ATI PHARMACOLOGY PROCTORED RETAKE QUESTIONS
(ALL QUESTIONS TESTED IN 2019 AND 2023 RETAKE
EXAMS) 340 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+||BRAND NEW 2023!!
A nurse is assessing a client’s vital signs prior to the administration of
PO digoxin. The client’s BP is 144/86 mm Hg, heart rate 55/min, and
respiratory rate is 20/min. The nurse should withhold the medication and
contact the provider for which of the following findings? – ANSWER- .
Heart Rate
A nurse at a clinic is providing follow-up care to a client who is taking
fluoxetine for depression. Which of the following findings should the
nurse identify as an adverse effect of the medication? – ANSWERSexual dysfunction
A nurse is teaching a client about warfarin. The client asks if they can
take aspirin while taking the warfarin. Which of the following responses
should the nurse make? – ANSWER- “Aspirin will increase the risk of
bleeding.”
A nurse is assessing a client who is postoperative following an
outpatient endoscopy procedure using midazolam. The nurse should
monitor for which of the following findings as an indication that the
client is ready for discharge? – ANSWER- The client’s capnography has
returned to baseline
A nurse is caring for the parent of a newborn. The parent asks the nurse
when their newborn should receive the first diptheria, tetanus, and
pertussis vaccine (DTaP). The nurse should instruct the parent that their
newborn should receive the immunization at which of the following
ages? – ANSWER- 2 months
A nurse is caring for a client who received 0.9% sodium chloride 1 L
over 4 hr instead of over 8 hr as prescribed. Which of the following
information should the nurse enter as a complete documentation of the
incident? – ANSWER- IV fluid infused over 4 hr instead of the
prescribed 8 hr. Client tolerated fluids well, provider notified
A nurse is assessing a client who is taking propylthiouracil for the
treatment of Graves’ disease. Which of the following findings should the
nurse identify as an indication that the medication has been effective? –
ANSWER- Increase in ability to focus
A nurse is preparing to administer medications to a client who tells the
nurse, “I don’t want to take my fluid pill until I get home today.” Which
of the following actions should the nurse take? – ANSWER- Document
the refusal and inform he client’s provider
A nurse is administering donepezil to a client who has Alzheimer’s
disease. Which of the following findings should the nurse report to the
provider immediately? – ANSWER- Dyspnea
A nurse is assessing a client who has myasthenia gravis and is taking
neostigmine. Which of the following findings should indicate to the
nurse that the client is experiencing an adverse effect? – ANSWERMiosis
A nurse is teaching a client about cyclobenzaprine. Which of the
following client statements should indicate to the nurse that the teaching
is effective? – ANSWER- “I will taper off the medication before
discontinuing it.”
A nurse is providing teaching to a client who is to begin taking
oxybutynin for urinary incontinence which of the following symptoms
should the nurse tell the client to expect. ( all that apply) – ANSWERDry mouth
Blurred vision
Dry eyes
A nurse is providing teaching to a client who is taking bupropion as an
aid to quit smoking. Which of the following findings should the nurse
identify as an adverse effect of the medication? – ANSWER- Insomnia
A nurse is assessing a client who has schizophrenia and is taking
haloperidol. The nurse should report which of the following findings to
the provider as a manifestation of neuroleptic malignant syndrome
(NMS)? – ANSWER- Temp of 39.7 C (103.5 F)
A nurse is caring for a client who is in labor. The client is receiving
oxytocin by continuous IV infusion with a maintenance IV solution. The
external FHR monitor indicates late decelerations. Which of the
following actions should the nurse take first? – ANSWER- Turn the
client to a side-lying position.
A nurse is teaching a group of unit nurses about medication
reconciliation. Which of the following information should the nurse
include in the teaching? – ANSWER- . A transition in care requires the
nurse to conduct medication reconciliation
A nurse in an emergency department is caring for a client who has
myasthenia gravis and is in a cholinergic crisis. Which of the following
medications should the nurse plan to administer? – ANSWER- Atropine
A nurse on the acute care unit is caring for a client who is receiving
gentamicin IV. The nurse should report which of the following findings
to the provider as an adverse effect of the medication? – ANSWERTinnitus
A nurse is teaching a client who is to begin taking tamoxifen for the
treatment of breast cancer. Which of the following adverse effects
should the nurse include in the teaching? – ANSWER- Hot flashes
A nurse is caring for a client who is experiencing acute alcohol
withdrawal. For which of the following client outcomes should the nurse
administer chlordiazepoxide? – ANSWER- Prevent delirium tremens
ATI PHARMACOLOGY PROCTORED RETAKE 2023 FORM A
AND B 140 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED
A+||BRAND NEW 2023!!
FORM A
A nurse is assessing a client’s vital signs prior to the administration of
PO digoxin. The client’s BP is 144/86 mm Hg, heart rate 55/min, and
respiratory rate is 20/min. The nurse should withhold the medication and
contact the provider for which of the following findings? – ANSWER- .
Heart Rate
A nurse at a clinic is providing follow-up care to a client who is taking
fluoxetine for depression. Which of the following findings should the
nurse identify as an adverse effect of the medication? – ANSWERSexual dysfunction
A nurse is teaching a client about warfarin. The client asks if they can
take aspirin while taking the warfarin. Which of the following responses
should the nurse make? – ANSWER- “Aspirin will increase the risk of
bleeding.”
A nurse is assessing a client who is postoperative following an
outpatient endoscopy procedure using midazolam. The nurse should
monitor for which of the following findings as an indication that the
client is ready for discharge? – ANSWER- The client’s capnography has
returned to baseline
A nurse is caring for the parent of a newborn. The parent asks the nurse
when their newborn should receive the first diptheria, tetanus, and
pertussis vaccine (DTaP). The nurse should instruct the parent that their
newborn should receive the immunization at which of the following
ages? – ANSWER- 2 months
A nurse is caring for a client who received 0.9% sodium chloride 1 L
over 4 hr instead of over 8 hr as prescribed. Which of the following
information should the nurse enter as a complete documentation of the
incident? – ANSWER- IV fluid infused over 4 hr instead of the
prescribed 8 hr. Client tolerated fluids well, provider notified
A nurse is assessing a client who is taking propylthiouracil for the
treatment of Graves’ disease. Which of the following findings should the
nurse identify as an indication that the medication has been effective? –
ANSWER- Increase in ability to focus
A nurse is preparing to administer medications to a client who tells the
nurse, “I don’t want to take my fluid pill until I get home today.” Which
of the following actions should the nurse take? – ANSWER- Document
the refusal and inform he client’s provider
A nurse is administering donepezil to a client who has Alzheimer’s
disease. Which of the following findings should the nurse report to the
provider immediately? – ANSWER- Dyspnea
A nurse is assessing a client who has myasthenia gravis and is taking
neostigmine. Which of the following findings should indicate to the
nurse that the client is experiencing an adverse effect? – ANSWERMiosis
A nurse is teaching a client about cyclobenzaprine. Which of the
following client statements should indicate to the nurse that the teaching
is effective? – ANSWER- “I will taper off the medication before
discontinuing it.”
A nurse is providing teaching to a client who is to begin taking
oxybutynin for urinary incontinence which of the following symptoms
should the nurse tell the client to expect. ( all that apply) – ANSWERDry mouth
Blurred vision
Dry eyes
A nurse is providing teaching to a client who is taking bupropion as an
aid to quit smoking. Which of the following findings should the nurse
identify as an adverse effect of the medication? – ANSWER- Insomnia
A nurse is assessing a client who has schizophrenia and is taking
haloperidol. The nurse should report which of the following findings to
the provider as a manifestation of neuroleptic malignant syndrome
(NMS)? – ANSWER- Temp of 39.7 C (103.5 F)
ATI PHARMACOLOGY PROCTORED RETAKE 2019 FORM A
AND B 170 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED
A+||BRAND NEW 2023!!
FORM A
- A nurse is teaching a patient who has peptic ulcer disease and is
starting a new prescription for sucralfate (Carafate). The nurse explains
to the patient that this medication:
a. Forms a protective coating (barrier) over ulcers - Which of the following statements made by a client after a teaching
session about Warfarin (Coumadin) indicates the need for further
teaching?
a. I may take aspirin as needed for pain - A nurse is caring for a patient who has pneumonia. The patient tells a
nurse that she is pregnant but has not told her provider. Which of the
following medication orders should the nurse question?
a. Doxycycline (Doxycin) - A nurse is providing teaching to a patient who has hypertension and is
to start a new prescription for lisinopril (Zestril). For which of the
following should the nurse instruct the client to monitor and report to the
provider?
a. A dry cough
A nurse is caring for a client with acute ST elevation with myocardial
infarction. The patient is receiving nitroglycerin (Nitro-bid IV) by
continuous IV infusion to maintain a systolic blood pressure between
130-150 mmHg:
a. Increase the dose when the systolic BP is 160 mmHg - An older adult taking procainamide (Pronestyl) is admitted to the ER
with acute myocardial infarction and premature ventricular contractions.
Which finding should indicate to the nurse to withhold the medication
and notify the provider?
a. A QRS widening increase greater than 50% - A nurse is caring for a client who is taking tamoxifen (Nolvadex) for
the treatment of breast cancer. The nurse should inform the client that
which side effects can develop. (SATA)
a. Menstrual irregularities
b. Hot flashes
c. Vaginal discharge
- A nurse is providing teaching to a patient with chronic asthma and is
prescribed beclomethasone (QVAR). What instructions should be
included in the nursing care plan?
a. Use the inhaler as soon as the asthma attack begins - A client with a history of hypertension tells the nurse that he uses an
over-the-counter oral decongestant for nasal congestion. The nurse
should advise the client that decongestants:
a. Can constrict blood vessels - A nurse is providing teaching for a patient with acute cystitis and is
prescribed phenazopyridine HCL (Pyridium). Which side effect will be
normal for the patient to see?
a. Urine will turn red orange - A patient has been prescribed trimethoprim/sulfamethoxazole
(Bactrim DS). Which of the following should the nurse report?
a. Vesicular, crusty rash - A client has been taking propylthiouracil (PTU) for 4 weeks. What
should the outcome be?
a. Decrease in heart rate
A nurse instructing on the appropriate placement of the client’s
nitroglycerin transdermal patch (Minitran) understands teaching with
this statement?
a. I will take the patch off after my evening meal - A nurse is to administer a new prescription for amoxicillin/clavulanic
acid (Augmentin) IV bolus. The client tells the nurse he is allergic to
penicillin. Which should be done first?
a. Withhold the medication - A nurse is prescribing discharge teaching for a patient who has a
prescription for morphine. The nurse should:
a. Increase fiber intake