ATI PHARMACOLOGY PROCTORED 2019 RETAKE EXAM 2
VERSIONS EACH WITH 70 QUESTIONS AND 100% CORRECT
ANSWERS (UPDATED) /A+ GRADE ASSURED
A nurse is assessing a client who is receiving intravenous therapy. The nurse should
identifywhich of thefollowing findings as a manifestation of fluid volume excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
prescribedhypertonic solution. Which of the following findings should indicate to the nurse
that the treatment iseffective?
• Absent Chvostek's sign
• Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
A nurse is assessing a client who is receiving intravenous therapy. The nurse should
identifywhich of thefollowing findings as a manifestation of fluid volume excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
prescribedhypertonic solution. Which of the following findings should indicate to the nurse
that the treatment iseffective?
• Absent Chvostek's sign
• Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal
patch.Which ofthe 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."
,A nurse is reviewing he laboratory results of a client who has a prescription for sodium
polystyrenesulfonate (Kayexalate) every 6 hr. which of the following should the nurse
report tothe 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 thePN 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
ofthefollowing 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
A client is caring for a client who develops an anaphylactic reaction to IV administration. After
assessingthe 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
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
• Ginger root
• Black cohosh
• Coenzyme Q10
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For
whichof thefollowing adverse effects should the nurse monitor when administering
lisinopril?
• Bradycardia
• Hypokalemia
• Tinnitus
• Hypotension
, A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT
of90seconds. 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
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 incidentreport?
• The quality improvement committee
• The nurse who identifies the error
• The nurse who caused the error
• The charge nurses
A nurse is planning care for a client who is receiving morphine via continuous epidural
infusion. Thenurse should monitor the client for which of the following?
• Pruritus- Sign of allergic reaction to morphine
• Cough
• Tachypnea
• Gastric bleeding
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps
thenurse should take. (Move the steps into the box on the right placing them in the order
of performance. Use allthe 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
A nurse is reviewing the medical record of an adult client who has a fever and a prescription
foracetaminophen. Which of the following findings should the nurse identify as a
contraindicationforreceiving this medication?
• Alcohol use disorder
• Chronic kidney disease
• Hepatitis B vaccine within the last week
• Diabetes mellitus
VERSIONS EACH WITH 70 QUESTIONS AND 100% CORRECT
ANSWERS (UPDATED) /A+ GRADE ASSURED
A nurse is assessing a client who is receiving intravenous therapy. The nurse should
identifywhich of thefollowing findings as a manifestation of fluid volume excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
prescribedhypertonic solution. Which of the following findings should indicate to the nurse
that the treatment iseffective?
• Absent Chvostek's sign
• Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
A nurse is assessing a client who is receiving intravenous therapy. The nurse should
identifywhich of thefollowing findings as a manifestation of fluid volume excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
prescribedhypertonic solution. Which of the following findings should indicate to the nurse
that the treatment iseffective?
• Absent Chvostek's sign
• Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal
patch.Which ofthe 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."
,A nurse is reviewing he laboratory results of a client who has a prescription for sodium
polystyrenesulfonate (Kayexalate) every 6 hr. which of the following should the nurse
report tothe 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 thePN 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
ofthefollowing 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
A client is caring for a client who develops an anaphylactic reaction to IV administration. After
assessingthe 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
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
• Ginger root
• Black cohosh
• Coenzyme Q10
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For
whichof thefollowing adverse effects should the nurse monitor when administering
lisinopril?
• Bradycardia
• Hypokalemia
• Tinnitus
• Hypotension
, A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT
of90seconds. 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
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 incidentreport?
• The quality improvement committee
• The nurse who identifies the error
• The nurse who caused the error
• The charge nurses
A nurse is planning care for a client who is receiving morphine via continuous epidural
infusion. Thenurse should monitor the client for which of the following?
• Pruritus- Sign of allergic reaction to morphine
• Cough
• Tachypnea
• Gastric bleeding
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps
thenurse should take. (Move the steps into the box on the right placing them in the order
of performance. Use allthe 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
A nurse is reviewing the medical record of an adult client who has a fever and a prescription
foracetaminophen. Which of the following findings should the nurse identify as a
contraindicationforreceiving this medication?
• Alcohol use disorder
• Chronic kidney disease
• Hepatitis B vaccine within the last week
• Diabetes mellitus
