ATI PHARMACOLOGY
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 PHARMACOLOGY nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
, ➢ Some questions feature brief “scenario” elements and
rationales.
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1. CASE SCENARIO (NGN-Style):
A 63-year-old client with chronic kidney disease has been receiving epoetin
alfa (Epogen) three times a week for anemia management. Today, lab results
show hemoglobin (Hgb) has increased from 7 g/dL to 8.5 g/dL in just one
week. Current vitals: BP 148/88 mmHg, HR 88/min, RR 18/min, Temp
98.2°F (36.8°C).
QUESTION:
Which action should the nurse expect to take regarding today’s dose of
epoetin alfa?
A. Increase today’s dose.
B. Administer the ordered dose.
C. Withhold today’s dose.
D. Discontinue the medication.
• Correct Answer: C. Withhold today’s dose
• Rationale: A rapid rise in hemoglobin (more than 1 g/dL in 2 weeks)
increases the risk of serious cardiovascular events (e.g., hypertension,
,thrombotic events). Providers often hold or adjust the dose to prevent
complications.
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─
2. CASE SCENARIO (NGN-Style):
A preschool-age child arrives at the emergency department with a parent
who suspects the child may have accidentally taken multiple
diphenhydramine (Benadryl) tablets. The child is restless and intermittently
crying. Vital signs: HR 120/min, RR 30/min, Temp 99.0°F (37.2°C).
QUESTION:
To identify antihistamine (diphenhydramine) toxicity, the nurse should
monitor the child for:
A. Hallucinations
B. Bradycardia
C. Pinpoint pupils
D. Pallor
• Correct Answer: A. Hallucinations
• Rationale: Excess diphenhydramine can lead to CNS excitation in children,
manifesting as hallucinations, seizures, and hyperactivity.
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3. CASE SCENARIO:
, A client with congestive heart failure is starting spironolactone (Aldactone).
Morning labs show: Na⁺ 138 mEq/L, K⁺ 5.2 mEq/L, Creatinine 1.2 mg/dL, Cl⁻
106 mEq/L. Vital signs: BP 128/82 mmHg, HR 88/min, RR 20/min.
QUESTION:
Which lab value warrants withholding the morning dose and notifying the
provider?
A. Sodium 138 mEq/L
B. Potassium 5.2 mEq/L
C. Serum creatinine 1.2 mg/dL
D. Chloride 106 mEq/L
• Correct Answer: B. Potassium 5.2 mEq/L
• Rationale: Spironolactone is a potassium-sparing diuretic. Elevated serum
potassium (5.2 mEq/L) places the client at risk for hyperkalemia and
cardiac dysrhythmias.
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─
4. CASE SCENARIO:
A 45-year-old client with a history of hypertension is being evaluated for
propranolol (Inderal) therapy. The client’s past medical history includes
mild asthma, type 2 diabetes, and stable angina.
QUESTION:
Propranolol is contraindicated for a client who has which of the following
conditions?
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 PHARMACOLOGY nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
, ➢ Some questions feature brief “scenario” elements and
rationales.
───────────────────────────────────────────────────────
─
1. CASE SCENARIO (NGN-Style):
A 63-year-old client with chronic kidney disease has been receiving epoetin
alfa (Epogen) three times a week for anemia management. Today, lab results
show hemoglobin (Hgb) has increased from 7 g/dL to 8.5 g/dL in just one
week. Current vitals: BP 148/88 mmHg, HR 88/min, RR 18/min, Temp
98.2°F (36.8°C).
QUESTION:
Which action should the nurse expect to take regarding today’s dose of
epoetin alfa?
A. Increase today’s dose.
B. Administer the ordered dose.
C. Withhold today’s dose.
D. Discontinue the medication.
• Correct Answer: C. Withhold today’s dose
• Rationale: A rapid rise in hemoglobin (more than 1 g/dL in 2 weeks)
increases the risk of serious cardiovascular events (e.g., hypertension,
,thrombotic events). Providers often hold or adjust the dose to prevent
complications.
───────────────────────────────────────────────────────
─
2. CASE SCENARIO (NGN-Style):
A preschool-age child arrives at the emergency department with a parent
who suspects the child may have accidentally taken multiple
diphenhydramine (Benadryl) tablets. The child is restless and intermittently
crying. Vital signs: HR 120/min, RR 30/min, Temp 99.0°F (37.2°C).
QUESTION:
To identify antihistamine (diphenhydramine) toxicity, the nurse should
monitor the child for:
A. Hallucinations
B. Bradycardia
C. Pinpoint pupils
D. Pallor
• Correct Answer: A. Hallucinations
• Rationale: Excess diphenhydramine can lead to CNS excitation in children,
manifesting as hallucinations, seizures, and hyperactivity.
───────────────────────────────────────────────────────
─
3. CASE SCENARIO:
, A client with congestive heart failure is starting spironolactone (Aldactone).
Morning labs show: Na⁺ 138 mEq/L, K⁺ 5.2 mEq/L, Creatinine 1.2 mg/dL, Cl⁻
106 mEq/L. Vital signs: BP 128/82 mmHg, HR 88/min, RR 20/min.
QUESTION:
Which lab value warrants withholding the morning dose and notifying the
provider?
A. Sodium 138 mEq/L
B. Potassium 5.2 mEq/L
C. Serum creatinine 1.2 mg/dL
D. Chloride 106 mEq/L
• Correct Answer: B. Potassium 5.2 mEq/L
• Rationale: Spironolactone is a potassium-sparing diuretic. Elevated serum
potassium (5.2 mEq/L) places the client at risk for hyperkalemia and
cardiac dysrhythmias.
───────────────────────────────────────────────────────
─
4. CASE SCENARIO:
A 45-year-old client with a history of hypertension is being evaluated for
propranolol (Inderal) therapy. The client’s past medical history includes
mild asthma, type 2 diabetes, and stable angina.
QUESTION:
Propranolol is contraindicated for a client who has which of the following
conditions?
