ATI Pharmacology Proctored Exam A 2019 Revision Guide
1. A nurse is preparing to administer 0.9% sodium chloride 1,500 mL to infuse over 8 hr to a client who is
postoperative. The nurse should set the IV pump to deliver how many mL per hr? (Round to the nearest
whole number.)
- 188 mL/hr
2. An older adult client who has an infection is prescribed gentamicin. Which of the following client
statements indicates a side effect of this medication and should be reported to the provider immediately?
a. "I have had diarrhea for several days."
b. “I have to turn the volume up on the TV to hear it.”
c. "I'm losing more hair than usual when I shower."
d. "My food seems to have a metallic taste to it."
3. A nurse is providing teaching to a client who is to start taking sumatriptan. For which of the following
should the nurse instruct the client to monitor and report to the provider?
a. Chest pain
b. White patches on the tongue
c. Bruising
d. Insomnia
4. A nurse is caring for a client receiving zidovudine. For which of the following laboratory results should
the nurse plan to monitor?
a. Magnesium
b. Serum albumin
c. Serum Creatinine
d. Hemoglobin
5. A nurse is providing teaching about self-administration of transdermal medication for a client who has a
new prescription for nitroglycerin. Which of the following statements made by the client indicates a need
for additional teaching?
a. "I need to apply the patch to an area that is free of hair."
b. "I will call the doctor if I have a headache."
c. "I will check my blood pressure before applying the patch."
d. "I need to rotate the location of my patch."
6. A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should recognize that
which of the following medications is used to treat tuberculosis? (Select all that apply.)
a. Rifampicin
b. Mirtazapine
c. Temazepam
d. Infliximab
e. Isoniazid
7. A nurse is providing teaching to a client who has a new prescription for a prefilled epinephrine injector.
Which of the following should the nurse include in the teaching?
a. Administer the medication subcutaneously.
b. Massage the site for 10 seconds after injection.
c. Expect to administer three injections.
d. Store the auto-injector in the refrigerator.
8. A nurse is assessing a client who is receiving morphine for pain via secondary IV infusion. The nurse notes
that the client’s respirations are 8/min and shallow. After stopping the morphine infusion, what should the
nurse plan to do next?
a. Monitor the client's respirations.
b. Administer naloxone.
c. Place the client in a supine position.
d. Monitor the client's pain level.
,ATI Pharmacology Proctored Exam A 2019 Revision Guide
9. A nurse is providing teaching to a client who is prescribed trimethoprim/sulfamethoxazole. Which of the
following instructions should the nurse include in her teaching?
a. Chew tablets thoroughly.
b. Administer in the evening.
c. Drink 8 to 10 glasses of water daily.
d. Rise slowly from bed in the morning.
10. A nurse is caring for a client who is postoperative following a cholecystectomy and is prescribed cefazolin
1 g by intermittent IV bolus Q6H. The amount available is 1 g in 100 mL 0.9% sodium chloride to be
delivered in 30 min. The drop factor on the package of IV tubing is 15 gtt/mL. The nurse should set the IV
to deliver how many gtt/min? (Round to nearest whole number.)
11. A nurse is collecting a history from a client who is scheduled for an intravenous pyelography. Which of
the following food allergies places the client at risk for an allergic reaction to the contrast medium?
a. Peanuts
b. Bananas
c. Shrimp
d. Wheat
12. A nurse is caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea. Which of the
following findings should the nurse report to the provider? (Select all that apply.)
a. Hemoglobin 4.2 g/dL
b. Hematocrit 42%
c. RBC 4,700,000/mm3
d. Platelets 75,000/mm3
e. Neutrophils 1,400/mm3
13. A nurse is assessing an older adult client who has Alzheimer's disease who is nonverbal and has
experienced frequent falls. To determine whether the client is in pain, the nurse should
a. ask the client's home caregiver if the client is in pain.
b. ask the client to rate his pain on a scale from 0 to 10.
c. observe the client for behavioral effects of pain.
d. observe the client for visible signs of injury.
14. A nurse in the emergency department is caring for a client whose family reports she has taken large
amounts of diazepam. Which of the following medications should the nurse anticipate administering?
a. Ondansetron
b. Magnesium sulfate
c. Flumazenil
d. Protamine sulfate
15. A client informs the nurse at the primary care provider’s office that he received a prescription for timolol
to treat glaucoma. Which of the following in the client’s history should concern the nurse?
a. The client received levofloxacin for pneumonia.
b. The client has had conjunctivitis.
c. The client has a history of bradycardia.
d. The client reports that he is taking loratadine for allergies.
16. A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract
infection. The nurse anticipates a prescription for ciprofloxacin. Which of the following client statements
indicates a contraindication for this medication?
a. "I have tendonitis, so I haven't been able to exercise."
b. "I have been a preschool teacher for 3 years."
c. "I take medicine for my thyroid."
d. "I am allergic to sulfa."
1. A nurse is preparing to administer 0.9% sodium chloride 1,500 mL to infuse over 8 hr to a client who is
postoperative. The nurse should set the IV pump to deliver how many mL per hr? (Round to the nearest
whole number.)
- 188 mL/hr
2. An older adult client who has an infection is prescribed gentamicin. Which of the following client
statements indicates a side effect of this medication and should be reported to the provider immediately?
a. "I have had diarrhea for several days."
b. “I have to turn the volume up on the TV to hear it.”
c. "I'm losing more hair than usual when I shower."
d. "My food seems to have a metallic taste to it."
3. A nurse is providing teaching to a client who is to start taking sumatriptan. For which of the following
should the nurse instruct the client to monitor and report to the provider?
a. Chest pain
b. White patches on the tongue
c. Bruising
d. Insomnia
4. A nurse is caring for a client receiving zidovudine. For which of the following laboratory results should
the nurse plan to monitor?
a. Magnesium
b. Serum albumin
c. Serum Creatinine
d. Hemoglobin
5. A nurse is providing teaching about self-administration of transdermal medication for a client who has a
new prescription for nitroglycerin. Which of the following statements made by the client indicates a need
for additional teaching?
a. "I need to apply the patch to an area that is free of hair."
b. "I will call the doctor if I have a headache."
c. "I will check my blood pressure before applying the patch."
d. "I need to rotate the location of my patch."
6. A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should recognize that
which of the following medications is used to treat tuberculosis? (Select all that apply.)
a. Rifampicin
b. Mirtazapine
c. Temazepam
d. Infliximab
e. Isoniazid
7. A nurse is providing teaching to a client who has a new prescription for a prefilled epinephrine injector.
Which of the following should the nurse include in the teaching?
a. Administer the medication subcutaneously.
b. Massage the site for 10 seconds after injection.
c. Expect to administer three injections.
d. Store the auto-injector in the refrigerator.
8. A nurse is assessing a client who is receiving morphine for pain via secondary IV infusion. The nurse notes
that the client’s respirations are 8/min and shallow. After stopping the morphine infusion, what should the
nurse plan to do next?
a. Monitor the client's respirations.
b. Administer naloxone.
c. Place the client in a supine position.
d. Monitor the client's pain level.
,ATI Pharmacology Proctored Exam A 2019 Revision Guide
9. A nurse is providing teaching to a client who is prescribed trimethoprim/sulfamethoxazole. Which of the
following instructions should the nurse include in her teaching?
a. Chew tablets thoroughly.
b. Administer in the evening.
c. Drink 8 to 10 glasses of water daily.
d. Rise slowly from bed in the morning.
10. A nurse is caring for a client who is postoperative following a cholecystectomy and is prescribed cefazolin
1 g by intermittent IV bolus Q6H. The amount available is 1 g in 100 mL 0.9% sodium chloride to be
delivered in 30 min. The drop factor on the package of IV tubing is 15 gtt/mL. The nurse should set the IV
to deliver how many gtt/min? (Round to nearest whole number.)
11. A nurse is collecting a history from a client who is scheduled for an intravenous pyelography. Which of
the following food allergies places the client at risk for an allergic reaction to the contrast medium?
a. Peanuts
b. Bananas
c. Shrimp
d. Wheat
12. A nurse is caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea. Which of the
following findings should the nurse report to the provider? (Select all that apply.)
a. Hemoglobin 4.2 g/dL
b. Hematocrit 42%
c. RBC 4,700,000/mm3
d. Platelets 75,000/mm3
e. Neutrophils 1,400/mm3
13. A nurse is assessing an older adult client who has Alzheimer's disease who is nonverbal and has
experienced frequent falls. To determine whether the client is in pain, the nurse should
a. ask the client's home caregiver if the client is in pain.
b. ask the client to rate his pain on a scale from 0 to 10.
c. observe the client for behavioral effects of pain.
d. observe the client for visible signs of injury.
14. A nurse in the emergency department is caring for a client whose family reports she has taken large
amounts of diazepam. Which of the following medications should the nurse anticipate administering?
a. Ondansetron
b. Magnesium sulfate
c. Flumazenil
d. Protamine sulfate
15. A client informs the nurse at the primary care provider’s office that he received a prescription for timolol
to treat glaucoma. Which of the following in the client’s history should concern the nurse?
a. The client received levofloxacin for pneumonia.
b. The client has had conjunctivitis.
c. The client has a history of bradycardia.
d. The client reports that he is taking loratadine for allergies.
16. A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract
infection. The nurse anticipates a prescription for ciprofloxacin. Which of the following client statements
indicates a contraindication for this medication?
a. "I have tendonitis, so I haven't been able to exercise."
b. "I have been a preschool teacher for 3 years."
c. "I take medicine for my thyroid."
d. "I am allergic to sulfa."
