ATI Pharmacology CMS
Proctored Assessment (Forms
A, B, & C) Exam Questions
And Correct Answers
(Verified Answers) Plus
Rationales 2025/2026 Q&A |
Instant Download Pdf
1. A nurse is administering digoxin to a client with heart
failure. Which finding requires withholding the medication?
A. Blood pressure 128/76 mm Hg
B. Respiratory rate 18/min
C. Apical pulse 54/min
D. Temperature 37°C (98.6°F)
Answer: C. Apical pulse 54/min
Rationale: Digoxin can cause bradycardia. The nurse should
withhold the medication and notify the provider if the apical
pulse is less than 60 beats/min.
2. A client taking warfarin should be instructed to report
which finding immediately?
,A. Mild fatigue
B. Bruising on extremities
C. Increased appetite
D. Dry mouth
Answer: B. Bruising on extremities
Rationale: Bruising may indicate excessive anticoagulation
and increased bleeding risk.
3. Which laboratory value should be monitored closely in a
client receiving heparin therapy?
A. INR
B. Hemoglobin A1C
C. aPTT
D. Potassium
Answer: C. aPTT
Rationale: Activated partial thromboplastin time (aPTT) is
used to monitor therapeutic heparin levels.
4. A nurse is teaching a client about nitroglycerin tablets.
Which statement indicates understanding?
A. "I will swallow the tablet whole."
B. "I can take up to three tablets five minutes apart."
C. "I should store tablets in the bathroom."
D. "I will take the medication with food."
,Answer: B. "I can take up to three tablets five minutes
apart."
Rationale: Sublingual nitroglycerin may be repeated every 5
minutes for a total of three doses for chest pain.
5. Which adverse effect should the nurse monitor for in a
client taking furosemide?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that causes
potassium loss.
6. A client receives lisinopril. Which finding should be
reported immediately?
A. Dry cough
B. Dizziness
C. Facial swelling
D. Headache
Answer: C. Facial swelling
Rationale: Facial swelling indicates angioedema, a potentially
life-threatening adverse effect.
, 7. Which medication is commonly prescribed for acute
asthma attacks?
A. Salmeterol
B. Montelukast
C. Albuterol
D. Fluticasone
Answer: C. Albuterol
Rationale: Albuterol is a short-acting beta₂-agonist used for
quick relief of bronchospasm.
8. A nurse should monitor for which adverse effect of opioid
therapy?
A. Diarrhea
B. Hypertension
C. Respiratory depression
D. Polyuria
Answer: C. Respiratory depression
Rationale: Respiratory depression is the most serious adverse
effect of opioids.
9. Which medication is the antidote for opioid overdose?
A. Flumazenil
B. Naloxone
C. Acetylcysteine
D. Protamine
Proctored Assessment (Forms
A, B, & C) Exam Questions
And Correct Answers
(Verified Answers) Plus
Rationales 2025/2026 Q&A |
Instant Download Pdf
1. A nurse is administering digoxin to a client with heart
failure. Which finding requires withholding the medication?
A. Blood pressure 128/76 mm Hg
B. Respiratory rate 18/min
C. Apical pulse 54/min
D. Temperature 37°C (98.6°F)
Answer: C. Apical pulse 54/min
Rationale: Digoxin can cause bradycardia. The nurse should
withhold the medication and notify the provider if the apical
pulse is less than 60 beats/min.
2. A client taking warfarin should be instructed to report
which finding immediately?
,A. Mild fatigue
B. Bruising on extremities
C. Increased appetite
D. Dry mouth
Answer: B. Bruising on extremities
Rationale: Bruising may indicate excessive anticoagulation
and increased bleeding risk.
3. Which laboratory value should be monitored closely in a
client receiving heparin therapy?
A. INR
B. Hemoglobin A1C
C. aPTT
D. Potassium
Answer: C. aPTT
Rationale: Activated partial thromboplastin time (aPTT) is
used to monitor therapeutic heparin levels.
4. A nurse is teaching a client about nitroglycerin tablets.
Which statement indicates understanding?
A. "I will swallow the tablet whole."
B. "I can take up to three tablets five minutes apart."
C. "I should store tablets in the bathroom."
D. "I will take the medication with food."
,Answer: B. "I can take up to three tablets five minutes
apart."
Rationale: Sublingual nitroglycerin may be repeated every 5
minutes for a total of three doses for chest pain.
5. Which adverse effect should the nurse monitor for in a
client taking furosemide?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that causes
potassium loss.
6. A client receives lisinopril. Which finding should be
reported immediately?
A. Dry cough
B. Dizziness
C. Facial swelling
D. Headache
Answer: C. Facial swelling
Rationale: Facial swelling indicates angioedema, a potentially
life-threatening adverse effect.
, 7. Which medication is commonly prescribed for acute
asthma attacks?
A. Salmeterol
B. Montelukast
C. Albuterol
D. Fluticasone
Answer: C. Albuterol
Rationale: Albuterol is a short-acting beta₂-agonist used for
quick relief of bronchospasm.
8. A nurse should monitor for which adverse effect of opioid
therapy?
A. Diarrhea
B. Hypertension
C. Respiratory depression
D. Polyuria
Answer: C. Respiratory depression
Rationale: Respiratory depression is the most serious adverse
effect of opioids.
9. Which medication is the antidote for opioid overdose?
A. Flumazenil
B. Naloxone
C. Acetylcysteine
D. Protamine
