NGN ATI RN PHARMACOLOGY 2023- 2024
PROCTORED EXAM FORM A AND B EACH WITH
70 EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALE NEW!! /A+
... [Show More] GRADE
ASSURED
ATI RN PHARMACOLOGY FORM A
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 -
....ANSWER...c. Determine medication adherence by the
client
A nurse is preparing to administer the initial dose of penicillin
G IM to a client. The nurse should
monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia - ....ANSWER...a. Urticaria
A nurse is teaching a client who has angina a new prescription
for sublingual nitroglycerin
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."
- ....ANSWER...c. "Keep the tablets at room temperature in
their original glass bottle."
A nurse is providing teaching to a client who has a new
prescription for theophylline, a
sustained-released capsule. Which of the following statements
by the client indicates an
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." - ....ANSWER...a.
"I can take my medication in the morning with my coffee."
A nurse is mixing regular insulin and NPH insulin in the same
syringe prior to administering it to
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 - ....ANSWER...d.
Inject air into the regular insulin vial
A nurse is preparing to administer subcutaneous heparin to a
client. Which of the following
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 -
....ANSWER...d. Insert the needle at least 5 cm (2 in) from the
umbilicus
A nurse is caring for a client who has a prescription for
amoxicillin. Which of the following
findings indicates the client is experiencing an allergic
reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia - ....ANSWER...b. Cardiac dysrhythmia
A nurse is teaching a newly licensed nurse about medication
reconciliation. The nurse should
instruct the newly licensed nurse to perform medication
reconciliation for which of the
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 -
....ANSWER...c. A client who is transferal to a step-down unit
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 - ....ANSWER...d. LDL 120 mg/dL
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 -
....ANSWER...a. Morphine 6 mg IV push every 3 hr PRN
acute pain
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 - ....ANSWER...d. Apply a
warm, moist compress
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."
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." - ....ANSWER...c. "Notify your provider if you
develop a fever while taking this medication."
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 - ....ANSWER...b. It can take up to 1 year to
become pregnant after stopping an oral contraceptive
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 -
....ANSWER...b. Mix the medications with a semisolid food
for the client
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." - ....ANSWER...a. "You cannot
take this medication with an antacid."
A nurse is assessing for allergies with a client who is
scheduled to receive the influenza vaccine.
Which of the following allergies should the nurse report to the
provider as a possible
contraindication to receiving the vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk - ....ANSWER...a. Eggs
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 - ....ANSWER...d. Saw palmetto
A nurse is caring for a client who is taking digoxin to treat
heart failure. Which of the following predisposes this client to
developing digoxin toxicity?
a. Taking a high ceiling diuretic
b. Having a 10-year history of COPD
c. Having a prolapsed mitral valve
d. Taking an HMG CoA reductase inhibitor - ....ANSWER...a.
Taking a high ceiling diuretic
A nurse is administering naloxone to a client who has
developed an adverse reaction to morphine. The nurse should
identify which of the following findings as a therapeutic effect
of naloxone?
a. Decreased nausea
b. Increased pain relief
c. Decreased blood pressure
d. Increased respiratory rate - ....ANSWER...d. Increased
respiratory rate
A nurse is reviewing the medical record of a client who has
sinusitis and a new prescription for cefuroxime. Which of the
following client information is the priority for the nurse to
report to the provider?
a. The client has a BUN of 18 mg/dL
b. The client takes an aspirin daily
c. The client has a history of a severe penicillin allergy
d. The client reports a history of nausea with cefuroxime -
....ANSWER...c. The client has a history of a severe penicillin
allergy
A nurse is assessing a client who has hypermagnesemia.
Which of the following medications should the nurse prepare
to administer?
a. Protamine sulfate
b. Acetylcysteine
c. Calcium gluconate
d. Flumazenil - ....ANSWER...c. Calcium gluconate
A nurse is assessing a client following the administration of
ondansetron (Zofran). Which of the following findings should
indicate to the nurse that the ondansetron has been effective?
a. Client reports a decrease in pain
b. Client reports a decrease in nausea
c. Client reports a decrease in coughing
d. Client reports a decrease in diarrhea - ....ANSWER...b.
Client reports a decrease in nausea
A nurse manager is planning an in-service about pain
management with opioids for client who has cancer. Which of
the following information should the nurse manager include?
a. IM administration is recommended if PO opioids are
ineffective
b. Respiratory depression decreases as opioid tolerance
develops
c. Meperidine is the opioid of choice for treating chronic pain
d. Withhold PRN pain medication for the client who is
receiving opioids every 6 hr - ....ANSWER...a. IM
administration is recommended if PO opioids are ineffective
A nurse is reviewing the list of current medication for a client
who is to start prescription for carbamazepine. The nurse
should identify that which of the following medications
interacts with carbamazepine?
a. Nicotine transdermal system
b. Diphenhydramine
c. Estrogen-progestin combination (Non-hormonal forms of
contraception)
d. Beclomethasone - ....ANSWER...c. Estrogen-progestin
combination (Non-hormonal forms of contraception)
A nurse is caring for a client who has a respiratory infection
and is receiving an antibiotic. Which of the following
medications puts the client at risk for developing hearing loss?
a. Rifampin
b. Ciprofloxacin
c. Penicillin G
d. Gentamicin - ....ANSWER...d. Gentamicin
A nurse is teaching a guardian of a school-age child who has a
new prescription for a fluticasone metered-dose inhaler.
Which of the following information should the nurse include
in the teaching? (SATA)
a. "Soak the inhaler in water after use."
b. "Have your child take one inhalation as needed for
shortness of breath."
c. "Shake the device prior to administration."
d. "A spacer will make it easier to use the device."
e. "Rinse your child's mouth following administration." -
....ANSWER...c. "Shake the device prior to administration."
d. "A spacer will make it easier to use the device."
e. "Rinse your child's mouth following administration."
A nurse is preparing to administer potassium chloride elixir
20 mEq/day PO to divide equally 12 hr. available is 6.7
mEq/5 mL. How many mL should the nurse administer per
dose? (Round the answer to the nearest tenth. Use a leading
zero if it applies. Do not use a trialing zero.)
a. 7.5 mL - ....ANSWER...a. 7.5 mL
A nurse is instructing a client who has a new prescription for a
daily dose of lovastatin extended release. Which of the
following information should the nurse include in the
teaching?
a. "You will need liver function tests before beginning
therapy."
b. "Avoid consuming dairy products while taking this
medication."
c. "You may crush the medication and mix it with
applesauce."
d. "You should take the medication in the morning." -
....ANSWER...a. "You will need liver function tests before
beginning therapy."
A nurse is assessing a client who is receiving a peripheral IV
infusion and notes infiltration of fluid into the tissue
surrounding the insertion site. Which of the following actions
should the nurse take?
a. Flush the IV catheter
b. Apply pressure to the IV site
c. Elevate the extremity
d. Slow the infusion rate - ....ANSWER...c. Elevate the
extremity
A nurse is preparing to administer 4,000 units of heparin
subcutaneously to a client who has deep-vein thrombosis.
Available is heparin 10,000 units. How many mL of heparin
should the
nurse administer? (Round to the nearest tenth. Use a leading
zero if it applies. Do not use a trailing zero.)
a. 0.4 mL - ....ANSWER...a. 0.4 mL [Show Less]