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RN Proctored Pharmacology 2023 Exam-5

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Exam Details

Title RN Proctored Pharmacology 2023 Exam-5

Type Nursing

Category RN Nursing Exams

Subcategory ATI Exams (RN)

Domain PHARMACOLOGY (RN ati)

Fragment N/A

Module RN-NURSING

Status active

Rating 95.00%

Attempts 15

Year 2026

Duration 180 min

Questions 10

Pass Score 90%

Difficulty Intermediate

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1 :
A nurse in a provider's office is caring for a client.

Vital Signs
History and Physical
Provider Prescriptions

Initial visit

Temperature 37.1° C (98.8° F)

Heart rate 82/min

Blood pressure 118/76 mm Hg

Respiratory rate 16/min

SpO₂ 99% on room air

Current visit

Temperature 37.5° C (99.5° F)

Heart rate 84/min

Blood pressure 122/72 mm Hg

Respiratory rate 18/min

SpO₂ 99% on room air

Initial visit

Client is a 20-year-old female who presents with report of worsening of acne over the past few months. Severe Inflammatory acne noted over face, neck, and upper back. Client has no significant medical or surgical history. Discussed skin hygiene and use of over-the-counter acne treatments. Current visit:

Current visit

Client reports no improvement in acne since prior visit 2 months ago. Client states they have been gently washing their skin twice a day and using acne treatments as recommended. Client states they are self-conscious and avoid certain social activities. No change in acne noted on assessment. Will prescribe tetracycline and have client return to clinic in 4 weeks.

Tetracycline 500 mg PO twice daily

Use the words from the choices below to fill in each blank in the following sentence. The nurse should identify the client is at risk for developingand

Hint : 🍄Think about what happens when normal body bacteria are destroyed.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse in an outpatient clinic is caring for a client.

Nurses' Notes
Provider Prescriptions
Laboratory Results

3 weeks ago

Client in office today for initiation of antilipemic medication after recent lipid profile results. Client has no concerns today.

Today

Client in office for medication follow-up. Client has been taking medication as prescribed for 3 weeks. Reports Indigestion and bloating daily since beginning the medication. Last bowel movement was 3 days ago. Client reports new onset of worsening leg pain and weakness. Abdomen soft, mild discomfort over left lower quadrant. Bowel sounds active. Tenderness palpated over bilateral lower extremities.

3 weeks ago

Simvastatin 40 mg PO daily in the evening

Today

Creatinine kinase 2050 U/L (20 to 200 U/L)

Complete the following sentence by using the lists of options. The client has the highest risk for developingdue to.

Hint : 🏋️Think about a dangerous complication involving muscle destruction.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 :
A nurse in a provider's office is caring for a male client.

Nurses' Notes
Medication Administration
Vital Signs
Laboratory Results

Day 1

Client seen for a routine physical. Client reports recent weight gain and swelling of feet and ankles. 2+ edema in ankles, bilaterally.

2 months later

Client returns for follow-up physical examination and to review laboratory results. Client reports swelling of the feet and ankles. 1+ edema in ankles, bilaterally.

Record Day 1

Atorvastatin 20 mg PO daily Furosemide 40 mg PO daily

Carvedilol 6.25 mg PO twice daily, hold for apical pulse less thar 50/min and notify provider.

Day 1

Temperature 37.5° C (99.5° F)

Blood pressure 180/86 mm Hg

Heart rate 98/min

Respiratory rate 20/min

Oxygen saturation 95% on room air

Weight 90 kg (198 lb)

2 months later

Temperature 37.5° C (99.5° F)

Blood pressure 140/76 mm Hg

Heart rate 48/min

Respiratory rate 20/min

Oxygen saturation 97% on room air

Weight 91 kg (200.2 lb)

Day 1

HDL 30 mg/dL (greater than 45 mg/dL)

Potassium 4.5 mEq/L (3.5 to 5 mEq/L)

2 months later

HDL 50 mg/dL (greater than 45 mg/dL)

Potassium 3.4 mEq/L (3.5 to 5 mEq/L)

Use the words from the choices below to fill in each blank in the following sentence. The nurse is evaluating the client's response to medication. The client'sis improving andindicate the client's condition.

Hint : ❤️Look for one value that improved and one that became dangerously low.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 :
A nurse is caring for a client who is postoperative following an appendectomy.

Nurses' Notes
Vital Signs
Medication Administration Record

Day 1

Bilateral breath sounds are clear and present throughout. Client reports pain as 2 on a scale of 0 to 10. Abdomen soft, nondistended, bowel sounds hypoactive. Client has a history of asthma.

Day 2

Respirations rapid and shallow. Bilateral breath sounds with scattered wheezing. Client reports pain as 8 on a scale of 0 to 10. Client denies nausea and constipation. Abdomen soft, nondistended, bowel sounds audible.

Day 1

Temperature 37.2° C (99° F)

Heart rate 66/min

Respiratory rate 16/min

Blood pressure 124/56 mm Hg

Oxygen saturation 95% on room air

Day 2

Temperature 37.2° C (99° F)

Heart rate 112/min

Respiratory rate 28/min

Blood pressure 148/86 mm Hg

Oxygen saturation 90% on room air

Albuterol 2 inhalations every 4 to 6 hr PRN wheezing

Bisacodyl 10 mg suppository daily PRN constipation

Prochlorperazine 10 mg PO 3 to 4 times per day PRN nausea

Morphine 4 mg IV bolus every 4 hr PRN severe pain

Acetaminophen 325 to 650 mg every 4 to 6 hr PRN pain or temperature greater than 38.4° C (101.1° F)

Use the words from the choices below to fill in each blank in the following sentence. The nurse should plan to administerandto the client.

Hint : 🫁Treat both the breathing issue and the severe pain.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

5 :
A nurse in a provider's office is caring for a client.

Nurses' Notes
Laboratory Results

Visit 1

Temperature 36.7° C (98.1° F)

Heart rate 86/min

Respiratory rate 16/min

Blood pressure 132/88 mm Hg

SpO₂ 99% on room air

Visit 2

Temperature 36.7° C (98.1° F)

Heart rate 82/min

Respiratory rate 18/min

Blood pressure 140/94 mm Hg

SpO₂ 98% on room air

Visit 2

HgA1c 6.9% (4% to 5.9%) Fasting blood glucose 148 mg/dL (74 to 106 mg/dL)

For each category below, click to specify the medication the nurse should anticipate the provider to prescribe.

Potential Medication Prescription	Blood pressure	Laboratory results
Moexipril
Losartan
Metformin
Liraglutide

Hint : 🧪Separate the medications by whether they treat pressure or sugar.

Correct Answers

Moexipril [ Blood pressure ]
Losartan [ Blood pressure ]
Metformin [ Laboratory results ]
Liraglutide [ Laboratory results ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 :
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

Melena

Abdominal cramping

Fever

Hair loss

Hint : 🖤Think about signs of hidden internal bleeding.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

7 :
A nurse is caring for a client who is receiving an IV infusion and notices the IV site is warm to touch, erythemic, and painful. Which of the following complications should the nurse identify the client is experiencing?

Extravasation

Air embolism

Phlebitis

Infiltration

Hint : 🌡️Focus on inflammation of the vein itself.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

8 :
A nurse is assuming care for a client who is receiving 0.9% sodium chloride 600 mL by continuous IV infusion over 6 hr. A nurse from the previous shift started the infusion at 1300, and the nurse notes at 1400 that 400 mL remains in the IV bag. The nurse should reset the IV infusion to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : ⌛Use the remaining volume and remaining time only.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

9 :
A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?

Increased blood pressure

Ankle edema

Decreased blood sugar

Hearing loss

Hint : 🔊Think about which body system can be damaged by powerful diuretics.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

10 :
A nurse is caring for a client who is receiving phenytoin. Which of the following conditions should the nurse identify as an indication for this medication?

Liver failure

Kidney transplant

Endocarditis

Seizures

Hint : ⚡Think about abnormal electrical activity in the brain.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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Ans

1 : A nurse in a provider's office is caring for a client.

2 : A nurse in an outpatient clinic is caring for a client.

3 : A nurse in a provider's office is caring for a male client.

4 : A nurse is caring for a client who is postoperative following an appendectomy.

5 : A nurse in a provider's office is caring for a client.

Correct Answers

6 : A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

7 : A nurse is caring for a client who is receiving an IV infusion and notices the IV site is warm to touch, erythemic, and painful. Which of the following complications should the nurse identify the client is experiencing?

9 : A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?

10 : A nurse is caring for a client who is receiving phenytoin. Which of the following conditions should the nurse identify as an indication for this medication?

1 :
A nurse in a provider's office is caring for a client.

2 :
A nurse in an outpatient clinic is caring for a client.

3 :
A nurse in a provider's office is caring for a male client.

4 :
A nurse is caring for a client who is postoperative following an appendectomy.

5 :
A nurse in a provider's office is caring for a client.

6 :
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

7 :
A nurse is caring for a client who is receiving an IV infusion and notices the IV site is warm to touch, erythemic, and painful. Which of the following complications should the nurse identify the client is experiencing?

9 :
A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?

10 :
A nurse is caring for a client who is receiving phenytoin. Which of the following conditions should the nurse identify as an indication for this medication?