ATI Pharmacology proctored EXAM
GRADED A LATEST 2023/2024 REAL EXAM
1. A nurse in a providers office is preparing to teach a middle aged adult client who has a new
diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medication
should the nurse plan to teach the client about first?
Answer: Metformin
2. A nurse is reviewing a client laboratory results before administering furosemide 40 mg IV
bolus. For which of the following values should the nurse with hold the medication and contact
the provider?
Answer: Potassium 2.5 mEq/L
3. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
should monitor which of the following as an indication of an allergic reaction following the
injection?
Answer: Urticaria
4. A nurse is caring for a client who has diabetes mellitus and is taking piogiltazole. The nurse
should plan to monitor the client for which of the following adverse effects?
Answer: Orthostatic hypotension
5. A nurse is assessing a client who takes glipizide for the treatment of type two diabetes. Which
of the following findings indicate effectiveness of the medication?
Answer: HgbA1c 6.5%
6. A nurse is reviewing a clients medical record before administering acetaminophen 650 mg PO
every 6 hours. Which of the following findings indicates a need for the nurse to notify the
provider?
Answer: History of alcohol use disorder
7. A nurse is assessing a client who has been taking lithium for one year. Which of the following
client reports is a nurses priority?
Answer: Mild thirst
8. A client who has Graves' disease is prescribed methimazole. Which of the following affects
should the nurse expect to see you after the client has taken the medication for two months?
Answer: Increased sleeping
9. A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has
deep vein thrombosis. Available is heparin 10,000 units/ mL. How many ML's of heparin should
the nurse administered?
Answer: 0.4
10. A nurse is teaching a client who is to begin cyclophosphamide Therapy to treat cancer. Which
of the following adverse effects of this medication should the nurse include in the teaching?
Answer: leukopenia
11. A nurse is teaching a client who has HIV in a new prescription for efavirenz. Which of the
following instruction should the nurse include in the teaching?
Answer: Notify the provider for the appearance of a skin rash
12. A nurse is assessing a client who has been taking digoxin for about a month. Which of the
following findings should the nurse identify as an indication that the client has developed a
digoxin toxicity?
Answer: Blurred vision
13. A nurse receives a prescription to give tobramyosin to a client daily. Which of the following
laboratory value should the nurse report to the provider?
Answer: Serum creatinine 2.5 Mg/dL
14. A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal.
Which of the following interventions as a priority at this time?
Answer: Implement seizure precautions
15. A nurse is reviewing a clients medical record before administering a new prescription for
atropine. Which of the following client conditions is contraindicated.
Answer: Glaucoma
16. A nurse is teaching a client who has a prescription for Ferris gluconate. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: I should stay upright for at least 15 minutes after taking this medication.
17. A nurse is teaching a client who has multiple allergies about using Epinephrine auto injector.
Which of the following instruction should the nurse include.
Answer: Administer the medication through clothing if necessary.
18. A nurse is assessing a client who is receiving heparin therapy for deep vein thrombosis.
Which of the following findings should indicate to the nurse said the therapy as effective?
Answer: Platelets within the expected reference range
19. A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which
of the following actions by the newly licensed nurse requires the charge nurse to complete an
incident report?
Answer: A client has a lithium level of 1.8 and receives her morning dose of lithium
20. A nurse is caring for a client who is postoperative following a thyroidectomy and is receiving
morphine for pain. Which of the following findings should the nurse recognize as an adverse
effect of morphine?
Answer: Bladder Distention
21. A nurse is teaching a client who is to start cromolyn. Which of the following information
should the nurse include in the teaching?
Answer: Cromolyn is a long term management medication
22. A nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. The
nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the
nurse administer?
Answer: 1.3 mL
23. A nurse is caring for a client who has major depression and a new prescription for citalopram.
Which of the following adverse effects is the priority for the nurse to report to the provider?
Answer: Bruxism OR Confusion
24. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering
it to a client who has diabetes mellitus. Which of the following actions should the nurse take
first?
Answer: Inject air into the NPH vial
25. A nurse is teaching a client who has a new prescription for nitroglycerin patches. The nurse
should identify which of the following statements as an indication that the client understands the
teaching ?
Answer: I will rotate the application site avoid skin irritation
26. A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter.
In which of the following locations should the nurse place the catheter?
Answer: A vein on the clients wrist
27. A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of
the following foods should the nurse instruct the client to avoid?
Answer: Cheddar cheese
28. A nurse is providing discharge dietary teaching to a client who has a new prescription for
theophylline. Which of the following instructions should the nurse include?
Answer: Avoid caffeinated beverages
29. A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a
muscarinic response. Which of the following manifestations should the nurse expect?
Answer: Excessive salvation
30. A nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. Which of
the following lab values indicates an adverse effect of this medication?
Answer: WBC 3,000/mm
31. A nurse is assessing a client who received dinoprostone gel to stimulate cervical ripening.
Which of the following findings is the nurse's priority.
Answer: Uterine tachysystole
32. A nurse is reviewing the medical record of a client who is receiving vancomycin daily. The
nurse should review which of the following lab results prior to administering the next dose?
Answer: Creatinine level
33. A nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. Which of
the following statements by the parent indicates an understanding of the teaching?
Answer: I will rinse my childs mouth with water after she takes the medicine
34. A nurse is teaching a client who has a new prescription for alendronate to treat osteoporosis.
Which of the following instructions should the nurse include?
Answer: Sit upright for at least 30 mins after taking the medication.
35. A nurse in the emergency department is reviewing a medication record for a client who
reports vomiting blood. The nurse should anticipate that the provider will discontinue which of
the following medications?
Answer: Clopidogrel
36. A nurse is caring for a client who reports that his current pain medication is no longer
relieving her pain. Which of the following medications requires the nurse to obtain a written
rather than verbal prescription from the provider?
Answer: Fentanyl
37. A nurse is preparing to administer nitroglycerin topical ointment to a client. Which of the
following actions should the nurse plan to take?
Answer: Measure the dosage of medication using the applicator paper.
38. A nurse is providing teaching to a client who has a new prescription for nitroglycerin
sublingual. Which of the following client responses indicate an understanding of the teaching?
Answer: I should keep my tablets in a dark container at room temperature.
39. A nurse is providing teaching to a client who has a prescription for omeprazole. Which of the
following instructions should the nurse include in the teaching?
Answer: Long term use of the medication increases the risk of fractures.
40. A nurse is assessing a client who is in labor and is receiving epidural anethesia. Which of the
following findings should the nurse identify as the priority?
Answer: Hypotension
41. A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse
should instruct the client to monitor for which of the following adverse effects?
Answer: Drowsiness
42. A nurse is providing teaching to a client who has a new prescription for phenelzine. The nurse
should instruct the client to avoid which of the following foods.
Answer: smoked salmon
43. A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate
for preterm labor. The nurse should discontinue the infusion and prepare to administer calcium
gluconate if the client demonstrates which of the following findings?
Answer: 1. absence of deep-tendon reflexes
2. Urine output 80 mL in 4 hrs
3. Decreased level of consciousness
44. A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg
IV bolus 30 mins earlier. For which of the following findings should the nurse notify the
provider?
Answer: The client reports difficulty hearing
45. A nurse is reviewing the medical record of a client who has sinusitis and a new prescription
for cefuroxime. Which of the following client information is the priority for the nurse to report?
Answer: The client has a history of severe penicillin allergy
46. A nurse is teaching a newly licensed nurse about medication reconciliation? The nurse should
instruct the newly licensed nurse to preform medication reconciliation for which of the following
clients?
Answer: A client who is transferred to the step down unit.
47. A nurse is caring for a client who is to start therapy with lovastatin. The nurse should prepare
the client for which of the following diagnostic assessments?
Answer: Liver function tests
48. A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV
bolus. Which of the following actions should the nurse include in the plan of care?
Answer: Monitor the client for hearing loss.
49. A nurse is teaching a client who has pernicious anemia to self-administer nasal
cyanocobalamin (Vit b12). Which of the following information should the nurse include in the
teaching?
Answer: Administer the medication into one nostril once per week.
50. A nurse is administering medications to a client. Which of the following medications should
the nurse plan to administer by a parenteral route?
Answer: fondaparinux
51. A nurse is providing discharge teaching to a client who is receiving warfarin. Which of the
following statements is appropriate for the nurse to make?
Answer: Avoid eating large amounts of cabbage and broccoli.
52. A nurse is reviewing a clients 0800 lab values at 1100. The nurse notes that the client
received heparin at 1000. Which of the following lab values warrants an incident report?
Answer: aPTT 90 seconds
53. A nurse is obtaining a medication history from a client who has gout and is prescribed
probenecid. The nurse should notify the provider that the client is taking which of the following
over the counter medications?
Answer: Salicylic acid
54. A nurse is caring for a client who is receiving IV amphotericin B. Which of the following
should the nurse identify as an acute infusion reaction?
Answer: Fever
55. A nurse in the emergency department is caring for a client who reports a severe headache.
The clients blood is 280/160 mm Hg. The nurse should plan to administer which of the following
medications?
Answer: Nitroprusside
56. A nurse is developing a teaching plan for an older adult client who has a new prescription for
insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Answer: The client will wear his reading glasses when drawing up a dose of insulin glargine.
57. A nurse is assessing a client who takes levothyroxine for hypothyroidism. The nurse should
identify that which of the following findings indicates the need for an increase in dosage?
Answer: 1. Impaired short term memory
2. Heart Rate 46/min
3. Cold intolerance
58. A nurse is providing teaching to a client who has a new prescription for carbamazepine for
the treatment of seizures. The nurse should instruct the client to monitor for which of the
following adverse effects?
Answer: Blurred Vision
59. A nurse is planning to administer medications to a client who weighs 198 lbs. The
prescription reads "fligrastim 5 mcg/kg subcut daily." Available is filgrastim 300 mcg/mL. How
many mL should the nurse plan to give with each dose?
Answer: 1.5
60. A nurse is planning care for a group of clients. Which of the following clients medications
should be monitored by the nurse for hearing loss related to which of the following medication
interactions?
Answer: furosemide and amikacin
61. A nurse is reviewing the medications of a client who is experiencing orthostatic hypotension.
The nurse should identify this finding as an adverse effect of which of the following
medications?
Answer: imipramine (antidepressant)
62. A nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month.
Which of the following lab tests should the nurse review to evaluate for an adverse effect of this
medication?
Answer: The nurse should review liver function tests (LFTs) to evaluate for potential
hepatotoxicity from rifampin.
63. A nurse is providing teaching to a client who has a new prescription for warfarin about
potential interactions with over the counter products. Which of the following products should the
nurse instruct the client to avoid.
Answer: Naproxen
64. A nurse recently administered figrastim IV to a client who has cancer and is receiving
cytotoxic chemotherapy. For which of the following data, discovered after the medication was
administered, should the nurse file an incident report?
Answer: The client had chemotherapy 12 hours before the medication was administered.
65. A nurse is providing teaching to a client who has a new prescription for nitroglycerin. Which
of the following client statements indicated an understanding of the teaching?
Answer: I will call 911 if my pain is not relieved after taking the medication
66. A nurse is assessing a client who is receiving clindamycin. Which of the following findings
should the nurse identify as an adverse effect of the medication?
Answer: Watery diarrhea
67. A nurse is teaching a client who has a new prescription for ergotamine to treat vascular
headaches. The nurse should inform the client that which of the following is a potential adverse
effect of this medication?
Answer: Muscle pain
68. A nurse is teaching a client who has active pulmonary tuberculosis about management of
medications for the disease. Which of the following statements is appropriate for the nurse to
make?
Answer: You will need to take 2 or more medications to treat your disease.
69. A nurse is reviewing the lab data of a client who is receiving filgrastim. Which of the
following lab values should the nurse monitor to evaluate the effectiveness of the treatment?
Answer: WBC count
70. A nurse is evaluating a client who is preforming a return demonstration of enoxaparin
administration. Which of the following client actions indicates an understanding of the teaching?
Answer: Administers the injection in the abdomen.
