ATI PHARMACOLOGY PROCTORED EXAM 2020
WITH NGN QUESTIONS AND ANSWERS (VERIFIED
ANSWERS)
• A nurse is assessing a client who is receiving
intravenous therapy. Thenurse should identify which of
the following findings as a manifestation offluid volume
excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
ANS B. Distended neck veins
• A nurse is caring for a client who has hyponatremia
and is receiving aninfusion of a prescribed
hypertonic solution. Which of the following findings
should indicate to thenurse that the treatment is
effective?
• Absent Chvostek's sign
,• Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
ANS b. Improved cognition
• A nurse is teaching a client who has a new prescription
for a nitroglycerintransdermal patch.
Which of the following instructions should the nurse
include?
• "Discontinue the patch if you experience a headache."
• "Apply a new patch if you have chest pain."
• "Cover the patch with dry gauze when taking a shower."
• "Remove the patch prior to going to bed."
ANS D. "Remove the patch prior to goingto bed."
• A nurse is reviewing he laboratory results of a client who
has a prescription for sodium polystyrene sulfonate
(Kayexalate) every 6 hr. which of the follow- ing should the
nurse report to the provider?
,• Creatinine 0.72 mg/dL
• Sodium 138 mEq/L
• Magnesium 2 mEq/L
• Potassium 5.2 mEq/L
ANS D. Potassium 5.2 mEq/L
Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the client risk for fatal cardiac dysrhythmias. Kayexalate is
used to de-crease
the serum potassium level, so the PN should monitor the client's serum
potassiumlevel
• A nurse is caring for a client who has tuberculosis and
is taking isoniazidand rifampin. Which of the following
outcomes indicates that the client is adhering to the
medication regimen?
• The client has a negative sputum culture
• The client tests negative for HIV
• The client has a positive purified protein derivative test
• The client's liver function test results are within the
expected referencerange
ANS a. The client has a negative sputum culture
, • A client is caring for a client who develops an
anaphylactic reaction to IV administration. After assessing
the client's respiratory status and stopping the medication
infusion. Which of the following actions should the nurse
takenext?
• Replace the infusion with 0.9% sodium chloride
• Give diphenhydramine IM
• Elevate the client's legs and feet
• Administer epinephrine IM
ANS D. Administer epinephrine IM
• 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 thenurse advise the client to
avoid?
• St. John's Wort
• Ginger root
• Black cohosh
• Coenzyme Q10
ANS a. St. John's Wort
WITH NGN QUESTIONS AND ANSWERS (VERIFIED
ANSWERS)
• A nurse is assessing a client who is receiving
intravenous therapy. Thenurse should identify which of
the following findings as a manifestation offluid volume
excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
ANS B. Distended neck veins
• A nurse is caring for a client who has hyponatremia
and is receiving aninfusion of a prescribed
hypertonic solution. Which of the following findings
should indicate to thenurse that the treatment is
effective?
• Absent Chvostek's sign
,• Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
ANS b. Improved cognition
• A nurse is teaching a client who has a new prescription
for a nitroglycerintransdermal patch.
Which of the following instructions should the nurse
include?
• "Discontinue the patch if you experience a headache."
• "Apply a new patch if you have chest pain."
• "Cover the patch with dry gauze when taking a shower."
• "Remove the patch prior to going to bed."
ANS D. "Remove the patch prior to goingto bed."
• A nurse is reviewing he laboratory results of a client who
has a prescription for sodium polystyrene sulfonate
(Kayexalate) every 6 hr. which of the follow- ing should the
nurse report to the provider?
,• Creatinine 0.72 mg/dL
• Sodium 138 mEq/L
• Magnesium 2 mEq/L
• Potassium 5.2 mEq/L
ANS D. Potassium 5.2 mEq/L
Hyperkalemia (serum potassium level greater than 5.0 mEq/L)
increases the client risk for fatal cardiac dysrhythmias. Kayexalate is
used to de-crease
the serum potassium level, so the PN should monitor the client's serum
potassiumlevel
• A nurse is caring for a client who has tuberculosis and
is taking isoniazidand rifampin. Which of the following
outcomes indicates that the client is adhering to the
medication regimen?
• The client has a negative sputum culture
• The client tests negative for HIV
• The client has a positive purified protein derivative test
• The client's liver function test results are within the
expected referencerange
ANS a. The client has a negative sputum culture
, • A client is caring for a client who develops an
anaphylactic reaction to IV administration. After assessing
the client's respiratory status and stopping the medication
infusion. Which of the following actions should the nurse
takenext?
• Replace the infusion with 0.9% sodium chloride
• Give diphenhydramine IM
• Elevate the client's legs and feet
• Administer epinephrine IM
ANS D. Administer epinephrine IM
• 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 thenurse advise the client to
avoid?
• St. John's Wort
• Ginger root
• Black cohosh
• Coenzyme Q10
ANS a. St. John's Wort
