ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 2023-
2024 LATEST UPDATE 130+ QUESTIONS AND VERIFIED
ANSWERS | A+ GRADED|
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?
Decreased bowel sounds
Distended neck veins
Bilateral muscle weakness
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?
Absent Chvostek’s sign
Improved cognition
Decreased vomiting
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?
“Discontinue the patch if you experience a headache.”
“Apply a new patch if you have chest pain.”
“Cover the patch with dry gauze when taking a shower.”
“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?
Creatinine 0.72 mg/dL
Sodium 138 mEq/L
Magnesium 2 mEq/L
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
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?
The client has a negative sputum culture
, The client tests negative for HIV
The client has a positive purified protein derivative test
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?
Replace the infusion with 0.9% sodium chloride
Give diphenhydramine IM
Elevate the client’s legs and feet
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?
St. John’s Wort
Ginger root
Black cohosh
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?
Bradycardia
Hypokalemia
Tinnitus
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?
Decreased temperature
Increased pulse rate
Decreased respiratory rate
Increased blood pressure
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?
The quality improvement committee
The nurse who identifies the error
, The nurse who caused the error
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?
Pruritus – Sign of allergic reaction to morphine
Cough
Tachypnea
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.)
Obtain the client’s apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client’s wristband to the medication administration record
Document administration of the medication
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?
Alcohol use disorder
Chronic kidney disease
Hepatitis B vaccine within the last week
Diabetes mellitus
14. 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?
Encourage the client to dangle the legs while sitting in a chair
Teach the client about foods low in sodium
Determine medication adherence by the client
Notify the provider of the client’s weight gain
15. 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?
Urticaria
Bradycardia
2024 LATEST UPDATE 130+ QUESTIONS AND VERIFIED
ANSWERS | A+ GRADED|
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?
Decreased bowel sounds
Distended neck veins
Bilateral muscle weakness
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?
Absent Chvostek’s sign
Improved cognition
Decreased vomiting
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?
“Discontinue the patch if you experience a headache.”
“Apply a new patch if you have chest pain.”
“Cover the patch with dry gauze when taking a shower.”
“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?
Creatinine 0.72 mg/dL
Sodium 138 mEq/L
Magnesium 2 mEq/L
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
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?
The client has a negative sputum culture
, The client tests negative for HIV
The client has a positive purified protein derivative test
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?
Replace the infusion with 0.9% sodium chloride
Give diphenhydramine IM
Elevate the client’s legs and feet
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?
St. John’s Wort
Ginger root
Black cohosh
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?
Bradycardia
Hypokalemia
Tinnitus
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?
Decreased temperature
Increased pulse rate
Decreased respiratory rate
Increased blood pressure
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?
The quality improvement committee
The nurse who identifies the error
, The nurse who caused the error
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?
Pruritus – Sign of allergic reaction to morphine
Cough
Tachypnea
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.)
Obtain the client’s apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client’s wristband to the medication administration record
Document administration of the medication
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?
Alcohol use disorder
Chronic kidney disease
Hepatitis B vaccine within the last week
Diabetes mellitus
14. 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?
Encourage the client to dangle the legs while sitting in a chair
Teach the client about foods low in sodium
Determine medication adherence by the client
Notify the provider of the client’s weight gain
15. 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?
Urticaria
Bradycardia
