ATI RN PHARMACOLOGY REVISED TEST BANK 85
QUESTIONS WITH VERIFIED 100% CORRECT
ANSWERS/A+ GRADE
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 effective?
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?
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
5. 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
, ATI RN PHARMACOLOGY REVISED TEST BANK 85
QUESTIONS WITH VERIFIED 100% CORRECT
ANSWERS/A+ GRADE
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
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
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 caring for a client who has heart failure and a new prescription
for lisinopril. For which of the following adverse effects should the nurse
monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
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?
a. Decreased temperature
b. Increased pulse rate (ATI pharm book pg 193)
c. Decreased respiratory rate
d. Increased blood pressure
, ATI RN PHARMACOLOGY REVISED TEST BANK 85
QUESTIONS WITH VERIFIED 100% CORRECT
ANSWERS/A+ GRADE
10. A nurse is preparing to administer medication to a client and discovers
a medication error. The nurse should recognize that which of the following
staff members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error (formal RN and in the ATI book on pg 15
only tell how to report the incident)
d. The charge nurse
11. 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
d. Gastric bleeding
12. A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps the nurse should take. (Move the steps into the box on
the right, placing them in the order of performance. Use all
the steps.)
a. Obtain the client’s apical heart rate
b. Remove the medication from the dispensing system
c. Compare the client’s wristband to the medication administration record
d. Open the medication package
e. Document administration of the medication
Answer: (in that order) (formal RN and in the ATI website Simulation:Skills
Modules 3.0 Module:Oral and topical medication administration.. the nurse
remove the med from the dispensing then compare pt’s wristband then
open the package and give to the pt and document..by the way from the
ATI pharm book pg 168..1st thing to give digoxin is to check pt’s apical
pulse)
13. A nurse is reviewing the medical record of an adult client who has a
fever and a prescription for acetaminophen. Which of the following findings
should the nurse identify as a contraindication for receiving this
medication?
QUESTIONS WITH VERIFIED 100% CORRECT
ANSWERS/A+ GRADE
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 effective?
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?
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
5. 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
, ATI RN PHARMACOLOGY REVISED TEST BANK 85
QUESTIONS WITH VERIFIED 100% CORRECT
ANSWERS/A+ GRADE
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
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
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 caring for a client who has heart failure and a new prescription
for lisinopril. For which of the following adverse effects should the nurse
monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
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?
a. Decreased temperature
b. Increased pulse rate (ATI pharm book pg 193)
c. Decreased respiratory rate
d. Increased blood pressure
, ATI RN PHARMACOLOGY REVISED TEST BANK 85
QUESTIONS WITH VERIFIED 100% CORRECT
ANSWERS/A+ GRADE
10. A nurse is preparing to administer medication to a client and discovers
a medication error. The nurse should recognize that which of the following
staff members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error (formal RN and in the ATI book on pg 15
only tell how to report the incident)
d. The charge nurse
11. 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
d. Gastric bleeding
12. A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps the nurse should take. (Move the steps into the box on
the right, placing them in the order of performance. Use all
the steps.)
a. Obtain the client’s apical heart rate
b. Remove the medication from the dispensing system
c. Compare the client’s wristband to the medication administration record
d. Open the medication package
e. Document administration of the medication
Answer: (in that order) (formal RN and in the ATI website Simulation:Skills
Modules 3.0 Module:Oral and topical medication administration.. the nurse
remove the med from the dispensing then compare pt’s wristband then
open the package and give to the pt and document..by the way from the
ATI pharm book pg 168..1st thing to give digoxin is to check pt’s apical
pulse)
13. A nurse is reviewing the medical record of an adult client who has a
fever and a prescription for acetaminophen. Which of the following findings
should the nurse identify as a contraindication for receiving this
medication?
