ATI Pharmacology Practice Exam With Answers (67 Solved Questions)

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ATI exam–69 Questions and Answers (100%) CorrectA nurse is assessing a client who has required bed rest for the past month. Which ofthe following findings should the nurse identify as an indication that the client hasdeveloped thrombophlebitis?a) bladder distentionb) decreased blood pressurec) calf swellingd) diminished bowel soundsCorrect ans-c) calf swellingA nurse is administering an otic medication to an older adult client. Which of thefollowing actions should the nursetake to ensure that the medication reaches the innerear?a) press gently on the tragus of the clients earb) pack a small piece of cotton deep into the clients ear canalc) move the clients auricle down and back toward her headd) tilt the clients headbackward for 5 minCorrect ans-a) press gently on thetragus of the clients earA nurse on a medical-surgical unit is caring for a client who has a new prescription forwrist restraints. Which of the following should the nurse take?a) pad the clients wrist before applying the restraintsb) evaluate the clients circulation every 8hr after applicationc) remove the restraints every 4hr to evaluate the clients statusd) secure the restraint ties to the beds side railsCorrect ans-a) pad the clientswrist before applying the restraintsA nurse is admitting a new client. Which of the following actions should the nurse takewhile performing medication reconciliation?a) verify the clients name on their identification bracelet with the medicationadministration recordb) call the pharmacy to determine whether the clients medications are availablec) compare the clients home medications with the providers prescriptionsd) place the clients home medication bottles in a secure locationCorrect ans-c) compare the clients home medications with the providers prescriptionsA nurse is planning care for a client who has had a stroke, resulting in aphasia anddysphagia. Which of the following tasks should the nurse assign to the UAP? Select allthat apply

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a) assist the client with a partial bed bathb) measure the clients BPafter the nurse administers an antihypertensive medicationc) test the clients swallowing ability by providing thickened liquidsd) use a communication board to ask what the client wants for lunche) irrigate the clients indwelling urinary catheterCorrect ans-a) assist theclient with a partial bed bathb) measure the clients BP after the nurse administers an antihypertensive medicationd) use a communication board to ask what the client wants for lunchA nurse is using an open irrigation technique to irrigate a clients indwelling catheter.Which of the following actions should the nurse take?a) place the client in a side-lying positionb) instill 15 mL of irrigation fluid into the catheter with each flushc) subtract the amount of irritantused from the clients urine outputd) perform the irrigation using a 20 mL syringeCorrect ans-c) subtract theamount of irritant used from the clients urine outputA home health nurse is performing a follow-up visit for a client who has a gastrostomytube through which they receive intermittent feedings and medications. The client hasrecently developed diarrhea. Which of the following findings should the nurse identifyas a possible cause of the diarrhea?a) the client is receiving formulaat room temperatureb) the feedings infuse at a slow, continuous drip over 8 hr each nightc) the clients caregiver washes out the feeding bag with warm water once every 24 hrd) the clients caregiver flushes the tube with water before and after administeringmedicationsCorrect ans-c) the clients caregiver washes out the feeding bagwith warm water once every 24 hrFeeding bags should be washed out after each feeding and replaced with a new feedingbag every 24 hr to prevent bacterial contaminationA nurse is initiating a protective environment for a client who has had an allogenic stemcell transplant. Which of the following precautions should the nurse plan for this client?a) makesure the clients room has at least six air exchanges per hourb) make sure the client wears a mask when outside her room if there is construction inthe areac) place the client in a private room with negative-pressure airflowd) wear an N95 respirator when giving the client direct careCorrect ans-b)make sure the client wears a mask when outside her room if there is construction in thearea

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A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagicstroke. The nurse notifies the surgeon, who tells the nurse to continue to measure theclients vital signs every 15 min and to report back in 1 hr. Which of the followingactions should the nurse take next?a) document the providers statement in the medical recordb) complete an incident reportc) consult the facility's risk managerd) notify the nursing managerCorrect ans-d) notify the nursing managerA nurse is planning to insert a peripheral IV catheter for an older adult client. Which ofthe following actions should the nurse plan to take?a) insert the catheter at a 45º angleb) place the clients arm in a dependent positionc) shave excess hair from the insertion sited) initiate IV therapy in the veins of the handCorrect ans-b)place the clientsarm in a dependent positionbecause the veins will dilate due to gravityA nurse is caring for a client who has dementia. Which of the following interventionsshould the nurse take to minimize the risk for injury to the client?a) usea bed exit alarm systemb) raise four side rails while the client is in bedc) apply one soft wrist restraintd) dim the lights in the clients roomCorrect ans-a) use a bed exit alarmsystemA nurse is caring for a client who has a terminalillness and is at the end of life. Thenurse should recognize that which of the following statements by the client's partnerindicates effective coping?a) "I am not worried because I still have hope that he will be okay"b) "I am relying on support fromour family during this time"c) "We can plan our family reunion once he recovers and comes home"d) "We don't see any reason to start discussing funeral arrangements right now"Correct ans-b) "I am relying on support from our family during this time"A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperativeand has fluid volume deficit. Which of the following changes should the nurse identifyas an indication that the treatment was successful?

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a) increase in hematocritb) increase in respiratory ratec) decrease in heart rated) decrease in capillary refill timeCorrect ans-c) decrease in heart rateA nurse is planning strategies to manage time effectively for client care. Which of thefollowing strategies should the nurse implement?a) combine client care tasks when caring for multiple clientsb) wait until the end of the shift to document client carec) use the planning step of the nursing process to prioritize client care deliveryd) allow for interruption in tasks to discuss client care issues with colleaguesCorrect ans-c) use the planning step of the nursing process to prioritize client caredeliveryA nurse is providing discharge instructions to a client who will be using a walker. Whichof the following client statements indicates an understanding of the teaching?a) "I can place an extension cord across my living room to plug in my television"b) "I will hire someone to trim the tree that hangs low over the stairs of my frontporch"c) "I will place my alarm clock on my bedroom dresser across the room"d) "I will replace the old throw rug in my kitchen with a new one"Correct ans-b) "I will hire someone to trim the tree that hangs low over the stairs of my frontporch"A nurse is assessing four adult clients. Which of the following physical assessmenttechniques should the nurse use?a) use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for aclient who is experiencing painb) ensurethe bladder of the blood pressure cuff surrounds 80% of the clients armc) obtain an apical heart rate by auscultating at the third intercostal space left of thesternumd) palpate the clients abdomen before auscultating bowel soundsCorrect ans-b) ensure the bladder of the blood pressure cuff surrounds 80% of the clients armWhich of the following types of transmission precautions should the nurse initiate for aclient with pharyngeal diphtheria?a) contactb) dropletc) airborned) protectiveCorrect ans-b) droplet

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