ATI PHARMACOLOGY PROCTORED EXAM 2019 B
(1) A nurse is caring for a client who is taking atenolol. Which of the following findings should
indicate to the nurse that the medication is effective?
C) The client has a decrease in blood pressure.
Atenolol, abets-adrenergic blocking agent, lowering blood pressure by decreasing peripheral
vascular resistance
2)A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant
and that she has not told her provider yet. The nurse should identify that pregnancy is a
contraindication to receiving which of the following medication?
D) Doxycycline
Doxycycline is a tetracycline antibiotic and is contraindicated for a client who is pregnant
because the medication is a category D medication of the FDA pregnancy risk categories, which
indicates the medication has fetal risks that can cause fetal damage. The client should only take
doxycycline for a life-threatening condition.
3)A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount
available is amoxicillin oral suspension 200 mg/5 mL. How many mL should the nurse
administer per dose?
6.3 ml
4)A nurse is providing teaching to a client who is to start taking lisinopril. Which of the
following findings is an adverse effect that the nurse should instruct the client to monitor and
report to the provider?
A) Hair loss
B) Ringing in the ears
C) Facial flushing
D) Dry cough
D) Dry cough
A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead
to life-threatening consequences. The client should report the finding to the provider.
5)A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The
nurse should instruct the client to take the medication with which of the following to promote
absorption?
A) Vitamin E
B) Orange juice
C) Milk
D) Antacid
B) Orange juice
,The absorption of ferrous sulfate is enhanced by a vitamin C source, such as orange juice.
However, increasing the dosage of ferrous sulfate can provide the same benefit to increase the
amount of iron uptake.
6)A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma.
For which of the following adverse effects should the nurse instruct the client to monitor and
report?
A) Tingling of the fingers
B) Constipation
C) Weight gain
D) Oliguria
A) Tingling of the fingers
The nurse should instruct the client to report the adverse effect of paresthesia, a tingling
sensation in the extremities, when taking acetazolamide.
7)A circulating nurse is planning care for a client who is scheduled for surgery and has a latex
allergy. Which of the following actions should the nurse include in the plan of care?
A) Schedule the client for the last surgery of the day.
B) Place monitoring cords and tubes in a stockinet.
C) Choose rubber injection ports for fluid administration.
D) Ensure phenytoin IV is readily available
B) Place monitoring cords and tubes in a stockinet
The circulating nurse should place monitoring devices in a stockinet to prevent direct contact
with the client's skin.
8)A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the
following findings should the nurse instruct the client to report to the provider?
A) Orange urine
B) Watery diarrhea
C) Weight gain
D) Headache
B) Watery diarrhea
The client who takes clindamycin can have an adverse effect of watery diarrhea that can lead
to Clostridium difficile-associated diarrhea or pseudomembranous colitis. The client should
report these findings immediately to the provider.
9)A nurse is caring for the mother of a newborn. The mother asks the nurse when her
newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse
should instruct the mother that her newborn should receive the immunization at which of the
following ages?
A) Birth
B) 2 months
, C) 6 months
D) 15 months
B) 2 months
The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP
immunization at 2 months of age.
10)A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the
following adverse effects should the nurse instruct the client to monitor for and report to the
provider?
A) Chest pressure
B) White patches on the tongue
C) Bruising
D) Insomnia
A) Chest pressure
Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in
angina. The client should report chest pressure or heavy arms to the provider.
11)A nurse in a provider's office is assessing a client who has been taking aspirin daily for the
past year. For which of the following findings should the nurse notify the provider
immediately?
A) Hyperventilation
B) Heartburn
C) Anorexia
D) Swollen ankles
A) Hyperventilation
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is hyperventilation. This indicates the client might have acute salicylate
poisoning, which causes respiratory alkalosis in the early stages.
12)A nurse is caring for a client who has cancer and is taking oral morphine and decussate
sodium. The nurse should instruct the client that taking the decussate sodium on a daily basis
can minimize which of the following adverse effects of morphine?
A) Constipation
B) Drowsiness
C) Facial flushing
D) Itching
A) Constipation
Constipation is a common adverse effect of morphine that will minimize when the client takes
docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water
and fat in the intestine.
(1) A nurse is caring for a client who is taking atenolol. Which of the following findings should
indicate to the nurse that the medication is effective?
C) The client has a decrease in blood pressure.
Atenolol, abets-adrenergic blocking agent, lowering blood pressure by decreasing peripheral
vascular resistance
2)A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant
and that she has not told her provider yet. The nurse should identify that pregnancy is a
contraindication to receiving which of the following medication?
D) Doxycycline
Doxycycline is a tetracycline antibiotic and is contraindicated for a client who is pregnant
because the medication is a category D medication of the FDA pregnancy risk categories, which
indicates the medication has fetal risks that can cause fetal damage. The client should only take
doxycycline for a life-threatening condition.
3)A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount
available is amoxicillin oral suspension 200 mg/5 mL. How many mL should the nurse
administer per dose?
6.3 ml
4)A nurse is providing teaching to a client who is to start taking lisinopril. Which of the
following findings is an adverse effect that the nurse should instruct the client to monitor and
report to the provider?
A) Hair loss
B) Ringing in the ears
C) Facial flushing
D) Dry cough
D) Dry cough
A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead
to life-threatening consequences. The client should report the finding to the provider.
5)A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The
nurse should instruct the client to take the medication with which of the following to promote
absorption?
A) Vitamin E
B) Orange juice
C) Milk
D) Antacid
B) Orange juice
,The absorption of ferrous sulfate is enhanced by a vitamin C source, such as orange juice.
However, increasing the dosage of ferrous sulfate can provide the same benefit to increase the
amount of iron uptake.
6)A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma.
For which of the following adverse effects should the nurse instruct the client to monitor and
report?
A) Tingling of the fingers
B) Constipation
C) Weight gain
D) Oliguria
A) Tingling of the fingers
The nurse should instruct the client to report the adverse effect of paresthesia, a tingling
sensation in the extremities, when taking acetazolamide.
7)A circulating nurse is planning care for a client who is scheduled for surgery and has a latex
allergy. Which of the following actions should the nurse include in the plan of care?
A) Schedule the client for the last surgery of the day.
B) Place monitoring cords and tubes in a stockinet.
C) Choose rubber injection ports for fluid administration.
D) Ensure phenytoin IV is readily available
B) Place monitoring cords and tubes in a stockinet
The circulating nurse should place monitoring devices in a stockinet to prevent direct contact
with the client's skin.
8)A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the
following findings should the nurse instruct the client to report to the provider?
A) Orange urine
B) Watery diarrhea
C) Weight gain
D) Headache
B) Watery diarrhea
The client who takes clindamycin can have an adverse effect of watery diarrhea that can lead
to Clostridium difficile-associated diarrhea or pseudomembranous colitis. The client should
report these findings immediately to the provider.
9)A nurse is caring for the mother of a newborn. The mother asks the nurse when her
newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse
should instruct the mother that her newborn should receive the immunization at which of the
following ages?
A) Birth
B) 2 months
, C) 6 months
D) 15 months
B) 2 months
The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP
immunization at 2 months of age.
10)A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the
following adverse effects should the nurse instruct the client to monitor for and report to the
provider?
A) Chest pressure
B) White patches on the tongue
C) Bruising
D) Insomnia
A) Chest pressure
Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in
angina. The client should report chest pressure or heavy arms to the provider.
11)A nurse in a provider's office is assessing a client who has been taking aspirin daily for the
past year. For which of the following findings should the nurse notify the provider
immediately?
A) Hyperventilation
B) Heartburn
C) Anorexia
D) Swollen ankles
A) Hyperventilation
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is hyperventilation. This indicates the client might have acute salicylate
poisoning, which causes respiratory alkalosis in the early stages.
12)A nurse is caring for a client who has cancer and is taking oral morphine and decussate
sodium. The nurse should instruct the client that taking the decussate sodium on a daily basis
can minimize which of the following adverse effects of morphine?
A) Constipation
B) Drowsiness
C) Facial flushing
D) Itching
A) Constipation
Constipation is a common adverse effect of morphine that will minimize when the client takes
docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water
and fat in the intestine.
