2026 ATI RN PHARMACOLOGY
PROCTORED EXAM UPDATED
QUESTIONS WITH VERIFIED ANSWERS
ALREADY A% GRADED /100%
GUARANTEE PASS/
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of
the following actions should the nurse take?
A. Inject air into the vial to withdraw the short-acting insulin.
B. Administer the insulin within 20 min of preparing it.
C. Ensure the NPH insulin is drawn into the syringe first.
D. use two separate syringes to mix the insulin. - ANSWER-D. Use two separate
syringes to mix the insulin.
A nursing is caring for a client who reports that his current pain medication is no longer
relieving her pain. Which of the following medications requires the nurse to obtain a
written rather than a verbal prescription from the provider?
A. Fentanyl
B. Butorphanol
C. Lorazepam
D. Pentazocine - ANSWER-A. Fentanyl
A charge nurse is observing a newly licensed nurse provide care to a group of clients.
Which of the following action by the newly licensed nurse requires the charge nurse to
complete an incident report?
A. A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium
B. The nurse administers ondansetron to a client who has two episodes of vomiting
after receiving meperidine 75 mg IM.
C. The nurse request a higher dose of morphine for a client who reports severe pain 30
minutes after receiving morphine 2 mg IV bolus.
D. A client who has a blood glucose level of 120 mg/dL receives her morning dose of
insulin. - ANSWER-A. A client who has a lithium level of 1.8 mEq/L receives her
morning dose of lithium
A nurse is caring for a client who has an alcohol use disorder and is experiencing
withdrawals. Which of the following interventions is a priority at this time?
,A. implement seizure precautions
B. encouraging group therapy - ANSWER-A. implement seizure precautions
A nurse is planning care for a group of clients. which of the following client's
medications should be monitored by the nurse for hearing loss related to a medication
interaction?
A. Losartan and atorvastatin
B. Propranolol and raloxifene
C. furosemide and amikacin
D. Digoxin and levothyroxine - ANSWER-C. furosemide and amikacin
A nurse is caring for a client who has major depression and a new prescription for
citalopram. Which of the following adverse effects is the priority for the nurse to report to
the provider?
A. Weight loss.
B. Confusion.
C. Bruxism.
D. Insomnia. - ANSWER-B. Confusion
A nurse is caring for a client who requires a re-insertion of a short peripheral venous
catheter. In which of the following locations should the nurse place the catheter?
A. A vein that feels hard to the touch
B. A vein in the client's dominant arm
C. A vein proximal to the previous site
D. A vein on the client's wrist - ANSWER-C. A vein proximal to the previous site
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which
of the following findings should the nurse identify as the priority?
A. Urinary retention
B. Leg weakness
C. Hypotension
D. Temperature 39°C (102.2°F) - ANSWER-C. Hypotension
A nursing is providing teaching to a client who has a prescription for omeprazole. which
of the following instructions should the nurse include in the teaching?
A. Taking the medication after meals
B. Discussing potential side effects such as vertigo or joint pain
C. Alcohol consumption while taking omeprazole doesn't cause problems
D. Informing the client that long term use may increase the risk of fractures. - ANSWER-
D. Informing the client that long term use may increase the risk of fractures.
,What can occur when a client is taking propranolol and albuterol together? - ANSWER-
Detrimental inhibitory interaction, using these two drugs together can interfere with
albuterol's therapeutic effects.
What is the difference between physical dependence and addiction? - ANSWER-Any
client who is taking an opioid can develop physical dependence meaning that become
dependent upon the drug on a daily basis, if a client is to withdrawal this medication
abruptly, they could develop abstinence syndrome.
When a patient is addicted to a drug, it means they continue to need and want that drug
when they no longer medically need it.
What drug class is Acetylcysteine and Hypertonic solution? - ANSWER-Mucolytic
agents (used for bronchitis)
What is an adverse effect of mucolytic agents? - ANSWER-bronchospasm
What is Propylthiouracil used for? - ANSWER-hyperthyroidism
What is the normal needle length for an IM injection? - ANSWER-1-1 1/2inches
What is the needle length for an IM injection in a obese patient? - ANSWER-2 1/2-3
inches
What kind of pain medication should be used for a patient who has a headache and
peptic ulcer disease? - ANSWER-Acetaminophen
You should take alendronate with food or liquids.
TRUE or FALSE - ANSWER-False
A nurse is preparing to administer a hydromorphone IV infusion to a client for pain.
Which of the following actions should the nurse take?
A. Administer the medication over 4-5 minutes
B. Place the client in a high-Fowler's position
C. Assess the client's pain level after administering the medication
D. Review the client's last set of vital signs - ANSWER-A. Administer the medication
over 4-5 minutes
A contraindication for receiving sumatriptan for a migraine?
A. renal impairment
B. ischemic heart disease
C. severe osteoporosis
D. cirrhosis - ANSWER-B. ischemic heart disease
, What is the recommended range of mg for meperidine? - ANSWER-50 mg every 3-
4hrs, not to exceed 600mg within 24hrs.
A nurse is providing teaching to a client with a seizure disorder who has a new
prescription for carbamazepine. Which of the following statements should the nurse
include in the teaching?
A. "This medication will decrease the effectiveness of oral contraceptives."
B. "Once you are seizure-free for a month, you will be able to stop taking the
medication."
C. "You can cut the dose in half if gastrointestinal upset occurs."
D. "This medication might initially increase the frequency of your seizures." - ANSWER-
A. "This medication will decrease the effectiveness of oral contraceptives."
What is the most common first sign of a Vitamin A deficiency? - ANSWER-night
blindness
Which medication is used to treat atrial fibrillation?
A. Atropine
B. Diltiazem
C. Epinephrine
D. Phenytoin - ANSWER-B. Diltiazem
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the
following laboratory tests should the nurse review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - ANSWER-A. PT
A nurse is caring for a group of clients. Which of the following situations requires an
incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - ANSWER-C. A client receives their
insulin 1 hour before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse notes that the
client's respiratory rate is 8/min. The nurse should identify that which of the following is
the pathophysiology for the client's respiratory rate?
PROCTORED EXAM UPDATED
QUESTIONS WITH VERIFIED ANSWERS
ALREADY A% GRADED /100%
GUARANTEE PASS/
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of
the following actions should the nurse take?
A. Inject air into the vial to withdraw the short-acting insulin.
B. Administer the insulin within 20 min of preparing it.
C. Ensure the NPH insulin is drawn into the syringe first.
D. use two separate syringes to mix the insulin. - ANSWER-D. Use two separate
syringes to mix the insulin.
A nursing is caring for a client who reports that his current pain medication is no longer
relieving her pain. Which of the following medications requires the nurse to obtain a
written rather than a verbal prescription from the provider?
A. Fentanyl
B. Butorphanol
C. Lorazepam
D. Pentazocine - ANSWER-A. Fentanyl
A charge nurse is observing a newly licensed nurse provide care to a group of clients.
Which of the following action by the newly licensed nurse requires the charge nurse to
complete an incident report?
A. A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium
B. The nurse administers ondansetron to a client who has two episodes of vomiting
after receiving meperidine 75 mg IM.
C. The nurse request a higher dose of morphine for a client who reports severe pain 30
minutes after receiving morphine 2 mg IV bolus.
D. A client who has a blood glucose level of 120 mg/dL receives her morning dose of
insulin. - ANSWER-A. A client who has a lithium level of 1.8 mEq/L receives her
morning dose of lithium
A nurse is caring for a client who has an alcohol use disorder and is experiencing
withdrawals. Which of the following interventions is a priority at this time?
,A. implement seizure precautions
B. encouraging group therapy - ANSWER-A. implement seizure precautions
A nurse is planning care for a group of clients. which of the following client's
medications should be monitored by the nurse for hearing loss related to a medication
interaction?
A. Losartan and atorvastatin
B. Propranolol and raloxifene
C. furosemide and amikacin
D. Digoxin and levothyroxine - ANSWER-C. furosemide and amikacin
A nurse is caring for a client who has major depression and a new prescription for
citalopram. Which of the following adverse effects is the priority for the nurse to report to
the provider?
A. Weight loss.
B. Confusion.
C. Bruxism.
D. Insomnia. - ANSWER-B. Confusion
A nurse is caring for a client who requires a re-insertion of a short peripheral venous
catheter. In which of the following locations should the nurse place the catheter?
A. A vein that feels hard to the touch
B. A vein in the client's dominant arm
C. A vein proximal to the previous site
D. A vein on the client's wrist - ANSWER-C. A vein proximal to the previous site
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which
of the following findings should the nurse identify as the priority?
A. Urinary retention
B. Leg weakness
C. Hypotension
D. Temperature 39°C (102.2°F) - ANSWER-C. Hypotension
A nursing is providing teaching to a client who has a prescription for omeprazole. which
of the following instructions should the nurse include in the teaching?
A. Taking the medication after meals
B. Discussing potential side effects such as vertigo or joint pain
C. Alcohol consumption while taking omeprazole doesn't cause problems
D. Informing the client that long term use may increase the risk of fractures. - ANSWER-
D. Informing the client that long term use may increase the risk of fractures.
,What can occur when a client is taking propranolol and albuterol together? - ANSWER-
Detrimental inhibitory interaction, using these two drugs together can interfere with
albuterol's therapeutic effects.
What is the difference between physical dependence and addiction? - ANSWER-Any
client who is taking an opioid can develop physical dependence meaning that become
dependent upon the drug on a daily basis, if a client is to withdrawal this medication
abruptly, they could develop abstinence syndrome.
When a patient is addicted to a drug, it means they continue to need and want that drug
when they no longer medically need it.
What drug class is Acetylcysteine and Hypertonic solution? - ANSWER-Mucolytic
agents (used for bronchitis)
What is an adverse effect of mucolytic agents? - ANSWER-bronchospasm
What is Propylthiouracil used for? - ANSWER-hyperthyroidism
What is the normal needle length for an IM injection? - ANSWER-1-1 1/2inches
What is the needle length for an IM injection in a obese patient? - ANSWER-2 1/2-3
inches
What kind of pain medication should be used for a patient who has a headache and
peptic ulcer disease? - ANSWER-Acetaminophen
You should take alendronate with food or liquids.
TRUE or FALSE - ANSWER-False
A nurse is preparing to administer a hydromorphone IV infusion to a client for pain.
Which of the following actions should the nurse take?
A. Administer the medication over 4-5 minutes
B. Place the client in a high-Fowler's position
C. Assess the client's pain level after administering the medication
D. Review the client's last set of vital signs - ANSWER-A. Administer the medication
over 4-5 minutes
A contraindication for receiving sumatriptan for a migraine?
A. renal impairment
B. ischemic heart disease
C. severe osteoporosis
D. cirrhosis - ANSWER-B. ischemic heart disease
, What is the recommended range of mg for meperidine? - ANSWER-50 mg every 3-
4hrs, not to exceed 600mg within 24hrs.
A nurse is providing teaching to a client with a seizure disorder who has a new
prescription for carbamazepine. Which of the following statements should the nurse
include in the teaching?
A. "This medication will decrease the effectiveness of oral contraceptives."
B. "Once you are seizure-free for a month, you will be able to stop taking the
medication."
C. "You can cut the dose in half if gastrointestinal upset occurs."
D. "This medication might initially increase the frequency of your seizures." - ANSWER-
A. "This medication will decrease the effectiveness of oral contraceptives."
What is the most common first sign of a Vitamin A deficiency? - ANSWER-night
blindness
Which medication is used to treat atrial fibrillation?
A. Atropine
B. Diltiazem
C. Epinephrine
D. Phenytoin - ANSWER-B. Diltiazem
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the
following laboratory tests should the nurse review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - ANSWER-A. PT
A nurse is caring for a group of clients. Which of the following situations requires an
incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - ANSWER-C. A client receives their
insulin 1 hour before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse notes that the
client's respiratory rate is 8/min. The nurse should identify that which of the following is
the pathophysiology for the client's respiratory rate?
