ATI RN PHARMACOLOGY PROCTORED
EXAM 2023 QUESTIONS WITH ACTUAL
ANSWERS.
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of
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the following laboratory tests should the nurse review prior to administration?
bb bb bb bb bb bb bb bb bb bb bb
A. PT bb
B. Total iron-binding capacity
bb bb bb
C. WBC bb
D. PTT - ANSWER:A. PT
bb bb bb bb
A nurse is caring for a group of clients. Which of the following situations requires an
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
incident report?
bb bb
A. Client experiences a seizure.
bb bb bb bb
B. A client vomits after receiving an oral medication.
bb bb bb bb bb bb bb bb
C. A client receives their insulin 1 hours before scheduled.
bb bb bb bb bb bb bb bb bb bb
D. A client receives their meal tray 20 min late. - ANSWER:C. A client receives their
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
insulin 1 hour before scheduled.
bb bb bb bb bb
A nurse is assessing a client who has received oxycodone. The nurse notes that the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
client's respiratory rate is 8/min. The nurse should identify that which of the following
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is the pathophysiology for the client's respiratory rate?
bb bb bb bb bb bb bb bb
A. Oxycodone blocks the sodium channel suspending nerve conduction.
bb bb bb bb bb bb bb bb bb
B. Oxycodone promotes vasodilation of cranial arteries.
bb bb bb bb bb bb
C. Oxycodone causes central nervous system depression.
bb bb bb bb bb bb bb
D. Oxycodone inhibits prostaglandin synthesis. - ANSWER:C. Oxycodone causes
bb bb bb bb bb bb bb bb
central nervous system depression.
bb bb bb bb
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
not use a trailing zero.) - ANSWER:50gtt/min
bb bb bb bb bb bb bb
,A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
mg by mouth every 12 hr PRN." Which of the following parts of the prescription
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
should the nurse clarify with the provider?
bb bb bb bb bb bb bb
A. Dose bb
B. Route bb bb
C. Frequency
bb bb
D. Reason - ANSWER:D. Reason
bb bb bb bb
1. A nurse is caring for a client who has a prescription for nifedipine. Which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following findings should the nurse assess prior to administration of the medication?
bb bb bb bb bb bb bb bb bb bb bb bb
A. Blood pressure
bb bb bb
B. Respiratory rate
bb bb bb
C. Temperature
bb bb
D. Oxygen saturation - ANSWER:A. Blood pressure
bb bb bb bb bb bb
A nurse is providing teaching to a client who has a new prescription for
bb bb bb bb bb bb bb bb bb bb bb bb bb
carbamazepine for the treatment of seizures. The nurse should instruct the client to
bb bb bb bb bb bb bb bb bb bb bb bb bb
monitor for which of the following adverse effects?
bb bb bb bb bb bb bb bb
A. Blurred vision
bb bb bb
B. Insomnia
bb bb
C. Metallic taste
bb bb bb
D. Tachypnea - ANSWER:A. Blurred vision
bb bb bb bb bb
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
of the following laboratory values should the nurse monitor to evaluate the
bb bb bb bb bb bb bb bb bb bb bb bb
effectiveness of the treatment?
bb bb bb bb
A. Potassium level
bb bb bb
B. BUN bb bb
C. INR bb bb
D. WBC count - ANSWER:D. WBC count
bb bb bb bb bb bb
A nurse is caring for a client who is receiving parenteral nutrition and identifies that
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the client has hypoglycemia. Which of the following actions should the nurse take?
bb bb bb bb bb bb bb bb bb bb bb bb bb
A. Discontinue the infusion.
bb bb bb
B. Administer IV dextrose.
bb bb bb bb
C. Warm formula to room temperature.
bb bb bb bb bb bb
D. Obtain arterial blood gases. - ANSWER:B. Administer IV dextrose.
bb bb bb bb bb bb bb bb bb
A nurse is assessing a client who has septic shock and is receiving dopamine by
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
continuous IV infusion. Which of the following findings indicates that the nurse should
bb bb bb bb bb bb bb bb bb bb bb bb bb
increase the rate of infusion?
bb bb bb bb bb
,A. Headache
bb bb
B. Hypotension
bb bb
C. Chest pain
bb bb bb
D. Extravasation - ANSWER:B. Hypotension
bb bb bb bb
A nurse is caring for a client who is taking warfarin and reports taking several new
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
herbal supplements. The nurse should identify which of the following supplements is
bb bb bb bb bb bb bb bb bb bb bb bb
contraindicated for concurrent use with warfarin?
bb bb bb bb bb bb
A. Ginkgo biloba
bb bb
B. Coenzyme
bb
C. Valerian
bb
D. Probiotics - ANSWER:A. Ginkgo biloba
bb bb bb bb bb
A nurse is assessing a client with hypertension who is receiving propranolol. Which of
bb bb bb bb bb bb bb bb bb bb bb bb bb
the following findings requires the nurse's intervention?
bb bb bb bb bb bb bb
A. Heart rate of 56/min
bb bb bb bb bb
B. Sa02 95% on 2 L/min of oxygen
bb bb bb bb bb bb bb bb
C. Respirations 22/min
bb bb bb
D. Blood pressure 106/68 mm Hg - ANSWER:A. HR of 56/min
bb bb bb bb bb bb bb bb bb bb
A nurse is preparing to administer the varicella vaccine to a group of clients. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse should identify which of the following clients as having a contraindication for
bb bb bb bb bb bb bb bb bb bb bb bb bb
receiving this immunization?
bb bb bb
A. An older adult client living in a long-term care facility.
bb bb bb bb bb bb bb bb bb bb
B. A young adult who has an allergy to eggs C. A child who recently received the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
human papillomavirus vaccine.
bb bb bb bb
D. A client who has AIDS - ANSWER:D. A client who has AIDS
bb bb bb bb bb bb bb bb bb bb bb bb
A nurse is caring for a client who is experiencing severe vomiting. Which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following medications should the nurse plan to administer?
bb bb bb bb bb bb bb bb
A. Propafenone
bb bb
B. Simvastatin
bb bb
C. Prochlorperazine
bb bb
D. Metformin - ANSWER:C. Prochlorperazine
bb bb bb bb
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client
bb bb bb bb bb bb bb bb bb bb bb bb
who weighs 143 lb. How many mcg should the nurse administer per day? (Round the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
trailing zero.) - ANSWER:325mcg per day.
bb bb bb bb bb bb
, A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
administration. After assessing the client's respiratory status and stopping the
bb bb bb bb bb bb bb bb bb bb
medication infusion. Which of the following actions should the nurse take next?
bb bb bb bb bb bb bb bb bb bb bb bb
A. Administer epinephrine IM.
bb bb bb bb
B. Replace the infusion with 0.9% sodium chloride.
bb bb bb bb bb bb bb bb
C. Give diphenhydramine IM.
bb bb bb bb
D. Elevate the client's legs and feet. - ANSWER:A. Administer epinephrine IM.
bb bb bb bb bb bb bb bb bb bb bb
A nurse is developing a teaching plan for an older adult client who has a new
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
prescription for insulin glargine. Which of the following expected outcomes should the
bb bb bb bb bb bb bb bb bb bb bb bb
nurse include in the plan?
bb bb bb bb bb
A. The client will administer insulin glargine before each meal.
bb bb bb bb bb bb bb bb bb bb
B. The client will use the deltoid muscle as an injection site.
bb bb bb bb bb bb bb bb bb bb bb bb
C. The client will take an additional dose of insulin glargine prior to exercise.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
D. The client will wear his reading glasses when drawing up a dose of insulin
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
glargine. - ANSWER:D. The client will wear his reading glasses when drawing up a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
dose of insulin glargine.
bb bb bb bb
A nurse is preparing to administer medication to a client for the first time and needs to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
know about potential food and medication interactions. Which of the following actions
bb bb bb bb bb bb bb bb bb bb bb bb
should the nurse take?
bb bb bb bb
A. Have the client take the medication on an empty stomach to avoid interactions.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
B. Consult a drug reference guide for possible interactions.
bb bb bb bb bb bb bb bb bb
C. Ask another nurse if they are aware of potential interactions.
bb bb bb bb bb bb bb bb bb bb bb
D. Check the client's medical record for medication and food interactions. -
bb bb bb bb bb bb bb bb bb bb bb
ANSWER:B. Consult a drug reference guide for possible interactions.
bb bb bb bb bb bb bb bb bb
A nurse is taking a medication history from a client who has a new prescription for
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
levothyroxine. The nurse should instruct the client to wait 4 hr after taking
bb bb bb bb bb bb bb bb bb bb bb bb bb
levothyroxine before taking which of the following supplements?
bb bb bb bb bb bb bb bb
A. Ginkgo biloba
bb bb bb
B. Calciumbb bb
C. Vitamin C
bb bb
D. Zinc - ANSWER:B. Calcium
bb bb bb bb
A nurse is preparing to administer total parenteral nutrition to a client. Which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following actions should the nurse take?
bb bb bb bb bb bb
A. Obtain the client's weight three times a week.
bb bb bb bb bb bb bb bb bb
B. Check the client's WBC count daily.
bb bb bb bb bb bb bb
C. Keep the solution refrigerated until 1 hr before infusion.
bb bb bb bb bb bb bb bb bb bb
EXAM 2023 QUESTIONS WITH ACTUAL
ANSWERS.
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the following laboratory tests should the nurse review prior to administration?
bb bb bb bb bb bb bb bb bb bb bb
A. PT bb
B. Total iron-binding capacity
bb bb bb
C. WBC bb
D. PTT - ANSWER:A. PT
bb bb bb bb
A nurse is caring for a group of clients. Which of the following situations requires an
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
incident report?
bb bb
A. Client experiences a seizure.
bb bb bb bb
B. A client vomits after receiving an oral medication.
bb bb bb bb bb bb bb bb
C. A client receives their insulin 1 hours before scheduled.
bb bb bb bb bb bb bb bb bb bb
D. A client receives their meal tray 20 min late. - ANSWER:C. A client receives their
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
insulin 1 hour before scheduled.
bb bb bb bb bb
A nurse is assessing a client who has received oxycodone. The nurse notes that the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
client's respiratory rate is 8/min. The nurse should identify that which of the following
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is the pathophysiology for the client's respiratory rate?
bb bb bb bb bb bb bb bb
A. Oxycodone blocks the sodium channel suspending nerve conduction.
bb bb bb bb bb bb bb bb bb
B. Oxycodone promotes vasodilation of cranial arteries.
bb bb bb bb bb bb
C. Oxycodone causes central nervous system depression.
bb bb bb bb bb bb bb
D. Oxycodone inhibits prostaglandin synthesis. - ANSWER:C. Oxycodone causes
bb bb bb bb bb bb bb bb
central nervous system depression.
bb bb bb bb
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is I5
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
not use a trailing zero.) - ANSWER:50gtt/min
bb bb bb bb bb bb bb
,A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
mg by mouth every 12 hr PRN." Which of the following parts of the prescription
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
should the nurse clarify with the provider?
bb bb bb bb bb bb bb
A. Dose bb
B. Route bb bb
C. Frequency
bb bb
D. Reason - ANSWER:D. Reason
bb bb bb bb
1. A nurse is caring for a client who has a prescription for nifedipine. Which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following findings should the nurse assess prior to administration of the medication?
bb bb bb bb bb bb bb bb bb bb bb bb
A. Blood pressure
bb bb bb
B. Respiratory rate
bb bb bb
C. Temperature
bb bb
D. Oxygen saturation - ANSWER:A. Blood pressure
bb bb bb bb bb bb
A nurse is providing teaching to a client who has a new prescription for
bb bb bb bb bb bb bb bb bb bb bb bb bb
carbamazepine for the treatment of seizures. The nurse should instruct the client to
bb bb bb bb bb bb bb bb bb bb bb bb bb
monitor for which of the following adverse effects?
bb bb bb bb bb bb bb bb
A. Blurred vision
bb bb bb
B. Insomnia
bb bb
C. Metallic taste
bb bb bb
D. Tachypnea - ANSWER:A. Blurred vision
bb bb bb bb bb
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
of the following laboratory values should the nurse monitor to evaluate the
bb bb bb bb bb bb bb bb bb bb bb bb
effectiveness of the treatment?
bb bb bb bb
A. Potassium level
bb bb bb
B. BUN bb bb
C. INR bb bb
D. WBC count - ANSWER:D. WBC count
bb bb bb bb bb bb
A nurse is caring for a client who is receiving parenteral nutrition and identifies that
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the client has hypoglycemia. Which of the following actions should the nurse take?
bb bb bb bb bb bb bb bb bb bb bb bb bb
A. Discontinue the infusion.
bb bb bb
B. Administer IV dextrose.
bb bb bb bb
C. Warm formula to room temperature.
bb bb bb bb bb bb
D. Obtain arterial blood gases. - ANSWER:B. Administer IV dextrose.
bb bb bb bb bb bb bb bb bb
A nurse is assessing a client who has septic shock and is receiving dopamine by
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
continuous IV infusion. Which of the following findings indicates that the nurse should
bb bb bb bb bb bb bb bb bb bb bb bb bb
increase the rate of infusion?
bb bb bb bb bb
,A. Headache
bb bb
B. Hypotension
bb bb
C. Chest pain
bb bb bb
D. Extravasation - ANSWER:B. Hypotension
bb bb bb bb
A nurse is caring for a client who is taking warfarin and reports taking several new
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
herbal supplements. The nurse should identify which of the following supplements is
bb bb bb bb bb bb bb bb bb bb bb bb
contraindicated for concurrent use with warfarin?
bb bb bb bb bb bb
A. Ginkgo biloba
bb bb
B. Coenzyme
bb
C. Valerian
bb
D. Probiotics - ANSWER:A. Ginkgo biloba
bb bb bb bb bb
A nurse is assessing a client with hypertension who is receiving propranolol. Which of
bb bb bb bb bb bb bb bb bb bb bb bb bb
the following findings requires the nurse's intervention?
bb bb bb bb bb bb bb
A. Heart rate of 56/min
bb bb bb bb bb
B. Sa02 95% on 2 L/min of oxygen
bb bb bb bb bb bb bb bb
C. Respirations 22/min
bb bb bb
D. Blood pressure 106/68 mm Hg - ANSWER:A. HR of 56/min
bb bb bb bb bb bb bb bb bb bb
A nurse is preparing to administer the varicella vaccine to a group of clients. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse should identify which of the following clients as having a contraindication for
bb bb bb bb bb bb bb bb bb bb bb bb bb
receiving this immunization?
bb bb bb
A. An older adult client living in a long-term care facility.
bb bb bb bb bb bb bb bb bb bb
B. A young adult who has an allergy to eggs C. A child who recently received the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
human papillomavirus vaccine.
bb bb bb bb
D. A client who has AIDS - ANSWER:D. A client who has AIDS
bb bb bb bb bb bb bb bb bb bb bb bb
A nurse is caring for a client who is experiencing severe vomiting. Which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following medications should the nurse plan to administer?
bb bb bb bb bb bb bb bb
A. Propafenone
bb bb
B. Simvastatin
bb bb
C. Prochlorperazine
bb bb
D. Metformin - ANSWER:C. Prochlorperazine
bb bb bb bb
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client
bb bb bb bb bb bb bb bb bb bb bb bb
who weighs 143 lb. How many mcg should the nurse administer per day? (Round the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
trailing zero.) - ANSWER:325mcg per day.
bb bb bb bb bb bb
, A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
administration. After assessing the client's respiratory status and stopping the
bb bb bb bb bb bb bb bb bb bb
medication infusion. Which of the following actions should the nurse take next?
bb bb bb bb bb bb bb bb bb bb bb bb
A. Administer epinephrine IM.
bb bb bb bb
B. Replace the infusion with 0.9% sodium chloride.
bb bb bb bb bb bb bb bb
C. Give diphenhydramine IM.
bb bb bb bb
D. Elevate the client's legs and feet. - ANSWER:A. Administer epinephrine IM.
bb bb bb bb bb bb bb bb bb bb bb
A nurse is developing a teaching plan for an older adult client who has a new
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
prescription for insulin glargine. Which of the following expected outcomes should the
bb bb bb bb bb bb bb bb bb bb bb bb
nurse include in the plan?
bb bb bb bb bb
A. The client will administer insulin glargine before each meal.
bb bb bb bb bb bb bb bb bb bb
B. The client will use the deltoid muscle as an injection site.
bb bb bb bb bb bb bb bb bb bb bb bb
C. The client will take an additional dose of insulin glargine prior to exercise.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
D. The client will wear his reading glasses when drawing up a dose of insulin
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
glargine. - ANSWER:D. The client will wear his reading glasses when drawing up a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
dose of insulin glargine.
bb bb bb bb
A nurse is preparing to administer medication to a client for the first time and needs to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
know about potential food and medication interactions. Which of the following actions
bb bb bb bb bb bb bb bb bb bb bb bb
should the nurse take?
bb bb bb bb
A. Have the client take the medication on an empty stomach to avoid interactions.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
B. Consult a drug reference guide for possible interactions.
bb bb bb bb bb bb bb bb bb
C. Ask another nurse if they are aware of potential interactions.
bb bb bb bb bb bb bb bb bb bb bb
D. Check the client's medical record for medication and food interactions. -
bb bb bb bb bb bb bb bb bb bb bb
ANSWER:B. Consult a drug reference guide for possible interactions.
bb bb bb bb bb bb bb bb bb
A nurse is taking a medication history from a client who has a new prescription for
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
levothyroxine. The nurse should instruct the client to wait 4 hr after taking
bb bb bb bb bb bb bb bb bb bb bb bb bb
levothyroxine before taking which of the following supplements?
bb bb bb bb bb bb bb bb
A. Ginkgo biloba
bb bb bb
B. Calciumbb bb
C. Vitamin C
bb bb
D. Zinc - ANSWER:B. Calcium
bb bb bb bb
A nurse is preparing to administer total parenteral nutrition to a client. Which of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
following actions should the nurse take?
bb bb bb bb bb bb
A. Obtain the client's weight three times a week.
bb bb bb bb bb bb bb bb bb
B. Check the client's WBC count daily.
bb bb bb bb bb bb bb
C. Keep the solution refrigerated until 1 hr before infusion.
bb bb bb bb bb bb bb bb bb bb
