ne
NUR 201 ATI Pharmacology Proctor 2019
tz
sh
ne
ATI Pharmacology Proctor 2019 la
tz
sh
Sp
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify
ne
which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
la
tz
b. Distended neck veins
sh
c. Bilateral muscle weakness
Sp
ne
d. Thread pulse
la
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
tz
sh
prescribed hypertonic solution. Which of the following findings should indicate to the nurse
Sp
ne
that the treatment is effective?
a. Absent Chvostek's sign
la
b. Improved cognition
tz
sh
c. Decreased vomiting
Sp
d. Cardiac arrhythmias absent
ne
la
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal
tz
sh
patch. Which of the following instructions should the nurse include?
Sp
a. "Discontinue the patch if you experience a headache."
ne
b. "Apply a new patch if you have chest pain."
la
c. "Cover the patch with dry gauze when taking a shower."
tz
sh
d. "Remove the patch prior to going to bed."
Sp
ne
A nurse is reviewing the laboratory results of a client who has a prescription for sodium
la
polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse
tz
report to the provider?
sh
Sp
a. Creatinine 0.72 mg/dL
ne
b. Sodium 138 mEq/L
la
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
tz
sh
Sp
ne
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin.
la
Which of the following outcomes indicates that the client is adhering to the medication
tz
regimen?
sh
Sp
a. The client has a negative sputum culture
ne
b. The client tests negative for HIV
la
c. The client has a positive purified protein derivative test
tz
d. The client's liver function test results are within the expected reference range
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
NUR 201 ATI Pharmacology Proctor 2019
tz
sh
ne
A client is caring for a client who develops an anaphylactic reaction to IV administration.
la
After assessing the client's respiratory status and stopping the medication infusion. Which
tz
of the following actions should the nurse take next?
sh
Sp
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
ne
c. Elevate the client's legs and feet
la
tz
d. Administer epinephrine IM
sh
Sp
ne
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the client to
la
avoid?
tz
sh
a. St. John's Wort
Sp
ne
b. Ginger root
c. Black cohosh
la
d. Coenzyme Q10
tz
sh
Sp
A nurse is caring for a client who has heart failure and a new prescription for lisinopril.
ne
For which of the following adverse effects should the nurse monitor when administering
la
lisinopril?
tz
sh
a. Bradycardia
Sp
b. Hypokalemia
ne
c. Tinnitus
la
d. Hypotension
tz
sh
Sp
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an
ne
PPT of 90 seconds. They should monitor the client for which of the following changes in
la
their vital signs?
tz
a. Decreased temperature
sh
Sp
b. Increased pulse rate
ne
c. Decreased respiratory rate
la
d. Increased blood pressure
tz
sh
Sp
A nurse is preparing to administer medication to a client and discovers a medication error.
ne
The nurse should recognize that which of the following staff members is responsible for
la
completing an incident report?
tz
a. The quality improvement committee
sh
Sp
b. The nurse who identifies the error
ne
c. The nurse who caused the error
la
d. The charge nurse
tz
sh
Sp
A nurse is planning care for a client who is receiving morphine via continuous epidural
ne
infusion. The nurse should monitor the client for which of the following?
la
a. Pruritus
tz
b. Cough
sh
Sp
c. Tachypnea
ne
d. Gastric bleeding
la
sh
Sp
la
Sp
, ne
NUR 201 ATI Pharmacology Proctor 2019
tz
sh
ne
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps
la
the nurse should take. (Move the steps into the box on the right placing them in the order
tz
of performance. Use all the steps.)
sh
Sp
a. Obtain the client's apical heart rate 1
ne
b. Remove the medication from the dispensing system 2
c. Open the medication package 3
la
tz
d. Compare the client's wristband to the medication administration record 4
sh
e. Document administration of the medication 5
Sp
ne
A nurse is reviewing the medical record of an adult client who has a fever and a
la
prescription for acetaminophen. Which of the following findings should the nurse identify
tz
sh
as a contraindication for receiving this medication?
Sp
ne
a. Alcohol use disorder
b. Chronic kidney disease
la
c. Hepatitis B vaccine within the last week
tz
sh
d. Diabetes mellitus
Sp
ne
A home health nurse is visiting a client who has heart failure and a prescription for
la
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2
tz
sh
days ago. Which of the following actions should the nurse take first?
Sp
a. Encourage the client to dangle the legs while sitting in a chair
ne
b. Teach the client about foods low in sodium
la
c. Determine medication adherence by the client
tz
d. Notify the provider of the client's weight gain
sh
Sp
ne
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
la
should monitor for which of the following as an indication of an allergic reaction following
tz
the injection?
sh
Sp
a. Urticaria
ne
b. Bradycardia
la
c. Pallor
d. Dyspepsia
tz
sh
Sp
ne
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin
la
tablets. Which of the following instructions should the nurse include in the teaching?
tz
a. "Discard any tablets you do not use every 6 months."
sh
Sp
b. "Take one tablet each morning 30 minutes prior to eating."
ne
c. "Keep the tablets at room temperature in their original glass bottle."
la
d. "Place the tablet between your cheek and gum to dissolve."
tz
sh
Sp
A nurse is providing teaching to a client who has a new prescription for theophylline a
ne
sustained-released capsule. Which of the following statements by the client indicates an
la
understanding of the teaching?
tz
a. "I can take my medication in the morning with my coffee."
sh
Sp
b. "I may sprinkle the medication in applesauce."
ne
la
sh
Sp
la
Sp
NUR 201 ATI Pharmacology Proctor 2019
tz
sh
ne
ATI Pharmacology Proctor 2019 la
tz
sh
Sp
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify
ne
which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
la
tz
b. Distended neck veins
sh
c. Bilateral muscle weakness
Sp
ne
d. Thread pulse
la
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
tz
sh
prescribed hypertonic solution. Which of the following findings should indicate to the nurse
Sp
ne
that the treatment is effective?
a. Absent Chvostek's sign
la
b. Improved cognition
tz
sh
c. Decreased vomiting
Sp
d. Cardiac arrhythmias absent
ne
la
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal
tz
sh
patch. Which of the following instructions should the nurse include?
Sp
a. "Discontinue the patch if you experience a headache."
ne
b. "Apply a new patch if you have chest pain."
la
c. "Cover the patch with dry gauze when taking a shower."
tz
sh
d. "Remove the patch prior to going to bed."
Sp
ne
A nurse is reviewing the laboratory results of a client who has a prescription for sodium
la
polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse
tz
report to the provider?
sh
Sp
a. Creatinine 0.72 mg/dL
ne
b. Sodium 138 mEq/L
la
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
tz
sh
Sp
ne
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin.
la
Which of the following outcomes indicates that the client is adhering to the medication
tz
regimen?
sh
Sp
a. The client has a negative sputum culture
ne
b. The client tests negative for HIV
la
c. The client has a positive purified protein derivative test
tz
d. The client's liver function test results are within the expected reference range
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
NUR 201 ATI Pharmacology Proctor 2019
tz
sh
ne
A client is caring for a client who develops an anaphylactic reaction to IV administration.
la
After assessing the client's respiratory status and stopping the medication infusion. Which
tz
of the following actions should the nurse take next?
sh
Sp
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
ne
c. Elevate the client's legs and feet
la
tz
d. Administer epinephrine IM
sh
Sp
ne
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the client to
la
avoid?
tz
sh
a. St. John's Wort
Sp
ne
b. Ginger root
c. Black cohosh
la
d. Coenzyme Q10
tz
sh
Sp
A nurse is caring for a client who has heart failure and a new prescription for lisinopril.
ne
For which of the following adverse effects should the nurse monitor when administering
la
lisinopril?
tz
sh
a. Bradycardia
Sp
b. Hypokalemia
ne
c. Tinnitus
la
d. Hypotension
tz
sh
Sp
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an
ne
PPT of 90 seconds. They should monitor the client for which of the following changes in
la
their vital signs?
tz
a. Decreased temperature
sh
Sp
b. Increased pulse rate
ne
c. Decreased respiratory rate
la
d. Increased blood pressure
tz
sh
Sp
A nurse is preparing to administer medication to a client and discovers a medication error.
ne
The nurse should recognize that which of the following staff members is responsible for
la
completing an incident report?
tz
a. The quality improvement committee
sh
Sp
b. The nurse who identifies the error
ne
c. The nurse who caused the error
la
d. The charge nurse
tz
sh
Sp
A nurse is planning care for a client who is receiving morphine via continuous epidural
ne
infusion. The nurse should monitor the client for which of the following?
la
a. Pruritus
tz
b. Cough
sh
Sp
c. Tachypnea
ne
d. Gastric bleeding
la
sh
Sp
la
Sp
, ne
NUR 201 ATI Pharmacology Proctor 2019
tz
sh
ne
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps
la
the nurse should take. (Move the steps into the box on the right placing them in the order
tz
of performance. Use all the steps.)
sh
Sp
a. Obtain the client's apical heart rate 1
ne
b. Remove the medication from the dispensing system 2
c. Open the medication package 3
la
tz
d. Compare the client's wristband to the medication administration record 4
sh
e. Document administration of the medication 5
Sp
ne
A nurse is reviewing the medical record of an adult client who has a fever and a
la
prescription for acetaminophen. Which of the following findings should the nurse identify
tz
sh
as a contraindication for receiving this medication?
Sp
ne
a. Alcohol use disorder
b. Chronic kidney disease
la
c. Hepatitis B vaccine within the last week
tz
sh
d. Diabetes mellitus
Sp
ne
A home health nurse is visiting a client who has heart failure and a prescription for
la
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2
tz
sh
days ago. Which of the following actions should the nurse take first?
Sp
a. Encourage the client to dangle the legs while sitting in a chair
ne
b. Teach the client about foods low in sodium
la
c. Determine medication adherence by the client
tz
d. Notify the provider of the client's weight gain
sh
Sp
ne
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
la
should monitor for which of the following as an indication of an allergic reaction following
tz
the injection?
sh
Sp
a. Urticaria
ne
b. Bradycardia
la
c. Pallor
d. Dyspepsia
tz
sh
Sp
ne
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin
la
tablets. Which of the following instructions should the nurse include in the teaching?
tz
a. "Discard any tablets you do not use every 6 months."
sh
Sp
b. "Take one tablet each morning 30 minutes prior to eating."
ne
c. "Keep the tablets at room temperature in their original glass bottle."
la
d. "Place the tablet between your cheek and gum to dissolve."
tz
sh
Sp
A nurse is providing teaching to a client who has a new prescription for theophylline a
ne
sustained-released capsule. Which of the following statements by the client indicates an
la
understanding of the teaching?
tz
a. "I can take my medication in the morning with my coffee."
sh
Sp
b. "I may sprinkle the medication in applesauce."
ne
la
sh
Sp
la
Sp
