ATI Pharmacology Proctor 2019 Complete Solution
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
b. Distended neck veins
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
b. Improved cognition
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."
d. "Remove the patch prior to going to bed."
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
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
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. The client has a negative sputum culture
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
d. Administer epinephrine IM
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
a. St. John's Wort
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
d. Hypotension
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
c. Decreased respiratory rate
d. Increased blood pressure
d. Increased blood pressure
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
d. The charge nurse
b. The nurse who identifies the error
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
b. Cough
c. Tachypnea
d. Gastric bleeding
a. Pruritus - Sign of allergic reaction to morphine
, 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. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
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?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
a. Alcohol use disorder
b. Chronic kidney disease
A home health nurse is visiting a client who has heart failure and a prescription
for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since
the last visit 2 days ago. Which of the following actions should the nurse take
first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain
c. Determine medication adherence by the client
A nurse is preparing to administer the initial dose of penicillin G IM to a client.
The nurse should monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
a. Urticaria
A nurse is teaching a client who has angina a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include
in the teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve."
c. "Keep the tablets at room temperature in their original glass bottle."
A nurse is providing teaching to a client who has a new prescription for
theophylline a sustained-released capsule. Which of the following statements by
the client indicates an understanding of the teaching?
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
b. Distended neck veins
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
b. Improved cognition
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."
d. "Remove the patch prior to going to bed."
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
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
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. The client has a negative sputum culture
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
d. Administer epinephrine IM
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
a. St. John's Wort
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
d. Hypotension
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
c. Decreased respiratory rate
d. Increased blood pressure
d. Increased blood pressure
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
d. The charge nurse
b. The nurse who identifies the error
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
b. Cough
c. Tachypnea
d. Gastric bleeding
a. Pruritus - Sign of allergic reaction to morphine
, 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. Open the medication package
d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
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?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
a. Alcohol use disorder
b. Chronic kidney disease
A home health nurse is visiting a client who has heart failure and a prescription
for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since
the last visit 2 days ago. Which of the following actions should the nurse take
first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain
c. Determine medication adherence by the client
A nurse is preparing to administer the initial dose of penicillin G IM to a client.
The nurse should monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
a. Urticaria
A nurse is teaching a client who has angina a new prescription for sublingual
nitroglycerin tablets. Which of the following instructions should the nurse include
in the teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve."
c. "Keep the tablets at room temperature in their original glass bottle."
A nurse is providing teaching to a client who has a new prescription for
theophylline a sustained-released capsule. Which of the following statements by
the client indicates an understanding of the teaching?
