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2025 ATI RN PHARMACOLOGY OVERVIEW WITH ACCURATE 200
QUESTIONS AND VERIFIED ANSWERS COVERING DRUG
CLASSIFICATIONS, THERAPEUTIC EFFECTS, SIDE EFFECTS, AND
SAFE MEDICATION ADMINISTRATION.
A nurse is preparing to administer a medication to a client. Using the rights of medication
administration. Which of the following actions should the nurse take to ensure the right
medication is administered to the client?
A. Ask another nurse to check the medication dosage prior to administration.
B. Verify a written order with the medication administration record.
C. Use two client identifiers prior to administering the medication.
D. Document the full name of the prescribed medication after administration.
C. Use two client identifiers prior to administering the medication.
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the
following actions should the nurse take?
A. Inject air into the vial to withdraw the short-acting insulin.
B. Administer the insulin within 20 min of preparing it.
C. Ensure the NPH insulin is drawn into the syringe first.
D. use two separate syringes to mix the insulin.
D. Use two separate syringes to mix the insulin.
A nurse is reviewing the list of current medications for a client who has a new prescription for
nitroglycerin. The nurse should identify that which of the following client medications is
contraindicated for use with nitroglycerin?
A. Sildenafil
B. Gemfibrozil
C. Lansoprazole
D. Diazepam
A. Sildenafil
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A nurse is reviewing the medication administration record for a client who has cancer and is
receiving morphine via a PCA pump. Which of the following prescriptions should the nurse
clarify with the provider?
A. Nalbuphine
B. Acetaminophen
C. Ondansetron
D. Insulin Glargine
A. Nalbuphine
A nurse is administering medications to a client who weighs 132 lb. The prescription reads
chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100 mg/mL.
How many mL should the nurse give with each dose? (Round the answer to the nearest tenth.
Use a leading zero if it applies. Do not use a trailing zero.)
7.5mL
A nurse is planning to administer medications to a client who weighs 198 lb. The prescription
reads, "filgrastim 5 mcg/kg, subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many
mL should the nurse plan to give with each dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.)
1.5mL
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should
monitor for which of the following as an indication of an allergic reaction following the
injection?
A. Pallor
B. Dyspepsia
C. Bradycardia
D. Urticaria
D. Urticaria
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A nurse is caring for a client who is taking lithium and reports starting a new exercise program.
The nurse should assess the client for which of the following electrolyte imbalances?
A. Hypomagnesemia
B. Hypocalcemia
C. Hyponatremia
D. Hypokalemia
C. Hyponatremia
A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole.
Which of the following conditions should the nurse recognize as an indication for this
medication?
A. Endocarditis
B. Kidney transplant
C. Seizures
D. Hypokalemia
A. Endocarditis
A nurse is caring for a client in the clinic.
Vital Signs 1 week ago:
Temp 37 HR64/min RR 12/min
BP 118/72 mm Hg
Today: Temp 37.2 HR 82/min
RR 16/min
BP 110/68 mm Hg.
Which of the following client statements indicates to the nurse the teaching was effective?
A. "I will consume foods that are soft or semisolid."
B. "I will avoid consuming alcoholic beverages."
C. "I will perform oral hygiene using a firm-bristle toothbrush."
D. "I will avoid taking folic acid supplements while taking this medication.
A. "I will consume foods that are soft or semisolid."
A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by
intermittent IV bolus. Which of the following manifestations should the nurse identify as an
indication of a therapeutic response to the medication?
, 4|Page
A. Increase in serum sodium.
B. Decrease in urine output
C. Increase in heart rate
D. Decrease in blood pressure
B. Decrease in urinary output.
A nurse in a provider's office is caring for a client. Nurses' Notes
3 months ago: Client seen in provider's office for routine physical.
Today: Client reports dizziness and light-headedness upon standing. Client reports waking up at
night to void. What actions should the nurse take? (SATA).
A. Advise the client to change positions slowly.
B. Check the client for orthostatic hypotension.
C. Monitor the client for dysrhythmias.
D. Advise the client to restrict potassium intake.
E. Advise the client to take the medication before bedtime.
A. Advise the client to change positions slowly.
B. Check the client for orthostatic hypotension.
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the
following findings should the nurse identify as the priority?
A. Urinary retention
B. Leg weakness
C. Hypotension
D. Temperature 39°C (102.2°F)
C. Hypotension
A nurse is caring for a client in a provider's office. Nurses' Notes Day 1:
Client presents for evaluation of neurological changes, including stiffness of lower extremities,
and shaking of hands. Client is married, has no known allergies, and no surgical history. Client is
a retired airline pilot and the parent of five adult children.
Day 7:
Client reports having trouble sleeping due to nightmares and states, "I'm not sure this
medication is doing what it's supposed to do." Client reports daily nausea.
Which of the following statements should the nurse include when teaching the client about the
prescribed medication? (SATA).
2025 ATI RN PHARMACOLOGY OVERVIEW WITH ACCURATE 200
QUESTIONS AND VERIFIED ANSWERS COVERING DRUG
CLASSIFICATIONS, THERAPEUTIC EFFECTS, SIDE EFFECTS, AND
SAFE MEDICATION ADMINISTRATION.
A nurse is preparing to administer a medication to a client. Using the rights of medication
administration. Which of the following actions should the nurse take to ensure the right
medication is administered to the client?
A. Ask another nurse to check the medication dosage prior to administration.
B. Verify a written order with the medication administration record.
C. Use two client identifiers prior to administering the medication.
D. Document the full name of the prescribed medication after administration.
C. Use two client identifiers prior to administering the medication.
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the
following actions should the nurse take?
A. Inject air into the vial to withdraw the short-acting insulin.
B. Administer the insulin within 20 min of preparing it.
C. Ensure the NPH insulin is drawn into the syringe first.
D. use two separate syringes to mix the insulin.
D. Use two separate syringes to mix the insulin.
A nurse is reviewing the list of current medications for a client who has a new prescription for
nitroglycerin. The nurse should identify that which of the following client medications is
contraindicated for use with nitroglycerin?
A. Sildenafil
B. Gemfibrozil
C. Lansoprazole
D. Diazepam
A. Sildenafil
,2|Page
A nurse is reviewing the medication administration record for a client who has cancer and is
receiving morphine via a PCA pump. Which of the following prescriptions should the nurse
clarify with the provider?
A. Nalbuphine
B. Acetaminophen
C. Ondansetron
D. Insulin Glargine
A. Nalbuphine
A nurse is administering medications to a client who weighs 132 lb. The prescription reads
chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100 mg/mL.
How many mL should the nurse give with each dose? (Round the answer to the nearest tenth.
Use a leading zero if it applies. Do not use a trailing zero.)
7.5mL
A nurse is planning to administer medications to a client who weighs 198 lb. The prescription
reads, "filgrastim 5 mcg/kg, subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many
mL should the nurse plan to give with each dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.)
1.5mL
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should
monitor for which of the following as an indication of an allergic reaction following the
injection?
A. Pallor
B. Dyspepsia
C. Bradycardia
D. Urticaria
D. Urticaria
,3|Page
A nurse is caring for a client who is taking lithium and reports starting a new exercise program.
The nurse should assess the client for which of the following electrolyte imbalances?
A. Hypomagnesemia
B. Hypocalcemia
C. Hyponatremia
D. Hypokalemia
C. Hyponatremia
A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole.
Which of the following conditions should the nurse recognize as an indication for this
medication?
A. Endocarditis
B. Kidney transplant
C. Seizures
D. Hypokalemia
A. Endocarditis
A nurse is caring for a client in the clinic.
Vital Signs 1 week ago:
Temp 37 HR64/min RR 12/min
BP 118/72 mm Hg
Today: Temp 37.2 HR 82/min
RR 16/min
BP 110/68 mm Hg.
Which of the following client statements indicates to the nurse the teaching was effective?
A. "I will consume foods that are soft or semisolid."
B. "I will avoid consuming alcoholic beverages."
C. "I will perform oral hygiene using a firm-bristle toothbrush."
D. "I will avoid taking folic acid supplements while taking this medication.
A. "I will consume foods that are soft or semisolid."
A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by
intermittent IV bolus. Which of the following manifestations should the nurse identify as an
indication of a therapeutic response to the medication?
, 4|Page
A. Increase in serum sodium.
B. Decrease in urine output
C. Increase in heart rate
D. Decrease in blood pressure
B. Decrease in urinary output.
A nurse in a provider's office is caring for a client. Nurses' Notes
3 months ago: Client seen in provider's office for routine physical.
Today: Client reports dizziness and light-headedness upon standing. Client reports waking up at
night to void. What actions should the nurse take? (SATA).
A. Advise the client to change positions slowly.
B. Check the client for orthostatic hypotension.
C. Monitor the client for dysrhythmias.
D. Advise the client to restrict potassium intake.
E. Advise the client to take the medication before bedtime.
A. Advise the client to change positions slowly.
B. Check the client for orthostatic hypotension.
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the
following findings should the nurse identify as the priority?
A. Urinary retention
B. Leg weakness
C. Hypotension
D. Temperature 39°C (102.2°F)
C. Hypotension
A nurse is caring for a client in a provider's office. Nurses' Notes Day 1:
Client presents for evaluation of neurological changes, including stiffness of lower extremities,
and shaking of hands. Client is married, has no known allergies, and no surgical history. Client is
a retired airline pilot and the parent of five adult children.
Day 7:
Client reports having trouble sleeping due to nightmares and states, "I'm not sure this
medication is doing what it's supposed to do." Client reports daily nausea.
Which of the following statements should the nurse include when teaching the client about the
prescribed medication? (SATA).
