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RN Proctored Pharmacology 2023 Exam-8

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Exam Details

Title RN Proctored Pharmacology 2023 Exam-8

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 is preparing to administer a medication to a client.

Nurses' Notes
Vital Signs
Laboratory Results
Provider Prescriptions

1100

Client has history of type 2 diabetes mellitus and hypertension. Client admitted for pneumonia. Client reports occasional productive cough. headache. and rates their pain as 4 on a scale of 0 to 10. Respirations are even and non-labored. Scattered rhonchi in bilateral lung fields. Heart rate regular.

1200

Temperature 38.2°C (100.8°F)

Heart rate 104/min

Respiratory rate 20/min

Blood pressure 90/70 mm Hg

Oxygen saturation 97% on room air

1200

Capillary glucose 64 mg/dL (74 to 106 mg/dl)

1100

Metoprolol extended release SO mg PO twice daily, administer the first dose at noon.

Insulin aspart 10 units subcut before meals, administer the first dose at noon.

Complete the following sentence by using the lists of options. The nurse should address the client’sfollowed by blank2].

Hint : 🔍Address the finding that can most rapidly impair brain function before focusing on circulation concerns.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse in an emergency department (ED) is caring for a female client.

Vital Signs
Laboratory Results
Nurses' Notes
Diagnostic Results

1100

Temperature 36.4°C (97.5°F)

Heart rate 58/min

Respiratory rate 20/min

Blood pressure 98/64 mm Hg

Oxygen saturation 97% on room air

1115

Temperature 36.4°C (97.5°F)

Heart rate 64/min

Respiratory rate 22/min

Blood pressure 104/70mm Hg

Oxygen saturation 96% on room air

1130

Sodium 140 mEq/L (136 to 145 mEq/L)

Potassium 6 mEq/L (3.5 to 5 mEq/L)

BUN 18 mg/dL (10 to 20 mg/dL)

Creatinine 0.8 mg/dL (0.5 to 1 mg/dL)

Hgb 14 g/dL (12 to 16 g/dL)

Hct (37% to 47%)

1100

Client reports muscle weakness and tingling in their hands and face. Client is alert to person, place, time, and situation. Speech clear. Heart rate irregular. Radial pulse +3 bilateral. Respirations even and nonlabored. Scattered rhonchi posterior bases. Abdomen rounded and nondistended. Bowel sounds hyperactive in all 4 quadrants. Skin warm dry and intact. Capillary refill less than 2 seconds. Turgor elastic. No edema present.

1115

Labs, vital signs, and ECG were obtained. Urinalysis collection is pending. Client is being transferred to the medical-surgical unit.

1130

ECG: Peaked T waves with absent P waves. Rate is 58/min.

For each potential provider prescription. click to specify if the prescription is appropriate or inappropriate for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Provider Prescription	Appropriate	Inappropriate
Administer hydralazine IV.
Administer sodium polystyrene rectally.
Administer calcium gluconate IV.
Administer insulin IV.
Administer potassium chloride IV.

Hint : 🔍Focus on treatments that either protect the heart or lower potassium levels.

Correct Answers

Administer hydralazine IV. [ Inappropriate ]
Administer sodium polystyrene rectally. [ Appropriate ]
Administer calcium gluconate IV. [ Appropriate ]
Administer insulin IV. [ Appropriate ]
Administer potassium chloride IV. [ Inappropriate ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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

Vital Signs
Nurses' Notes
Laboratory Results

Day 1

Temperature 36.9°C (98.4°F)

Heart rate 106/min

Blood pressure 120/76 mm Hg

Respiratory rate 22/min

Day 10

Temperature 36.3°C (97.3°F)

Heart rate 82/min

Blood pressure 110/66 mm Hg

Respiratory rate 20/min

Day 1

Client is seeing provider for routine medical checkup. Client reports shortness of breath and edema in legs. Provider prescribes digoxin 0.125 mg PO daily for heart failure. Client has no known allergies.

Day 10

Follow-up visit with provider. Client indicates they have noticed an increase in daily urinary output since last visit. Client states, "l am not having as much difficulty breathing, and my legs are not as swollen."

Day 1

Potassium level 4.2 mEq/L (3.5 to 5 mEq/L)

Day 10

Potassium level 3.2 mEq/L (3.5 to S mEq/L)

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

For each potential client finding. click to specify if the finding is expected or unexpected for the client following their prescribed therapy. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Potential Finding	expected	Unexpected
Current heart rate
Reported urinary concern
Reported current leg findings
Current potassium level
Digoxin level

Hint : 🍌Pay close attention to the electrolyte that strongly influences digoxin safety.

Correct Answers

Current heart rate [ expected ]
Reported urinary concern [ expected ]
Reported current leg findings [ expected ]
Current potassium level [ Unexpected ]
Digoxin level [ expected ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 :
A nurse is caring for a client in an emergency department (ED).

Nurses' Notes
Vital Signs
Laboratory Results

0620

Client admitted to the ED with reports of crushing chest pain, shortness of breath, and nausea and vomiting. Client reports symptoms began approximately 45 minutes ago while eating breakfast. 12-lead ECG performed and shows ST-segment elevation in 4 leads.

0630

Two 18-gauge IV catheters inserted into right and left forearm.

0623

Blood pressure 138/78 mm Hg

Heart rate 98/min

Respiratory rate 18/min

Temperature 37.2°C (99°F)

Oxygen saturation 95% on room air

0640

Blood pressure 136/80 mm Hg

Heart rate 96/min

Respiratory rate 20/min

Temperature 37.2°C (99°F)

Oxygen saturation 96% on room air

0625

Troponin 0.67 ng/mL (less than 0.03 ng/mL)

Which of the following medications would the nurse expect the physician to prescribe for this client? Select All That Apply.

Answer Options

Dopamine

Aspirin

Digoxin

Heparin

Morphine

Hint : 🚨Think about the standard emergency medications used to treat an acute coronary artery blockage.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

5 :
A nurse is caring for a client.

Nurses' Notes
Provider Prescriptions

1400

Client is admitted for the management of deep vein thrombosis of their lower extremity. Client has received IV anticoagulant therapy.

1600

Client is scheduled for discharge. Will provide education to the client about the self-administration of medication.

1400

Discharge to home. Enoxaparin 40 mg subcut twice daily for 2 weeks. Use prefilled syringes. Client to self-administer. Nursing to provide education to client about self-administration of medication before discharge.

Select the 3 statements the nurse should make.

Answer Options

"Pinch up a skin area before injection."

"Rub the injection area after administration."

"Inject the medication at a 90-degree angle."

"Expel the air bubble in the syringe before administration."

"Inject the medication in your upper arm muscle."

"Rotate injection sites."

Hint : 📍Think about the correct technique for a subcutaneous anticoagulant injection.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 :
A nurse is caring for a client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about a contraindication for which of the following medications in the client's medication administration record?

Potassium chloride

Acetaminophen

Levothyroxine

Metformin

Hint : 🥔Think about which medication can raise potassium levels.

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 reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

The client had chemotherapy 12 hr before the medication was administered.

The client had a decreased neutrophil count before the medication was administered.

The vial was out of the refrigerator for 2 hr before the medication was administered.

The client reported feeling nauseous after the medication was administered.

Hint : ⏰Focus on the timing between chemotherapy and the medication.

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 administering desmopressin to a client who has diabetes insipidus. The nurse should monitor the client for which of the following adverse effects?

Bradycardia

Hypernatremia

Fluid retention

Blurred vision

Hint : 🚿Think about the main action of ADH in the kidneys.

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 teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

"The TPN will help keep your bowels clear in case you need surgery."

"The TPN will provide nutrients while your bowels have time to rest."

"The TPN contains medication that will help your digestive tract absorb nutrients."

"The TPN will stimulate your appetite so that you'll be able to eat more food."

Hint : 🩹Consider why nutrients might bypass the digestive system.

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 reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following labs should the nurse monitor to evaluate if the medication has been effective?

potassium

magnesium

calcium

sodium

Hint : ⚡Think about the electrolyte this medication is designed to remove.

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 is preparing to administer a medication to a client.

2 : A nurse in an emergency department (ED) is caring for a female client.

Correct Answers

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

Correct Answers

4 : A nurse is caring for a client in an emergency department (ED).

Answer Options

5 : A nurse is caring for a client.

Answer Options

6 : A nurse is caring for a client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about a contraindication for which of the following medications in the client's medication administration record?

7 : A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

8 : A nurse is administering desmopressin to a client who has diabetes insipidus. The nurse should monitor the client for which of the following adverse effects?

9 : A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

10 : A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following labs should the nurse monitor to evaluate if the medication has been effective?

1 :
A nurse is preparing to administer a medication to a client.

2 :
A nurse in an emergency department (ED) is caring for a female client.

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

4 :
A nurse is caring for a client in an emergency department (ED).

5 :
A nurse is caring for a client.

6 :
A nurse is caring for a client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about a contraindication for which of the following medications in the client's medication administration record?

7 :
A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

8 :
A nurse is administering desmopressin to a client who has diabetes insipidus. The nurse should monitor the client for which of the following adverse effects?

9 :
A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

10 :
A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following labs should the nurse monitor to evaluate if the medication has been effective?