ATI Pharmacology Proctored Exam Retake
with NGN Questions and Revised Answers
2026 update
1. A nurse is assessing a client who is receiving intravenous therapy. The
h, h, h, h, h, h, h, h, h, h, h,
h, nurse should identify which of the following findings as a manifestation
h, h, h, h, h, h, h, h, h, h,
of fluid volume excess?
h, h, h, h,
a. Decreased bowel sounds h, h,
b. Distended neck veins h, h,
c. Bilateral muscle weakness h, h,
d. Thread pulse h,
Ans>> b. Distended neck veins
h, h, h,
2. A nurse is caring for a client who has hyponatremia and is receiving an
h, h, h, h, h, h, h, h, h, h, h, h, h,
h, infusion of a prescribed hypertonic solution. Which of the following
h, h, h, h, h, h, h, h, h,
findings should indicate to the nurse that the treatment is effective?
h, h, h, h, h, h, h, h, h, h, h,
a. Absent Chvostek's sign
h, h,
b. Improved cognition h,
c. Decreased vomiting h,
d. Cardiac arrhythmias absent
h, h,
Ans>> b. Improved cognition
h, h,
,3. A nurse is teaching a client who has a new prescription for a
h, h, h, h, h, h, h, h, h, h, h, h,
h, nitroglycerin transdermal patch. Which of the following instructions
h, h, h, h, h, h, h,
should the nurse in- clude?
h, h, h, h, h,
a. "Discontinue the patch if you experience a headache." h, h, h, h, h, h, h,
b. "Apply a new patch if you have chest pain."
h, h, h, h, h, h, h, h,
c. "Cover the patch with dry gauze when taking a shower."
h, h, h, h, h, h, h, h, h,
d. "Remove the patch prior to going to bed."
h, h, h, h, h, h, h,
Ans>> d. "Remove the patch prior to going to bed."
h, h, h, h, h, h, h, h,
4. A nurse is reviewing he laboratory results of a client who has a prescription for
h, h, h, h, h, h, h, h, h, h, h, h, h, h,
h, sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the follow-
h, h, h, h, h, h, h, h, h, h,
h, ing should the nurse report to the provider?
h, h, h, h, h, h, h,
a. Creatinine 0.72 mg/dL h, h,
b. Sodium 138 mEq/L h, h,
c. Magnesium 2 mEq/L h, h,
d. Potassium 5.2 mEq/L h, h,
Ans>> d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassi- um level greater
h, h, h, h, h, h, h, h, h, h,
than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhyth- mias. Kayexalate
h, h, h, h, h, h, h, h, h, h, h, h,
is used to decrease the serum potassium level so the PN should monitor the
h, h, h, h, h, h, h, h, h, h, h, h, h , h,
client's serum potassium level
h, h, h, h,
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid and
h, h, h, h, h, h, h, h, h, h, h, h, h, h,
,rifampin. Which of the following outcomes indicates that the client is
h, h, h, h, h, h, h, h, h, h,
adhering to the medication regimen?
h, h, h, h,
a. The client has a negative sputum culture
h, h, h, h, h, h,
b. The client tests negative for HIV
h, h, h, h, h,
c. The client has a positive purified protein derivative test
h, h, h, h, h, h, h, h,
, d. The client's liver function test results are within the expected
h, h, h, h, h, h, h, h, h,
h, reference range h,
Ans>> a. The client has a negative sputum culture
h, h, h, h, h, h, h,
6. A client is caring for a client who develops an anaphylactic reaction to IV
h, h, h, h, h, h, h, h, h, h, h, h, h,
h, administration. After assessing the client's respiratory status and stopping
h, h, h, h, h, h, h, h,
h, the medication infusion. Which of the following actions should the nurse take
h, h, h, h, h, h, h, h, h, h, h,
h, next?
a. Replace the infusion with 0.9% sodium chlorideh, h, h, h, h, h,
b. Give diphenhydramine IM h, h,
c. Elevate the client's legs and feet h, h, h, h, h,
d. Administer epinephrine IM h, h,
Ans>> d. Administer epinephrine IM h, h, h,
7. A nurse is caring for a client who is taking sertraline and reports a desire
h, h, h, h, h, h, h, h, h, h, h, h, h, h,
h, to begin taking supplements. Which of the following supplements
h, h, h, h, h, h, h, h,
h, should the nurse advise the client to avoid?
h, h, h, h, h, h, h,
a. St. John's Wort h, h,
b. Ginger root h,
c. Black cohosh h,
d. Coenzyme Q10 h,
Ans>> a. St. John's Wort h, h,
with NGN Questions and Revised Answers
2026 update
1. A nurse is assessing a client who is receiving intravenous therapy. The
h, h, h, h, h, h, h, h, h, h, h,
h, nurse should identify which of the following findings as a manifestation
h, h, h, h, h, h, h, h, h, h,
of fluid volume excess?
h, h, h, h,
a. Decreased bowel sounds h, h,
b. Distended neck veins h, h,
c. Bilateral muscle weakness h, h,
d. Thread pulse h,
Ans>> b. Distended neck veins
h, h, h,
2. A nurse is caring for a client who has hyponatremia and is receiving an
h, h, h, h, h, h, h, h, h, h, h, h, h,
h, infusion of a prescribed hypertonic solution. Which of the following
h, h, h, h, h, h, h, h, h,
findings should indicate to the nurse that the treatment is effective?
h, h, h, h, h, h, h, h, h, h, h,
a. Absent Chvostek's sign
h, h,
b. Improved cognition h,
c. Decreased vomiting h,
d. Cardiac arrhythmias absent
h, h,
Ans>> b. Improved cognition
h, h,
,3. A nurse is teaching a client who has a new prescription for a
h, h, h, h, h, h, h, h, h, h, h, h,
h, nitroglycerin transdermal patch. Which of the following instructions
h, h, h, h, h, h, h,
should the nurse in- clude?
h, h, h, h, h,
a. "Discontinue the patch if you experience a headache." h, h, h, h, h, h, h,
b. "Apply a new patch if you have chest pain."
h, h, h, h, h, h, h, h,
c. "Cover the patch with dry gauze when taking a shower."
h, h, h, h, h, h, h, h, h,
d. "Remove the patch prior to going to bed."
h, h, h, h, h, h, h,
Ans>> d. "Remove the patch prior to going to bed."
h, h, h, h, h, h, h, h,
4. A nurse is reviewing he laboratory results of a client who has a prescription for
h, h, h, h, h, h, h, h, h, h, h, h, h, h,
h, sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the follow-
h, h, h, h, h, h, h, h, h, h,
h, ing should the nurse report to the provider?
h, h, h, h, h, h, h,
a. Creatinine 0.72 mg/dL h, h,
b. Sodium 138 mEq/L h, h,
c. Magnesium 2 mEq/L h, h,
d. Potassium 5.2 mEq/L h, h,
Ans>> d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassi- um level greater
h, h, h, h, h, h, h, h, h, h,
than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhyth- mias. Kayexalate
h, h, h, h, h, h, h, h, h, h, h, h,
is used to decrease the serum potassium level so the PN should monitor the
h, h, h, h, h, h, h, h, h, h, h, h, h , h,
client's serum potassium level
h, h, h, h,
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid and
h, h, h, h, h, h, h, h, h, h, h, h, h, h,
,rifampin. Which of the following outcomes indicates that the client is
h, h, h, h, h, h, h, h, h, h,
adhering to the medication regimen?
h, h, h, h,
a. The client has a negative sputum culture
h, h, h, h, h, h,
b. The client tests negative for HIV
h, h, h, h, h,
c. The client has a positive purified protein derivative test
h, h, h, h, h, h, h, h,
, d. The client's liver function test results are within the expected
h, h, h, h, h, h, h, h, h,
h, reference range h,
Ans>> a. The client has a negative sputum culture
h, h, h, h, h, h, h,
6. A client is caring for a client who develops an anaphylactic reaction to IV
h, h, h, h, h, h, h, h, h, h, h, h, h,
h, administration. After assessing the client's respiratory status and stopping
h, h, h, h, h, h, h, h,
h, the medication infusion. Which of the following actions should the nurse take
h, h, h, h, h, h, h, h, h, h, h,
h, next?
a. Replace the infusion with 0.9% sodium chlorideh, h, h, h, h, h,
b. Give diphenhydramine IM h, h,
c. Elevate the client's legs and feet h, h, h, h, h,
d. Administer epinephrine IM h, h,
Ans>> d. Administer epinephrine IM h, h, h,
7. A nurse is caring for a client who is taking sertraline and reports a desire
h, h, h, h, h, h, h, h, h, h, h, h, h, h,
h, to begin taking supplements. Which of the following supplements
h, h, h, h, h, h, h, h,
h, should the nurse advise the client to avoid?
h, h, h, h, h, h, h,
a. St. John's Wort h, h,
b. Ginger root h,
c. Black cohosh h,
d. Coenzyme Q10 h,
Ans>> a. St. John's Wort h, h,