ATI RN PHARMACOLOGY 2019 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2019 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
A home health nurse is visiting an older adult client who has Alzheimer's disease. His
caregiver tells the nurse she has been administering prescribed Lorazepam, 1 mg three
times per day, to the client for restlessness and anxiety during the past few days. For
which of the following adverse effects should the nurse assess the client?
A. low-grade fever
B. sedation
C. diuresis
D. tonic-clonic seizures - ANSB. sedation
Lorazepam is a benzodiazepine with anti-anxiety and sedative effects. Older adult
clients, especially, are at risk for central nervous system depression even with low
doses of benzodiazepines. Clients who are 50 years or older can have a more profound
and prolonged sedation than younger clients.
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg
three times daily PO and gabapentin 1,800 mg three times daily PO to manage pain.
The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most
of the time." Which of the following additions should the nurse anticipate to the client's
medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone - ANSD. oral oxycodone
The client's current pain regimen consists of a nonopioid analgesic, naproxen, and an
adjuvant medication for neuropathic pain, gabapentin. According to the WHO analgesic
ladder for cancer pain management, the next addition to the pain regimen is an opioid
for moderate pain. Oxycodone is an oral opioid that relieves moderate to moderately
severe pain; therefore, it is an appropriate choice to add to the client's pain regimen.
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40
mg daily, but the client reports that she has been taking extra doses to promote weight
loss. Which of the following findings should indicate to the nurse that the client is
dehydrated?
A. urine specific gravity 1.035
B. distended neck veins
C. BUN 18 mg/dL
D. bounding radial pulse - ANSA. urine specific gravity 1.035
,ATI RN PHARMACOLOGY 2019 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2019 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Oliguria, increased urine concentration, and an increase in urine specific gravity greater
than 1.030 are expected findings in clients who are dehydrated.
A nurse is administering Adenosine via IV bolus for a client who has developed
paroxysmal atrial tachycardia. For which of the following findings should the nurse
assess the client during administration of Adenosine?
A. seizures
B. cinchonism
C. dyspnea
D. transient pallor of the face - ANSC. dyspnea
Dyspnea can occur during administration of adenosine due to bronchoconstriction.
Since adenosine has a very short half-life of about 10 seconds, this effect should be
short-lived.
A nurse is administering Ciprofloxacin and Phenazopyridine to a client who has a
severe urinary tract infection [UTI]. The client asks why both medications are needed.
Which of the following responses should the nurse make?
A. phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride
B. combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of
therapy.
C. the use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride
D. ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain -
ANSD. ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats
pain
Ciprofloxacin hydrochloride is a broad-spectrum quinolone antibiotic and
phenazopyridine is a bladder analgesic/anesthetic that relieves burning and pain in the
bladder mucosa caused by bladder spasm and inflammation.
A nurse is administering insulin glulisine 10 units subcutaneously at 0720 to an
adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of
action of the insulin at which of the following times?
A. 0800
B. 0745
C. 0900
D. 1030 - ANSB. 0745
, ATI RN PHARMACOLOGY 2019 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2019 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Insulin glulisine has a very short onset of action of 15 min. The nurse should expect the
onset of action around 0745 and ensure the client eats breakfast immediately following
administration of the insulin.
A nurse is administering oral hydroxyzine to a client. Which of the following adverse
effects should the nurse instruct the client to expect?
A. diarrhea
B. anxiety
C. nausea and vomiting
D. dry mouth - ANSD. dry mouth
Hydroxyzine has anticholinergic properties. Dry mouth is a common adverse effect of
this medication. The nurse should instruct the client to take sips of water or suck hard
candies to minimize this effect.
A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - ANSd. Tachycardia
A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the
following should the nurse take?
a. Administer the medication into the client's abdomen
b. Inject the medication into a muscle
c. Massage the site after administering the medication
d. Use a 22 gauge needle to administer the medication - ANSa. Administer the
medication into the client's abdomen
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has a mask like facial expression and is experiencing
involuntary movements and tremors. Which of the following medications should the
nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - ANSa. Amantadine
/PHARMACOLOGY ATI 2019 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
A home health nurse is visiting an older adult client who has Alzheimer's disease. His
caregiver tells the nurse she has been administering prescribed Lorazepam, 1 mg three
times per day, to the client for restlessness and anxiety during the past few days. For
which of the following adverse effects should the nurse assess the client?
A. low-grade fever
B. sedation
C. diuresis
D. tonic-clonic seizures - ANSB. sedation
Lorazepam is a benzodiazepine with anti-anxiety and sedative effects. Older adult
clients, especially, are at risk for central nervous system depression even with low
doses of benzodiazepines. Clients who are 50 years or older can have a more profound
and prolonged sedation than younger clients.
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg
three times daily PO and gabapentin 1,800 mg three times daily PO to manage pain.
The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most
of the time." Which of the following additions should the nurse anticipate to the client's
medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone - ANSD. oral oxycodone
The client's current pain regimen consists of a nonopioid analgesic, naproxen, and an
adjuvant medication for neuropathic pain, gabapentin. According to the WHO analgesic
ladder for cancer pain management, the next addition to the pain regimen is an opioid
for moderate pain. Oxycodone is an oral opioid that relieves moderate to moderately
severe pain; therefore, it is an appropriate choice to add to the client's pain regimen.
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40
mg daily, but the client reports that she has been taking extra doses to promote weight
loss. Which of the following findings should indicate to the nurse that the client is
dehydrated?
A. urine specific gravity 1.035
B. distended neck veins
C. BUN 18 mg/dL
D. bounding radial pulse - ANSA. urine specific gravity 1.035
,ATI RN PHARMACOLOGY 2019 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2019 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Oliguria, increased urine concentration, and an increase in urine specific gravity greater
than 1.030 are expected findings in clients who are dehydrated.
A nurse is administering Adenosine via IV bolus for a client who has developed
paroxysmal atrial tachycardia. For which of the following findings should the nurse
assess the client during administration of Adenosine?
A. seizures
B. cinchonism
C. dyspnea
D. transient pallor of the face - ANSC. dyspnea
Dyspnea can occur during administration of adenosine due to bronchoconstriction.
Since adenosine has a very short half-life of about 10 seconds, this effect should be
short-lived.
A nurse is administering Ciprofloxacin and Phenazopyridine to a client who has a
severe urinary tract infection [UTI]. The client asks why both medications are needed.
Which of the following responses should the nurse make?
A. phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride
B. combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of
therapy.
C. the use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride
D. ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain -
ANSD. ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats
pain
Ciprofloxacin hydrochloride is a broad-spectrum quinolone antibiotic and
phenazopyridine is a bladder analgesic/anesthetic that relieves burning and pain in the
bladder mucosa caused by bladder spasm and inflammation.
A nurse is administering insulin glulisine 10 units subcutaneously at 0720 to an
adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of
action of the insulin at which of the following times?
A. 0800
B. 0745
C. 0900
D. 1030 - ANSB. 0745
, ATI RN PHARMACOLOGY 2019 PROCTORED ACTUAL EXAM
/PHARMACOLOGY ATI 2019 PROCTORED EXAM ALL 70 QUESTIONS
AND CORRECT ANSWERS| ALREADY GRADED A+ (LATEST
VERSION)
Insulin glulisine has a very short onset of action of 15 min. The nurse should expect the
onset of action around 0745 and ensure the client eats breakfast immediately following
administration of the insulin.
A nurse is administering oral hydroxyzine to a client. Which of the following adverse
effects should the nurse instruct the client to expect?
A. diarrhea
B. anxiety
C. nausea and vomiting
D. dry mouth - ANSD. dry mouth
Hydroxyzine has anticholinergic properties. Dry mouth is a common adverse effect of
this medication. The nurse should instruct the client to take sips of water or suck hard
candies to minimize this effect.
A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - ANSd. Tachycardia
A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the
following should the nurse take?
a. Administer the medication into the client's abdomen
b. Inject the medication into a muscle
c. Massage the site after administering the medication
d. Use a 22 gauge needle to administer the medication - ANSa. Administer the
medication into the client's abdomen
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has a mask like facial expression and is experiencing
involuntary movements and tremors. Which of the following medications should the
nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - ANSa. Amantadine
