CMS pharmacology Proctored 2023-
2024, ATI Pharmacology Proctor
2019/ ATI CMS Pharmacology Exam
Updated Version/ ATI CMS
Pharmacology
A nurse is reviewing a client’s 0800 Laboratory values at 1100. The nurse notes that the
client received heparin at 1100. Which of the following laboratory values warrants an
incident report ? ——- Correct Answer ——-aPTT 90 seconds
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic
administration. After assessing a client’s respiratory status and stopping the medication
infusion, which of the following actions should the nurse take next? ——- Correct
Answer ——-Administer Epinephrine IM
A nurse is caring for a client who is taking triamterene. For which of the following
laboratory values should the nurse withhold the medication? ——- Correct Answer ——-
Potassium 5.3 mEq/ L
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) ——- Correct Answer ——-Obtain the
client’s apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client’s wristband to the medication administration record
Document administration of the medication
A nurse is reviewing the list of current medications for a client who is to start a new
prescription for carbamazepine. The nurse should identify which of the following
medications interacts with carbamazepine? ——- Correct Answer ——-estrogencontaining contraceptives
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? ——-
Correct Answer ——-Notify your provider if you develop a fever while taking this
medication”
you should have your WBC monitor every week
A nurse is reviewing the medication list of a client who has erectile dysfunction and is
requesting for prescription for sildenafil. the nurse should identify which of the following
medications is a contraindication for receiving medication? ——- Correct Answer ——-
nitroglycerin
A nurse in a medical surgical unit is preparing to administer an influenza vaccine to a
client. The client tells the nurse I no longer want this vaccine. Which of the following
responses should the nurse make? ——- Correct Answer ——-the influenza vaccine
this strongly and coverage but I understand you would like to decline right now
A nurse is discussing adverse reactions to pain medications in older adults clients with a
newly licensed nurse. Which of the following findings should the nurse include as risk
factors for an adverse drug reaction? select all that applies ——- Correct Answer ——-
multiple health problems
decrease percentage of body fat
decreased renal function
A nurse is reviewing a client’s medical record before administering acetaminophen 650
mg by mouth every 6 hours. Which of the following findings indicate a need for the
nurse to notify the provider? ——- Correct Answer ——-history of alcohol use disorder
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? ——- Correct Answer ——-improve cognition
A nurse is reviewing the laboratory results of a client who is receiving genital medicine
for Staphylococcus. Which of the following findings should the nurse report to there
immediately? ——- Correct Answer ——-fasting blood glucose 130 mg
A nurse is reviewing the laboratory results of a client who is receiving Heparin by
continuous IV infusion. Which of the following Results indicates the nurse should
decrease the infusion rate? ——- Correct Answer ——-aPTT 90 sec
The nurse is caring for a client who has diabetes mellitus and is taking Pioglitazone.
The nurse should plan to monitor the client for which of the following adverse effects? —
—– Correct Answer ——-orthostatic hypotension
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the
following manifestations should the nurse identify as an allergic reaction? ——- Correct
Answer ——-Hypotension
A nurse is reviewing the laboratory results of a client who received a dose of sodium
polystyrene sulfonate. Which of the following findings should a nurse identify as an
indication that the medication has been effective? ——- Correct Answer ——-calcium 8
mg- under normal range
potassium 4.6 meq- in normal range
A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide.
The nurse should monitor the client for which of the following manifestations has an
adverse effect of the medication? ——- Correct Answer ——-hypokalemia
A nurse recently administered filgrastim intravenously 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? ——- Correct
Answer ——-The medication vial sat at room temperature for 2 hours before it was
administered.
A nurse in a provider’s office is assessing a client who has hypothyroidism and has
been taking levothyroxine for 2 months. Which of the following statements by the client
indicate a therapeutic response to the medication? ——- Correct Answer ——-I have
noticed I’m not as cold as I used to be
a nurse is receiving the laboratory results of a client who has rheumatoid arthritis and a
prescription for cyclosporine. The nurse should report which of the following laboratory
results of the provider? ——- Correct Answer ——-creatinine 2.8 mg
A nurse is teaching a newly-licensed nurse about expired medication. Which of the
following instructions should the nurse include in the teaching? ——- Correct Answer —
—-return the medication to the pharmacy
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? ——- Correct Answer ——-increased respiratory rate
a nurse is preparing to administer Heparin subcutaneously to a client. Which of the
following should the nurse plan to minimize bleeding following the injection? ——-
Correct Answer ——-grasp skin between thumb and forefinger throughout the injection
A nurse is caring for an older adult client who is taking Prednisone for long term
treatment for rheumatoid arthritis. The nurse should monitor the client for which of the
following adverse reactions to the drug? ——- Correct Answer ——-bone loss
A nurse is interviewing a client who reports a desire to quit smoking. Which of the
following prescriptions should the nurse expect the provider to prescribe? ——- Correct
Answer ——-bupropion
A nurse is teaching a client about self-administration of an enoxaparin. Which of the
following instructions should the nurse include to select all that applies? ——- Correct
Answer ——-alternate the injection site between the sides of the abdomen
grasp the skin between the thumb and forefinger while injecting the medication
insert the entire length of the needle into the skin during injection
a nurse is assessing a client who is in septic shock and is receiving dopamine by
continuous IV infusion. Which of the following findings indicates that the nurse should
increase the rate of the infusion? ——- Correct Answer ——-headache
A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to
the administration of lithium carbonate. The client’s lithium level is 2.6 meq. Which of the
following actions should the nurse take? ——- Correct Answer ——-prepare the client
for hemodialysis
A nurse is interviewing a client who was newly admitted prior to administering
medication. The client tells the nurse, ” I forgot to tell the doctor I like albuterol for
asthma”. for which of the following medications should the nurse withhold the dose and
notify the provider? ——- Correct Answer ——-propranolol
A nurse is teaching a client who is to start taking clopidogrel. the nurse should instruct
the client to Monitor and Report which of the following adverse effects of the
medication? ——- Correct Answer ——-blurred vision
A nurse is providing teaching to a client who has a new prescription for paroxetine. the
nurse should instruct the client to monitor which of the following adverse effects? ——-
Correct Answer ——-Drowsiness
A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia.
Which of the following actions should the nurse take? ——- Correct Answer ——-
administer the medication through a straw
A nurse is caring for a client who is receiving Total parenteral Nutrition. Which of the
following actions should the nurse take? ——- Correct Answer ——-monitor the client’s
weight daily
a nurse is assessing a client who has hypermagnesemia. Which of the following
medications should the nurse prepare to administer? ——- Correct Answer ——-
calcium gluconate
a nurse is caring for a client who is receiving hospice care and has a prescription for
fentanyl buccal film. Which of the following methods should the nurse use to administer
this medication? ——- Correct Answer ——-insert the medication against the mucosal
membrane of the cheek
A client who has Graves disease is prescribed methimazole. Which of the following
effects should the nurse expect to see after the clients take the medication after 2
months? ——- Correct Answer ——-increase sleeping
A nurse is assessing a client who has Graves disease and is taking methimazole.
Which of the following findings indicate that the client needs a lower dose of the
medication? ——- Correct Answer ——-exophthalmos