NGN ATI PHARMACOLOGY PROCTORED EXAM 2024 VERSIONS 4 VERSIONS WITH VERIFIED SOLUTIONS/A + GRADE ASSURED

1. A nurse is assessing a client who is receiving IV therapy. The nurse should
identify which of the following findings as a manifestation of fluid volume excess?
1. Decreased bowel sounds
2. Distended neck veins
3. Bilateral muscle weakness
4. Thready pulse
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
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.”
4. A nurse is reviewing the lab results of a client who has a prescription for
sodium polystyrene sulfonate every 6 hours. 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 mEq/L
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.
NGN ATI PHARMACOLOGY PROCTORED EXAM 2024
VERSIONS 4 VERSIONS WITH VERIFIED SOLUTIONS/A
+ GRADE ASSURED
6. A nurse 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
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
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
9. A nurse is assessing a client who is receiving heparin continuous IV. The client
has an aPPT 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 Page 193 in ATI book says monitor for
hemorrhage which would be tachycardia and hypotension
c. Decreased respiratory rate
d. Increased blood pressure I think this is right - Rosie
10. A nurse is preparing to administer medication to a client and discovers a
medication error. The nurse should recognize 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 Found this in ATI Med Administration
1 Skills -Bailey
d. The charge nurse