1
Pharmacology ATI Attemp 1 or
2(version 1,2,3 and most tested
questions) latest 2022/2023
From Pharm ATI version①
5. 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 (Raises BP & pulse, maybe just supplementary though)
B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line
treatment)
C. Replace the solution with with 0.9 % sodium chloride
D. Give diphenhydramine IM
8. A client who has active Tuberculosis and is taking rifampin reports that this urine and sweat
have developed a red orange tinge. Which of the following actions should the nurse take? page
376
a. Prepare the client for dialysis
b. Instruct the client to increase the fluid intake
c. Check the the clients liver function tests results
d. Document this as an expected finding
Broad Spectrum Antimycobacterial (antituberculosis) - inform clients of expected orange
color of urine, sweat, saliva, and tears.
10. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of
the following laboratory lab values should the nurse identify as the outside the expected range
for this client?
A. aPTT 36 seconds 35 - 45 seconds
B. Hgb 15.2 g/dl ( 12- 16)
, 2
C. Hct 43 % (35- 45)
D. INR 4.5 (2-3 seconds)
PT/INR - for Warfarin; PTT/aPTT - for Heparin
12. A nurse is caring for a client who has major depression and a new prescription for
citalopram. Which of the following adverse effects should the nurse report to the provider?
page 49
SSRI - DEPRESSION
A. Confusion (Serotonin Syndrome)
B. Insomnia
C. Bruxism (Grinding of teeth during sleep, treated with buspirone)
D. Weight Loss (Weight gain)
17. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the
following findings should the nurse identify as an early indication of medication toxicity?
, 3
a. Visual disturbances - (toxicity: fatigue, weakness, vision changes, GI effects)
b. Insomnia - i don’t think this is relevant. LOL
c. Potassium 4.4 mEq/L - within normal limits
d. Sudden weight gain - GI effects (anorexia, N/V, abd pain)
20.) A nurse is caring for a client who is receiving IV amphotericin B. Which of the following
findings should the nurse identify as an acute infusion reaction?
a. Dry cough
b. Fever - infusion reaction: fever, chills, rigor
c. Pedal edema
Hyperglycemia
21. A nurse is providing teaching to a client who has a new prescription for bumetanide for
heart failure. Which of the following instructions should the nurse include in the teaching?
a. You should monitor for hearing difficulties - ototoxicity is an AE of bumetanide/loop
diuretic
b. You should take this medication on an empty stomach - may cause GI stress
c. You should take the medication at bedtime - avoid administering late in the day or at
night to prevent nocturia
d. You should decrease your intake of foods high in potassium -INC intake of potassium to
prevent hypokalemia
30. A nurse is teaching a client who has prescription for ferrous gluconate. Which of the
following statements by the clients indicates an understanding of the teaching
a. I should stay upright for at least 15 minutes after medication
b. I should notify the provider if my stools turn black (Harmless dark green/black stool)
c. I should take this medication with 8 ounces of milk (DEC absorption)
I should take an antacid with this medication to prevent stomach upset (Acid INC
34. A nurse is assessing a client who takes levothyroxine for ⇩⇩hypothyroidism.⇩⇩ The nurse
should identify that which of the following findings indicates the need for an increase in
dosage? SELECT ALL THAT APPLY.
a. Impaired short term memory
b. BP 178/80
c. Cold intolerance
d. Heart rate 46
e. Diaphoresis
36. A nurse is caring for a client who has heart failure and is taking digoxin and
hydrochlorothiazide. The nurse should monitor for which of the following following adverse
effects of hydrochlorothiazide?
, 4
a. Hypernatremia
b. Hypophosphatemia
c. Hypermagnesemia
d. Hypokalemia
38. A nurse is teaching a client who has angina about a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include in the
teaching?
a. Take one tablet each morning 30 min prior to eating - only for acute pain
b. Keep the tablets at room temperature in their original glass bottle - away from direct
heat, moisture, & light
c. Place the tablet between your cheek and gum to dissolve - under the tongue
d. Discard any tablets you do not use every 6 months (3 months)
39. A nurse is caring for a client who is taking triamterene. For which of the following lab
values should the nurse withhold the medication? K-SPARING!!
a. Sodium 142
b. BUN 16
c. Potassium 5.3
d. Albumin 4 (3.5-5.5)
41.) 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. LDL 120 mg/dL (100 to 129)
d. Urine specific gravity 1.020 (1 to 1.030)
43.) 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? **Infiltration!!!
a. Slow the IV solution rate (Stop)
b. Maintain the extremity below the level of the heart (At the level of heart)
c. Apply a warm, moist compress
d. Initiate a new IV distal to the initial site (Proximal)
44.) A nurse is providing teaching to a client who has a new prescription for tetracycline. The
nurse should instruct the client to take which of the following dietary supplements at a different
time than the tetracycline?
a. Vitamin C
b. Folic acid
c. Calcium carbonate Take 2-4 hours before or after - reduces absorption of tetra
d. Fish oil
Pharmacology ATI Attemp 1 or
2(version 1,2,3 and most tested
questions) latest 2022/2023
From Pharm ATI version①
5. 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 (Raises BP & pulse, maybe just supplementary though)
B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line
treatment)
C. Replace the solution with with 0.9 % sodium chloride
D. Give diphenhydramine IM
8. A client who has active Tuberculosis and is taking rifampin reports that this urine and sweat
have developed a red orange tinge. Which of the following actions should the nurse take? page
376
a. Prepare the client for dialysis
b. Instruct the client to increase the fluid intake
c. Check the the clients liver function tests results
d. Document this as an expected finding
Broad Spectrum Antimycobacterial (antituberculosis) - inform clients of expected orange
color of urine, sweat, saliva, and tears.
10. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of
the following laboratory lab values should the nurse identify as the outside the expected range
for this client?
A. aPTT 36 seconds 35 - 45 seconds
B. Hgb 15.2 g/dl ( 12- 16)
, 2
C. Hct 43 % (35- 45)
D. INR 4.5 (2-3 seconds)
PT/INR - for Warfarin; PTT/aPTT - for Heparin
12. A nurse is caring for a client who has major depression and a new prescription for
citalopram. Which of the following adverse effects should the nurse report to the provider?
page 49
SSRI - DEPRESSION
A. Confusion (Serotonin Syndrome)
B. Insomnia
C. Bruxism (Grinding of teeth during sleep, treated with buspirone)
D. Weight Loss (Weight gain)
17. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the
following findings should the nurse identify as an early indication of medication toxicity?
, 3
a. Visual disturbances - (toxicity: fatigue, weakness, vision changes, GI effects)
b. Insomnia - i don’t think this is relevant. LOL
c. Potassium 4.4 mEq/L - within normal limits
d. Sudden weight gain - GI effects (anorexia, N/V, abd pain)
20.) A nurse is caring for a client who is receiving IV amphotericin B. Which of the following
findings should the nurse identify as an acute infusion reaction?
a. Dry cough
b. Fever - infusion reaction: fever, chills, rigor
c. Pedal edema
Hyperglycemia
21. A nurse is providing teaching to a client who has a new prescription for bumetanide for
heart failure. Which of the following instructions should the nurse include in the teaching?
a. You should monitor for hearing difficulties - ototoxicity is an AE of bumetanide/loop
diuretic
b. You should take this medication on an empty stomach - may cause GI stress
c. You should take the medication at bedtime - avoid administering late in the day or at
night to prevent nocturia
d. You should decrease your intake of foods high in potassium -INC intake of potassium to
prevent hypokalemia
30. A nurse is teaching a client who has prescription for ferrous gluconate. Which of the
following statements by the clients indicates an understanding of the teaching
a. I should stay upright for at least 15 minutes after medication
b. I should notify the provider if my stools turn black (Harmless dark green/black stool)
c. I should take this medication with 8 ounces of milk (DEC absorption)
I should take an antacid with this medication to prevent stomach upset (Acid INC
34. A nurse is assessing a client who takes levothyroxine for ⇩⇩hypothyroidism.⇩⇩ The nurse
should identify that which of the following findings indicates the need for an increase in
dosage? SELECT ALL THAT APPLY.
a. Impaired short term memory
b. BP 178/80
c. Cold intolerance
d. Heart rate 46
e. Diaphoresis
36. A nurse is caring for a client who has heart failure and is taking digoxin and
hydrochlorothiazide. The nurse should monitor for which of the following following adverse
effects of hydrochlorothiazide?
, 4
a. Hypernatremia
b. Hypophosphatemia
c. Hypermagnesemia
d. Hypokalemia
38. A nurse is teaching a client who has angina about a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include in the
teaching?
a. Take one tablet each morning 30 min prior to eating - only for acute pain
b. Keep the tablets at room temperature in their original glass bottle - away from direct
heat, moisture, & light
c. Place the tablet between your cheek and gum to dissolve - under the tongue
d. Discard any tablets you do not use every 6 months (3 months)
39. A nurse is caring for a client who is taking triamterene. For which of the following lab
values should the nurse withhold the medication? K-SPARING!!
a. Sodium 142
b. BUN 16
c. Potassium 5.3
d. Albumin 4 (3.5-5.5)
41.) 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. LDL 120 mg/dL (100 to 129)
d. Urine specific gravity 1.020 (1 to 1.030)
43.) 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? **Infiltration!!!
a. Slow the IV solution rate (Stop)
b. Maintain the extremity below the level of the heart (At the level of heart)
c. Apply a warm, moist compress
d. Initiate a new IV distal to the initial site (Proximal)
44.) A nurse is providing teaching to a client who has a new prescription for tetracycline. The
nurse should instruct the client to take which of the following dietary supplements at a different
time than the tetracycline?
a. Vitamin C
b. Folic acid
c. Calcium carbonate Take 2-4 hours before or after - reduces absorption of tetra
d. Fish oil
