ATI PHARMACOLOGY PROCTORED EXAM
1. A nurse is caring for a client who is to receive 1,500 mL of 0.9%
sodiumchloride IV over 8 hours. The nurse plans to use IV tubing with a
drop factor of 10gtt/mL.
How many gtt/min of IV fluid should the client receive? (Round your
answerto the nearest wholenumber).
31gtt/min
2. A nurse is assessing a client who is receiving
chloramphenicol(Chloromycetin). Which of the following findings is an
adverse effect of thismedication? (adverse affect is thrombocytopenia)
o Ecchymosi
soOtotoxicity
o Hypertension
o Anxiety
3. A nurse is admitting a client to a long-term care facility. While
reconcilingthe medication prescribed at home with those prescribed in the
facility, the nursediscovers a discrepancy in the dosages. Which action
should the nursetake?
o Clarify the medication dosages with theprovider.
o Change the prescribed medication dosages to reconcile
thediscrepancy o Contact the pharmacist regarding the
dosagediscrepancies
o Ask a family member to verify the medicationdosages
4. A nurse is caring for a client who is receiving a fentanyl
transdermalsystem (Duragesic). What is important to document in
the client’srecord?
o Fluidintake o
Skinintegrity
o Respiratoryra
te o Pulserate
5. A nurse is caring for a client who has acute angina and has a prescription
fornitroglycerin. Which of the following is an appropriate intervention for the
nurse totake whenadministering thismedication?
o Massage the nitroglycerin ointment completely into
theskin. o Replace the nitroglycerin transdermal patch
every 4hours.
o Administer a sustained nitroglycerin tabletorally.
o Administer a nitroglycerin tablet sublingually every 5minutes.
6. A nurse is preparing to administer infliximab (Remicade) to a client who
hasrheumatoid arthritis. The nurse should watch the patient for which of the
following adverse effects?(Select all thatapply.)
, o Bradycardia
o Jaundice
o Polyuria
oUrtipeni
aoFever
7. A nurse is providing teaching to a client who was recently diagnosed as HIV
positive.The client is beginning medication therapy with zidovudine (Retrovir).
Which of thefollowing statements should the nurse include in the teaching.
(Select all thatapply.)
o Must be taken with otherr
etroviralmedicines.
o o Has few adverseeffects
o Cures an HIVinfection
o Prevents you from transmitting the
HIVinfection o Increases CD4+ cellcount
8. A nurse is assessing a school age client who is experiencing seizure activity and
isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the
client is receivinga continuous infusion of which of the followingIV:
o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units of
regularinsulin o 0.9% sodiumchloride
o 0.9% Sodium chloride with 20 mEq of potassiumchloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive
heartfailure. Which of the following indicates an expectedfinding?
o Activitytolerance
o Orthostatichypotensi
on o Loss of strength
o Increase in bloodpressure
10.A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of
thefollowing therapeutic effects should the nursemonitor?
o Increased
urineoutput o
Increasedenergy
o Decreased
anxiety o
Decreased spacity
11.Clinical findings of a client who has a prescription for lithium carbonate
(Lithobid).For which reasons should the nurse withhold the medication and
notify theprovider?
o Lithium level 1.0mEq/
L o Potassium at
3.7mEq/L o Sodium at
143mEq/L
o Lithium level 2.5mEq/L
12. The nurse is caring for a client who has tuberculosis and is being treated
withcombination medication therapy. To test the effectiveness of the treatment,
the nurse shouldperiodically monitor which of the following laboratoryresults.
o TT
1. A nurse is caring for a client who is to receive 1,500 mL of 0.9%
sodiumchloride IV over 8 hours. The nurse plans to use IV tubing with a
drop factor of 10gtt/mL.
How many gtt/min of IV fluid should the client receive? (Round your
answerto the nearest wholenumber).
31gtt/min
2. A nurse is assessing a client who is receiving
chloramphenicol(Chloromycetin). Which of the following findings is an
adverse effect of thismedication? (adverse affect is thrombocytopenia)
o Ecchymosi
soOtotoxicity
o Hypertension
o Anxiety
3. A nurse is admitting a client to a long-term care facility. While
reconcilingthe medication prescribed at home with those prescribed in the
facility, the nursediscovers a discrepancy in the dosages. Which action
should the nursetake?
o Clarify the medication dosages with theprovider.
o Change the prescribed medication dosages to reconcile
thediscrepancy o Contact the pharmacist regarding the
dosagediscrepancies
o Ask a family member to verify the medicationdosages
4. A nurse is caring for a client who is receiving a fentanyl
transdermalsystem (Duragesic). What is important to document in
the client’srecord?
o Fluidintake o
Skinintegrity
o Respiratoryra
te o Pulserate
5. A nurse is caring for a client who has acute angina and has a prescription
fornitroglycerin. Which of the following is an appropriate intervention for the
nurse totake whenadministering thismedication?
o Massage the nitroglycerin ointment completely into
theskin. o Replace the nitroglycerin transdermal patch
every 4hours.
o Administer a sustained nitroglycerin tabletorally.
o Administer a nitroglycerin tablet sublingually every 5minutes.
6. A nurse is preparing to administer infliximab (Remicade) to a client who
hasrheumatoid arthritis. The nurse should watch the patient for which of the
following adverse effects?(Select all thatapply.)
, o Bradycardia
o Jaundice
o Polyuria
oUrtipeni
aoFever
7. A nurse is providing teaching to a client who was recently diagnosed as HIV
positive.The client is beginning medication therapy with zidovudine (Retrovir).
Which of thefollowing statements should the nurse include in the teaching.
(Select all thatapply.)
o Must be taken with otherr
etroviralmedicines.
o o Has few adverseeffects
o Cures an HIVinfection
o Prevents you from transmitting the
HIVinfection o Increases CD4+ cellcount
8. A nurse is assessing a school age client who is experiencing seizure activity and
isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the
client is receivinga continuous infusion of which of the followingIV:
o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units of
regularinsulin o 0.9% sodiumchloride
o 0.9% Sodium chloride with 20 mEq of potassiumchloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive
heartfailure. Which of the following indicates an expectedfinding?
o Activitytolerance
o Orthostatichypotensi
on o Loss of strength
o Increase in bloodpressure
10.A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of
thefollowing therapeutic effects should the nursemonitor?
o Increased
urineoutput o
Increasedenergy
o Decreased
anxiety o
Decreased spacity
11.Clinical findings of a client who has a prescription for lithium carbonate
(Lithobid).For which reasons should the nurse withhold the medication and
notify theprovider?
o Lithium level 1.0mEq/
L o Potassium at
3.7mEq/L o Sodium at
143mEq/L
o Lithium level 2.5mEq/L
12. The nurse is caring for a client who has tuberculosis and is being treated
withcombination medication therapy. To test the effectiveness of the treatment,
the nurse shouldperiodically monitor which of the following laboratoryresults.
o TT
