ATI RN Pharmacology Proctored Exam2
n n n n n
021/2022 , RN ATI Pharmacology Procto
n n n n n
red Exam 2022 /2023 n n n
1
ATI PHARMACOLOGY PROCTORED EXAM
n n n
1. Annursenisncaring nfornanclientnwhonisntonreceiven1,500nmLnofn0.9%nsodiumchloridenI
Vnover8nhours.nThennursenplansntonusenIVntubing nwithnandropnfactor nofn10gtt/mL.
Hownmanyngtt/minnofnIVnfluidnshouldnthenclientnreceive?n(Roundnyournanswertothenneares
tnwholenumber).
31gtt/min
2. Annursenisnadmitting nanclientntonanlong-
termncarenfacility.nWhilenreconcilingthenmedicationnprescribednatnhomenwithntho
senprescribedninnthenfacility,nthennursediscoversnandiscrepancyninnthedosages.nWhi
chnactionnshouldnthennursetake?no n Clarifynthenmedicationndosagesnwithntheprovid
er.
o Changenthenprescribednmedicationndosagesntonreconcilen
thediscrepancynoContactnthenpharmacistnregarding nthend
osagediscrepancies
o Asknanfamilynmember ntonverifynthenmedicationdosages
,3. Annursenisncaring nfornanclientnwhonisnreceivingnanfentanylntransderma
lsystem(Duragesic).nWhatnisnimportantntondocumentninnthenclient’sreco
rd?
o Fluidintaken
onSkinintegri
ty
o Respiratoryraten
oPulserate
, 4. Annursen isn caring n forn an clientn whonhasnacuten anginan andnhasn anprescriptionnfornitroglyc
erin.nWhichofnthenfollowing nisnannappropriateninterventionnfornthennursentotakenwhenadmin
istering nthismedication?
o Massagenthennitroglycerinnointmentncompletelyninton
theskin.noReplacenthennitroglycerinntransdermalnpatchn
everyn4hours.
o Administer nansustainednnitroglycerinntabletorally.
o Administer nannitroglycerinntabletnsublinguallyneveryn5minutes.
5. Annursenisnassessing nanschoolnagenclientnwhonisnexperiencing nseizurenactivitynandnispresc
ribedndiazepamn(Valium)nIV.nThennursenshouldnshouldnclarifynthenorder nifnthenclientnisnreceivi
ngancontinuousinfusionnofnwhichnofnthenfollowingIV:
o LactatednRingerssolution
o 0.9%nSodiumnchloridenwithn100nunitsnofn
regularinsulinno0.9%nsodiumchloride
o 0.9%nSodiumnchloridenwithn20nmEqnofnpotassiumchloride
on Annursenisnproviding ndischargendietarynteaching ntonanclientnwhonhasnansomething nandnisntaking nmedicationtheop
hyllinenandntonprovidengeneralninstructionsnthennursenshouldninclude?
Avoid ncaffeinated nbeverages
2. thennursenisnmixing nregular ninsulinnandnNPHnintonansyringenfor nanclientnwhonhasndiabetes
, mellitus.nWhichofnthenfollowing nactionsnshouldnthennursentakenfirst?
Inject nairnintonthenNPHnvial
3. annursenisnteaching nanclientnwhonhasnannewnprescriptionnofnAlendronatenfor n
osteoporosis.nWhatinstructionsnshouldnthennurseninclude?
n n n n n
021/2022 , RN ATI Pharmacology Procto
n n n n n
red Exam 2022 /2023 n n n
1
ATI PHARMACOLOGY PROCTORED EXAM
n n n
1. Annursenisncaring nfornanclientnwhonisntonreceiven1,500nmLnofn0.9%nsodiumchloridenI
Vnover8nhours.nThennursenplansntonusenIVntubing nwithnandropnfactor nofn10gtt/mL.
Hownmanyngtt/minnofnIVnfluidnshouldnthenclientnreceive?n(Roundnyournanswertothenneares
tnwholenumber).
31gtt/min
2. Annursenisnadmitting nanclientntonanlong-
termncarenfacility.nWhilenreconcilingthenmedicationnprescribednatnhomenwithntho
senprescribedninnthenfacility,nthennursediscoversnandiscrepancyninnthedosages.nWhi
chnactionnshouldnthennursetake?no n Clarifynthenmedicationndosagesnwithntheprovid
er.
o Changenthenprescribednmedicationndosagesntonreconcilen
thediscrepancynoContactnthenpharmacistnregarding nthend
osagediscrepancies
o Asknanfamilynmember ntonverifynthenmedicationdosages
,3. Annursenisncaring nfornanclientnwhonisnreceivingnanfentanylntransderma
lsystem(Duragesic).nWhatnisnimportantntondocumentninnthenclient’sreco
rd?
o Fluidintaken
onSkinintegri
ty
o Respiratoryraten
oPulserate
, 4. Annursen isn caring n forn an clientn whonhasnacuten anginan andnhasn anprescriptionnfornitroglyc
erin.nWhichofnthenfollowing nisnannappropriateninterventionnfornthennursentotakenwhenadmin
istering nthismedication?
o Massagenthennitroglycerinnointmentncompletelyninton
theskin.noReplacenthennitroglycerinntransdermalnpatchn
everyn4hours.
o Administer nansustainednnitroglycerinntabletorally.
o Administer nannitroglycerinntabletnsublinguallyneveryn5minutes.
5. Annursenisnassessing nanschoolnagenclientnwhonisnexperiencing nseizurenactivitynandnispresc
ribedndiazepamn(Valium)nIV.nThennursenshouldnshouldnclarifynthenorder nifnthenclientnisnreceivi
ngancontinuousinfusionnofnwhichnofnthenfollowingIV:
o LactatednRingerssolution
o 0.9%nSodiumnchloridenwithn100nunitsnofn
regularinsulinno0.9%nsodiumchloride
o 0.9%nSodiumnchloridenwithn20nmEqnofnpotassiumchloride
on Annursenisnproviding ndischargendietarynteaching ntonanclientnwhonhasnansomething nandnisntaking nmedicationtheop
hyllinenandntonprovidengeneralninstructionsnthennursenshouldninclude?
Avoid ncaffeinated nbeverages
2. thennursenisnmixing nregular ninsulinnandnNPHnintonansyringenfor nanclientnwhonhasndiabetes
, mellitus.nWhichofnthenfollowing nactionsnshouldnthennursentakenfirst?
Inject nairnintonthenNPHnvial
3. annursenisnteaching nanclientnwhonhasnannewnprescriptionnofnAlendronatenfor n
osteoporosis.nWhatinstructionsnshouldnthennurseninclude?
