ATI PHARMACOLOGY PROCTORED NGN COMPLETE EXAM
ALL QUESTIONS AND CORRECT ANSWERS COMPLETE A+ GUIDE
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1. 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
Answer: B. Distended neck veins
2. 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
Answer: B. Improved cognition
3. 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.”
Answer: D. “Remove the patch prior to going to bed.”
4. 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 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
Answer: D. Potassium 5.2
5. 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 to the medication regimen?
A. The client has a negative sputum culture
B. The client tests negative for HIV
C. The client has a positive purified protein derivative test
D. The client’s liver function test results are within the expected reference range
Answer: A. The client has a negative sputum culture
6. 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 take next?
A. Replace the infusion with 0.9% sodium chloride
B. give diphenhydramine IM
C. Elevate the client’s legs and feet
D. Administer epinephrine IM
Answer: D. Administer epinephrine IM
7. 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 avoid?
A. St. John’s Wort
B. Ginger root
C. Black cohosh
D. Coenzyme Q10
Answer: A. St. John’s Wort
8. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For
which of the following adverse effects should the nurse monitor when administering lisinopril?
A. Bradycardia
B. Hypokalemia
C. Tinnitus
D. Hypotension
Answer: D. Hypotension
9. A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT
of 90 seconds. They should monitor the client for which of the following changes in their vital
signs?
A. Decreased temperature
B. Increased pulse rate
C. Decreased respiratory rate
D. Increased blood pressure
Answer: B. Increased pulse rate
10. A nurse is preparing to administer medication to a client and discovers a medication error.
The nurse should recognize that which of the following staff members is responsible for
completing an incident report?
A. The quality improvement committee
B. The nurse who identifies the error
C. The nurse who caused the error
D. The charge nurse
Answer: C. The nurse who caused the error
11. A nurse is planning care for a client who is receiving morphine via continuous epidural
infusion. The nurse should monitor the client for which of the following?
A. Pruritus - Sign of allergic reaction to morphine
B. Cough
C. Tachypnea
D. Gastric bleeding
Answer: A. Pruritus - Sign of allergic reaction to morphine
12. A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the
nurse should take. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.)
Answer:
A. Obtain the client’s apical heart rate
B. Remove the medication from the dispensing system
C. Compare the client’s wristband to the medication administration record
D. Open the medication package
Document administration of the medication
(In that order) (formal RN and in the ATI website)
Simulation: Skills Modules 3.0 Module: Oral and topical medication administration.. the nurse
remove the med from the dispensing then compare pt’s wristband then open the package and
give to the pt and document.. by the way from the ATI pharm book pg 168..1st thing to give
digoxin is to check pt’s apical pulse)
13. A nurse is reviewing the medical record of an adult client who has a fever and a prescription
for acetaminophen. Which of the following findings should the nurse identify as a
contraindication for receiving this medication?
A. Alcohol use disorder (My Pharm D said “The national kidney foundation actually list
acetaminophen as their analgesic of CKD patients” and in ATI Pharm book pg 301..most it talks
about be aware of alcohol use with Tylenol”
B. Chronic kidney disease
C. Hepatitis B vaccine within the last week
D. Diabetes mellitus
Answer: A. Alcohol use disorder (My Pharm D said “The national kidney foundation actually
list acetaminophen as their analgesic of CKD patients” and in ATI Pharm book pg 301..most it
talks about be aware of alcohol use with Tylenol”
14. A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days
ago. Which of the following actions should the nurse take first?
A. Encourage the client to dangle the legs while sitting in a chair
B. Teach the client about foods low in sodium
C. Determine medication adherence by the client
D. Notify the provider of the client’s weight gain
Answer: C. Determine medication adherence by the client
15. A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
should monitor for which of the following as an indication of an allergic reaction following the
injection?
A. Urticaria
B. Bradycardia
C. Pallor
D. Dyspepsia
Answer: A. Urticaria
16. A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin
tablets. Which of the following instructions should the nurse include in the teaching?
A. “Discard any tablets you do not use every 6 months.”
B. “Take one tablet each morning 30 minutes prior to eating.”
C. “Keep the tablets at room temperature in their original glass bottle.”
D. “Place the tablet between your cheek and gum to dissolve.”
Answer: C. “Keep the tablets at room temperature in their original glass bottle.”
17. A nurse is providing teaching to a client who has a new prescription for theophylline, a
sustained-released capsule. Which of the following statements by the client indicates an
understanding of the teaching?
A. “I can take my medication in the morning with my coffee.”
B. “I may sprinkle the medication in applesauce.”
C. “I should limit my fluid intake while on this medication.”
D. “I will need to have blood levels drawn.”
Answer: D. “I will need to have blood levels drawn.”
18. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering
it to client who has diabetes mellitus following actions should the nurse take first?
A. Withdraw the regular insulin from the viral
B. Withdraw the NPH insulin form the vial
C. Inject air into the NPH vial
D. Inject air into the regular insulin vial
Answer: C. Inject air into the NPH vial
19. A nurse is preparing to administer subcutaneous heparin to a client. Which of the following
should the nurse take?
A. Massage the site after administering the medication
B. Use a 21-gauge needle for the injection
C. Aspirate before injecting the medication
D. Insert the needle at least 5 cm (2 in) from the umbilicus
Answer: D. Insert the needle at least 5 cm (2 in) from the umbilicus
20. A nurse is caring for a client who has a prescription for amoxicillin. Which of the following
findings indicates the client is experiencing an allergic reaction?
A. Nausea
B. Cardiac dysrhythmia
C. Laryngeal edema
D. Insomnia
Answer: C. Laryngeal edema
21. A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should
instruct the newly licensed nurse to perform medication reconciliation for which of the
following?
A. A client who has a referral for social services
B. A client who is transdermal to radiology
C. A client who is transferal to a step-down unit
D. A client who has a consultation for physical therapy
Answer: C. A client who is transferal to a step-down unit
22. A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the
following laboratory values indicates the treatment has been effective?
A. BUN 15 mg/dL
B. Blood glucose 90 mg/dL
C. Urine specific gravity 1.020
D. LDL 120 mg/dL (atorvastatin is used for cholesterol)
Answer: D. LDL 120 mg/dL (atorvastatin is used for cholesterol)
23. 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
Answer: A. Morphine 6 mg IV push every 3 hr PRN acute pain
24. 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. Show 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
Answer: D. Apply a warm, moist compress
25. 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.”
Answer: C. “Notify your provider if you develop a fever while taking this medication.”
26. 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 (my Pharm
D said this one is more make sense than b. because you can conceive immediately after
discontinue birth control)
D. A pelvic examination is needed prior to starting an oral contraceptive
Answer: C. Some herbal supplements can decrease the effectiveness of an oral contraceptive
(my Pharm D said this one is more make sense than b. because you can conceive immediately
after discontinue birth control)
27. 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
Answer: B. Mix the medications with a semisolid food for the client
28. 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.” (My Pharm D said “there is no
contraindication with PPI and antacid when taking together…the main point of PPI use is better
with an empty stomach” and in ATI Pharm pg 221 said to give PPI “prior to eating”)
D. “You can take a second dose if symptoms persist up to 2 hours after the first dose.”
Answer: C. “You should take this medication before meals.” (My Pharm D said “there is no
contraindication with PPI and antacid when taking together…the main point of PPI use is better
with an empty stomach” and in ATI Pharm pg 221 said to give PPI “prior to eating”)
29. 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
Answer: A. Eggs
30. 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
Answer: D. Saw palmetto
31. A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the
following predisposes this client to developing digoxin toxicity?
A. Taking a high ceiling diuretic (will cause low potassium which cause digoxin toxicity)
B. Having a 10-year history of COPD
C. Having a prolapsed mitral valve
D. Taking an HMG CoA reductase inhibitor
Answer: A. Taking a high ceiling diuretic (will cause low potassium which cause digoxin
toxicity)
32. A nurse is administering naloxone to a client who has developed an adverse reaction to
morphine. The nurse should identify which of the following findings as a therapeutic effect of
naloxone?
A. Decreased nausea
B. Increased pain relief
C. Decreased blood pressure
D. increased respiratory rate
Answer: D. increased respiratory rate
33. 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 to
the provider?
A. The client has a BUN of 18 mg/dL
B. The client takes an aspirin daily
C. The client has a history of a severe penicillin allergy
D. The client reports a history of nausea with cefuroxime
Answer: C. The client has a history of a severe penicillin allergy
34. A nurse is assessing a client who has hypermagnesemia. Which of the following medications
should the nurse prepare to administer?
A. Protamine sulfate
B. Acetylcysteine
C. Calcium gluconate (from OB)
D. Flumazenil
Answer: C. Calcium gluconate (from OB)
35. A nurse is assessing a client following the administration of ondansetron (Zofran). Which of
the following findings should indicate to the nurse that the ondansetron has been effective?
A. Client reports a decrease in pain
B. Client reports a decrease in nausea
C. Client reports a decrease in coughing
D. Client reports a decrease in diarrhea
Answer: B. Client reports a decrease in nausea
36. A nurse manager is planning an in-service about pain management with opioids for client
who has cancer. Which of the following information should the nurse manager include?
A. IM administration is recommended if PO opioids are ineffective
B. Respiratory depression decreases as opioid tolerance develops
C. Meperidine is the opioid of choice for treating chronic pain
D. Withhold PRN pain medication for the client who is receiving opioids every 6 hr
Answer: A. IM administration is recommended if PO opioids are ineffective
37. A nurse is reviewing the list of current medication for a client who is to start prescription for
carbamazepine. The nurse should identify that which of the following medications interacts with
carbamazepine?
A. Nicotine transdermal system
B. Diphenhydramine
C. Estrogen-progestin combination (Non-hormonal forms of contraception) (when taking
carbamazepine, always use secondary type of birth control. This drug decreases the effectiveness
of birth control)
D. beclomethasone
Answer: C. Estrogen-progestin combination (Non-hormonal forms of contraception) (when
taking carbamazepine, always use secondary type of birth control. This drug decreases the
effectiveness of birth control)
38. A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic.
Which of the following medications puts the client at risk for developing hearing loss?
A. Rifampin
B. Ciprofloxacin
C. Penicillin G
D. Gentamicin
Answer: D. Gentamicin
39. A nurse is teaching a guardian of a school-age child who has a new prescription for a
fluticasone metered-dose inhaler. Which of the following information should the nurse include in
the teaching?(SATA)
A. “Soak the inhaler in water after use.”
B. “Have your child take one inhalation as needed for shortness of breath.”
C. “Shake the device prior to administration.”
D. “A spacer will make it easier to use the device.”
E. “Rinse your child’s mouth following administration.”
Answer: C. “Shake the device prior to administration.”
D. “A spacer will make it easier to use the device.”
E. “Rinse your child’s mouth following administration.”
40. A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally
12 hr available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round
the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.)
Answer: 7.5ml
DOSAGE CALCULATION
7.5mL d/h × v = 20mEq × 5ml/6.7 mEq = 14.92 12hrs = 14.92/2 = 7.46 = 7.5
41. A nurse is instructing a client who has a new prescription for a daily dose of lovastatin
extended release. Which of the following information should the nurse include in the teaching?
A. “You will need liver function tests before beginning therapy.”
B. “Avoid consuming dairy products while taking this medication.”
C. “You may crush the medication and mix it with applesauce.”
D. “You should take the medication in the morning.”
Answer: A. “You will need liver function tests before beginning therapy.”
42. A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of
fluid into the tissue surrounding the insertion site. Which of the following actions should the
nurse take?
A. Flush the IV catheter
B. Apply pressure to the IV site
C. Elevate the extremity
D. Slow the infusion rate
Answer: C. Elevate the extremity
43. A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has
deep-vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the
nurse administer?(Round to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.)
Answer: 0.4mL
44. A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which
of the following findings should the nurse expect?
A. Oxygen saturation 96%
B. PaCO2 30 mm Hg
C. Increase in BP 2
D. Decrease in protein
Answer: C. Increase in BP 2
45. A nurse is discussing adverse reactions to pain medications in older adult clients with a newly
licensed nurse. Which of the following findings should the nurse include as risk factors for an
adverse drug reaction? (SATA)
A. Polypharmacy
B. Increased rate of absorption
C. Decreased percentage of body fat (in the ATI book said “increased % fat” not decreased)
D. Multiple health problems
E. Decreased renal function
Answer: A. Polypharmacy
D. Multiple health problems
E. Decreased renal function
46. A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin.
Which of the following laboratory values should the nurse report to the provider?
A. Sodium 137 mEq/L
B. Hct 43%
C. Hgb 15 g/dL
D. Creatinine 2.5 mg/dL (norm < 1.2)
Answer: D. Creatinine 2.5 mg/dL (norm < 1.2)
47. A nurse is preparing to administer enoxaparin to a client. Which of the following actions
should the nurse take?
A. Apply firm pressure to the injection site following administration
B. Administer the medication into the client’s muscle
C. Expel the air bubble from the syringe prior to injection
D. Insert the syringe needle halfway into the client’s skin
Answer: A. Apply firm pressure to the injection site following administration
48. A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the client
received heparin at 1000. Which of the following laboratory values warrants an incident report?
A. aPTT 90 seconds (norm < 80 seconds)
B. Hgb 16 g/dL
C. INR 1.6
D. WBC 6,000/mm3
Answer: A. aPTT 90 seconds (norm < 80 seconds)
49. A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration
of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to
administer?
A. Naloxone IV
B. Morphine tablet
C. Lidocaine patch
D. Fentanyl transmucosal
Answer: D. Fentanyl transmucosal
50. A nurse is assessing a client who reports taking over-the-counter antacids. Which of the
following findings should the nurse identify as a manifestation of hypercalcemia?
A. Constipation
B. Decreased urine output
C. Positive Troussea’s sign (for hypo)
D. Headache
Answer: A. Constipation
51. A nurse is caring for a client who is to receive potassium replacement. The provider’s
prescription reads. “Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30
min.” which of the following reasons should the nurse clarify this prescription with the provider.
A. Potassium chloride should be diluted in dextrose 5% in water.
B. The potassium infusion rate is too rapid (potassium cannot do IV push..min time is about
2hrs)
C. Another formulation of potassium should be given IV
D. The client should be treated by giving potassium by IV bolus
Answer: B. The potassium infusion rate is too rapid (potassium cannot do IV push..min time is
about 2hrs)
52. A nurse is monitoring laboratory values for a client who has chronic heart failure and is
receiving digoxin. Which of the following values should the nurse report to the provider?
A. Sodium 1.38 mEq/dL
B. Magnesium 1.5 mEq/L
C. BUN level 10 mg/dL
D. potassium 2.9 mEq/L (norm 3.5-5.0)
Answer: D. potassium 2.9 mEq/L (norm 3.5-5.0)
53. A client who has active tuberculosis and is taking rifampin reports that his urine and sweat
have developed a red tinge. Which of the following actions should the nurse take?
A. Check the client’s liver function test results
B. Instruct the client to increase his fluid intake
C. Document this as an expected finding
D. Prepare the client for dialysis
Answer: C. Document this as an expected finding
54. A nurse accidently administers the medication metformin instead of metoprolol to a client.
Which of the following actions should the nurse take?
A. Monitor the client’s thyroid function levels
B. Collect the client’s uric acid level
C. Obtain the client’s HDL level
D. Check the client’s glucose level
Answer: D. Check the client’s glucose level
55. A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the
medication is provided as hydromorphone 8 mg per tablets. Which of the following actions is
appropriate for the nurse to take?
A. Return the remaining medication to the facility’s pharmacy
B. Store the remaining half of the pill in the automated medication dispensing system
C. Place the remaining half of the pill in the unit dose package
D. Dispose of the remaining medication while another nurse observes
Answer: D. Dispose of the remaining medication while another nurse observes
56. A nurse is caring for 4-year-old child following an orthopedic procedure. When assessing the
child for pain. Which of the following pain scales should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Word graphic
Answer: A. FACES
57. A nurse is planning care for a client who requires treatment for high cholesterol. Which of the
following prescriptions should the nurse expect to administer?
A. Colchicine
B. Cimetidine
C. Colerain - Colesevelam (Welchol)
D. Chlorpromazine
Answer: C. Colerain - Colesevelam (Welchol)
58. A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg
IV bolus 30 min earlier. For which of the following findings should the nurse notify the
provider?
A. Potassium 3.8 mEq/L
B. The client reports dizziness upon standing
C. The client reports difficulty hearing
D. BUN 15 mg/Dl
Answer: C. The client reports difficulty hearing
59. A nurse is planning teaching for a client who is trying to quit smoking. Which of the
following instructions about nicotine replacement options should the nurse include?
A. Change the nicotine patch every other day
B. Do not drink beverages while sucking on a nicotine lozenge
C. Chew nicotine gum for 10 min before spitting it out
D. Administer 2 sprays of nicotine nasal spray in each nostril with each dose
Answer: B. Do not drink beverages while sucking on a nicotine lozenge
60. A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which
of the following routes of administration should the nurse use?
A. Subcutaneous
B. Intravenous
C. Central venous access device (ATI website Simulation: Skills Modules 3.0 Module: Central
venous access devices)
D. Midline catheter
Answer: C. Central venous access device (ATI website Simulation: Skills Modules 3.0 Module:
Central venous access devices)
61. A nurse is preparing to administer filgrastim 5mcg/kg/day subcutaneous to a client who
weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer: 325 mcg
62. A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the
nurse use to place the peripheral IV catheter?
A. Nondominant dorsal venous arch (ATI website Simulation: Skills Modules 3.0 Module: IV
therapy and peripheral access said “when inspecting the client’s hand and arm for an IV, begin by
looking at the most distal part and move proximally…in this case dorsal venous arch is distal and
forearm basilica is proximal)
B. Dominant distal dorsal vein
C. Nondominant forearm basilic vein
D. Dominant antecubital vein
Answer: A. Nondominant dorsal venous arch (ATI website Simulation: Skills Modules 3.0
Module: IV therapy and peripheral access said “when inspecting the client’s hand and arm for an
IV, begin by looking at the most distal part and move proximally…in this case dorsal venous
arch is distal and forearm basilica is proximal)
63. A nurse is assessing a client who is taking an osmotic laxative which of the following
findings should the nurse identify as an indication of fluid volume deficit?
A. Nausea
B. Weight gain
C. Headache
D. Oliguria
Answer: D. Oliguria
64. A nurse is reviewing the laboratory results of a client who is taking amitriptyline which of the
following laboratory values should the nurse report to the provider?
A. Total bilirubin 1.5 mg/dL
B. Potassium 4.2 mEq/L
C. Hct 44%
D. WBC count 5,000/mm3
Answer: A. Total bilirubin 1.5 mg/dL
65. A nurse is caring for a client who is taking lithium and reports starting a new exercise
program. The nurse should assess the client for which of the following electrolyte imbalances?
A. Hypocalcemia
B. Hypokalemia
C. Hyponatremia (lithium will cause low sodium)
D. Hypomagnesemia
Answer: C. Hyponatremia (lithium will cause low sodium)
66. A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of
the following should the nurse identify as an adverse effect of this medication?
A. Hypoglycemia
B. Bradycardia
C. Red man syndrome
D. Hypotension (my Pharm D said hypotension and in ATI website Pharm easy 4.0 said to check
for cardiac dysrythmias and hypotension)
Answer: D. Hypotension (my Pharm D said hypotension and in ATI website Pharm easy 4.0 said
to check for cardiac dysrythmias and hypotension)
67. A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse
should identify that this medication is used to treat which of the following conditions?
A. Osteoporosis
B. Hypothyroidism
C. Urinary tract infection
D. Deep vein thrombosis
Answer: A. Osteoporosis
68. A nurse is providing discharge dietary teaching to a client who has a new prescription and is
taking medication theophylline and to provide general instructions the nurse should include?
A. Avoid caffeinated beverages
B. Take the medication with meals
C. Restrict milk products
D. Limit sodium intake
Answer: A. Avoid caffeinated beverages
69. The nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes
mellitus. Which of the following actions should the nurse take first?
A. Withdrawal NPH from the vial
B. Inject air into the NPH vial
C. Inject air into the regular vial
D. Withdrawal regular insulin from the vial
Answer: B. Inject air into the NPH vial
70. A nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What
instructions should the nurse include?
A. Take the medication immediately after breakfast
B. Take the medication with an antacid
C. Sit upright for at least 30 mins after taking the medication
D. Drink orange juice with the medication
Answer: C. Sit upright for at least 30 mins after taking the medication
71. 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?
A. Bladder distention
B. Productive cough
C. Gastrointestinal bleeding
D. Decrease deep tending reflexes
Answer: A. Bladder distention
72. A nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin.
Which of the following information should the nurse include in the teaching?
A. Use nasal decongestion 15 mins before the medication if you have a stuffy nose
B. Lie down for 1 hour after administering the medication
C. Administer the medication into one nostril once per week
D. Plan to self-administer this medication for the next 6 months
Answer: C. Administer the medication into one nostril once per week
73. A nurse is teaching a newly license nurse about medication reconciliation. The nurse should
instruct the newly license nurse for medication reconciliation for which of the following clients?
A. Client who is transported to radiology
B. A client who has a consultation for
C. A client who has a referral for social services
D. A client who has been transferred to a step-down unit
Answer: D. A client who has been transferred to a step-down unit
74. A nurse is assessing a client how received a dinoprostone gel to stimulate the cervical
ripening. Which of the following is the nurse’s priority?
A. Back pain
B. Flushing
C. nausea
D. Uterine tachysystole
Answer: D. Uterine tachysystole
75. A nurse is performing a return demonstration of an enoxaparin administration. Which of the
following client actions indicates an understanding of the teaching?
A. Messages the site to enhance absorption
B. Injections the medication into a muscle
C. Administers the medication into the abdomen
D. Aspirates the medication after injection
Answer: C. Administers the medication into the abdomen
76. A nurse is assessing a client how has been taking digoxin and ...... which of the following
findings to the nurse indicates this client has developed digoxin toxicity?
A. Ringing in the ears
B. Hyperkalemia
C. Blurred vision
D. hypertension
Answer: C. Blurred vision
77. A nurse is caring for a client who received neostigmine 1 hour ago and is experiencing
muscarinic response. Which if the following manifestations should the nurse expect?
A. Headache
B. Excessive salivation
C. Fever
D. Myoclonic seizure
Answer: B. Excessive salivation
78. A nurse in the emergency department is reviewing a medication record for client who reports
vomiting blood. The nurse should anticipate the provider will discontinue which of the following
medications?
A. NPH insulin
B. Clopidogrel
C. Furosemide
D. Pantoprazole
Answer: B. Clopidogrel
79. A nurse is assessing a who is receiving clindamycin. Which of the following findings should
the nurse identify as an adverse effect of this medication?
A. Agitation
B. Report of blurred vision
C. Hypertension
D. Watery diarrhea
Answer: D. Watery diarrhea
80. A nurse is teaching a client who is to start taking Cromolyn. Which of the following
information should the nurse include in the teaching?
A. Cromolyn should take effect within 5 mins
B. Cromolyn should dilate the bronchioles
C. Cromolyn can be used after exercise
D. Cromolyn is a long-term management medication
Answer: D. Cromolyn is a long-term management medication
81. A nurse is reviewing the medications of a client is experiencing orthostatic hypotension. The
nurse should identify this finding as an adverse effect of which of the following medications?
A. Imipramine
B. Levothyroxine
C. Montelukast
D. Omeprazole
Answer: A. Imipramine
82. A nurse is reviewing a client’s medical history before administering a new prescription of
atropine. Which of the following client conditions is contraindicated?
A. glaucoma
B. Tachycardia
C. Urinary retention
D. Asthma
Answer: A. glaucoma
83. 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?
A. insomnia
B. Blurred vision
C. Tachypnea
D. Metallic taste
Answer: B. Blurred vision
84. A nurse is preparing to administer 4000 units of heparin available is 10,000 units
Answer: 0.4
85. A nursing 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 a verbal prescription from the provider?
A. fentanyl
B. Acetaminophen with codeine
C. Oxycodone
D. Hydrocodone
Answer: A. fentanyl
