ATI Pharmacology Proctor 2021/2022
A nurse is assessing a client who is receiving intravenous therapy. The nurse
should identify which of the following findings as a manifestation of fluid
volume excess?
a. Decreased bowel
sounds b. Distended
neck veins
c. Bilateral muscle weakness
d. Thread pulse
A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
a. Absent Chvostek's
sign b. Improved
cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
A nurse is receiving a medication prescription by telephone from a provider.
The provider states "Administer 6 milligrams of morphine IV push every 3
hours as needed for acute pain." How should the nurse transcribe the
prescription in the client's medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
,A nurse is assessing a client's IV infusion site and notes that the site is cool and
edematous. Which of the following actions should the nurse take?
a. S;ow the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of
the heart d. Apply a warm moist compress
A nurse is providing teaching to a client who has a new prescription for
clozapine. Which of the following statements should the nurse include in the
teaching?
a. "Diarrhea is a common adverse effect of this medication."
b. "Ringing in the ears is an expected adverse effect of this medication."
c. "Notify your provider if you develop a fever while taking this medication."
d. "You might experience weight loss while taking this medication."
A nurse is teaching a client about oral contraceptive. Which of the following
information should the nurse include in the teaching?
a.Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
d.A pelvic examination is needed prior to starting an oral contraceptive
A nurse is planning to administer medication to an older adult client who
has dysphagia. Which of the following actions should the nurse plan to
take?
,a. Tilt the client's head back when administering the
medications b. Mix the medications with a semisolid
food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client's tongue
A nurse is providing teaching to a client about the administration of
omeprazole. Which of the following should the nurse include?
a. "You cannot take this medication with an antacid."
b. "You should reduce your intake of calcium while taking this medication."
c. "You should take this medication before meals."
d. "You can take a second dose if symptoms persist up to 2 hours after the first
dose."
A nurse is assessing for allergies with a client who is scheduled to receive
the influenza vaccine. Which of the following allergies should the nurse
report to the provider as a possible contraindication to receiving the
vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk
A nurse is caring for a client who has a new diagnosis of benign prostate
hypertrophy and a prescription for doxazosin. The client tells the nurse. "I do
not take this medication. I would prefer a natural therapy." Which of the
following supplements should the nurse suggest the client discuss with the
, provider?
a. Black cohosh
b. Garlic
c. Feverfew
d. Saw palmetto
A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse
include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a
shower." d. "Remove the patch prior to going to
bed."
A nurse is reviewing the laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr.
which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2
mEq/L d. Potassium
5.2 mEq/L
A nurse is caring for a client who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the client is adhering
A nurse is assessing a client who is receiving intravenous therapy. The nurse
should identify which of the following findings as a manifestation of fluid
volume excess?
a. Decreased bowel
sounds b. Distended
neck veins
c. Bilateral muscle weakness
d. Thread pulse
A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
a. Absent Chvostek's
sign b. Improved
cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
A nurse is receiving a medication prescription by telephone from a provider.
The provider states "Administer 6 milligrams of morphine IV push every 3
hours as needed for acute pain." How should the nurse transcribe the
prescription in the client's medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
,A nurse is assessing a client's IV infusion site and notes that the site is cool and
edematous. Which of the following actions should the nurse take?
a. S;ow the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of
the heart d. Apply a warm moist compress
A nurse is providing teaching to a client who has a new prescription for
clozapine. Which of the following statements should the nurse include in the
teaching?
a. "Diarrhea is a common adverse effect of this medication."
b. "Ringing in the ears is an expected adverse effect of this medication."
c. "Notify your provider if you develop a fever while taking this medication."
d. "You might experience weight loss while taking this medication."
A nurse is teaching a client about oral contraceptive. Which of the following
information should the nurse include in the teaching?
a.Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
d.A pelvic examination is needed prior to starting an oral contraceptive
A nurse is planning to administer medication to an older adult client who
has dysphagia. Which of the following actions should the nurse plan to
take?
,a. Tilt the client's head back when administering the
medications b. Mix the medications with a semisolid
food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client's tongue
A nurse is providing teaching to a client about the administration of
omeprazole. Which of the following should the nurse include?
a. "You cannot take this medication with an antacid."
b. "You should reduce your intake of calcium while taking this medication."
c. "You should take this medication before meals."
d. "You can take a second dose if symptoms persist up to 2 hours after the first
dose."
A nurse is assessing for allergies with a client who is scheduled to receive
the influenza vaccine. Which of the following allergies should the nurse
report to the provider as a possible contraindication to receiving the
vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk
A nurse is caring for a client who has a new diagnosis of benign prostate
hypertrophy and a prescription for doxazosin. The client tells the nurse. "I do
not take this medication. I would prefer a natural therapy." Which of the
following supplements should the nurse suggest the client discuss with the
, provider?
a. Black cohosh
b. Garlic
c. Feverfew
d. Saw palmetto
A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse
include?
a. "Discontinue the patch if you experience a headache."
b. "Apply a new patch if you have chest pain."
c. "Cover the patch with dry gauze when taking a
shower." d. "Remove the patch prior to going to
bed."
A nurse is reviewing the laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr.
which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2
mEq/L d. Potassium
5.2 mEq/L
A nurse is caring for a client who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the client is adhering
