ATI Pharmacology Proctored Exam 2019
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
b. Cough
c. Tachypnea
d. Gastric bleeding
(Ans – a. Pruritus – Sign of allergic reaction to morphine
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.)
(Ans –
a. Obtain the client’s apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client’s wristband to the medication administration record
e. Document administration of the medication
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
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b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
(Ans –
a. Alcohol use disorder
b. Chronic kidney disease
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
(Ans – c. Determine medication adherence by the client
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
(Ans – a. Urticaria
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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.”
(Ans – c. “Keep the tablets at room temperature in their original glass
bottle.”
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.”
(Ans – a. “I can take my medication in the morning with my coffee.”
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
(Ans – c. Inject air into the NPH vial
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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
(Ans – d. Insert the needle at least 5 cm (2 in) from the umbilicus
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
(Ans – c. Laryngeal edema
b. Cardiac dysrhythmia
Amoxicillin side effects include: Renal impairment, hyperkalemia,
dysrhythmias, hypernatremia
Allergic reaction: Urticaria, rash, hypotension, dyspnea, swelling of
face/lips/tongue
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