2026 ATI PHARMACOLOGY PROCTORED
/UPDATED ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS & RATIONALES
A nurse is caring for a hospitalized client who is
receiving IV heparin for a deep-vein thrombosis. The
client begins vomiting blood. After the heparin has
been stopped, which of the following medications
should the nurse prepare to administer?
A. Vitamin k1
B. Atropine
C. Protamine
D. Calcium gluconate - ANSWER-C (Protamine
reverses the anticoagulant effect of heparin)
(Medications with long half-lives remain at their
therapeutic levels between doses for long periods of
time. The nurse should expect to administer this
medication once a day.)
A nurse reviewing a client's health record notes a
new prescription for Lisinopril 10 mg PO once every
day. The nurse should identify this as which of the
following types of prescription?
A. Single
B. Stat
C. Routine
,D. Standing - ANSWER-C. Routine
(A routine or standard prescription identifies
medications to give on a regular schedule with or
without a termination date or a specific number of
doses. The nurse will administer
this medication every day until the provider
discontinues it.)
A staff educator is reviewing medication dosages and
factors that influence medication metabolism with a
group of nurses at an in-service presentation. Which
of the following factors should the educator include
as a reason to administer lower medication dosages?
(Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway
metabolizes - ANSWER-C. Liver failure
E. Concurrent use of medication the same pathway
metabolizes
C. Liver failure decreases metabolism and thus
increases the concentration of a medication. This
requires decreasing the dosage.
E. When the same pathway metabolizes two
medications, they compete for metabolism, thereby
,increasing the concentration of one or both
medications. This requires decreasing the dosage of
one or both
A nurse is preparing to administer eye drops to a
client. Which of the following actions should the
nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her
eye.
D. Drop the medication into the center of the client's
conjunctival sac.
E. Instruct the client to close her eye gently after
instillation - ANSWER-B. Ask the client to look up at
the ceiling.
D. Drop the medication into the center of the client's
conjunctival sac.
E. Instruct the client to close her eye gently after
instillation
(B. The client should look upward to keep the drops
from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote
distribution of the medication)
A nurse is completing discharge teaching for a client
who has a new prescription for transdermal patches.
, Which of the following statements should the nurse
identify as an indication that the client understands
the instructions?
A. "I will clean the site with an alcohol swab before I
apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no
hair."
D. "I will place the new patch on the site of the old
patch. - ANSWER-C. "I will apply the patch to an area
of skin with no hair."
(The client should apply the patch to a hairless area
of skin to promote absorption of the medication.)
A nurse reviewing a client's medical record notes a
new prescription for verifying the trough level of the
client's medication. Which of the following actions
should the nurse take?
A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
B. Verify that the client has been taking the
medication for 24 hr before obtaining a blood
specimen.
C. Ask the client to provide a urine specimen after the
next dose of medication.
D. Administer the medication,and obtain a blood
specimen 30 min late - ANSWER-A. Obtain a blood
/UPDATED ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS & RATIONALES
A nurse is caring for a hospitalized client who is
receiving IV heparin for a deep-vein thrombosis. The
client begins vomiting blood. After the heparin has
been stopped, which of the following medications
should the nurse prepare to administer?
A. Vitamin k1
B. Atropine
C. Protamine
D. Calcium gluconate - ANSWER-C (Protamine
reverses the anticoagulant effect of heparin)
(Medications with long half-lives remain at their
therapeutic levels between doses for long periods of
time. The nurse should expect to administer this
medication once a day.)
A nurse reviewing a client's health record notes a
new prescription for Lisinopril 10 mg PO once every
day. The nurse should identify this as which of the
following types of prescription?
A. Single
B. Stat
C. Routine
,D. Standing - ANSWER-C. Routine
(A routine or standard prescription identifies
medications to give on a regular schedule with or
without a termination date or a specific number of
doses. The nurse will administer
this medication every day until the provider
discontinues it.)
A staff educator is reviewing medication dosages and
factors that influence medication metabolism with a
group of nurses at an in-service presentation. Which
of the following factors should the educator include
as a reason to administer lower medication dosages?
(Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway
metabolizes - ANSWER-C. Liver failure
E. Concurrent use of medication the same pathway
metabolizes
C. Liver failure decreases metabolism and thus
increases the concentration of a medication. This
requires decreasing the dosage.
E. When the same pathway metabolizes two
medications, they compete for metabolism, thereby
,increasing the concentration of one or both
medications. This requires decreasing the dosage of
one or both
A nurse is preparing to administer eye drops to a
client. Which of the following actions should the
nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her
eye.
D. Drop the medication into the center of the client's
conjunctival sac.
E. Instruct the client to close her eye gently after
instillation - ANSWER-B. Ask the client to look up at
the ceiling.
D. Drop the medication into the center of the client's
conjunctival sac.
E. Instruct the client to close her eye gently after
instillation
(B. The client should look upward to keep the drops
from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote
distribution of the medication)
A nurse is completing discharge teaching for a client
who has a new prescription for transdermal patches.
, Which of the following statements should the nurse
identify as an indication that the client understands
the instructions?
A. "I will clean the site with an alcohol swab before I
apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no
hair."
D. "I will place the new patch on the site of the old
patch. - ANSWER-C. "I will apply the patch to an area
of skin with no hair."
(The client should apply the patch to a hairless area
of skin to promote absorption of the medication.)
A nurse reviewing a client's medical record notes a
new prescription for verifying the trough level of the
client's medication. Which of the following actions
should the nurse take?
A. Obtain a blood specimen immediately prior to
administering the next dose of medication.
B. Verify that the client has been taking the
medication for 24 hr before obtaining a blood
specimen.
C. Ask the client to provide a urine specimen after the
next dose of medication.
D. Administer the medication,and obtain a blood
specimen 30 min late - ANSWER-A. Obtain a blood
