1
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ATI RN Pharmacology NGN 200-QB:
Comprehensive Practice Exam with
Rationales
Sample ATI RN Pharmacology
Questions and Rationales
Cardiovascular & Anticoagulant
Medications
1. A nurse is preparing to administer
digoxin to a client with heart failure. Which
assessment should be performed first?
• A. Blood pressure
• B. Respiratory rate
• C. Apical pulse for 1 minute
• D. Oxygen saturation
, 4
☑VERIFIED ANSWER: C. Apical pulse
for 1 minute
Rationale: Digoxin slows the conduction
through the AV node, which can lead to
bradycardia. The nurse should assess the
apical pulse for a full minute before
administration. The medication should be
withheld and the provider notified if the
adult pulse is below 60 beats/min.
2. A client taking lisinopril (an ACE
inhibitor) reports a persistent dry cough.
What is the nurse's best response?
• A. Continue the medication because this
is expected.
• B. Stop the medication immediately
without notifying the provider.
,2
,3
ATI RN Pharmacology NGN 200-QB:
Comprehensive Practice Exam with
Rationales
Sample ATI RN Pharmacology
Questions and Rationales
Cardiovascular & Anticoagulant
Medications
1. A nurse is preparing to administer
digoxin to a client with heart failure. Which
assessment should be performed first?
• A. Blood pressure
• B. Respiratory rate
• C. Apical pulse for 1 minute
• D. Oxygen saturation
, 4
☑VERIFIED ANSWER: C. Apical pulse
for 1 minute
Rationale: Digoxin slows the conduction
through the AV node, which can lead to
bradycardia. The nurse should assess the
apical pulse for a full minute before
administration. The medication should be
withheld and the provider notified if the
adult pulse is below 60 beats/min.
2. A client taking lisinopril (an ACE
inhibitor) reports a persistent dry cough.
What is the nurse's best response?
• A. Continue the medication because this
is expected.
• B. Stop the medication immediately
without notifying the provider.
