ATI RN PHARMACOLOGY PROCTORED FINAL
EXAM 2024 ACTUAL EXAM FORM A WITH
DETAILED QUESTIONS AND ANSWERS
GRADED A+
A nurse is caring for a patient who has tuberculosis and is taking isoniazid and rifampin. Which of the
following outcomes indicates that the patient is adhering to the medication regimen?
• The patient has a negative sputum culture
• The patient tests negative for HIV
• The patient has a positive purified protein derivative test
• The patient's liver function test results are within the expected reference range
• - correct answer -
• The patient has a negative sputum culture
A patient is caring for a patient who develops an anaphylactic reaction to IV administration. After
assessing the patient'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 patient's legs and feet
• Administer epinephrine IM - correct answer -d. Administer epinephrine IM
A nurse is caring for a patient who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the patient to avoid?
• St. John's Wort
• Ginger root
• Black cohosh
• Coenzyme Q10 - correct answer -a. St. John's Wort
A nurse is caring for a patient 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 - correct answer -d. Hypotension
A nurse is assessing a patient who is receiving heparin IV continuous IV. The patient has an PPT of 90
seconds. They should monitor the patient for which of the following changes in their vital signs?
• Decreased temperature
• Increased pulse rate
• Decreased respiratory rate
• Increased blood pressure - correct answer -d. Increased blood pressure
A nurse is preparing to administer medication to a patient 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 - correct answer -b. The nurse who identifies the error
A nurse is planning care for a patient who is receiving morphine via continuous epidural infusion. The
nurse should monitor the patient for which of the following?
• Pruritus
• Cough
• Tachypnea
• Gastric bleeding - correct answer -a. Pruritus - Sign of allergic reaction to morphine
A nurse is preparing to administer digoxin orally to a patient. 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.) - correct answer -a. Obtain the patient's apical heart rate
• Remove the medication from the dispensing system
• Open the medication package
• Compare the patient's wristband to the medication administration record
• Document administration of the medication
,A nurse is reviewing the medical record of an adult patient 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 - correct answer -a. Alcohol use disorder
b. Chronic kidney disease
A nurse is assessing a patient 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 - correct answer -b. Distended neck veins
A nurse is caring for a patient 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 - correct answer -b. Improved cognition
A nurse is teaching a patient 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." - correct answer -d. "Remove the patch prior
to going to bed."
A nurse is reviewing he laboratory results of a patient 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 - correct answer -d. Potassium 5.2 mEq/L - Hyperkalemia (serum
potassium level greater than 5.0 mEq/L) increases the patient risk for fatal cardiac dysrhythmias.
Kayexalate is used to decrease the serum potassium level so the PN should monitor the patient's
serum potassium level
A nurse is caring for a patient who has tuberculosis and is taking isoniazid and rifampin. Which of the
following outcomes indicates that the patient is adhering to the medication regimen?
• The patient has a negative sputum culture
• The patient tests negative for HIV
• The patient has a positive purified protein derivative test
• The patient's liver function test results are within the expected reference range - correct answer -
• The patient has a negative sputum culture
A patient is caring for a patient who develops an anaphylactic reaction to IV administration. After
assessing the patient'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 patient's legs and feet
• Administer epinephrine IM - correct answer -d. Administer epinephrine IM
A nurse is caring for a patient who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the patient to avoid?
• St. John's Wort
• Ginger root
• Black cohosh
• Coenzyme Q10 - correct answer -a. St. John's Wort
A nurse is caring for a patient 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
EXAM 2024 ACTUAL EXAM FORM A WITH
DETAILED QUESTIONS AND ANSWERS
GRADED A+
A nurse is caring for a patient who has tuberculosis and is taking isoniazid and rifampin. Which of the
following outcomes indicates that the patient is adhering to the medication regimen?
• The patient has a negative sputum culture
• The patient tests negative for HIV
• The patient has a positive purified protein derivative test
• The patient's liver function test results are within the expected reference range
• - correct answer -
• The patient has a negative sputum culture
A patient is caring for a patient who develops an anaphylactic reaction to IV administration. After
assessing the patient'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 patient's legs and feet
• Administer epinephrine IM - correct answer -d. Administer epinephrine IM
A nurse is caring for a patient who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the patient to avoid?
• St. John's Wort
• Ginger root
• Black cohosh
• Coenzyme Q10 - correct answer -a. St. John's Wort
A nurse is caring for a patient 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 - correct answer -d. Hypotension
A nurse is assessing a patient who is receiving heparin IV continuous IV. The patient has an PPT of 90
seconds. They should monitor the patient for which of the following changes in their vital signs?
• Decreased temperature
• Increased pulse rate
• Decreased respiratory rate
• Increased blood pressure - correct answer -d. Increased blood pressure
A nurse is preparing to administer medication to a patient 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 - correct answer -b. The nurse who identifies the error
A nurse is planning care for a patient who is receiving morphine via continuous epidural infusion. The
nurse should monitor the patient for which of the following?
• Pruritus
• Cough
• Tachypnea
• Gastric bleeding - correct answer -a. Pruritus - Sign of allergic reaction to morphine
A nurse is preparing to administer digoxin orally to a patient. 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.) - correct answer -a. Obtain the patient's apical heart rate
• Remove the medication from the dispensing system
• Open the medication package
• Compare the patient's wristband to the medication administration record
• Document administration of the medication
,A nurse is reviewing the medical record of an adult patient 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 - correct answer -a. Alcohol use disorder
b. Chronic kidney disease
A nurse is assessing a patient 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 - correct answer -b. Distended neck veins
A nurse is caring for a patient 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 - correct answer -b. Improved cognition
A nurse is teaching a patient 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." - correct answer -d. "Remove the patch prior
to going to bed."
A nurse is reviewing he laboratory results of a patient 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 - correct answer -d. Potassium 5.2 mEq/L - Hyperkalemia (serum
potassium level greater than 5.0 mEq/L) increases the patient risk for fatal cardiac dysrhythmias.
Kayexalate is used to decrease the serum potassium level so the PN should monitor the patient's
serum potassium level
A nurse is caring for a patient who has tuberculosis and is taking isoniazid and rifampin. Which of the
following outcomes indicates that the patient is adhering to the medication regimen?
• The patient has a negative sputum culture
• The patient tests negative for HIV
• The patient has a positive purified protein derivative test
• The patient's liver function test results are within the expected reference range - correct answer -
• The patient has a negative sputum culture
A patient is caring for a patient who develops an anaphylactic reaction to IV administration. After
assessing the patient'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 patient's legs and feet
• Administer epinephrine IM - correct answer -d. Administer epinephrine IM
A nurse is caring for a patient who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the patient to avoid?
• St. John's Wort
• Ginger root
• Black cohosh
• Coenzyme Q10 - correct answer -a. St. John's Wort
A nurse is caring for a patient 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
