ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following actions of sucralfate should
the nurse include in the teaching? - ANSWER: Forms a protective barrier over ulcers
A nurse is providing teaching for a client who has multiple sclerosis and a new
prescription for methylprednisolone. Which of the following instructions should the
nurse include? (SATA) - ANSWER: A.Blood glucose levels will be monitored during
therapy. B.Avoid contact with people who have known infections.
C.Grapefruit juice can increase the effects of this medication.
A nurse is providing discharge teaching about handling medication to a client who is
to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick.
Which of the following information should the nurse include in the teaching? -
ANSWER: Store unused medication sticks in a storage container.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart
failure. The nurse should identify which of the following as an indication of
hypokalemia? - ANSWER: Presence of U-waves
The nurse is caring for a client who has cancer and is taking oral morphine and
docusate sodium. The nurse should instruct the client that takin the docusate
sodium daily can minimize which of the following adverse effects of morphine? -
ANSWER: Constipation
A nurse is planning care for a client who is receiving mannitol via IV continuous
infusion. The nurse should monitor the client for which of the following adverse
effects? - ANSWER: Bibasilar crackles
A nurse is providing teaching to a client who has gastric ulcer and a new prescription
for ranitidine. Which of the following instructions should the nurse include? -
ANSWER: "Report yellowing of the skin."
A nurse is assessing a client after administering a second dose of cefazolin IV. The
nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following
medications should the nurse administer first? - ANSWER: Epinephrine
A nurse is planning care for a client who has hypertension and is to start taking
metoprolol. Which of the following interventions should the nurse include in the
plan of care? - ANSWER: Determine apical pulse prior to administering
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child
who weighs 44 lb. How many mg should the nurse administer per dose? - ANSWER:
300 mg
, A nurse in an emergency department is caring for a client whose family reports the
client has taken large amounts of diazepam. Which of the following medications
should the nurse anticipate administering? - ANSWER: Flumazenil
A nurse is reviewing laboratory results for a client who is receiving heparin via
continuous IV infusion for DVT. The nurse should discontinue the medication
infusion for which of the following client findings? - ANSWER: Platelets 96,000
A nurse is reviewing the medication administration record of a client who has
hypocalcemia and a new prescription for IV calcium gluconate. The nurse should
identify that which of the following medications can interact with calcium gluconate?
- ANSWER: Digoxin
A Nurse administers a dose of metformin to a client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first? -
ANSWER: Check the client's blood glucose
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching? - ANSWER: Decreased respirations might occur.
A nurse in an emergency department is caring for a client who has heroin toxicity.
The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min.
Which of the following medications should the nurse plan to administer? - ANSWER:
Naloxone
A nurse is reviewing the medication list of a client who wants to begin taking oral
contraceptives. The nurse should identify that which of the following client
medications will interfere with the effectiveness of oral contraceptives? - ANSWER:
Carbamazepine
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The
client's BP is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The
nurse should withhold the medication and contact the provider for which of the
following findings? - ANSWER: Heart Rate
A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse
effect of the medication? - ANSWER: Sexual dysfunction
A nurse is teaching a client about warfarin. The client asks if they can take aspirin
while taking the warfarin. Which of the following responses should the nurse make?
- ANSWER: "Aspirin will increase the risk of bleeding."
A nurse is assessing a client who is postoperative following an outpatient endoscopy
procedure using midazolam. The nurse should monitor for which of the following
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following actions of sucralfate should
the nurse include in the teaching? - ANSWER: Forms a protective barrier over ulcers
A nurse is providing teaching for a client who has multiple sclerosis and a new
prescription for methylprednisolone. Which of the following instructions should the
nurse include? (SATA) - ANSWER: A.Blood glucose levels will be monitored during
therapy. B.Avoid contact with people who have known infections.
C.Grapefruit juice can increase the effects of this medication.
A nurse is providing discharge teaching about handling medication to a client who is
to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick.
Which of the following information should the nurse include in the teaching? -
ANSWER: Store unused medication sticks in a storage container.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart
failure. The nurse should identify which of the following as an indication of
hypokalemia? - ANSWER: Presence of U-waves
The nurse is caring for a client who has cancer and is taking oral morphine and
docusate sodium. The nurse should instruct the client that takin the docusate
sodium daily can minimize which of the following adverse effects of morphine? -
ANSWER: Constipation
A nurse is planning care for a client who is receiving mannitol via IV continuous
infusion. The nurse should monitor the client for which of the following adverse
effects? - ANSWER: Bibasilar crackles
A nurse is providing teaching to a client who has gastric ulcer and a new prescription
for ranitidine. Which of the following instructions should the nurse include? -
ANSWER: "Report yellowing of the skin."
A nurse is assessing a client after administering a second dose of cefazolin IV. The
nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following
medications should the nurse administer first? - ANSWER: Epinephrine
A nurse is planning care for a client who has hypertension and is to start taking
metoprolol. Which of the following interventions should the nurse include in the
plan of care? - ANSWER: Determine apical pulse prior to administering
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child
who weighs 44 lb. How many mg should the nurse administer per dose? - ANSWER:
300 mg
, A nurse in an emergency department is caring for a client whose family reports the
client has taken large amounts of diazepam. Which of the following medications
should the nurse anticipate administering? - ANSWER: Flumazenil
A nurse is reviewing laboratory results for a client who is receiving heparin via
continuous IV infusion for DVT. The nurse should discontinue the medication
infusion for which of the following client findings? - ANSWER: Platelets 96,000
A nurse is reviewing the medication administration record of a client who has
hypocalcemia and a new prescription for IV calcium gluconate. The nurse should
identify that which of the following medications can interact with calcium gluconate?
- ANSWER: Digoxin
A Nurse administers a dose of metformin to a client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first? -
ANSWER: Check the client's blood glucose
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching? - ANSWER: Decreased respirations might occur.
A nurse in an emergency department is caring for a client who has heroin toxicity.
The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min.
Which of the following medications should the nurse plan to administer? - ANSWER:
Naloxone
A nurse is reviewing the medication list of a client who wants to begin taking oral
contraceptives. The nurse should identify that which of the following client
medications will interfere with the effectiveness of oral contraceptives? - ANSWER:
Carbamazepine
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The
client's BP is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The
nurse should withhold the medication and contact the provider for which of the
following findings? - ANSWER: Heart Rate
A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse
effect of the medication? - ANSWER: Sexual dysfunction
A nurse is teaching a client about warfarin. The client asks if they can take aspirin
while taking the warfarin. Which of the following responses should the nurse make?
- ANSWER: "Aspirin will increase the risk of bleeding."
A nurse is assessing a client who is postoperative following an outpatient endoscopy
procedure using midazolam. The nurse should monitor for which of the following
