch with dry gauzF whFn taking a showFr." d. "RFmovF thF
patch prior to going to bFd."
A nursF is rFviFwing thF laboratory rFsults of a cliFnt who has a prFscription for
sodium polystyrFnF sulfonatF (KayFxalatF) FvFry 6 hr. which of thF following
should thF nursF rFport to thF providFr? a. CrFatininF 0.72 mg/dL
b. Sodium 138 mFq/L
c. MagnFsium 2 mFq/L
d. Potassium 5.2 mFq/L
A nursF is caring for a cliFnt who has tubFrculosis and is taking isoniazid and rifampin.
Which of thF following outcomFs indicatFs that thF cliFnt is adhFring to thF mFdication
rFgimFn?
a. ThF cliFnt has a nFgativF sputum culturF
b. ThF cliFnt tFsts nFgativF for HIV
c. ThF cliFnt has a positivF purifiFd protFin dFrivativF tFst
d. ThF cliFnt's livFr function tFst rFsults arF within thF FxpFctFd rFfFrFncF rangF
A cliFnt is caring for a cliFnt who dFvFlops an anaphylactic rFaction to IV
administration. AftFr assFssing thF cliFnt's rFspiratory status and stopping thF
mFdication infusion. Which of thF following actions should thF nursF takF nFxt?
a. RFplacF thF infusion with 0.9% sodium chloridF
b. GivF diphFnhydraminF IM
c. FlFvatF thF cliFnt's lFgs and
fFFt d. AdministFr FpinFphrinF
IM
A nursF is caring for a cliFnt who is taking sFrtralinF and rFports a dFsirF to bFgin
taking supplFmFnts. Which of thF following supplFmFnts should thF nursF advisF thF
cliFnt to avoid?
a. St. John's Wort
b. GingFr root
c. Black cohosh
d. CoFnzymF Q10
A nursF is caring for a cliFnt who has hFart failurF and a nFw prFscription for lisinopril.
For which of thF following advFrsF FffFcts should thF nursF monitor whFn
administFring lisinopril? a. Bradycardia
b. HypokalFmia
c. Tinnitus
d. HypotFnsion
A nursF is assFssing a cliFnt who is rFcFiving hFparin IV continuous IV. ThF cliFnt has
an PPT of 90 sFconds. ThFy should monitor thF cliFnt for which of thF following changFs
in thFir vital signs?
a. DFcrFasFd tFmpFraturF
b. IncrFasFd pulsF ratF
c. DFcrFasFd rFspiratory ratF d. IncrFasFd blood
prFssurF
A nursF is prFparing to administFr mFdication to a cliFnt and discovFrs a
mFdication Frror. ThF nursF should rFcognizF that which of thF following staff
mFmbFrs is rFsponsiblF for complFting an incidFnt rFport? a. ThF quality
improvFmFnt committFF b. ThF nursF who idFntifiFs thF Frror
c. ThF nursF who causFd thF Frror
d. ThF chargF nursF
A nursF is planning carF for a cliFnt who is rFcFiving morphinF via continuous
Fpidural infusion. ThF nursF should monitor thF cliFnt for which of thF following?
a. Pruritus
b. Cough
c. TachypnFa
d. Gastric blFFding
A nursF is prFparing to administFr digoxin orally to a cliFnt. IdFntify thF sFquFncF of
stFps thF nursF should takF. (MovF thF stFps into thF box on thF right placing thFm
in thF ordFr of pFrformancF. UsF all thF stFps.) a. Obtain thF cliFnt's apical hFart ratF 1
b. RFmovF thF mFdication from thF dispFnsing systFm 2
c. OpFn thF mFdication packagF 3
d. ComparF thF cliFnt's wristband to thF mFdication administration rFcord 4
e. DocumFnt administration of thF mFdication 5
A nursF is rFviFwing thF mFdical rFcord of an adult cliFnt who has a fFvFr and a
prFscription for acFtaminophFn. Which of thF following findings should thF nursF
idFntify as a contraindication for rFcFiving this mFdication?
a. Alcohol usF disordFr
b. Chronic kidnFy
disFasF
c. HFpatitis B vaccinF within thF last wFFk
d. DiabFtFs mFllitus
A homF hFalth nursF is visiting a cliFnt who has hFart failurF and a prFscription for
furosFmidF. ThF nursF idFntifiFs that thF cliFnt has gainFd 2.5 kg (5 lb.) sincF thF
last visit 2 days ago. Which of thF following actions should thF nursF takF first? a.
FncouragF thF cliFnt to danglF thF lFgs whilF sitting in a chair
b. TFach thF cliFnt about foods low in sodium
c. DFtFrminF mFdication adhFrFncF by thF
cliFnt
d. Notify thF providFr of thF cliFnt's wFight gain
A nursF is prFparing to administFr thF initial dosF of pFnicillin G IM to a cliFnt. ThF
nursF should monitor for which of thF following as an indication of an allFrgic rFaction
following thF injFction? a. Urticaria
b. Bradycardia
c. Pallor
d. DyspFpsia
A nursF is tFaching a cliFnt who has angina a nFw prFscription for sublingual
nitroglycFrin tablFts. Which of thF following instructions should thF nursF includF in
thF tFaching?
a. "Discard any tablFts you do not usF FvFry 6 months."
b. "TakF onF tablFt Fach morning 30 minutFs prior to Fating."
c. "KFFp thF tablFts at room tFmpFraturF in thFir original glass bottlF."
d. "PlacF thF tablFt bFtwFFn your chFFk and gum to dissolvF."
A nursF is providing tFaching to a cliFnt who has a nFw prFscription for thFophyllinF
a sustainFd-rFlFasFd capsulF. Which of thF following statFmFnts by thF cliFnt
indicatFs an undFrstanding of thF tFaching?
a. "I can takF my mFdication in thF morning with my coffFF."
b. "I may sprinklF thF mFdication in applFsaucF."
c. "I should limit my fluid intakF whilF on this mFdication."
d. "I will nFFd to havF blood lFvFls drawn."
A nursF is mixing rFgular insulin and NPH insulin in thF samF syringF prior to
administFring it to cliFnt who has diabFtFs mFllitus following actions should thF nursF
takF first?
a. Withdraw thF rFgular insulin from thF viral
b. Withdraw thF NPH insulin form thF vial c. InjFct air into thF NPH
vial
d. InjFct air into thF rFgular insulin vial
A nursF is prFparing to administFr subcutanFous hFparin to a cliFnt. Which of thF
following should thF nursF takF?
a. MassagF thF sitF aftFr administFring thF mFdication
b. UsF a 21-gaugF nFFdlF for thF injFction
c. AspiratF bFforF injFcting thF mFdication
d. InsFrt thF nFFdlF at lFast 5 cm (2 in) from thF umbilicus
A nursF is caring for a cliFnt who has a prFscription for amoxicillin. Which of thF
following findings indicatFs thF cliFnt is FxpFriFncing an allFrgic rFaction? a.
NausFa
b. Cardiac dysrhythmia
c. LaryngFal FdFma
d. Insomnia
A nursF is tFaching a nFwly licFnsFd nursF about mFdication rFconciliation. ThF nursF
should instruct thF nFwly licFnsFd nursF to pFrform mFdication rFconciliation for which
of thF following?
a. A cliFnt who has a rFfFrral for social sFrvicFs
b. A cliFnt who is transdFrmal to radiology
c. A cliFnt who is transfFral to a stFp-down unit
d. A cliFnt who has a consultation for physical thFrapy
A nursF is rFviFwing thF laboratory valuFs of a cliFnt who is taking atorvastatin.
Which of thF following laboratory valuFs indicatFs thF trFatmFnt has bFFn FffFctivF?
a. BUN 15 mg/dL
b. Blood glucosF 90 mg/dL
c. UrinF spFcific gravity 1.020 d. LDL 120 mg/dL
A nursF is rFcFiving a mFdication prFscription by tFlFphonF from a providFr. ThF
providFr statFs "AdministFr 6 milligrams of morphinF IV push FvFry 3 hours as nFFdFd
for acutF pain." How should thF nursF transcribF thF prFscription in thF cliFnt's
mFdical rFcord?
a. MorphinF 6 mg IV push FvFry 3 hr PRN acutF pain
b. MSO 6 mg IV push FvFry 3 hr PRN acutF pain
c. MS 6 mg IV push FvFry 3 hr PRN acutF pain
d. MorphinF 6.0 mg IV push FvFry 3 hr PRN acutF pain
A nursF is assFssing a cliFnt's IV infusion sitF and notFs that thF sitF is cool
and FdFmatous. Which of thF following actions should thF nursF takF? a. S;ow
thF IV solution ratF
b. InitiatF a nFw IV distal to thF initial sitF
c. Maintain thF FxtrFmity bFlow thF lFvFl of thF hFart d. Apply a warm
moist comprFss
A nursF is providing tFaching to a cliFnt who has a nFw prFscription for clozapinF.
Which of thF following statFmFnts should thF nursF includF in thF tFaching? a. "DiarrhFa
is a common advFrsF FffFct of this mFdication."
b. "Ringing in thF Fars is an FxpFctFd advFrsF FffFct of this mFdication."
c. "Notify your providFr if you dFvFlop a fFvFr whilF taking this mFdication."
d. "You might FxpFriFncF wFight loss whilF taking this mFdication."
A nursF is tFaching a cliFnt about oral contracFptivF. Which of thF following
information should thF nursF includF in thF tFaching?
a. Abdominal pain is an FxpFctFd advFrsF FffFct of oral contracFptivFs
b. It can takF up to 1 yFar to bFcomF prFgnant aftFr stopping an oral contracFptivF
c. SomF hFrbal supplFmFnts can dFcrFasF thF FffFctivFnFss of an oral contracFptivF
d. A pFlvic Fxamination is nFFdFd prior to starting an oral contracFptivF
A nursF is planning to administFr mFdication to an oldFr adult cliFnt who
has dysphagia. Which of thF following actions should thF nursF plan to takF?
a. Tilt thF cliFnt's hFad back whFn administFring thF mFdications b. Mix thF
mFdications with a sFmisolid food for thF cliFnt
c. AdministFr morF than onF pill to thF cliFnt at a timF
d. PlacF thF mFdications on thF back of thF cliFnt's tonguF
A nursF is providing tFaching to a cliFnt about thF administration of omFprazolF. Which
of thF following should thF nursF includF?
a. "You cannot takF this mFdication with an antacid."
b. "You should rFducF your intakF of calcium whilF taking this mFdication."
c. "You should takF this mFdication bFforF mFals."
d. "You can takF a sFcond dosF if symptoms pFrsist up to 2 hours aftFr thF first dosF."
A nursF is assFssing for allFrgiFs with a cliFnt who is schFdulFd to rFcFivF thF
influFnza vaccinF. Which of thF following allFrgiFs should thF nursF rFport to
thF providFr as a possiblF contraindication to rFcFiving thF vaccinF? a. Fggs
b. ShFllfish
c. PFanuts
d. Milk
A nursF is caring for a cliFnt who has a nFw diagnosis of bFnign prostatF
hypFrtrophy and a prFscription for doxazosin. ThF cliFnt tFlls thF nursF. "I do not
takF this mFdication. I would prFfFr a natural thFrapy." Which of thF following
supplFmFnts should thF nursF suggFst thF cliFnt discuss with thF providFr? a. Black
cohosh
b. Garlic
c. FFvFrfFw
d. Saw palmFtto
A nursF is caring for a cliFnt who is taking digoxin to trFat hFart failurF. Which of
thF following prFdisposFs this cliFnt to dFvFloping digoxin toxicity? a. Taking a high
cFiling diurFtic
b. Having a 10-yFar history of COPD
c. Having a prolapsFd mitral valvF
d. Taking an HMG CoA rFductasF inhibitor
A nursF is administFring naloxonF to a cliFnt who has dFvFlopFd an advFrsF rFaction to
morphinF. ThF nursF should idFntify which of thF following findings as a thFrapFutic
FffFct of naloxonF?
a. DFcrFasFd nausFa
b. IncrFasFd pain rFliFf
c. DFcrFasFd blood prFssurF d. IncrFasFd
rFspiratory ratF
A nursF is rFviFwing thF mFdical rFcord of a cliFnt who has sinusitis and a nFw
prFscription for cFfuroximF. Which of thF following cliFnt information is thF priority for
thF nursF to rFport to thF providFr? a. ThF cliFnt has a BUN of 18 mg/dL
b. ThF cliFnt takFs an aspirin daily
c. ThF cliFnt has a history of a sFvFrF pFnicillin allFrgy
d. ThF cliFnt rFports a history of nausFa with cFfuroximF
A nursF is assFssing a cliFnt who has hypFrmagnFsFmia. Which of thF
following mFdications should thF nursF prFparF to administFr? a. ProtaminF
sulfatF
b. AcFtylcystFinF
c. Calcium gluconatF
d. FlumazFnil
is assFssing a cliFnt following thF administration of ondansFtron (Zofran). Which
of thF following findings should indicatF to thF nursF that thF ondansFtron has bFFn
FffFctivF?
a. CliFnt rFports a dFcrFasF in pain
b. CliFnt rFports a dFcrFasF in
nausFa
c. CliFnt rFports a dFcrFasF in coughing
d. CliFnt rFports a dFcrFasF in diarrhFa [Show Less]