ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK 91 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
1. A nurse is caring for a client who has schizophrenia and generalized anxiety
disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr
PRN anxiety. For which of the following client statements should the nurse
consider administering alprazolam?: The client states "My heart is pounding out
of my chest."
2. A nurse is preparing to administer a pre-packaged oral medication to a client
and complete the final medication check. At which of the following times or
places should the nurse perform this final check?: At the client's bedside
before administration.
3. A nurse is teaching a client about the adverse effects of cisplatin. Which of
the following adverse effects should the nurse include in the
teaching?: Tinnitus
4. A nurse is caring for a client who was admitted with acute psychosis and
is being treated with haloperidol. The nurse should suspect that the client
may be experiencing tardive dyskinesia when the client exhibits which of
the following? (Select all that apply.): Tongue thrusting and lip smacking,
Facial grimacing and eye blinking, Involuntary pelvic rocking and hip thrusting
movements
5. A nurse in a provider's clinic is caring for a client who reports erectile
dysfunction and requests a prescription for sildenafil. Which of the following
medications currently prescribed for the client is a contraindication to
taking sildenafil?: Isosorbide
6. A nurse is caring for four clients. After administering morning medications,
she realizes that the nifedipine prescribed for one client was inadvertently
administered to another client. Which of the following actions should the
nurse take first?: Check the client's vital signs.
7. A nurse is providing dietary teaching for a client who has a new prescription
for a monoamine oxidase inhibitor (MAOI). When the client develops a sample
lunch menu, which of the following items requires intervention by the
nurse?- : Bologna sandwich
8. A nurse is caring for a client who is withdrawing from opioids. Which of the
following medications should the nurse prepare to administer?: Methadone
9. A nurse on a crisis hotline is speaking to a client who says, "I just took an
entire bottle of amitriptyline." Which of the following responses should the
nurse make?: "I'm glad you called and I want to send an ambulance to help you."
10. A nurse is caring for a newborn who has respiratory depression. Which of
the following medications should the nurse anticipate
administering?: Naloxone
1/9
, ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK 91 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
11. A nurse is caring for a client who is receiving cisplatin to treat bladder can-
cer. After several treatments, the client reports fatigue. Which of the
following actions should the nurse take?: Check the results of the client's most recent CBC.
12. A nurse is providing teaching to a client who has breast cancer about
the adverse effects of chemotherapy. Which of the following client
statements indicates an understanding of the teaching?: "I'll call my doctor if I
notice any unusual menstrual bleeding."
13. A home health nurse is making a home visit to a client who takes a daily
diuretic for heart failure. Which of the following manifestations should
the nurse identify as indicating the client is hypokalemic?: Fatigue
14. A nurse is assessing a client who is receiving dopamine IV to treat left
ventricular failure. Which of the following findings should indicate to the
nurse that the medication is having a therapeutic effect?: Systolic blood
pressure is increased
15. A nurse is teaching a client who has a new prescription for cycloben-
zaprine. Which of the following information should the nurse include in
the teaching?: Avoid driving until effects are known.
16. A nurse is preparing to administer an intramuscular (IM) injection of
meperidine to a client. Which of the following is the priority assessment
the nurse should complete?: Respiratory rate
17. A nurse is preparing to administer verapamil by IV bolus to a client who
is having cardiac dysrhythmias. For which of the following adverse
effects should the nurse monitor when giving this medication?: hypotension
18. A nurse is teaching a client who has a new prescription for clopidogrel.
Which of the following instructions should the nurse include?: "You might
have to stop taking this medication 5 days before any planned surgeries."
19. A nurse is preparing to administer a medication to a client who states,
"That looks different from the pill I usually take." Which of the following
responses should the nurse make?: "Describe what the pill looks like."
20. A nurse is admitting a client who has acute heart failure following my-
ocardial infarction (MI). The nurse recognizes that which of the following
prescriptions by the provider requires clarification?: 0.9% normal saline IV
at 50 mL/hr continuous
21. A nurse is assessing a client who is taking lisinopril to treat hypertension.
Which of the following findings is a priority to report?: Dry cough
22. A nurse is teaching a client who has a new prescription for alprazolam to
treat insomnia. Which of the following instructions should the nurse
includ-ed?: "Avoid activities that require alertness such as driving."
2/9
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
1. A nurse is caring for a client who has schizophrenia and generalized anxiety
disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr
PRN anxiety. For which of the following client statements should the nurse
consider administering alprazolam?: The client states "My heart is pounding out
of my chest."
2. A nurse is preparing to administer a pre-packaged oral medication to a client
and complete the final medication check. At which of the following times or
places should the nurse perform this final check?: At the client's bedside
before administration.
3. A nurse is teaching a client about the adverse effects of cisplatin. Which of
the following adverse effects should the nurse include in the
teaching?: Tinnitus
4. A nurse is caring for a client who was admitted with acute psychosis and
is being treated with haloperidol. The nurse should suspect that the client
may be experiencing tardive dyskinesia when the client exhibits which of
the following? (Select all that apply.): Tongue thrusting and lip smacking,
Facial grimacing and eye blinking, Involuntary pelvic rocking and hip thrusting
movements
5. A nurse in a provider's clinic is caring for a client who reports erectile
dysfunction and requests a prescription for sildenafil. Which of the following
medications currently prescribed for the client is a contraindication to
taking sildenafil?: Isosorbide
6. A nurse is caring for four clients. After administering morning medications,
she realizes that the nifedipine prescribed for one client was inadvertently
administered to another client. Which of the following actions should the
nurse take first?: Check the client's vital signs.
7. A nurse is providing dietary teaching for a client who has a new prescription
for a monoamine oxidase inhibitor (MAOI). When the client develops a sample
lunch menu, which of the following items requires intervention by the
nurse?- : Bologna sandwich
8. A nurse is caring for a client who is withdrawing from opioids. Which of the
following medications should the nurse prepare to administer?: Methadone
9. A nurse on a crisis hotline is speaking to a client who says, "I just took an
entire bottle of amitriptyline." Which of the following responses should the
nurse make?: "I'm glad you called and I want to send an ambulance to help you."
10. A nurse is caring for a newborn who has respiratory depression. Which of
the following medications should the nurse anticipate
administering?: Naloxone
1/9
, ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK 91 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
11. A nurse is caring for a client who is receiving cisplatin to treat bladder can-
cer. After several treatments, the client reports fatigue. Which of the
following actions should the nurse take?: Check the results of the client's most recent CBC.
12. A nurse is providing teaching to a client who has breast cancer about
the adverse effects of chemotherapy. Which of the following client
statements indicates an understanding of the teaching?: "I'll call my doctor if I
notice any unusual menstrual bleeding."
13. A home health nurse is making a home visit to a client who takes a daily
diuretic for heart failure. Which of the following manifestations should
the nurse identify as indicating the client is hypokalemic?: Fatigue
14. A nurse is assessing a client who is receiving dopamine IV to treat left
ventricular failure. Which of the following findings should indicate to the
nurse that the medication is having a therapeutic effect?: Systolic blood
pressure is increased
15. A nurse is teaching a client who has a new prescription for cycloben-
zaprine. Which of the following information should the nurse include in
the teaching?: Avoid driving until effects are known.
16. A nurse is preparing to administer an intramuscular (IM) injection of
meperidine to a client. Which of the following is the priority assessment
the nurse should complete?: Respiratory rate
17. A nurse is preparing to administer verapamil by IV bolus to a client who
is having cardiac dysrhythmias. For which of the following adverse
effects should the nurse monitor when giving this medication?: hypotension
18. A nurse is teaching a client who has a new prescription for clopidogrel.
Which of the following instructions should the nurse include?: "You might
have to stop taking this medication 5 days before any planned surgeries."
19. A nurse is preparing to administer a medication to a client who states,
"That looks different from the pill I usually take." Which of the following
responses should the nurse make?: "Describe what the pill looks like."
20. A nurse is admitting a client who has acute heart failure following my-
ocardial infarction (MI). The nurse recognizes that which of the following
prescriptions by the provider requires clarification?: 0.9% normal saline IV
at 50 mL/hr continuous
21. A nurse is assessing a client who is taking lisinopril to treat hypertension.
Which of the following findings is a priority to report?: Dry cough
22. A nurse is teaching a client who has a new prescription for alprazolam to
treat insomnia. Which of the following instructions should the nurse
includ-ed?: "Avoid activities that require alertness such as driving."
2/9
