RN ATI Pharmacology Proctored Exam
2023 Overview
Anaphylactic Reaction - ANSWER...-Client develops an anaphylactic reaction to IV
administration.
Actions for Anaphylactic Reaction - ANSWER...-Replace infusion with 0.9% sodium
chloride, give diphenhydramine IM, elevate client's legs and feet, administer epinephrine
IM.
Sertraline and Supplements - ANSWER...-Supplement to avoid: St. John's Wort.
Lisinopril Adverse Effects - ANSWER...-Adverse effect to monitor: hypotension.
Heparin Vital Sign Changes - ANSWER...-Vital sign change to monitor: increased pulse
rate.
Medication Error Incident Report - ANSWER...-Responsible staff member for incident
report: the nurse who identifies the error.
Morphine Epidural Infusion Monitoring - ANSWER...-Monitor for: pruritus (sign of allergic
reaction to morphine).
Digoxin Administration Steps - ANSWER...-Sequence of steps: obtain client's apical
heart rate, remove medication from dispensing system, open medication package,
compare client's wristband to medication administration record, document
administration of medication.
Acetaminophen Contraindication - ANSWER...-Contraindication for receiving
medication: chronic kidney disease.
Furosemide Weight Gain Action - ANSWER...-Action to take first: notify the provider of
the client's weight gain.
Penicillin G Allergic Reaction Indication - ANSWER...-Indication of allergic reaction
following injection: urticaria.
, Sublingual Nitroglycerin Instruction - ANSWER...-Instruction to include: place the tablet
between your cheek and gum to dissolve.
Theophylline Understanding Statement - ANSWER...-Statement indicating
understanding of teaching: 'I will need to have blood levels drawn.'
Mixing Insulin First Action - ANSWER...-First action to take: inject air into the regular
insulin vial.
Subcutaneous Heparin Administration Action - ANSWER...-Action to take: insert the
needle at least 5 cm (2 in) from the umbilicus.
Amoxicillin Allergic Reaction Finding - ANSWER...-Finding indicating allergic reaction:
laryngeal edema.
Medication Reconciliation Instruction - ANSWER...-Instruction for medication
reconciliation: perform for a client who is transferred to a step-down unit.
Atorvastatin Laboratory Values - ANSWER...-Laboratory value indicating treatment
effectiveness: LDL 120 mg/dL.
Transcribing Medication Prescription - ANSWER...-Transcription in client's medical
record: Morphine 6 mg IV push every 3 hr PRN acute pain.
Assessing IV Infusion Site - ANSWER...-Action to take: apply a warm, moist compress.
Clozapine Teaching - ANSWER...-Notify your provider if you develop a fever while
taking this medication.
Oral Contraceptives - ANSWER...-Some herbal supplements can decrease the
effectiveness of an oral contraceptive.
Medication Administration for Dysphagia - ANSWER...-Mix the medications with a
semisolid food for the client.
Omeprazole Administration - ANSWER...-You should take this medication before meals.
Influenza Vaccine Allergy - ANSWER...-Allergy to report as contraindication: eggs.
Benign Prostate Hypertrophy - ANSWER...-Supplement to suggest discussing with
provider: saw palmetto.
Digoxin Toxicity - ANSWER...-Predisposing factor for digoxin toxicity: taking a high
ceiling diuretic.
2023 Overview
Anaphylactic Reaction - ANSWER...-Client develops an anaphylactic reaction to IV
administration.
Actions for Anaphylactic Reaction - ANSWER...-Replace infusion with 0.9% sodium
chloride, give diphenhydramine IM, elevate client's legs and feet, administer epinephrine
IM.
Sertraline and Supplements - ANSWER...-Supplement to avoid: St. John's Wort.
Lisinopril Adverse Effects - ANSWER...-Adverse effect to monitor: hypotension.
Heparin Vital Sign Changes - ANSWER...-Vital sign change to monitor: increased pulse
rate.
Medication Error Incident Report - ANSWER...-Responsible staff member for incident
report: the nurse who identifies the error.
Morphine Epidural Infusion Monitoring - ANSWER...-Monitor for: pruritus (sign of allergic
reaction to morphine).
Digoxin Administration Steps - ANSWER...-Sequence of steps: obtain client's apical
heart rate, remove medication from dispensing system, open medication package,
compare client's wristband to medication administration record, document
administration of medication.
Acetaminophen Contraindication - ANSWER...-Contraindication for receiving
medication: chronic kidney disease.
Furosemide Weight Gain Action - ANSWER...-Action to take first: notify the provider of
the client's weight gain.
Penicillin G Allergic Reaction Indication - ANSWER...-Indication of allergic reaction
following injection: urticaria.
, Sublingual Nitroglycerin Instruction - ANSWER...-Instruction to include: place the tablet
between your cheek and gum to dissolve.
Theophylline Understanding Statement - ANSWER...-Statement indicating
understanding of teaching: 'I will need to have blood levels drawn.'
Mixing Insulin First Action - ANSWER...-First action to take: inject air into the regular
insulin vial.
Subcutaneous Heparin Administration Action - ANSWER...-Action to take: insert the
needle at least 5 cm (2 in) from the umbilicus.
Amoxicillin Allergic Reaction Finding - ANSWER...-Finding indicating allergic reaction:
laryngeal edema.
Medication Reconciliation Instruction - ANSWER...-Instruction for medication
reconciliation: perform for a client who is transferred to a step-down unit.
Atorvastatin Laboratory Values - ANSWER...-Laboratory value indicating treatment
effectiveness: LDL 120 mg/dL.
Transcribing Medication Prescription - ANSWER...-Transcription in client's medical
record: Morphine 6 mg IV push every 3 hr PRN acute pain.
Assessing IV Infusion Site - ANSWER...-Action to take: apply a warm, moist compress.
Clozapine Teaching - ANSWER...-Notify your provider if you develop a fever while
taking this medication.
Oral Contraceptives - ANSWER...-Some herbal supplements can decrease the
effectiveness of an oral contraceptive.
Medication Administration for Dysphagia - ANSWER...-Mix the medications with a
semisolid food for the client.
Omeprazole Administration - ANSWER...-You should take this medication before meals.
Influenza Vaccine Allergy - ANSWER...-Allergy to report as contraindication: eggs.
Benign Prostate Hypertrophy - ANSWER...-Supplement to suggest discussing with
provider: saw palmetto.
Digoxin Toxicity - ANSWER...-Predisposing factor for digoxin toxicity: taking a high
ceiling diuretic.
