Practice Mode Assessment

Rhenis Nursing

ATI Proctored RN Pharmacology 2026 Assessment-1

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1 :
A nurse is caring for a client in a cardiac clinic.

2 weeks ago:

Client was discharged from an acute hospital stay two days ago for worsening heart failure despite management at home with furosemide, captopril, and metoprolol. During the hospitalization, the client was prescribed digoxin and a potassium supplement. Upon auscultation, S3 heart sound noted and the client has occasional expiratory wheezing. Client has 2+ edema on bilateral lower extremities. The client will return to the office in two weeks to review lab work and medication management.

Today:

The client reports some improvement in shortness of breath with exertion. Also reports feelings of fatigue. Upon auscultation, S3 heart sound noted and lung sounds clear. Client has 1+ edema on ankles. Client reports nausea, constipation, and blurred vision.

Today:

Digoxin 2.2 ng/mL (0.8 to 2 ng/mL)

Potassium 4.8 mEq/L (3.5 to 5 mEq/L)

2 weeks ago:

Temperature 36.7° C (98° F)

Heart rate 70/min

Respiratory rate 18/min

Blood pressure 112/82 mm Hg

Oxygen saturation 97% on room air

Today:

Temperature 36.8° C (98.2° F)

Heart rate 55/min

Respiratory rate 16/min

Blood pressure 110/80 mm Hg

Oxygen saturation 96% on room air

Click to highlight the findings that indicate the client may be experiencing digoxin toxicity. To deselect a finding, click on the finding again .

Nurse’s Notes Today: The client reports some improvement in shortness of breath with exertion. Also reports feelings of fatigue. Upon auscultation, S3 heart sound noted and lung sounds clear. Client has 1+ edema on ankles. Client reports nausea, constipation, and blurred vision. Laboratory Results Today: Digoxin 2.2 ng/mL (0.8 to 2 ng/mL) Potassium 4.8 mEq/L (3.5 to 5 mEq/L) Vital signs Today: Temperature 36.8° C (98.2° F) Heart rate 55/min Respiratory rate 16/min Blood pressure 110/80 mm Hg Oxygen saturation 96% on room air

Hint : 🔍Look for the combination of a high drug level plus GI and visual changes with a slow heart rate.

Correct Highlights :

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Rationale :

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Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Teaching statement	Indicated	Contraindicated
“It is expected for your stools to be black while taking this medication.”
“Take this medication with an antacid if you experience heartburn from the medication.”
“Drinking orange juice with this medication decreases the absorption of the medication.”
“You can take this medication with meals if you experience discomfort when taking on an empty stomach.”

1 :
A nurse is caring for a client in a cardiac clinic.

Correct Highlights :

2 :
A nurse is caring for a client in the postanesthesia care unit (PACU).

3 :
A nurse is caring for a female client in a clinic.

Correct Answers

4 :
A nurse is caring for a client in the emergency department.

5 :
A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take?

6 :
A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)

7 :
A nurse is assessing a client who is taking beclomethasone. Which of the following findings is the priority to report to the provider?

8 :
A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)

9 :
A nurse is caring for a client who has osteoporosis and a new prescription for raloxifene. Which of the following should the nurse assess prior to initiating therapy?

10 :
A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review? (Select all that apply.)

1 : A nurse is caring for a client in a cardiac clinic.

Correct Highlights :

2 : A nurse is caring for a client in the postanesthesia care unit (PACU).

3 : A nurse is caring for a female client in a clinic.

Correct Answers

4 : A nurse is caring for a client in the emergency department.

5 : A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take?

6 : A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)

7 : A nurse is assessing a client who is taking beclomethasone. Which of the following findings is the priority to report to the provider?

8 : A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)

9 : A nurse is caring for a client who has osteoporosis and a new prescription for raloxifene. Which of the following should the nurse assess prior to initiating therapy?

10 : A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review? (Select all that apply.)

1 :
A nurse is caring for a client in a cardiac clinic.

2 :
A nurse is caring for a client in the postanesthesia care unit (PACU).

3 :
A nurse is caring for a female client in a clinic.

4 :
A nurse is caring for a client in the emergency department.

5 :
A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take?

6 :
A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)

7 :
A nurse is assessing a client who is taking beclomethasone. Which of the following findings is the priority to report to the provider?

8 :
A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)

9 :
A nurse is caring for a client who has osteoporosis and a new prescription for raloxifene. Which of the following should the nurse assess prior to initiating therapy?

10 :
A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review? (Select all that apply.)