ATI PN PHARMACOLOGY PROCTORED
EXAM TEST BANK 2025/2026 (best
answers)
ATI PN Pharmacology Proctored Exam
Questions
1. A client is prescribed furosemide for heart failure. Which assessment is
priority?
A. Respiratory rate
B. Potassium level ✔
C. Temperature
D. Blood glucose
Rationale: Loop diuretics can cause hypokalemia, which may lead to cardiac arrhythmias.
2. A client on digoxin reports nausea, blurred vision, and bradycardia.
Nursing action?
A. Administer next dose
B. Hold digoxin and notify provider ✔
C. Increase dose
D. Document only
Rationale: These are signs of digoxin toxicity; medication should be held.
3. A client receiving insulin lispro is about to eat breakfast. Nursing
priority?
,A. Check blood glucose ✔
B. Administer insulin immediately
C. Wait until next meal
D. Encourage fluids only
Rationale: Rapid-acting insulin must be given close to meal time; blood glucose assessment
ensures safe dosing.
4. A client on warfarin asks which foods to avoid. Nurse response?
A. Dairy products
B. Foods high in vitamin K, like spinach and kale ✔
C. Citrus fruits
D. Red meat
Rationale: Vitamin K can reduce warfarin effectiveness.
5. A client taking aminoglycosides reports tinnitus and vertigo. Nursing
action?
A. Continue medication
B. Administer antipyretics
C. Notify provider for possible ototoxicity ✔
D. Encourage fluids only
Rationale: Aminoglycosides can be ototoxic; early recognition prevents permanent damage.
6. A client on vancomycin develops flushing, hypotension, and rash during
infusion. Nursing action?
A. Continue infusion
B. Slow rate
C. Stop infusion and notify provider ✔
D. Administer oral antihistamine
Rationale: Red man syndrome requires stopping the infusion and interventions.
7. A client taking metformin reports nausea and diarrhea. Nurse should:
A. Monitor for lactic acidosis and encourage hydration ✔
B. Stop metformin immediately
, C. Encourage high-protein diet
D. Administer insulin
Rationale: GI side effects are common; lactic acidosis is rare but serious.
8. A client with asthma is prescribed albuterol. Nurse teaches:
A. Take only at bedtime
B. Use inhaler as needed for wheezing ✔
C. Avoid exercise
D. Stop other medications
Rationale: Albuterol is a short-acting beta-agonist for rescue use.
9. Which lab should a nurse monitor for a client on heparin therapy?
A. PT
B. aPTT ✔
C. INR
D. Platelets
Rationale: aPTT monitors therapeutic effect of heparin.
10. A client taking corticosteroids reports increased thirst and urination.
Nurse should:
A. Encourage rest
B. Monitor blood glucose ✔
C. Administer insulin automatically
D. Restrict fluids
Rationale: Corticosteroids can cause hyperglycemia.
11. A client taking ACE inhibitors develops a persistent cough. Nursing
action?
A. Discontinue immediately
B. Increase dose
C. Notify provider for possible medication change ✔
D. Ignore symptoms
Rationale: Persistent cough is a common ACE inhibitor side effect.
EXAM TEST BANK 2025/2026 (best
answers)
ATI PN Pharmacology Proctored Exam
Questions
1. A client is prescribed furosemide for heart failure. Which assessment is
priority?
A. Respiratory rate
B. Potassium level ✔
C. Temperature
D. Blood glucose
Rationale: Loop diuretics can cause hypokalemia, which may lead to cardiac arrhythmias.
2. A client on digoxin reports nausea, blurred vision, and bradycardia.
Nursing action?
A. Administer next dose
B. Hold digoxin and notify provider ✔
C. Increase dose
D. Document only
Rationale: These are signs of digoxin toxicity; medication should be held.
3. A client receiving insulin lispro is about to eat breakfast. Nursing
priority?
,A. Check blood glucose ✔
B. Administer insulin immediately
C. Wait until next meal
D. Encourage fluids only
Rationale: Rapid-acting insulin must be given close to meal time; blood glucose assessment
ensures safe dosing.
4. A client on warfarin asks which foods to avoid. Nurse response?
A. Dairy products
B. Foods high in vitamin K, like spinach and kale ✔
C. Citrus fruits
D. Red meat
Rationale: Vitamin K can reduce warfarin effectiveness.
5. A client taking aminoglycosides reports tinnitus and vertigo. Nursing
action?
A. Continue medication
B. Administer antipyretics
C. Notify provider for possible ototoxicity ✔
D. Encourage fluids only
Rationale: Aminoglycosides can be ototoxic; early recognition prevents permanent damage.
6. A client on vancomycin develops flushing, hypotension, and rash during
infusion. Nursing action?
A. Continue infusion
B. Slow rate
C. Stop infusion and notify provider ✔
D. Administer oral antihistamine
Rationale: Red man syndrome requires stopping the infusion and interventions.
7. A client taking metformin reports nausea and diarrhea. Nurse should:
A. Monitor for lactic acidosis and encourage hydration ✔
B. Stop metformin immediately
, C. Encourage high-protein diet
D. Administer insulin
Rationale: GI side effects are common; lactic acidosis is rare but serious.
8. A client with asthma is prescribed albuterol. Nurse teaches:
A. Take only at bedtime
B. Use inhaler as needed for wheezing ✔
C. Avoid exercise
D. Stop other medications
Rationale: Albuterol is a short-acting beta-agonist for rescue use.
9. Which lab should a nurse monitor for a client on heparin therapy?
A. PT
B. aPTT ✔
C. INR
D. Platelets
Rationale: aPTT monitors therapeutic effect of heparin.
10. A client taking corticosteroids reports increased thirst and urination.
Nurse should:
A. Encourage rest
B. Monitor blood glucose ✔
C. Administer insulin automatically
D. Restrict fluids
Rationale: Corticosteroids can cause hyperglycemia.
11. A client taking ACE inhibitors develops a persistent cough. Nursing
action?
A. Discontinue immediately
B. Increase dose
C. Notify provider for possible medication change ✔
D. Ignore symptoms
Rationale: Persistent cough is a common ACE inhibitor side effect.
