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ATI Pharmacology
Proctor 2021/2022
1.) A nurse is assessing a client who is receiving 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
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 e&ective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
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?
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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.”
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
5.) 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
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d. Gastric bleeding
6.) 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
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7.) 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
8.) 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
9.) 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?
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