ATI Pharmacology Proctored Exam (25 Versions, 1800 Q & A)/Pharmacology Proctored Exam
1. A nurse is assessing a client who is receiving chloramphenicol
... [Show More] (Chloromycetin).
Which of the following findings is an adverse effect of this medication? (adverse
affect is thrombocytopenia)
o Ecchymosis
o Ototoxicity
o Hypertension
o Anxiety
2. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride
IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL.
How many gtt/min of IV fluid should the client receive? (Round your answer to
the nearest whole number).
31 gtt/min
3. A nurse is admitting a client to a long-term care facility. While reconciling the
medication prescribed at home with those prescribed in the facility, the nurse discovers
a discrepancy in the dosages. Which action should the nurse take?
o Clarify the medication dosages with the provider.
o Change the prescribed medication dosages to reconcile the discrepancy
o Contact the pharmacist regarding the dosage discrepancies
o Ask a family member to verify the medication dosages
4. A nurse is caring for a client who is receiving a fentanyl transdermal system
(Duragesic). What is important to document in the client’s record?
o Fluid intake
o Skin integrity
o Respiratory rate
o Pulse rate
5. A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin.
Which of the following is an appropriate intervention for the nurse to take when
administering this medication?
o Massage the nitroglycerin ointment completely into the skin.
o Replace the nitroglycerin transdermal patch every 4 hours.
o Administer a sustained nitroglycerin tablet orally.
o Administer a nitroglycerin tablet sublingually every 5 minutes.
6. A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid
arthritis. The nurse should watch the patient for which of the following adverse effects? (Select
all that apply.)
o Bradycardia
o Jaundice
o Polyuria
o Urtipenia
o Fever
7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The
client is beginning medication therapy with zidovudine (Retrovir). Which of the following
statements should the nurse include in the teaching. (Select all that apply.)
o Must be taken with other retroviral medicines.
o Has few adverse effects
o Cures an HIV infection
o Prevents you from transmitting the HIV infection
o Increases CD4+ cell count
8. A nurse is assessing a school age client who is experiencing seizure activity and is prescribed
diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving a
continuous infusion of which of the following IV:
o Lactated Ringers solution
o 0.9% Sodium chloride with 100 units of regular insulin
o 0.9% sodium chloride
o 0.9% Sodium chloride with 20 mEq of potassium chloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure.
Which of the following indicates an expected finding?
o Activity tolerance
o Orthostatic hypotension
o Loss of strength
o Increase in blood pressure
10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of the following
therapeutic effects should the nurse monitor?
o Increased urine output
o Increased energy
o Decreased anxiety
o Decreased spacity
11. Clinical findings of a client who has a prescription for lithium carbonate (Lithobid). For
which reasons should the nurse withhold the medication and notify the provider?
o Lithium level 1.0 mEq/L
o Potassium at 3.7 mEq/L
o Sodium at 143 mEq/L
o Lithium level 2.5 mEq/L
12.The nurse is caring for a client who has tuberculosis and is being treated with combination
medication therapy. To test the effectiveness of the treatment, the nurse should periodically
monitor which of the following laboratory results.
o TT
o ESD rate
o Sputum culture
o INR
13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and is experiencing
adverse effects. Which of the following instructions should the nurse give to this client?
o “Stand up slowly after taking this medication.”
o “Monitor for incr eased urine output.”
o “Take this medication with a snack.”
o “Administer the medication at bedtime.”
14. A nurse is reviewing the medication administration record for a client who has
metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports a pain
level of 10 on a scale of 0 to 10. Which of the following medications should the nurse anticipate
administering?
o Hydromorphone (Dilaudid)
o Butorphanol (Stadol)
o Alprazolam (Xanax)
o Carbenezepine (Tegretol)
15. A nurse is caring for a client with PCA Morphine Sulfate. Which of the following
statements is not true?
o "I will not receive any pain medications during the lockout period"
o "I should push the button when the pain becomes severe"
o "I will be asked to rate my pain occasionally"
o "I don't have to worry about getting an overdose of the medication"
16.A nurse is caring for a client who is to receive a series of allergy tests. The nurse should
instruct the client to avoid which medications for up to 4 weeks before the procedure?
o Acetemetaphen (Tylenol)
o Diphenhyramine (Benadryl)
o Albuterol (Accuneb)
o Psuedoephedrine hydrochloride (Sudafed)
17. A nurse administered meperidine (Demerol) intramuscularly to a client with an ankle
fracture. Which of the following actions should the nurse take next?
o Assess the client’s r espirator y status
o Document on the clients medication record
o Reassess the client's pain level
o Check the client's blood pressure
18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily. The
nurse should recognize that which of the following findings is a side effect of this medication?
o WBC 8,000 mm3
o Serum sodium 136 mg/dL
o Fasting blood glucose of 220 mg/dL
o Weight loss of 2.26 kg (5 lb) in 2 weeks
19. A client with diabetes mellitus is admitted to the medical unit. The client has routine beforebreakfast
prescription for 8 units of regular insulin and 18 units ofNPH. The primary care
provider adds an additional dose of Regular insulin based on the following:
Blood Glucose Regular Insulin Dose
121 to 150 2 units
151 to 180 4 units
201. 200 6 units
201 to 250 8 units
> 250 Call provider
The client’s pre-breakfast glucose is 192 mg/dl. Which dosage of insulin should
the nurse administer?
o 8 units of Regular, 18 units of NPH
o 8 units of Regular, 24 units of NPH
o 14 units of Regular, 18 units of NPH
o 14 units of Regular, 24 units of NPH
20. A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mg by
mouth. Which comments by the client indicates understanding regarding this medication?
o “ I will take m y medicat ion at bedtime.”
o “I will take this medication with food.”
o “I will stop taking this medication in 1 week, so I don’t get addicted.”
o “I will take vitamin C to increase the effectiveness of this medication.”
21. A nurse is monitoring a client who is taking fosinopril (Monopril). The nurse should
understand that this has a beneficial effect on which of the body systems?
o Gastrointestinal
o Cardiovascular
o Pulmonary
o Reproductive
22. A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the following is
an expected outcome for this client?
o Increased appetite
o Reduced bleeding
o Improved breathing
o Reduced pain
23. A nurse is providing teaching to a client who just started taking lithium (Eskalith). Which of
the following statements indicates that the client understands the teaching?
o ‘I should inject this medication subcutaneously.’
o “I should expect to feel better in just a few days.”
o “ I shoul d call m y docto r if I develop h and tremo rs.”
o “I should take this medication on an empty stomach.”
24.A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse should monitor
for which outcome?
o A rapid increase in aPTT.
o A sudden increase in heart rate.
o A sudden decrease in heart rate.
o A rapid decrease of aPTT.
25.A nurse is caring for a client who has rheumatoid arthritits. The client is prescribed
methotrexate (Rheumatrex). Which of the following should the nurse instruct the client to
monitor and report to the provider?
o Sore throat
o Urinary retention
o Constipation
o Insomnia
26.A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). The nurse
notes that the client’s chart lists a penicillin allergy. Which of the following actions should the
nurse take first?
o Notify the provider that the client is allergic to the medication.
o Teach the client about signs of allergic response.
o Question the client about previous allergic reactions.
o Administer the medication and monitor the client for
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