2023-2024 ATI Pharmacology Proctored Exam with Answers (70 Solved Questions)

ATI Pharmacology proctored EXAM GRADED A LATEST 2023/2024 REAL EXAM A nurse in a providers office is preparing to teach a middle aged adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medication should the nurse plan to teach the client about first? – CORRECT ANSWER Metformin A nurse is reviewing a client laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse with hold the medication and contact the provider? – CORRECT ANSWER Potassium 2.5 mEq/L A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor which of the following as an indication of an allergic reaction following the injection? CORRECT ANSWER Urticaria A nurse is caring for a client who has diabetes mellitus and is taking piogiltazole. The nurse should plan to monitor the client for which of the following adverse effects? – CORRECT ANSWER Orthostatic hypotension A nurse is assessing a client who takes glipizide for the treatment of type two diabetes. Which of the following findings indicate effectiveness of the medication? – CORRECT ANSWER HgbA1c 6.5% A nurse is reviewing a clients medical record before administering acetaminophen 650 mg PO every 6 hours. Which of the following findings indicates a need for the nurse to notify the provider? CORRECT ANSWER History of alcohol use disorder A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is a nurses priority? CORRECT ANSWER Mild thirst A client who has Graves’ disease is prescribed methimazole. Which of the following affects should the nurse expect to see you after the client has taken the medication for two months? CORRECT ANSWER Increased sleeping A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep vein thrombosis. Available is heparin 10,000 units/ mL. How many ML’s of heparin should the nurse administered? – CORRECT ANSWER 0.4 A nurse is teaching a client who is to begin cyclophosphamide Therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching? CORRECT ANSWER leukopenia A nurse is teaching a client who has HIV in a new prescription for efavirenz. Which of the following instruction should the nurse include in the teaching? – CORRECT ANSWER Notify the provider for the appearance of a skin rash A nurse is assessing a client who has been taking digoxin for about a month. Which of the following findings should the nurse identify as an indication that the client has developed a digoxin toxicity? – CORRECT ANSWER Blurred vision A nurse receives a prescription to give tobramyosin to a client daily. Which of the following laboratory value should the nurse report to the provider? – CORRECT ANSWER Serum creatinine 2.5 Mg/dL A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions as a priority at this time? – CORRECT ANSWER Implement seizure precautions A nurse is reviewing a clients medical record before administering a new prescription for atropine. Which of the following client conditions is contraindicated. – CORRECT ANSWER Glaucoma A nurse is teaching a client who has a prescription for Ferris gluconate. Which of the following statements by the client indicates an understanding of the teaching? – CORRECT ANSWER I should stay upright for at least 15 minutes after taking this medication. A nurse is teaching a client who has multiple allergies about using Epinephrine auto injector. Which of the following instruction should the nurse include. – CORRECT ANSWER Administer the medication through clothing if necessary. A nurse is assessing a client who is receiving heparin therapy for deep vein thrombosis. Which of the following findings should indicate to the nurse said the therapy as effective? – CORRECT ANSWER Platelets within the expected reference range A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following actions by the newly licensed nurse requires the charge nurse to complete an incident report? – CORRECT ANSWER A client has a lithium level of 1.8 and receives her morning dose of lithium 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? – CORRECT ANSWER Bladder Distention A nurse is teaching a client who is to start cromolyn. Which of the following information should the nurse include in the teaching? CORRECT ANSWER Cromolyn is a long term management medication A nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. The nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? – CORRECT ANSWER 1.3 mL A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider? – CORRECT ANSWER Bruxism OR Confusion A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first? – CORRECT ANSWER Inject air into the NPH vial A nurse is teaching a client who has a new prescription for nitroglycerin patches. The nurse should identify which of the following statements as an indication that the client understands the teaching ? – CORRECT ANSWER I will rotate the application site avoid skin irritation A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. In which of the following locations should the nurse place the catheter? – CORRECT ANSWER A vein on the clients wrist A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid? – CORRECT ANSWER Cheddar cheese A nurse is providing discharge dietary teaching to a client who has a new prescription for theophylline. Which of the following instructions should the nurse include? – CORRECT ANSWER Avoid caffeinated beverages A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect? – CORRECT ANSWER Excessive salvation A nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. Which of the following lab values indicates an adverse effect of this medication? – CORRECT ANSWER WBC 3,000/mm A nurse is assessing a client who received dinoprostone gel to stimulate cervical ripening. Which of the following findings is the nurse’s priority. – CORRECT ANSWER Uterine tachysystole A nurse is reviewing the medical record of a client who is receiving vancomycin daily. The nurse should review which of the following lab results prior to administering the next dose? CORRECT ANSWER Creatinine level A nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. Which of the following statements by the parent indicates an understanding of the teaching? – CORRECT