ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
1. A nurse is assessing a client who is receiving
... [Show More] intravenous therapy. The nurse
should identify which of the following findings as a manifestation of fluid volume
excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse -.. Correct Answer:b. Distended neck veins
2. A nurse is caring for a client who has hyponatremia and is receiving an infusion of
a prescribed hypertonic solution. Which of the following findings should indicate to
the nurse that the treatment is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent -.. Correct Answer:b. Improved cognition
3. A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a shower."
d. "Remove the patch prior to going to bed." -.. Correct Answer:d. "Remove
the patch prior to going to bed."
4. A nurse is reviewing he laboratory results of a client who has a prescription for
sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should
the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than
5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias.
Kayexalate is used to decrease the serum potassium level, so the PN
should monitor the client's serum potassium level -.. Correct Answer:d.
Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than
5.0 mEq/L)
5. increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to
decrease
ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
6. the serum potassium level, so the PN should monitor the client's serum potassium
level
7. A nurse is caring for a client who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the client is adhering to the
medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client's liver function test results are within the expected reference
range -.. Correct Answer:a. The client has a negative sputum culture
8. A client is caring for a client who develops an anaphylactic reaction to IV
administration. After assessing the client's respiratory status and stopping the
medication infusion. Which of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM -.. Correct Answer:d. Administer epinephrine IM
9. A nurse is caring for a client who is taking sertraline and reports a desire to begin
taking supplements. Which of the following supplements should the nurse advise
the client to avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10 -.. Correct Answer:a. St. John's Wort
10.A nurse is caring for a client who has heart failure and a new prescription for
lisinopril. For which of the following adverse effects should the nurse monitor when
administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension -.. Correct Answer:d. Hypotension
ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
11.A nurse is assessing a client who is receiving heparin IV continuous IV. The client
has an PPT of 90 seconds. They should monitor the client for which of the following
changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure -.. Correct Answer:d. Increased blood pressure
12.A nurse is preparing to administer medication to a client and discovers a
medication error. The nurse should recognize that which of the following staff
members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse -.. Correct Answer:b. The nurse who identifies the error
13.A nurse is planning care for a client who is receiving morphine via continuous
epidural infusion. The nurse should monitor the client for which of the following?
a. Pruritus - Sign of allergic reaction to morphine
b. Cough
c. Tachypnea
d. Gastric bleeding -.. Correct Answer:a. Pruritus - Sign of allergic reaction to
morphine
14.A nurse is preparing to administer digoxin orally to a client. Identify the sequence of
steps the nurse should take. (Move the steps into the box on the right, placing them
in the order of performance. Use all the steps.)
a. Obtain the client's apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication -.. Correct Answer:a. Obtain
the client's apical heart rate
15.b. Remove the medication from the dispensing system
16.c. Open the medication package
17.d. Compare the client's wristband to the medication administration record
18.e. Document administration of the medication
ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
19.A nurse is reviewing the medical record of an adult client who has a fever and a
prescription for acetaminophen. Which of the following findings should the nurse
identify as a contraindication for receiving this medication?
a. Alcohol use disorder b. Chronic kidney disease c. Hepatitis B vaccine
within the last week d. Diabetes mellitus -.. Correct Answer:b. Chronic
kidney disease
20.A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the
last visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain -.. Correct Answer:c.
Determine medication adherence by the client
21.A nurse is preparing to administer the initial dose of penicillin G IM to a client. The
nurse should
22.monitor for which of the following as an indication of an allergic reaction following
the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia -.. Correct Answer:a. Urticaria
23.A nurse is teaching a client who has angina a new prescription for sublingual
nitroglycerin
24.tablets. Which of the following instructions should the nurse include in the
teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve." -.. Correct
Answer:c. "Keep the tablets at room temperature in their original glass
bottle."
25.A nurse is providing teaching to a client who has a new prescription for
theophylline, a
ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
26.sustained-released capsule. Which of the following statements by the client
indicates an
27.understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn." -.. Correct Answer:a. "I can take
my medication in the morning with my coffee."
28.A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to
29.client who has diabetes mellitus following actions should the nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial -.. Correct Answer:d. Inject air into the
regular insulin vial
30.A nurse is preparing to administer subcutaneous heparin to a client. Which of the
following
31.should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus -.. Correct
Answer:d. Insert the needle at least 5 cm (2 in) from the umbilicus
32.A nurse is caring for a client who has a prescription for amoxicillin. Which of the
following
33.findings indicates the client is experiencing an allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia -.. Correct Answer:b. Cardiac dysrhythmia
34.A nurse is teaching a newly licensed nurse about medication reconciliation. The
nurse should
ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
35.instruct the newly licensed nurse to perform medication reconciliation for which of
the
36.following?
a. A client who has a referral for social services
b. A client who is transdermal to radiology
c. A client who is transferal to a step-down unit
d. A client who has a consultation for physical therapy -.. Correct Answer:c.
A client who is transferal to a step-down unit
37.A nurse is reviewing the laboratory values of a client who is taking atorvastatin.
Which of the following laboratory values indicates the treatment has been
effective?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL -.. Correct Answer:d. LDL 120 mg/dL
38.A nurse is receiving a medication prescription by telephone from a provider. The
provider states, "Administer 6 milligrams of morphine IV push every 3 hours as
needed for acute pain." How should the nurse transcribe the prescription in the
client's medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain -.. Correct Answer:a.
Morphine 6 mg IV push every 3 hr PRN acute pain
39.A nurse is assessing a client's IV infusion site and notes that the site is cool and
edematous. Which of the following actions should the nurse take?
a. Show the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of the heart
d. Apply a warm, moist compress -.. Correct Answer:d. Apply a warm, moist
compress
40.A nurse is providing teaching to a client who has a new prescription for clozapine.
Which of the following statements should the nurse include in the teaching?
a. "Diarrhea is a common adverse effect of this medication."
ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
b. "Ringing in the ears is an expected adverse effect of this medication."
c. "Notify your provider if you develop a fever while taking this medication."
d. "You might experience weight loss while taking this medication." -..
Correct Answer:c. "Notify your provider if you develop a fever while taking
this medication."
41.A nurse is teaching a client about oral contraceptive. Which of the following
information should the nurse include in the teaching?
a. Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral
contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral
contraceptive
d. A pelvic examination is needed prior to starting an oral contraceptive -..
Correct Answer:b. It can take up to 1 year to become pregnant after
stopping an oral contraceptive
42.A nurse is planning to administer medication to an older adult client who has
dysphagia. Which of the following actions should the nurse plan to take?
a. Tilt the client's head back when administering the medications
b. Mix the medications with a semisolid food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client's tongue -.. Correct
Answer:b. Mix the medications with a semisolid food for the client
43.A nurse is providing teaching to a client about the administration of omeprazole.
Which of the following should the nurse include?
a. "You cannot take this medication with an antacid."
b. "You should reduce your intake of calcium while taking this medication."
c. "You should take this medication before meals."
d. "You can take a second dose if symptoms persist up to 2 hours after the
first dose." -.. Correct Answer:a. "You cannot take this medication with an
antacid."
44.A nurse is assessing for allergies with a client who is scheduled to receive the
influenza vaccine.
45.Which of the following allergies should the nurse report to the provider as a
possible
ATI RN Pharmacology 2019 Original Exam
With 100% Verified Correct
Answers/AGRADE 90 Q% A
46.contraindication to receiving the vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk -.. Correct Answer:a. Eggs
47.A nurse is caring for a client who has a new diagnosis of benign prostate
hypertrophy and a prescription for doxazosin. The client tells the nurse. "I do not
take this medication. I would prefer a natural therapy." Which of the following
supplements should the nurse suggest the client discuss with the provider?
a. Black cohosh
b. Garlic
c. Feverfew
d. Saw palmetto -.. Correct Answer:d. Saw palmetto
48.A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the [Show Less]