ATI Pharmacology Comprehensive Proctored 2019 B Exam Questions and Answers with Rationales (Verified by Expert)

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ATI Pharmacology Comprehensive Proctored 2019 Exam B

Questions and Answers with Rationales

1. A nurse contacts a client's provider on the telephone to obtain

prescription for pain medication. Which of following actions should nurse

take?

A.Write the order on a prescription pad designated for the client's provider

B. Have the provider spell out the unfamiliar medication names

C. Read the prescription back to the provider using abbreviations

D. Consult with a second nurse for any questions regarding dosage

 ANS Have the provider spell out the unfamiliar medication names.

Rationale - The nurse should ask the provider to spell out the name of

the medication if the stated name is one the nurse is not familiar with.

2. Nurse in clinic is caring who is taking aspirin for the treatment of

arthritis. The nurse should identify which of following findings as indication

that the client is beginning to exhibit salicylism?

A. Gastric distress

B. Oliguria

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C. Excessive bruising

D.Tinnitus

 ANS Tinnitus

Rationale - Tinnitus is a manifestation of aspirin toxicity, also called

salicylism. Other manifestations include sweating, headache, and

dizziness.

3. Circulating nurse is planning care for a client who is scheduled forsurgery and has latex allergy. Which of following actions should nurseinclude in plan of care?

A. Schedule the client for the last surgery of the day

B. Place monitoring cords and tubes in a stockinet

C. Choose rubber injection ports for fluid administration

D. Ensure phenytoin IV is readily available

 ANS Place monitoring cords and tubes in a stockinet.

Rationale - The nurse should place monitoring devices in a stockinet to

prevent direct contact with the client's skin.

4. Nurse is assessing a client who is receiving epoetin alfa to treat

anemia. Which of following findings should nurse monitor?

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A. Paresthesia

B. Increased blood pressure

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C. Fever

D. Respiratory depression

 ANS Increased blood pressure

Rationale - The therapeutic effect of epoetin alfa is an increase in

hematocrit levels, which can result in an increase in a client's blood

pressure. If the client's hematocrit level rises too rapidly, hypertension

and seizures can result. The nurse should monitor the client's blood

pressure and ensure hypertension is controlled prior to administering

the medication.

5. Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client.

Which of following actions should nurse take prior to administering the

med- ication?

A. Ask the client to drink 8oz of water

B. Review the client's most recent Hgb level

C. Obtain the client's blood pressure

D. Determine if the client is allergic to NSAIDs

 ANS Obtain the client's blood pressure.

Rationale - HCTZ is a thiazide diuretic administered to promote urine

output and reduce blood pressure and edema. The nurse should obtain