NGN, Featuring 70 Questions With Verified Answer
Q1: Eye drops administration (Select all that apply)
Answer: Ask client to look up; Drop into conjunctival sac; Instruct to close eye gently
Rationale: Looking up exposes the lower conjunctival sac and prevents corneal injury. Instilling into
the sac ensures proper absorption and avoids corneal contact. Gentle eye closure distributes the
medication and prevents it from being expelled.
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,This Is ATI RN Pharmacology Latest Proctored Exam With
NGN, Featuring 70 Questions With Verified Answer
Q2: Digoxin with apical pulse 52/min
Answer: B. Withhold medication and notify provider
Rationale: A pulse below 60/min is a sign of digoxin toxicity and requires holding the dose.
Administering the medication could worsen bradycardia and lead to serious cardiac complications.
The provider must be notified for further instructions.
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,This Is ATI RN Pharmacology Latest Proctored Exam With
NGN, Featuring 70 Questions With Verified Answer
Q3: Enalapril adverse effect
Answer: A. Dry, nonproductive cough
Rationale: Enalapril is an ACE inhibitor that causes bradykinin accumulation, leading to a
characteristic dry cough. This is the most common adverse effect and often leads to medication
discontinuation. Hyperkalemia can also occur but is less common than the cough.
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, This Is ATI RN Pharmacology Latest Proctored Exam With
NGN, Featuring 70 Questions With Verified Answer
Q4: Metformin discontinuation before procedure
Answer: B. Cardiac catheterization with contrast dye
Rationale: Iodinated contrast dye can cause nephropathy, leading to metformin accumulation and
lactic acidosis. The medication should be held 24-48 hours before and after the procedure. Other
procedures without contrast do not pose this risk.
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