2023 ATI PN
Pharmacology
EXAM QUESTIONS
(4 FULL SET EXAMS)
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 280 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Proctored Exam prep
• NCLEX-PN preparation. Not affiliated with ATI, VATI or NCLEX.
For study purposes only.
,PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
"If you require further clarification or in need of any study
resources, feel free to Message me."
,Table of Contents
ATI PN PHARMACOLOGY EXAM SET 1 .................................. 2
ATI PN PHARMACOLOGY EXAM SET 2 ................................ 41
ATI PN PHARMACOLOGY EXAM SET 3 ................................ 83
ATI PN PHARMACOLOGY EXAM SET 4 .............................. 124
ATI PN PHARMACOLOGY EXAM SET 1
A nurse is reinforcing teaching with a client who has a new prescription for
propranolol. Which of the following information should the nurse include in the
teaching?
Nurses' Notes
1515:
Client reports productive cough and sore throat. Client has diminished breath
sounds and crackles in posterior lobes. Provider to see client.
Vital Signs
1530:
Temperature 38.5° C (101.3° F) Blood pressure 142/76 mm Hg Heart rate 82/min
Respiratory rate 20/min Oxygen saturation 95% on room air
Provider Prescriptions
1600:
,Amoxicillin ER 750 mg PO once daily for 10 days
Select all that apply.
-This medication can cause ringing in the ears.
-If the tablet is too large, you can cut it in half with a pill splitter.
-Take the entire prescribed dose of medication.
-This medication can cause diarrhea.
-Notify your provider if you experience a rash.
-Take an antacid before taking this medication.
A nurse is assisting with the care of a client.
Vital Signs
Day 1, 0800:
,Temperature 37.2° C (99° F)
Heart rate 72/min
Respiratory rate 20/min
Blood pressure 134/66 mm Hg
Oxygen saturation 97% on room air
Day 1, 2000:
Temperature 37° C (98.6° F)
Heart rate 68/min
Respiratory rate 18/min
Blood pressure 142/68 mm Hg
Oxygen saturation 95% on room air
a. Gastric pH
b. Lung sounds
c. Gastric residual
d. Neurological status
e. Blood pressure
f. Speech
g. Tube patency
h. Bowel sounds
i. Cough
a. Gastric pH
b. Lung sounds
c. Gastric residual
,f. Speech
i. Cough
When analyzing cues, the nurse should identify a gastric pH greater than 7, a
gastric residual greater than 500 mL, diminished lung sounds, and a cough, along
with gurgled speech are manifestations of aspiration. Therefore, the nurse should
stop the continuous feeding, hold the scheduled medications, and notify the
provider.
A nurse is assisting in the care of a client in a provider's office.
Exhibit 1
Nurses' Notes
4 weeks ago:
Client here for annual examination. Client reports experiencing headaches and
being short of breath in the last few months. Client denies pain at this time.
Client has changed jobs within the last year, which has caused additional stress
and depression. Today:
Client here for follow-up visit. Client reports being tired all the time and feeling
depressed. "I feel so weak and like I am going to pass out most of the time." Has
been walking 3 times a week. Nurse notes rash on client's arms.
Provider Prescriptions
4 weeks ago:
Metoprolol 20 mg PO daily
Click to highlight the findings that require immediate follow-up by the client's
provider. To deselect a finding, click on the finding again.
Nurses' Notes
,Today:
Client here for follow-up visit. (Client reports being tired all the time and feeling
depressed. "I feel so weak and like I am going to pass out most of the time.") Has
been walking 3 times a week. (Nurse notes rash on client's arms.)
Vital Signs
Today:
Temperature 37.2° C (99° F)
(Heart rate 58/min)
Respiratory rate 18/min
Blood pressure 132/68 mm Hg
Oxygen saturation 96% on room air
Height 183 cm (72 in)
Weight 107 kg (236 lb)
Nurses' Notes
2 days ago:
Client alert and oriented to person, place, and time. Lung sounds clear to
auscultation. S1S2 present, no extra heart sounds. Peripheral pulses 2+ in all
extremities. Client reported flank pain and dysuria. Client had an outpatient
urine culture done which was positive for Escherichia coli. Client was admitted
for intravenous antibiotic therapy. 1 day ago:
Medication adjusted by pharmacy. Client's 24-hr urinary output 1,000 mL,
intake 800 mL. Client reports one loose stool. Today:
Client's 24-hr urinary output 750 mL, intake 500 mL. Client reports two loose
stools.
Complete the following sentence by using the lists of options.
,The client is at greatest risk for developing medication toxicity
as evidenced by through level
When prioritizing hypothesis and using the urgent vs. nonurgent priority
framework to client care, the nurse should recognize that the client is at greatest
risk for developing medication toxicity. The client is receiving gentamicin IV and,
therefore, requires monitoring of peak and trough levels to evaluate therapeutic
levels. The client has an elevated trough level which places the client at risk for
developing toxicity. The nurse should monitor the client for findings of gentamicin
toxicity.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and
pseudoephedrine is no longer effective. Nasal mucosa is red and edematous.
Nares are patent. Frontal and maxillary sinuses are non-tender to palpation.
Oral mucosa is pink and moist. 3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal
mucosa is red and edematous. Nares are non-patent and nasal crusting is
present. Client reports mouth breathing due to nasal congestion. Frontal and
maxillary sinuses are tender to palpation. Oral mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies 3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication.
The nurse should plan to reinforce with the client to use saline nasal spray prior to
administering medication , and instill two sprays of the medication in each nostril.
,When generating solutions for a client who has a new prescription for fluticasone
propionate, the nurse should plan to reinforce teaching with the client about the
medication. The nurse should reinforce with the client to use a saline nasal spray
prior to administering medication to remove nasal crusting. The nurse should also
reinforce to instill two sprays of fluticasone into each nostril to administer 100
mcg per nostril.
A nurse is collecting data from a client who is asking about taking celecoxib for
treatment of joint pain. The nurse should identify that which of the following
findings is a contraindication to receiving celecoxib?
-Hyperglycemia
-Allergy to penicillin
-History of myocardial infarction
-Peptic ulcer disease
Hyperglycemia
Celecoxib is not contraindicated for a client who has hyperglycemia.
Allergy to penicillin
Celecoxib can cause hypersensitivity reactions in clients who are allergic to
sulfonamides or salicylates rather than penicillin.
History of myocardial infarction
Celecoxib increases the risk of myocardial infarction caused by increased
vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a
client who has a history of myocardial infarction or heart disease.
Peptic ulcer disease
Celecoxib should be used with caution for clients who have peptic ulcer disease.
However, it is not contraindicated.
A nurse is reinforcing teaching with a client about the adverse effects of
simvastatin. For which of the following adverse effects should the nurse instruct
the client to notify the provider?
, -Muscle pain
-Fine hand tremors
-Urinary retention
-Double vision
Muscle pain
The nurse should instruct the client to notify the provider if muscle pain or
tenderness develops because this can indicate the client is developing
rhabdomyolysis.
Fine hand tremors
Fine hand tremors are not an adverse effect of simvastatin.
Urinary retention
Urinary retention is not an adverse effect of simvastatin.
Double vision
Double vision is not an adverse effect of simvastatin.
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO
daily. The nurse should instruct the client to monitor for which of the following
adverse effects of this medication?
-Hypokalemia
-Blurred vision
-Tremors
-Dry cough
Hypokalemia
The nurse should identify that hyperkalemia is an adverse effect of enalapril.
Blurred vision
The nurse should identify that blurred vision is not an adverse effect of enalapril.
However, abnormal taste can develop while taking this medication.
Tremors
Pharmacology
EXAM QUESTIONS
(4 FULL SET EXAMS)
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 280 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Proctored Exam prep
• NCLEX-PN preparation. Not affiliated with ATI, VATI or NCLEX.
For study purposes only.
,PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
"If you require further clarification or in need of any study
resources, feel free to Message me."
,Table of Contents
ATI PN PHARMACOLOGY EXAM SET 1 .................................. 2
ATI PN PHARMACOLOGY EXAM SET 2 ................................ 41
ATI PN PHARMACOLOGY EXAM SET 3 ................................ 83
ATI PN PHARMACOLOGY EXAM SET 4 .............................. 124
ATI PN PHARMACOLOGY EXAM SET 1
A nurse is reinforcing teaching with a client who has a new prescription for
propranolol. Which of the following information should the nurse include in the
teaching?
Nurses' Notes
1515:
Client reports productive cough and sore throat. Client has diminished breath
sounds and crackles in posterior lobes. Provider to see client.
Vital Signs
1530:
Temperature 38.5° C (101.3° F) Blood pressure 142/76 mm Hg Heart rate 82/min
Respiratory rate 20/min Oxygen saturation 95% on room air
Provider Prescriptions
1600:
,Amoxicillin ER 750 mg PO once daily for 10 days
Select all that apply.
-This medication can cause ringing in the ears.
-If the tablet is too large, you can cut it in half with a pill splitter.
-Take the entire prescribed dose of medication.
-This medication can cause diarrhea.
-Notify your provider if you experience a rash.
-Take an antacid before taking this medication.
A nurse is assisting with the care of a client.
Vital Signs
Day 1, 0800:
,Temperature 37.2° C (99° F)
Heart rate 72/min
Respiratory rate 20/min
Blood pressure 134/66 mm Hg
Oxygen saturation 97% on room air
Day 1, 2000:
Temperature 37° C (98.6° F)
Heart rate 68/min
Respiratory rate 18/min
Blood pressure 142/68 mm Hg
Oxygen saturation 95% on room air
a. Gastric pH
b. Lung sounds
c. Gastric residual
d. Neurological status
e. Blood pressure
f. Speech
g. Tube patency
h. Bowel sounds
i. Cough
a. Gastric pH
b. Lung sounds
c. Gastric residual
,f. Speech
i. Cough
When analyzing cues, the nurse should identify a gastric pH greater than 7, a
gastric residual greater than 500 mL, diminished lung sounds, and a cough, along
with gurgled speech are manifestations of aspiration. Therefore, the nurse should
stop the continuous feeding, hold the scheduled medications, and notify the
provider.
A nurse is assisting in the care of a client in a provider's office.
Exhibit 1
Nurses' Notes
4 weeks ago:
Client here for annual examination. Client reports experiencing headaches and
being short of breath in the last few months. Client denies pain at this time.
Client has changed jobs within the last year, which has caused additional stress
and depression. Today:
Client here for follow-up visit. Client reports being tired all the time and feeling
depressed. "I feel so weak and like I am going to pass out most of the time." Has
been walking 3 times a week. Nurse notes rash on client's arms.
Provider Prescriptions
4 weeks ago:
Metoprolol 20 mg PO daily
Click to highlight the findings that require immediate follow-up by the client's
provider. To deselect a finding, click on the finding again.
Nurses' Notes
,Today:
Client here for follow-up visit. (Client reports being tired all the time and feeling
depressed. "I feel so weak and like I am going to pass out most of the time.") Has
been walking 3 times a week. (Nurse notes rash on client's arms.)
Vital Signs
Today:
Temperature 37.2° C (99° F)
(Heart rate 58/min)
Respiratory rate 18/min
Blood pressure 132/68 mm Hg
Oxygen saturation 96% on room air
Height 183 cm (72 in)
Weight 107 kg (236 lb)
Nurses' Notes
2 days ago:
Client alert and oriented to person, place, and time. Lung sounds clear to
auscultation. S1S2 present, no extra heart sounds. Peripheral pulses 2+ in all
extremities. Client reported flank pain and dysuria. Client had an outpatient
urine culture done which was positive for Escherichia coli. Client was admitted
for intravenous antibiotic therapy. 1 day ago:
Medication adjusted by pharmacy. Client's 24-hr urinary output 1,000 mL,
intake 800 mL. Client reports one loose stool. Today:
Client's 24-hr urinary output 750 mL, intake 500 mL. Client reports two loose
stools.
Complete the following sentence by using the lists of options.
,The client is at greatest risk for developing medication toxicity
as evidenced by through level
When prioritizing hypothesis and using the urgent vs. nonurgent priority
framework to client care, the nurse should recognize that the client is at greatest
risk for developing medication toxicity. The client is receiving gentamicin IV and,
therefore, requires monitoring of peak and trough levels to evaluate therapeutic
levels. The client has an elevated trough level which places the client at risk for
developing toxicity. The nurse should monitor the client for findings of gentamicin
toxicity.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and
pseudoephedrine is no longer effective. Nasal mucosa is red and edematous.
Nares are patent. Frontal and maxillary sinuses are non-tender to palpation.
Oral mucosa is pink and moist. 3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal
mucosa is red and edematous. Nares are non-patent and nasal crusting is
present. Client reports mouth breathing due to nasal congestion. Frontal and
maxillary sinuses are tender to palpation. Oral mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies 3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication.
The nurse should plan to reinforce with the client to use saline nasal spray prior to
administering medication , and instill two sprays of the medication in each nostril.
,When generating solutions for a client who has a new prescription for fluticasone
propionate, the nurse should plan to reinforce teaching with the client about the
medication. The nurse should reinforce with the client to use a saline nasal spray
prior to administering medication to remove nasal crusting. The nurse should also
reinforce to instill two sprays of fluticasone into each nostril to administer 100
mcg per nostril.
A nurse is collecting data from a client who is asking about taking celecoxib for
treatment of joint pain. The nurse should identify that which of the following
findings is a contraindication to receiving celecoxib?
-Hyperglycemia
-Allergy to penicillin
-History of myocardial infarction
-Peptic ulcer disease
Hyperglycemia
Celecoxib is not contraindicated for a client who has hyperglycemia.
Allergy to penicillin
Celecoxib can cause hypersensitivity reactions in clients who are allergic to
sulfonamides or salicylates rather than penicillin.
History of myocardial infarction
Celecoxib increases the risk of myocardial infarction caused by increased
vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a
client who has a history of myocardial infarction or heart disease.
Peptic ulcer disease
Celecoxib should be used with caution for clients who have peptic ulcer disease.
However, it is not contraindicated.
A nurse is reinforcing teaching with a client about the adverse effects of
simvastatin. For which of the following adverse effects should the nurse instruct
the client to notify the provider?
, -Muscle pain
-Fine hand tremors
-Urinary retention
-Double vision
Muscle pain
The nurse should instruct the client to notify the provider if muscle pain or
tenderness develops because this can indicate the client is developing
rhabdomyolysis.
Fine hand tremors
Fine hand tremors are not an adverse effect of simvastatin.
Urinary retention
Urinary retention is not an adverse effect of simvastatin.
Double vision
Double vision is not an adverse effect of simvastatin.
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO
daily. The nurse should instruct the client to monitor for which of the following
adverse effects of this medication?
-Hypokalemia
-Blurred vision
-Tremors
-Dry cough
Hypokalemia
The nurse should identify that hyperkalemia is an adverse effect of enalapril.
Blurred vision
The nurse should identify that blurred vision is not an adverse effect of enalapril.
However, abnormal taste can develop while taking this medication.
Tremors
