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ATI RN PHARMACOLOGY PROCTORED EXAM
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ATI RN PHARMACOLOGY PROCTORED EXAM
2023
, PHARMACOLOGY ATI RN PROCTORED EXAM
VERSION 1
1. A nurse is assessing a client who is receiving chloramphenicol
(Chloromycetin). Which of the following findings is an adverse
effect of this medication? (adverse affect is thrombocytopenia)
o Ecchymos
o
Ototoxicity
o Hypertensi
on o Anxiety
2. A nurse is caring for a client who is to receive 1,500 mL of 0.9%
sodium chloride IV over 8 hours. The nurse plans to use IV tubing
with a drop factor of 10 gtt/mL.
How many gtt/min of IV fluid should the client receive? (Round
your answer to the nearest whole number).
31 gtt/min
3. A nurse is admitting a client to a long-term care facility. While
reconciling the medication prescribed at home with those prescribed
in the facility, the nurse discovers a discrepancy in the dosages.
Which action should the nurse take?
o Clarify the medication dosages with the provider. o
Change the prescribed medication dosages to reconcile the
discrepancy o Contact the pharmacist regarding the dosage
discrepancies o Ask a family member to verify the
medication dosages
4. A nurse is caring for a client who is receiving a fentanyl
transdermal system (Duragesic). What is important to
document in the client’s record?
,o Fluid
intake o Skin
integrity o
Respiratory
rate o Pulse
rate
5. A nurse is caring for a client who has acute angina and has a prescription
for nitroglycerin. Which of the following is an appropriate intervention for
the nurse to take when administering this medication?
o Massage the nitroglycerin ointment completely into the skin.
o Replace the nitroglycerin transdermal patch every 4 hours. o
Administer a sustained nitroglycerin tablet orally. o Administer
a nitroglycerin tablet sublingually every 5 minutes.
6. A nurse is preparing to administer infliximab (Remicade) to a client
who has rheumatoid arthritis. The nurse should watch the patient for
which of the following adverse effects? (Select all that apply.)
o Bradycard
ia o
Jaundice
o Polyuri
ao
Urtipenia o Fever
7. A nurse is providing teaching to a client who was recently diagnosed as
HIV positive. The client is beginning medication therapy with zidovudine
(Retrovir). Which of the following statements should the
nurse include in the teaching. (Select all that apply.)
o Must be taken with other retroviral
medicines. o Has few adverse effects o
Cures an HIV infection o Prevents you
from transmitting the HIV
infection o Increases CD4+ cell count
, 8. A nurse is assessing a school age client who is experiencing seizure
activity and is prescribed diazepam (Valium) IV. The nurse should should
clarify the order if the client is receiving a continuous infusion of which of
the following IV: o Lactated Ringers solution o 0.9% Sodium chloride with
100 units of regular insulin o 0.9% sodium chloride o 0.9% Sodium chloride
with 20 mEq of potassium chloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for
congestive heart failure. Which of the following indicates an expected
finding? o Activity tolerance o Orthostatic hypotension o Loss of strength o
Increase in blood pressure
10. A child with cerebral palsy is prescribed Baclofen (Lioresol).
Which of the following therapeutic effects should the nurse monitor?
o Increased urine
output o Increased
energy o
Decreased anxiety
o Decreased
spacity
11. Clinical findings of a client who has a prescription for lithium carbonate
(Lithobid). For which reasons should the nurse withhold the medication
and notify the provider?
o Lithium level 1.0
mEq/L o Potassium at
3.7 mEq/L o Sodium
at 143 mEq/L
o Lithium level 2.5 mEq/L
12. The nurse is caring for a client who has tuberculosis and is being
treated with combination medication therapy. To test the effectiveness
of the treatment, the nurse should periodically monitor which of the
following laboratory results. o TT o ESD rate o Sputum culture o INR