ATI PHARMACOLOGY PROCTORED EXAM – STUDY GUIDE
1.A nurse is caring for a client who is taking phenytoin. For which of the following adverse effects
should the nurse monitor and report to the provider?
a. Cognitive impairment
b. Tachycardia
c. Elevated Blood Pressure
d. Tinnitus
2.A nurse is teaching a client who has a history of acute myocardial infarction about taking
metoprolol to treat angina. Which of the following instructions should the nurse include?
a. “Stop taking the medication if you become dizzy.”
b. “Check your pulse rate daily.”
c. “Expect to see an increase in your urinary output.”
d. “Call your provider if you lose more than 1 lb per week.”
3.A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic
administration. After assessing the client’s respiratory status and stopping the medication
infusion, which of the following actions should the nurse take next?
a. Elevate the client’s legs and feet
b. Administer epinephrine IM
c. Replace the infusion with 0.9% sodium chloride
d. Give diphenhydramine IM
4.A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor
augmentation. The nurse notes six contractions in a 10-min period with a nonreassuring FHR.
Which of the following actions should the nurse take first?
a. Administer terbutaline 0.25mg subq
b. Discontinue the oxytocin IV infusion
c. Turn the client to her left side
d. Apply O2 at 10L/min via face mask
, 5.A nurse is preparing to administer lactated ringer’s solution at 100ml/hr. The drop factor of the
manual IV tubing is 15gtt/mL. The nurse should set the manual IV infusion to deliver how many
gtt/min? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt/min
6.A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have
developed a red-orange tinge. Which of the following actions should the nurse take?
a. Prepare the client for dialysis
b. Instruct the client to increase his fluid intake
c. Check the client’s liver function test results
d. Document this as an expected finding
7.A nurse is teaching a client about self-administration of enoxaparin (Lovenox). Which of the
following instructions should the nurse include? Select all that apply.
a. “Grasp the skin between the thumb and forefinger while injecting the medication.”
b. “Alternate injection sites between the sides of the abdomen.”
c. “Expel the air bubble from the prefilled syringe.”
d. “Massage the insertion site after injecting the medication.”
e. “Insert the entire length of the needle into the skin during injection.”
8.A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the
following laboratory values should the nurse identify as outside the expected reference range
for this client?
a. aPTT 36 seconds
b. Hgb 15.2 g/dL
c. Hct 43%
d. INR 4.5
9.A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings
isan indication that the ondansetron is effective?
a. Increased urinary output
b. Decreased nausea
c. Absence of peripheral neuropathy
d. Reduced dizziness
1.A nurse is caring for a client who is taking phenytoin. For which of the following adverse effects
should the nurse monitor and report to the provider?
a. Cognitive impairment
b. Tachycardia
c. Elevated Blood Pressure
d. Tinnitus
2.A nurse is teaching a client who has a history of acute myocardial infarction about taking
metoprolol to treat angina. Which of the following instructions should the nurse include?
a. “Stop taking the medication if you become dizzy.”
b. “Check your pulse rate daily.”
c. “Expect to see an increase in your urinary output.”
d. “Call your provider if you lose more than 1 lb per week.”
3.A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic
administration. After assessing the client’s respiratory status and stopping the medication
infusion, which of the following actions should the nurse take next?
a. Elevate the client’s legs and feet
b. Administer epinephrine IM
c. Replace the infusion with 0.9% sodium chloride
d. Give diphenhydramine IM
4.A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor
augmentation. The nurse notes six contractions in a 10-min period with a nonreassuring FHR.
Which of the following actions should the nurse take first?
a. Administer terbutaline 0.25mg subq
b. Discontinue the oxytocin IV infusion
c. Turn the client to her left side
d. Apply O2 at 10L/min via face mask
, 5.A nurse is preparing to administer lactated ringer’s solution at 100ml/hr. The drop factor of the
manual IV tubing is 15gtt/mL. The nurse should set the manual IV infusion to deliver how many
gtt/min? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt/min
6.A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have
developed a red-orange tinge. Which of the following actions should the nurse take?
a. Prepare the client for dialysis
b. Instruct the client to increase his fluid intake
c. Check the client’s liver function test results
d. Document this as an expected finding
7.A nurse is teaching a client about self-administration of enoxaparin (Lovenox). Which of the
following instructions should the nurse include? Select all that apply.
a. “Grasp the skin between the thumb and forefinger while injecting the medication.”
b. “Alternate injection sites between the sides of the abdomen.”
c. “Expel the air bubble from the prefilled syringe.”
d. “Massage the insertion site after injecting the medication.”
e. “Insert the entire length of the needle into the skin during injection.”
8.A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the
following laboratory values should the nurse identify as outside the expected reference range
for this client?
a. aPTT 36 seconds
b. Hgb 15.2 g/dL
c. Hct 43%
d. INR 4.5
9.A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings
isan indication that the ondansetron is effective?
a. Increased urinary output
b. Decreased nausea
c. Absence of peripheral neuropathy
d. Reduced dizziness
