ATI PN PHARMACOLOGY PROCTORED EXAM WITH NGN
Comprehensive Practice Exam - 60+ Questions with Correct Answers
, Question 1 of 85
A nurse is evaluating the laboratory results of four clients. The nurse should
report which of the following laboratory results to the provider?
A client who has a prescription for heparin and an aPTT of 65 seconds (20-
40 seconds)
A client who has a prescription for warfarin and an INR of 2.5
✅ A client who has a prescription for heparin and an aPTT of 90 seconds
(30-40 seconds)
A client who has a prescription for warfarin and an INR of 3.0
Correct Answer: A client who has a prescription for heparin and an aPTT of 90
seconds (30-40 seconds)
*Rationale: An aPTT of 90 seconds is significantly above the therapeutic range
(1.5-2.5 times control), indicating an increased risk of bleeding. This critical value
requires immediate provider notification.*
Question 2 of 85
A nurse is administering the first dose of ramipril to a client who has
hypertension. The client reports feeling dizzy and lightheaded. Which of the
following actions should the nurse take?
Administer diphenhydramine
Administer 15 mg of hydrochlorothiazide
✅ Administer the medication with food
Administer nicotine
Correct Answer: Administer the medication with food
Rationale: First-dose hypotension is common with ACE inhibitors like ramipril.
Taking the medication with food can help slow absorption and reduce dizziness.
The nurse should also instruct the client to change positions slowly.
Comprehensive Practice Exam - 60+ Questions with Correct Answers
, Question 1 of 85
A nurse is evaluating the laboratory results of four clients. The nurse should
report which of the following laboratory results to the provider?
A client who has a prescription for heparin and an aPTT of 65 seconds (20-
40 seconds)
A client who has a prescription for warfarin and an INR of 2.5
✅ A client who has a prescription for heparin and an aPTT of 90 seconds
(30-40 seconds)
A client who has a prescription for warfarin and an INR of 3.0
Correct Answer: A client who has a prescription for heparin and an aPTT of 90
seconds (30-40 seconds)
*Rationale: An aPTT of 90 seconds is significantly above the therapeutic range
(1.5-2.5 times control), indicating an increased risk of bleeding. This critical value
requires immediate provider notification.*
Question 2 of 85
A nurse is administering the first dose of ramipril to a client who has
hypertension. The client reports feeling dizzy and lightheaded. Which of the
following actions should the nurse take?
Administer diphenhydramine
Administer 15 mg of hydrochlorothiazide
✅ Administer the medication with food
Administer nicotine
Correct Answer: Administer the medication with food
Rationale: First-dose hypotension is common with ACE inhibitors like ramipril.
Taking the medication with food can help slow absorption and reduce dizziness.
The nurse should also instruct the client to change positions slowly.
