ATI RN PHARMACOLOGY PROCTORED EXAM /RN
PHARMACOLOGY ATI PROCTORED ACTUAL EXAM
TEST BANK 200 QUESTIONS AND CORRECT
DETAILED ANSWERS
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing preop care regarding
informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - ✔✔ANSW✔✔..A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his
surgical incision. The nurse checks the client's surgical wound & finds the wound
separated w/viscera protruding. Which of the following interventions is
appropriate? Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea - ✔✔ANSW✔✔..A, D
A client who has had a cerebrovascular accident has persistent problems
w/dysphagia. The nurse caring for the client should initiate a referral w/which of
the following members of the interprofessional care team?
A. Social worker
B. CNA
,C. Occupational therapist
D. Speech-language pathologist - ✔✔ANSW✔✔..D
A speech-language pathologist can initiate specific therapy for clients who have
difficulty feeding due to swallowing difficulties
1. A nurse is caring for a client who has a prescription for nifedipine. Which of the
following findings should the nurse assess prior to administration of the
medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation - ✔✔ANSW✔✔..A. Blood pressure
A charge nurse is observing a newly licensed nurse provide care to a group of
clients. Which of the following action by the newly licensed nurse requires the
charge nurse to complete an incident report?
A. A client who has a lithium level of 1.8 mEq/L receives her morning dose of
lithium
B. The nurse administers ondansetron to a client who has two episodes of vomiting
after receiving meperidine 75 mg IM.
C. The nurse request a higher dose of morphine for a client who reports severe pain
30 minutes after receiving morphine 2 mg IV bolus.
D. A client who has a blood glucose level of 120 mg/dL receives her morning dose
of insulin. - ✔✔ANSW✔✔..A. A client who has a lithium level of 1.8 mEq/L
receives her morning dose of lithium
A charge nurse is supervising a newly licensed nurse care for a client who is
receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic
reaction. After stopping the blood transfusion, which of the following actions by
the new nurse requires intervention by the charge nurse?
A. The nurse sent a blood specimen to the laboratory
B. The nurse initiate a infusion of 0.9% sodium chloride
C. The nurse collects a urine specimen
,D. The nurse starts the transfusion of another unit of blood product. -
✔✔ANSW✔✔..D. The nurse starts the transfusion of another unit of blood
product.
A charge nurse is supervising a newly licensed nurse who is caring for a client who
is receiving a transfusion of packed RBCs. The nurse suspects a possible hemolytic
reaction. After stopping the blood transfusion, which of the following actions by
the new nurse requires intervention by the charge nurse?
A. The nurse collects a urine specimen.
B. The nurse sends a blood specimen to the laboratory.
C. The nurse initiates an infusion of 0.9% sodium chloride.
D. The nurse starts the transfusion of another unit of blood product. -
✔✔ANSW✔✔..D. The nurse starts the transfusion of another unit of blood
product.
A client forgot to take their Levothyroxine when directed. The client should...
A. Notify health care professional
B. Take the missed dose as soon as possible unless it is almost time for next dose
C. Skip the dose
D. Stop taking Levothyroxine all together - ✔✔ANSW✔✔..B. Take the missed
dose as soon as possible unless it is almost time for the next dose
A client taking disulfiram to treat alcohol use disorder, should check all products
that they may use for what? - ✔✔ANSW✔✔..alcohol
A common side effect of Angiotensin-Converting Enzyme (ACE) Inhibitors is
a. Suicidal thoughts
b. Toxic epidermal necrosis
c. Heart failure
d. cough - ✔✔ANSW✔✔..D. cough
A contraindication for receiving sumatriptan for a migraine?
A. renal impairment
B. ischemic heart disease
C. severe osteoporosis
, D. cirrhosis - ✔✔ANSW✔✔..B. ischemic heart disease
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?
A. Pitting edema
B. Fatigue
C. Dyspnea
D. Oliguria - ✔✔ANSW✔✔..B. Fatigue
A nurse in a community health clinic is assessing a new client who has
prescriptions for isoniazid and rifampin. Which of the following disorders should
the nurse expect the client to have?
A. Tuberculosis
B. Hypertension
C. Diabetes
D. Cirrhosis - ✔✔ANSW✔✔..A. Tuberculosis
A nurse in a coronary care unit is admitting a client who has had CPR following a
cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client
asks the nurse why he is receiving that medication, the nurse should explain that it
has which of the following actions?
A. Prevents dysrhythmias
B. Relieves pain
C. Dissolves blood clots
D. Slows intestinal motility - ✔✔ANSW✔✔..A. Prevents dysrhythmias
A nurse in a long-term care facility is administering medications to a group of
older adult clients. Which of the following factors of pharmacokinetic should the
nurse consider when caring for this age group?
A. The excretion of medication is reduced.
B. The percentage of medication absorbed is increased.
C. The liver metabolizes medication more quickly.
D. The rate at which the liver metabolizes medication declines with age. -
✔✔ANSW✔✔..A. The excretion of medication is reduced.
PHARMACOLOGY ATI PROCTORED ACTUAL EXAM
TEST BANK 200 QUESTIONS AND CORRECT
DETAILED ANSWERS
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing preop care regarding
informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - ✔✔ANSW✔✔..A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his
surgical incision. The nurse checks the client's surgical wound & finds the wound
separated w/viscera protruding. Which of the following interventions is
appropriate? Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea - ✔✔ANSW✔✔..A, D
A client who has had a cerebrovascular accident has persistent problems
w/dysphagia. The nurse caring for the client should initiate a referral w/which of
the following members of the interprofessional care team?
A. Social worker
B. CNA
,C. Occupational therapist
D. Speech-language pathologist - ✔✔ANSW✔✔..D
A speech-language pathologist can initiate specific therapy for clients who have
difficulty feeding due to swallowing difficulties
1. A nurse is caring for a client who has a prescription for nifedipine. Which of the
following findings should the nurse assess prior to administration of the
medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation - ✔✔ANSW✔✔..A. Blood pressure
A charge nurse is observing a newly licensed nurse provide care to a group of
clients. Which of the following action by the newly licensed nurse requires the
charge nurse to complete an incident report?
A. A client who has a lithium level of 1.8 mEq/L receives her morning dose of
lithium
B. The nurse administers ondansetron to a client who has two episodes of vomiting
after receiving meperidine 75 mg IM.
C. The nurse request a higher dose of morphine for a client who reports severe pain
30 minutes after receiving morphine 2 mg IV bolus.
D. A client who has a blood glucose level of 120 mg/dL receives her morning dose
of insulin. - ✔✔ANSW✔✔..A. A client who has a lithium level of 1.8 mEq/L
receives her morning dose of lithium
A charge nurse is supervising a newly licensed nurse care for a client who is
receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic
reaction. After stopping the blood transfusion, which of the following actions by
the new nurse requires intervention by the charge nurse?
A. The nurse sent a blood specimen to the laboratory
B. The nurse initiate a infusion of 0.9% sodium chloride
C. The nurse collects a urine specimen
,D. The nurse starts the transfusion of another unit of blood product. -
✔✔ANSW✔✔..D. The nurse starts the transfusion of another unit of blood
product.
A charge nurse is supervising a newly licensed nurse who is caring for a client who
is receiving a transfusion of packed RBCs. The nurse suspects a possible hemolytic
reaction. After stopping the blood transfusion, which of the following actions by
the new nurse requires intervention by the charge nurse?
A. The nurse collects a urine specimen.
B. The nurse sends a blood specimen to the laboratory.
C. The nurse initiates an infusion of 0.9% sodium chloride.
D. The nurse starts the transfusion of another unit of blood product. -
✔✔ANSW✔✔..D. The nurse starts the transfusion of another unit of blood
product.
A client forgot to take their Levothyroxine when directed. The client should...
A. Notify health care professional
B. Take the missed dose as soon as possible unless it is almost time for next dose
C. Skip the dose
D. Stop taking Levothyroxine all together - ✔✔ANSW✔✔..B. Take the missed
dose as soon as possible unless it is almost time for the next dose
A client taking disulfiram to treat alcohol use disorder, should check all products
that they may use for what? - ✔✔ANSW✔✔..alcohol
A common side effect of Angiotensin-Converting Enzyme (ACE) Inhibitors is
a. Suicidal thoughts
b. Toxic epidermal necrosis
c. Heart failure
d. cough - ✔✔ANSW✔✔..D. cough
A contraindication for receiving sumatriptan for a migraine?
A. renal impairment
B. ischemic heart disease
C. severe osteoporosis
, D. cirrhosis - ✔✔ANSW✔✔..B. ischemic heart disease
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?
A. Pitting edema
B. Fatigue
C. Dyspnea
D. Oliguria - ✔✔ANSW✔✔..B. Fatigue
A nurse in a community health clinic is assessing a new client who has
prescriptions for isoniazid and rifampin. Which of the following disorders should
the nurse expect the client to have?
A. Tuberculosis
B. Hypertension
C. Diabetes
D. Cirrhosis - ✔✔ANSW✔✔..A. Tuberculosis
A nurse in a coronary care unit is admitting a client who has had CPR following a
cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client
asks the nurse why he is receiving that medication, the nurse should explain that it
has which of the following actions?
A. Prevents dysrhythmias
B. Relieves pain
C. Dissolves blood clots
D. Slows intestinal motility - ✔✔ANSW✔✔..A. Prevents dysrhythmias
A nurse in a long-term care facility is administering medications to a group of
older adult clients. Which of the following factors of pharmacokinetic should the
nurse consider when caring for this age group?
A. The excretion of medication is reduced.
B. The percentage of medication absorbed is increased.
C. The liver metabolizes medication more quickly.
D. The rate at which the liver metabolizes medication declines with age. -
✔✔ANSW✔✔..A. The excretion of medication is reduced.
