ATI Pharmacology Proctor 2021/2022
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
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
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."
A nurse is reviewing the 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
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
,A nurse is assessing a client who reports taking over-the-counter antacids. Which of the
following findings should the nurse identify as a manifestation of hypercalcemia?
a. Constipation
b. Decreased urine output
c. Positive Trousseau's
sign
d. Headache
A nurse is caring for a client who is to receive potassium replacement. The provider's
prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over
30 min." which of the following reasons should the nurse clarify this prescription with the
provider.
a. Potassium chloride should be diluted in dextrose 5% in
water. b. The potassium infusion rate is too rapid
c. Another formulation of potassium should be given IV
d. The client should be treated by giving potassium by IV bolus
A nurse is monitoring laboratory values for a client who has chronic heart failure and is
receiving digoxin. Which of the following values should the nurse report to the provider?
a. Sodium 1.38 mEq/dL
b. Magnesium 1.5 mEq/L
c. BUN level 10 mg/dL
d. Potassium 2.9 mEq/L
, A client who has active tuberculosis and is taking rifampin reports that his urine and sweat
have developed a red tinge. Which of the following actions should the nurse take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis
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
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
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
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
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
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."
A nurse is reviewing the 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
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
,A nurse is assessing a client who reports taking over-the-counter antacids. Which of the
following findings should the nurse identify as a manifestation of hypercalcemia?
a. Constipation
b. Decreased urine output
c. Positive Trousseau's
sign
d. Headache
A nurse is caring for a client who is to receive potassium replacement. The provider's
prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over
30 min." which of the following reasons should the nurse clarify this prescription with the
provider.
a. Potassium chloride should be diluted in dextrose 5% in
water. b. The potassium infusion rate is too rapid
c. Another formulation of potassium should be given IV
d. The client should be treated by giving potassium by IV bolus
A nurse is monitoring laboratory values for a client who has chronic heart failure and is
receiving digoxin. Which of the following values should the nurse report to the provider?
a. Sodium 1.38 mEq/dL
b. Magnesium 1.5 mEq/L
c. BUN level 10 mg/dL
d. Potassium 2.9 mEq/L
, A client who has active tuberculosis and is taking rifampin reports that his urine and sweat
have developed a red tinge. Which of the following actions should the nurse take?
a. Check the client's liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis
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
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
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
