Review Mode Assessment

End

No.

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 :

No correct highlights for this question!

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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

1130:

Succinylcholine

Isoflurane

1200:

Temperature 36.7° C (98.1° F)

Respiratory rate 12/min

Heart rate 65/min

Blood pressure 110/75 mm Hg

Oxygen saturation 100% on 2 L oxygen

1220:

Temperature 40.2° C (104.4°F)

Respiratory rate 24/min

Heart rate 125/min

Blood pressure 90/60 mm Hg

Oxygen saturation 86% on 2 L oxygen

1200:

Received client into the PACU following a laparoscopic appendectomy. The client is drowsy and opens their eyes to voice.

Glasgow Comp Scale (GCS) is 10.

1220:

The client begins to experience painful muscle rigidity along their jaw and down to their upper chest. The lower extremities have mottling and are cool to the touch. Lung sounds are clear but diminished in the bases bilaterally. Bowel sounds are hypoactive in all 4 quadrants. The client is also experiencing nausea and vomiting.

Complete the following sentence by using the lists of options. The nurse should first address the client’s, followed by the client’sand.

Hint : 🤦‍♂️Use ABC prioritization and then address the sign most consistent with a severe hypermetabolic reaction.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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

2 days ago:

The client presents to the clinic with reports of heavy menstrual cycles and fatigue. Mucous membranes pale. Skin dry and intact without edema. Lung sounds clear. S1,S2 auscultated. Abdomen soft, non-tender. The client was instructed to obtain lab work today.

Today:

Client called with laboratory results and new provider prescription. Education provided on iron deficiency anemia and ferrous sulfate prescription. Client to return to office in one month,

2 days ago:

Temperature 36.4°C (97.6°F)

Heart rate 110/min

Respiratory rate 18/min

Blood pressure 109/87 mm Hg

Oxygen saturation 98% on room air

Laboratory Results

Today:

Hgb 9.9 g/dL (12 to 16 g/dL)

Hct (37% to 47%)

Iron 45 mcg/dL (60 to 160 mcg/dL)

Today:

Ferrous sulfate 325 mg PO daily

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

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.”

Hint : 🍊Consider which foods and meds change iron absorption and which advice supports adherence with fewer GI effects.

Correct Answers

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

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

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

1200:

Temperature 37.1°C (98.8°F)

Blood pressure 145/95 mm Hg

Respiratory rate 24/min

Heart rate 95/min

1700:

Temperature 37.2°C (98.9°F)

Blood pressure 103/72 mm Hg

Respiratory rate 18/min

Heart rate 105/min

1315:

800 mL urine

1500:

700 mL urine

1630:

950 mL urine

1230:

Furosemide 80 mg IV bolus stat

Furosemide 10 mg/hr IV infusion

1200:

Client who has a history of heart failure presents with reports weight gain of 5.5 kg (12.1 lb) in the last 2 days and decreased appetite and nausea. The client has 3+ pitting edema noted to bilateral lower extremities.

1200:

Potassium 3.6 mEq/L (3.5 to 5 mEq/L)

Calcium 9.5 mg/dL (9.0 to 10.5 mg/dL)

Magnesium 1.5 mEq/L (1.3 to 2.1 mEq/L)

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

Drag words from the choices below to fill in each blank in the following sentence. The client is at risk of developingand.

Hint : 🚰Link strong diuresis to losses of fluid volume and electrolytes.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

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?

Monitor the client for weight gain.

Monitor for hypoglycemia for 3 hrs after pramlintide administration.

Inject the pramlintide in the client's upper arm.

Administer pramlintide 30 min prior to a meal.

Hint : 🍽️Prioritize the action that prevents the most serious insulin-related complication after adding a drug that changes meal absorption.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

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.)

Assess the client's gag reflex before offering oral intake

Listen to the client's breath sounds

Monitor the client's oxygen saturation

Monitor the client for manifestations of bleeding

Assess the client's puncture site

Observe the client for manifestations of a pneumothorax

Hint : 🧠Pick actions tied to airway protection, oxygenation monitoring, and serious procedure complications.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

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

White coating in the mouth

Nausea

Myalgia

Headache

Hint : 🦠Identify the sign of a local fungal infection linked to inhaled steroid therapy.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

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.)

Glucose

Prothrombin time

Serum creatinine

Cardiac enzymes

WBC count

Hint : 💧Choose the lab that reflects kidney function and the lab that trends infection response.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

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?

CBC results

Family history of colon cancer

Thyroid function

Pregnancy status

Hint : 🤰Prioritize screening for a condition where estrogen-modulating therapy could cause harm.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

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.)

Potassium level

WBC with differential

BUN level

Hemoglobin level

Glucose level

Hint : 👀Focus on labs tied to kidney function, potassium balance, and rare blood cell suppression.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

🚀 Upgrade and Unlock all Questions !

Total Questions: 10

Choose Different Exam !

ATI Proctored RN Pharmacology 2026 Assessment-1

No.

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.)