ATI Pharmacology Proctored 2019 Retake 1 exam ACTUAL 2025/2026

Inside The Document

ATI Pharmacology Proctored 2019 Retake 1 Exam Latest Update A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosal 1. 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? a. Notify your provider if you develop a fever while taking this medication b. Diarrhea is a common adverse effect of this medication c. Ringing in the ears is an expected adverse effect of this medication d. You might experience weight loss while taking this medication 2. A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of the medication? a. Bradycardia b. Red man syndrome c. Hypoglycemia d. Hypotension 3. A client who has active TB and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take? a. Document this as an expected finding b. Prepare the client for dialysis c. Check the client’s liver functions d. Instruct the client to increase his fluid intake 4. 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 since the last visit 2 days ago. Which of the following actions should the nurse take first? a. Notify the provider of the client’s weight gain b. Determine medication adherence by the client c. Encourage the client to dangle the legs while sitting in a chair d. Teach the client about food low in sodium 6. A nurse is caring for a client who is taking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication? a. Constipation b. Hot flashes c. Urinary frequency d. Tinnitus 7. A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Headache b. Decreased urine output c. Positive Trousseau’s sign d. Constipation 8. A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who caused the error c. The charge nurse d. The nurse who identifies the error 9. A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse should identify that this medication is used for which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Deep-vein thrombosis d. Urinary tract infection 10. A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Ciprofloxacin b. Gentamicin c. Rifampin d. Penicillin G 11. A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Bilateral muscle weakness b. Decreased bowel sounds c. Thread pulse d. Distended neck veins 12. A nurse is caring for a client who has heart failure ad a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Hypotension b. Tinnitus c. Bradycardia d. Hypokalemia 13. A nurse is reviewing the lab results of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Creatinine 2.5 mg/dl b. Sodium 137 mEq/L c. Hct 43% d. Hgb 15 g/dL 14. A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take? a. Store the remaining half of the pill in the automated medication dispensing system b. Return the remaining medication to the facility’s pharmacy c. Dispose of the remaining medication while another nurse observes d. Place the remaining half of the pill in the unit-dose package 15. A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPPT of 90 seconds. The nurse should monitor for which of the following changes in their vital signs? a. Decreased respiratory rate b. Increased pulse rate c. Decreased temperature d. Increased blood pressure 16. A nurse is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? a. Tilt the client’s head back when administering the medications b. Administer more than one pill to the client at a time c. Mix the medications with a semisolid food for the client d. Place the medications on the back of the client’s tongue 17. A nurse is caring for a client who is to receive potassium replacement. The provider’s prescription reads, “Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.” For which of the following reasons should the nurse clarify this prescription with the provider? a. Potassium chloride should be diluted in dextrose 5% in water b. Another formulation of potassium should be given IV c. The client should be treated by giving potassium by IV bolus d. The potassium infusion rate is too rapid 18. A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. BUN 15 mg/dL d. The client reports dizziness 19. A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply) a. Rinse your child’s mouth following administration b. Soak the inhaler in water after use c. Have your child take one inhalation as needed for SOB d. A spacer will make it easier to use the device e. Shake the device prior to administration 20. A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypomagnesemia b. Hypokalemia c. Hypocalcemia