ATI VIRTUAL PHARM ASSESSMENT
PRACTICE EXAMINATION 2026 QUESTIONS
WITH CORRECT SOLUTIONS GRADED A+
⩥ A client is prescribed digoxin 1mg by mouth QID. The client states
that the objects in his room have a yellowish tinge and he is nauseated.
Select the most appropriate nursing action at this time.
a. Count the apical pulse; if it is regular and above 60, administer the
drug as ordered.
b. Administer the medication and observe the client for further nausea.
c. Hold the drug and call the health care provider.
d. Hold the medication and count the apical pulse before the next dose is
to be given. Answer: Hold the drug and call the health care provider
client is showing signs of digitalis toxicity. The most appropriate action
is to hold the drug and call the health care provider. Severe arrhythmia
may develop if action is not taken
⩥ A client diagnosed with preterm labor has been prescribed nifedipine.
The client asks the nurse why this particular medication has been
prescribed. Which of the following statements by the nurse is correct?
a. To decrease the intensity of your pain
b. To relax your muscles of your uterus
c. To lower your blood pressure
,d. To promote development of your baby's lungs Answer: To relax your
muscles of your uterus
⩥ A client is admitted to the hospital with a diagnosis of diabetic
ketoacidosis (DKA). An intravenous infusion of regular insulin has been
started. Which of the following nursing interventions is most appropriate
for this client?
a. Obtain an arterial blood gas every 2 hours
b. Ensure glucagon is readily available
c. Add the prescribed dose of NPH insulin to the IV infusion
d. Monitor blood glucose levels every 4 hours Answer: Ensure glucagon
is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which
can occur when insulin is administered intravenously
⩥ A nurse is evaluating a client's understanding of lithium. Which
statement by the client indicates a need for further education?
a. "I should take the medication on an empty stomach."
b. "I will drink 8-12 glasses of water a day."
c. "I will contact my provider if I develop diarrhea."
d. "I should have my blood level drawn as directed." Answer: "I should
take the medication on an empty stomach."
, The client should be instructed to contact their provider any time they
develop diarrhea. Diarrhea can cause significant sodium loss which will
lead to lithium toxicity.
⩥ A nurse is caring for a client taking captopril. Which finding would
require immediate attention for this client?
a. Blood pressure 96/48
b. Pulse 56
c. Sodium 133
d. Potassium 5.8 Answer: Potassium 5.8
potassium of 5.8 is elevated- normal is 3.5-5. One effect of Capoten is
elevation of potassium levels because this drug inhibits the formation of
angiotensin II and blocks the release of aldosterone. The blocking of the
aldosterone results in sodium excretion and potassium retention.
Hyperkalemia can result in cardiac arrhythmias and if untreated lead to
cardiac arrest.
⩥ A nurse is caring for a client taking captopril who has started
experiencing a frequent dry cough. What action should the nurse take?
a. Encourage the client to use over the counter cough syrup for the
cough.
b. Instruct the client to decrease the dosage of the medication.
c. Notify the provider of the client's symptom.
PRACTICE EXAMINATION 2026 QUESTIONS
WITH CORRECT SOLUTIONS GRADED A+
⩥ A client is prescribed digoxin 1mg by mouth QID. The client states
that the objects in his room have a yellowish tinge and he is nauseated.
Select the most appropriate nursing action at this time.
a. Count the apical pulse; if it is regular and above 60, administer the
drug as ordered.
b. Administer the medication and observe the client for further nausea.
c. Hold the drug and call the health care provider.
d. Hold the medication and count the apical pulse before the next dose is
to be given. Answer: Hold the drug and call the health care provider
client is showing signs of digitalis toxicity. The most appropriate action
is to hold the drug and call the health care provider. Severe arrhythmia
may develop if action is not taken
⩥ A client diagnosed with preterm labor has been prescribed nifedipine.
The client asks the nurse why this particular medication has been
prescribed. Which of the following statements by the nurse is correct?
a. To decrease the intensity of your pain
b. To relax your muscles of your uterus
c. To lower your blood pressure
,d. To promote development of your baby's lungs Answer: To relax your
muscles of your uterus
⩥ A client is admitted to the hospital with a diagnosis of diabetic
ketoacidosis (DKA). An intravenous infusion of regular insulin has been
started. Which of the following nursing interventions is most appropriate
for this client?
a. Obtain an arterial blood gas every 2 hours
b. Ensure glucagon is readily available
c. Add the prescribed dose of NPH insulin to the IV infusion
d. Monitor blood glucose levels every 4 hours Answer: Ensure glucagon
is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which
can occur when insulin is administered intravenously
⩥ A nurse is evaluating a client's understanding of lithium. Which
statement by the client indicates a need for further education?
a. "I should take the medication on an empty stomach."
b. "I will drink 8-12 glasses of water a day."
c. "I will contact my provider if I develop diarrhea."
d. "I should have my blood level drawn as directed." Answer: "I should
take the medication on an empty stomach."
, The client should be instructed to contact their provider any time they
develop diarrhea. Diarrhea can cause significant sodium loss which will
lead to lithium toxicity.
⩥ A nurse is caring for a client taking captopril. Which finding would
require immediate attention for this client?
a. Blood pressure 96/48
b. Pulse 56
c. Sodium 133
d. Potassium 5.8 Answer: Potassium 5.8
potassium of 5.8 is elevated- normal is 3.5-5. One effect of Capoten is
elevation of potassium levels because this drug inhibits the formation of
angiotensin II and blocks the release of aldosterone. The blocking of the
aldosterone results in sodium excretion and potassium retention.
Hyperkalemia can result in cardiac arrhythmias and if untreated lead to
cardiac arrest.
⩥ A nurse is caring for a client taking captopril who has started
experiencing a frequent dry cough. What action should the nurse take?
a. Encourage the client to use over the counter cough syrup for the
cough.
b. Instruct the client to decrease the dosage of the medication.
c. Notify the provider of the client's symptom.
