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ATI PN Pharmacology 2023 Comprehensive Exam with NGN
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(Next Generation) – Latest 2026 Updated Version | Complete
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Questions &Answers#
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?
A.#Oxycodone#blocks#the#sodium#channel#suspending#nerve#conduction.
B.#Oxycodone#promotes#vasodilation#of#cranial#arteries.
C.#Oxycodone#causes#central#nervous#system#depression.
D.#Oxycodone#inhibits#prostaglandin#synthesis.#-#ANSWER-C.#Oxycodone#causes#central#nervous
system#depression.
A#nurse#is#preparing#to#administer#cefazolin#1#g#in#0.9%#sodium#chloride#100#ml-#via#intermittent#IV
bolus#over#30#min.#The#drop#factor#of#the#manual#IV#tubing#is#I5#gtt/mL.#The#nurse#should#set#the
manual#IV#infusion#to#deliver#how#many#gtt/min?#(Round#the#answer#to#the#nearest#whole#number.#Use
a#leading#zero#if#it#applies.#Do#not#use#a#trailing#zero.)#-#ANSWER-50gtt/min
A#nurse#is#preparing#to#transcribe#a#prescription#for#a#client#that#reads#"ondansetron#8#mg#by#mouth
every#12#hr#PRN."#Which#of#the#following#parts#of#the#prescription#should#the#nurse#clarify#with#the
provider?
A.#Dose
B.#Route
C.#Frequency
D.#Reason#-#ANSWER-D.#Reason
,#
1.#A#nurse#is#caring#for#a#client#who#has#a#prescription#for#nifedipine.#Which#of#the#following#findings
should#the#nurse#assess#prior#to#administration#of#the#medication?
A.#Blood#pressure
B.#Respiratory#rate
C.#Temperature
D.#Oxygen#saturation#-#ANSWER-A.#Blood#pressure
A#nurse#is#providing#teaching#to#a#client#who#has#a#new#prescription#for#carbamazepine#for#the
treatment#of#seizures.#The#nurse#should#instruct#the#client#to#monitor#for#which#of#the#following#adverse
effects?
A.#Blurred#vision
B.#Insomnia
C.#Metallic#taste
D.#Tachypnea#-#ANSWER-A.#Blurred#vision
A#nurse#is#reviewing#the#laboratory#data#of#a#client#who#is#receiving#filgrastim.#Which#of#the#following
laboratory#values#should#the#nurse#monitor#to#evaluate#the#effectiveness#of#the#treatment?
A.#Potassium#level
B.#BUN
C.#INR
D.#WBC#count#-#ANSWER-D.#WBC#count
A#nurse#is#caring#for#a#client#who#is#receiving#parenteral#nutrition#and#identifies#that#the#client#has
hypoglycemia.#Which#of#the#following#actions#should#the#nurse#take?
A.#Discontinue#the#infusion.
B.#Administer#IV#dextrose.
C.#Warm#formula#to#room#temperature.
D.#Obtain#arterial#blood#gases.#-#ANSWER-B.#Administer#IV#dextrose.
A#nurse#is#assessing#a#client#who#has#septic#shock#and#is#receiving#dopamine#by#continuous#IV
infusion.#Which#of#the#following#findings#indicates#that#the#nurse#should#increase#the#rate#of#infusion?
A.#Headache
B.#Hypotension
C.#Chest#pain
D.#Extravasation#-#ANSWER-B.#Hypotension
A#nurse#is#caring#for#a#client#who#is#taking#warfarin#and#reports#taking#several#new#herbal#supplements.
The#nurse#should#identify#which#of#the#following#supplements#is#contraindicated#for#concurrent#use
with#warfarin?
A.#Ginkgo#biloba
B.#Coenzyme
C.#Valerian
,#
D.#Probiotics#-#ANSWER-A.#Ginkgo#biloba
A#nurse#is#assessing#a#client#with#hypertension#who#is#receiving#propranolol.#Which#of#the#following
findings#requires#the#nurse's#intervention?
A.#Heart#rate#of#56/min
B.#Sa02#95%#on#2#L/min#of#oxygen
C.#Respirations#22/min
D.#Blood#pressure#106/68#mm#Hg#-#ANSWER-A.#HR#of#56/min
A#nurse#is#preparing#to#administer#the#varicella#vaccine#to#a#group#of#clients.#The#nurse#should#identify
which#of#the#following#clients#as#having#a#contraindication#for#receiving#this#immunization?
A.#An#older#adult#client#living#in#a#long-term#care#facility.
B.#A#young#adult#who#has#an#allergy#to#eggs#C.#A#child#who#recently#received#the#human
papillomavirus#vaccine.
D.#A#client#who#has#AIDS#-#ANSWER-D.#A#client#who#has#AIDS
A#nurse#is#caring#for#a#client#who#is#experiencing#severe#vomiting.#Which#of#the#following#medications
should#the#nurse#plan#to#administer?
A.#Propafenone
B.#Simvastatin
C.#Prochlorperazine
D.#Metformin#-#ANSWER-C.#Prochlorperazine
A#nurse#is#preparing#to#administer#filgrastim#5#mcg/kg/day#subcutaneous#to#a#client#who#weighs#143#lb.
How#many#mcg#should#the#nurse#administer#per#day?#(Round#the#answer#to#the#nearest#whole#number.
Use#a#leading#zero#if#it#applies.#Do#not#use#a#trailing#zero.)#-#ANSWER-325mcg#per#day.
A#nurse#is#caring#for#a#client#who#develops#an#anaphylactic#reaction#to#IV#antibiotic#administration.
After#assessing#the#client's#respiratory#status#and#stopping#the#medication#infusion.#Which#of#the
following#actions#should#the#nurse#take#next?
A.#Administer#epinephrine#IM.
B.#Replace#the#infusion#with#0.9%#sodium#chloride.
C.#Give#diphenhydramine#IM.
D.#Elevate#the#client's#legs#and#feet.#-#ANSWER-A.#Administer#epinephrine#IM.
A#nurse#is#developing#a#teaching#plan#for#an#older#adult#client#who#has#a#new#prescription#for#insulin
glargine.#Which#of#the#following#expected#outcomes#should#the#nurse#include#in#the#plan?
A.#The#client#will#administer#insulin#glargine#before#each#meal.
B.#The#client#will#use#the#deltoid#muscle#as#an#injection#site.
C.#The#client#will#take#an#additional#dose#of#insulin#glargine#prior#to#exercise.
D.#The#client#will#wear#his#reading#glasses#when#drawing#up#a#dose#of#insulin#glargine.#-#ANSWER-D.
The#client#will#wear#his#reading#glasses#when#drawing#up#a#dose#of#insulin#glargine.
,#
A#nurse#is#preparing#to#administer#medication#to#a#client#for#the#first#time#and#needs#to#know#about
potential#food#and#medication#interactions.#Which#of#the#following#actions#should#the#nurse#take?
A.#Have#the#client#take#the#medication#on#an#empty#stomach#to#avoid#interactions.
B.#Consult#a#drug#reference#guide#for#possible#interactions.
C.#Ask#another#nurse#if#they#are#aware#of#potential#interactions.
D.#Check#the#client's#medical#record#for#medication#and#food#interactions.#-#ANSWER-B.#Consult#a
drug#reference#guide#for#possible#interactions.
A#nurse#is#taking#a#medication#history#from#a#client#who#has#a#new#prescription#for#levothyroxine.#The
nurse#should#instruct#the#client#to#wait#4#hr#after#taking#levothyroxine#before#taking#which#of#the
following#supplements?
A.#Ginkgo#biloba
B.#Calcium
C.#Vitamin#C
D.#Zinc#-#ANSWER-B.#Calcium
A#nurse#is#preparing#to#administer#total#parenteral#nutrition#to#a#client.#Which#of#the#following#actions
should#the#nurse#take?
A.#Obtain#the#client's#weight#three#times#a#week.
B.#Check#the#client's#WBC#count#daily.
C.#Keep#the#solution#refrigerated#until#1#hr#before#infusion.
D.#Change#the#solution#every#36#hrs.#-#ANSWER-C.#Keep#the#solution#refrigerated#until#1#hr#before
infusion.
A#nurse#is#preparing#to#administer#a#medication#to#a#client.#Using#the#rights#of#medication
administration.#Which#of#the#following#actions#should#the#nurse#take#to#ensure#the#right#medication#is
administered#to#the#client?
A.#Ask#another#nurse#to#check#the#medication#dosage#prior#to#administration.
B.#Verify#a#written#order#with#the#medication#administration#record.
C.#Use#two#client#identifiers#prior#to#administering#the#medication.
D.#Document#the#full#name#of#the#prescribed#medication#after#administration.#-#ANSWER-C.#Use#two
client#identifiers#prior#to#administering#the#medication.
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#nurse#is#reviewing#the#list#of#current#medications#for#a#client#who#has#a#new#prescription#for
nitroglycerin.#The#nurse#should#identify#that#which#of#the#following#client#medications#is
contraindicated#for#use#with#nitroglycerin?
ATI PN Pharmacology 2023 Comprehensive Exam with NGN
# # # # # # #
(Next Generation) – Latest 2026 Updated Version | Complete
# # # # # # # #
Questions &Answers#
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?
A.#Oxycodone#blocks#the#sodium#channel#suspending#nerve#conduction.
B.#Oxycodone#promotes#vasodilation#of#cranial#arteries.
C.#Oxycodone#causes#central#nervous#system#depression.
D.#Oxycodone#inhibits#prostaglandin#synthesis.#-#ANSWER-C.#Oxycodone#causes#central#nervous
system#depression.
A#nurse#is#preparing#to#administer#cefazolin#1#g#in#0.9%#sodium#chloride#100#ml-#via#intermittent#IV
bolus#over#30#min.#The#drop#factor#of#the#manual#IV#tubing#is#I5#gtt/mL.#The#nurse#should#set#the
manual#IV#infusion#to#deliver#how#many#gtt/min?#(Round#the#answer#to#the#nearest#whole#number.#Use
a#leading#zero#if#it#applies.#Do#not#use#a#trailing#zero.)#-#ANSWER-50gtt/min
A#nurse#is#preparing#to#transcribe#a#prescription#for#a#client#that#reads#"ondansetron#8#mg#by#mouth
every#12#hr#PRN."#Which#of#the#following#parts#of#the#prescription#should#the#nurse#clarify#with#the
provider?
A.#Dose
B.#Route
C.#Frequency
D.#Reason#-#ANSWER-D.#Reason
,#
1.#A#nurse#is#caring#for#a#client#who#has#a#prescription#for#nifedipine.#Which#of#the#following#findings
should#the#nurse#assess#prior#to#administration#of#the#medication?
A.#Blood#pressure
B.#Respiratory#rate
C.#Temperature
D.#Oxygen#saturation#-#ANSWER-A.#Blood#pressure
A#nurse#is#providing#teaching#to#a#client#who#has#a#new#prescription#for#carbamazepine#for#the
treatment#of#seizures.#The#nurse#should#instruct#the#client#to#monitor#for#which#of#the#following#adverse
effects?
A.#Blurred#vision
B.#Insomnia
C.#Metallic#taste
D.#Tachypnea#-#ANSWER-A.#Blurred#vision
A#nurse#is#reviewing#the#laboratory#data#of#a#client#who#is#receiving#filgrastim.#Which#of#the#following
laboratory#values#should#the#nurse#monitor#to#evaluate#the#effectiveness#of#the#treatment?
A.#Potassium#level
B.#BUN
C.#INR
D.#WBC#count#-#ANSWER-D.#WBC#count
A#nurse#is#caring#for#a#client#who#is#receiving#parenteral#nutrition#and#identifies#that#the#client#has
hypoglycemia.#Which#of#the#following#actions#should#the#nurse#take?
A.#Discontinue#the#infusion.
B.#Administer#IV#dextrose.
C.#Warm#formula#to#room#temperature.
D.#Obtain#arterial#blood#gases.#-#ANSWER-B.#Administer#IV#dextrose.
A#nurse#is#assessing#a#client#who#has#septic#shock#and#is#receiving#dopamine#by#continuous#IV
infusion.#Which#of#the#following#findings#indicates#that#the#nurse#should#increase#the#rate#of#infusion?
A.#Headache
B.#Hypotension
C.#Chest#pain
D.#Extravasation#-#ANSWER-B.#Hypotension
A#nurse#is#caring#for#a#client#who#is#taking#warfarin#and#reports#taking#several#new#herbal#supplements.
The#nurse#should#identify#which#of#the#following#supplements#is#contraindicated#for#concurrent#use
with#warfarin?
A.#Ginkgo#biloba
B.#Coenzyme
C.#Valerian
,#
D.#Probiotics#-#ANSWER-A.#Ginkgo#biloba
A#nurse#is#assessing#a#client#with#hypertension#who#is#receiving#propranolol.#Which#of#the#following
findings#requires#the#nurse's#intervention?
A.#Heart#rate#of#56/min
B.#Sa02#95%#on#2#L/min#of#oxygen
C.#Respirations#22/min
D.#Blood#pressure#106/68#mm#Hg#-#ANSWER-A.#HR#of#56/min
A#nurse#is#preparing#to#administer#the#varicella#vaccine#to#a#group#of#clients.#The#nurse#should#identify
which#of#the#following#clients#as#having#a#contraindication#for#receiving#this#immunization?
A.#An#older#adult#client#living#in#a#long-term#care#facility.
B.#A#young#adult#who#has#an#allergy#to#eggs#C.#A#child#who#recently#received#the#human
papillomavirus#vaccine.
D.#A#client#who#has#AIDS#-#ANSWER-D.#A#client#who#has#AIDS
A#nurse#is#caring#for#a#client#who#is#experiencing#severe#vomiting.#Which#of#the#following#medications
should#the#nurse#plan#to#administer?
A.#Propafenone
B.#Simvastatin
C.#Prochlorperazine
D.#Metformin#-#ANSWER-C.#Prochlorperazine
A#nurse#is#preparing#to#administer#filgrastim#5#mcg/kg/day#subcutaneous#to#a#client#who#weighs#143#lb.
How#many#mcg#should#the#nurse#administer#per#day?#(Round#the#answer#to#the#nearest#whole#number.
Use#a#leading#zero#if#it#applies.#Do#not#use#a#trailing#zero.)#-#ANSWER-325mcg#per#day.
A#nurse#is#caring#for#a#client#who#develops#an#anaphylactic#reaction#to#IV#antibiotic#administration.
After#assessing#the#client's#respiratory#status#and#stopping#the#medication#infusion.#Which#of#the
following#actions#should#the#nurse#take#next?
A.#Administer#epinephrine#IM.
B.#Replace#the#infusion#with#0.9%#sodium#chloride.
C.#Give#diphenhydramine#IM.
D.#Elevate#the#client's#legs#and#feet.#-#ANSWER-A.#Administer#epinephrine#IM.
A#nurse#is#developing#a#teaching#plan#for#an#older#adult#client#who#has#a#new#prescription#for#insulin
glargine.#Which#of#the#following#expected#outcomes#should#the#nurse#include#in#the#plan?
A.#The#client#will#administer#insulin#glargine#before#each#meal.
B.#The#client#will#use#the#deltoid#muscle#as#an#injection#site.
C.#The#client#will#take#an#additional#dose#of#insulin#glargine#prior#to#exercise.
D.#The#client#will#wear#his#reading#glasses#when#drawing#up#a#dose#of#insulin#glargine.#-#ANSWER-D.
The#client#will#wear#his#reading#glasses#when#drawing#up#a#dose#of#insulin#glargine.
,#
A#nurse#is#preparing#to#administer#medication#to#a#client#for#the#first#time#and#needs#to#know#about
potential#food#and#medication#interactions.#Which#of#the#following#actions#should#the#nurse#take?
A.#Have#the#client#take#the#medication#on#an#empty#stomach#to#avoid#interactions.
B.#Consult#a#drug#reference#guide#for#possible#interactions.
C.#Ask#another#nurse#if#they#are#aware#of#potential#interactions.
D.#Check#the#client's#medical#record#for#medication#and#food#interactions.#-#ANSWER-B.#Consult#a
drug#reference#guide#for#possible#interactions.
A#nurse#is#taking#a#medication#history#from#a#client#who#has#a#new#prescription#for#levothyroxine.#The
nurse#should#instruct#the#client#to#wait#4#hr#after#taking#levothyroxine#before#taking#which#of#the
following#supplements?
A.#Ginkgo#biloba
B.#Calcium
C.#Vitamin#C
D.#Zinc#-#ANSWER-B.#Calcium
A#nurse#is#preparing#to#administer#total#parenteral#nutrition#to#a#client.#Which#of#the#following#actions
should#the#nurse#take?
A.#Obtain#the#client's#weight#three#times#a#week.
B.#Check#the#client's#WBC#count#daily.
C.#Keep#the#solution#refrigerated#until#1#hr#before#infusion.
D.#Change#the#solution#every#36#hrs.#-#ANSWER-C.#Keep#the#solution#refrigerated#until#1#hr#before
infusion.
A#nurse#is#preparing#to#administer#a#medication#to#a#client.#Using#the#rights#of#medication
administration.#Which#of#the#following#actions#should#the#nurse#take#to#ensure#the#right#medication#is
administered#to#the#client?
A.#Ask#another#nurse#to#check#the#medication#dosage#prior#to#administration.
B.#Verify#a#written#order#with#the#medication#administration#record.
C.#Use#two#client#identifiers#prior#to#administering#the#medication.
D.#Document#the#full#name#of#the#prescribed#medication#after#administration.#-#ANSWER-C.#Use#two
client#identifiers#prior#to#administering#the#medication.
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#nurse#is#reviewing#the#list#of#current#medications#for#a#client#who#has#a#new#prescription#for
nitroglycerin.#The#nurse#should#identify#that#which#of#the#following#client#medications#is
contraindicated#for#use#with#nitroglycerin?