Review Mode Assessment

End

No.

1 :
A nurse is caring for a client in an acute care setting. .

Day 1:

The client is being admitted to the acute care unit following complications with their total parenteral nutrition (TPN) at home. They have been receiving TPN for the last 4 weeks due to a malabsorption disorder; however, for the last 2 days, the TPN has not been infusing properly. Upon assessment, the client's lung sounds are clear throughout, bowel sounds are hypoactive in all 4 quadrants, and no edema is noted. The client is alert and oriented and answers questions appropriately.

Day 2:

Following the insertion of a new central venous catheter, the client has been receiving their TPN as ordered, with additional maintenance fluids to facilitate rehydration. Upon assessment, the client reports feeling dyspneic, has new onset 2+ pitting edema to the bilateral lower extremities. Bowel sounds are hypoactive. Upon auscultation, lung sounds are diminished with the presence of crackles. Jugular vein distention noted.

Day 1:

Temperature 37.5°C (99.5°F)

BP 125/88 mm Hg

Respiratory rate 18/min

Heart rate 88/min

SpO₂ 99% on room air

Weight 67.1 kg (148 lbs)

Day 2:

Temperature 37.4°C (99.3°F)

BP 160/98 mm Hg

Respiratory rate 24/min

Heart rate 124/min

SpO₂ 92% on room air

Weight 68.9 kg (152 lbs)

Day 1:

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

Calcium: 9.9 mg/dL (9 to 10.5mg / d * L )

Magnesium: 1.1 mEq/L (1.3 to 2.1mEq / L )

Sodium: 135 mEq/L (136 to 145mEq / L )

Blood glucose: 90 mg/dL (less than 200mg / d * L )

Day 2:

Potassium: 2.8 mEq/L (3.5 to 5mEq / L )

Calcium: 10.3 mg/dL (9 to 10.5mg / d * L )

Magnesium: 1.4 mEq/L (1.3 to 2.1mEq / L )

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

Blood glucose: 135 mg/dL (less than 200mg / d * L )

For each provider prescription, click to specify if the intervention is anticipated or contraindicated for this client.

Provider Prescription	Anticipated	Contraindicated
Labetalol 10 mg IV bolus x 1 dose
Bumetanide 0.5 mg/hr IV infusion
Oxygen at 2 L/min via simple face mask
Potassium 20 mEq intermittent IV bolus x 1 dose
Midodrine 10 mg PO every 8 hrs
Calcium gluconate 1 gram IV bolus x 1 dose
Metformin 500 mg PO twice daily

Hint : 🧭Match each prescription to the client's fluid status, blood pressure, oxygenation, and abnormal electrolyte findings.

Correct Answers

Labetalol 10 mg IV bolus x 1 dose [ Anticipated ]
Bumetanide 0.5 mg/hr IV infusion [ Anticipated ]
Oxygen at 2 L/min via simple face mask [ Contraindicated ]
Potassium 20 mEq intermittent IV bolus x 1 dose [ Anticipated ]
Midodrine 10 mg PO every 8 hrs [ Contraindicated ]
Calcium gluconate 1 gram IV bolus x 1 dose [ Contraindicated ]
Metformin 500 mg PO twice daily [ Contraindicated ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse is caring for a patient on a medical-surgical unit.

Hint : 🧭Prioritize findings that reveal deterioration of the client's airway, breathing, or circulation.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 :
The nurse is caring for a client in an outpatient clinic.

Uses alcohol socially

Smokes 1 pack per day for the last 20 years

Denies illicit drug use

History of bipolar disorder and anorexia nervosa

Day 1:

The client is being seen for a yearly wellness check. The client is alert and oriented. The abdomen is soft and nontender, bowel sounds active in all 4 quadrants. The client reports intermittent shortness of breath with daily activities and walking upstairs. Upon auscultation, lung sounds are diminished, with wheezes noted in bilateral lungs. After a discussion with the provider, the client has decided to attempt smoking cessation. The client declines pharmaceutical assistance. Education and support group information were provided.

Day 15:

The client is being seen for a follow-up visit. The client reports that they attempted smoking cessation 'cold-turkey' but were unsuccessful after 4 days due to intense withdrawal symptoms. Over the course of the past 10 days, the client has increased smoking frequency and is now back to smoking 1 pack per day. Upon assessment, lung sounds are diminished, with wheezes noted upon inspiration. The client also has a dry, persistent cough.

Day 1:

Temperature 37.3°C (99.1°F)

BP 124/86 mm Hg

Respiratory rate 22/min

Heart rate 92/min

SpO₂ 91% on room air

Day 15:

Temperature 36.3°C (97.3°F)

BP 132/88 mm Hg

Respiratory rate 22/min

Heart rate 105/min

SpO₂ 92% on room air

Day 15:

Bupropion 150 mg PO once daily in the AM for 3 days; then 150 mg PO twice daily

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

Hint : 👁‍🗨Look for one neuropsychiatric effect and one effect that would be especially concerning for someone with an eating disorder.

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 planning care for a client who has a prescription for acetazolamide. Which of the following findings should the nurse plan to monitor for as an adverse effect of this medication?

Bronchospasm

Constipation

Diplopia

Electrolyte imbalance

Hint : 🧂Focus on how increased renal excretion can alter substances normally maintained within narrow serum ranges.

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 !

5 :
A nurse is monitoring a client who is receiving warfarin and has an INR of 4 (0.8 to 1.1). Which of the following medications should the nurse plan to administer?

Vitamin K

Protamine

Calcium gluconate

Epinephrine

Hint : 🔄Identify which substance reverses interference with vitamin-K-dependent clotting factors.

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 preparing to administer diclofenac to a client who has chronic bursitis. Which of the following actions should the nurse take?

Administer the medication at bedtime.

Avoid administering the medication with antacids.

Administer the medication with food.

Crush the medication prior to administration.

Hint : 🤦‍♂️Consider which intervention helps protect against the common gastrointestinal effects of NSAID 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 !

7 :
A nurse is caring for a client who has a prescription for acyclovir IV three times daily. Which of the following actions should the nurse take?

Assess for an increase in creatinine.

Administer oxygen prophylactically.

Assess for a decrease in Hgb and Hct.

Administer the medication over 30 min.

Hint : 🔬Consider which organ system is responsible for clearing most of this antiviral medication.

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 who has a new prescription for alendronate. Which of the following actions should the nurse take?

Assess the client's ability to swallow.

Administer the medication before bed.

Administer the medication with orange juice.

Inform the client to remain supine after taking the medication

Hint : 🧭Focus on the body structure most vulnerable to local irritation as the medication passes into the stomach.

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 a prescription for penicillin V. Which of the following adverse effects is the priority for the nurse to monitor after the administration of the medication?

Laryngeal edema

Urticaria

Epigastric distress

Maculopapular rash

Hint : 🛡️Choose the reaction that poses the greatest immediate threat to the client's airway.

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 assessing a client who has a positive Trousseau's sign. Which of the following medications should the nurse plan to administer?

Sodium bicarbonate

Magnesium sulphate

Calcium gluconate

Potassium chloride

Hint : 🦴Identify the electrolyte disturbance classically associated with carpal spasm after inflation of a blood-pressure cuff.

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 Pharmacology 2026 Exam-4

No.

1 :
A nurse is caring for a client in an acute care setting. .

Correct Answers

2 :
A nurse is caring for a patient on a medical-surgical unit.

Answer Options

3 :
The nurse is caring for a client in an outpatient clinic.

4 :
A nurse is planning care for a client who has a prescription for acetazolamide. Which of the following findings should the nurse plan to monitor for as an adverse effect of this medication?

5 :
A nurse is monitoring a client who is receiving warfarin and has an INR of 4 (0.8 to 1.1). Which of the following medications should the nurse plan to administer?

6 :
A nurse is preparing to administer diclofenac to a client who has chronic bursitis. Which of the following actions should the nurse take?

7 :
A nurse is caring for a client who has a prescription for acyclovir IV three times daily. Which of the following actions should the nurse take?

8 :
A nurse is caring for a client who has a new prescription for alendronate. Which of the following actions should the nurse take?

9 :
A nurse is caring for a client who has a prescription for penicillin V. Which of the following adverse effects is the priority for the nurse to monitor after the administration of the medication?

10 :
A nurse is assessing a client who has a positive Trousseau's sign. Which of the following medications should the nurse plan to administer?

ATI Proctored Pharmacology 2026 Exam-4

No.

1 : A nurse is caring for a client in an acute care setting. .

Correct Answers

2 : A nurse is caring for a patient on a medical-surgical unit.

Answer Options

3 : The nurse is caring for a client in an outpatient clinic.

4 : A nurse is planning care for a client who has a prescription for acetazolamide. Which of the following findings should the nurse plan to monitor for as an adverse effect of this medication?

5 : A nurse is monitoring a client who is receiving warfarin and has an INR of 4 (0.8 to 1.1). Which of the following medications should the nurse plan to administer?

6 : A nurse is preparing to administer diclofenac to a client who has chronic bursitis. Which of the following actions should the nurse take?

7 : A nurse is caring for a client who has a prescription for acyclovir IV three times daily. Which of the following actions should the nurse take?

8 : A nurse is caring for a client who has a new prescription for alendronate. Which of the following actions should the nurse take?

9 : A nurse is caring for a client who has a prescription for penicillin V. Which of the following adverse effects is the priority for the nurse to monitor after the administration of the medication?

10 : A nurse is assessing a client who has a positive Trousseau's sign. Which of the following medications should the nurse plan to administer?

1 :
A nurse is caring for a client in an acute care setting. .

2 :
A nurse is caring for a patient on a medical-surgical unit.

3 :
The nurse is caring for a client in an outpatient clinic.

4 :
A nurse is planning care for a client who has a prescription for acetazolamide. Which of the following findings should the nurse plan to monitor for as an adverse effect of this medication?

5 :
A nurse is monitoring a client who is receiving warfarin and has an INR of 4 (0.8 to 1.1). Which of the following medications should the nurse plan to administer?

6 :
A nurse is preparing to administer diclofenac to a client who has chronic bursitis. Which of the following actions should the nurse take?

7 :
A nurse is caring for a client who has a prescription for acyclovir IV three times daily. Which of the following actions should the nurse take?

8 :
A nurse is caring for a client who has a new prescription for alendronate. Which of the following actions should the nurse take?

9 :
A nurse is caring for a client who has a prescription for penicillin V. Which of the following adverse effects is the priority for the nurse to monitor after the administration of the medication?

10 :
A nurse is assessing a client who has a positive Trousseau's sign. Which of the following medications should the nurse plan to administer?