Newest Digital ATI RN Pharmacology
Proctored Exam 2026 Level 3 with
NGN 70 Questions to Succeed in Real
RN Pharmacology Exam and Answers
High-Yield NCLEX® Nursing Questions, Correct Answers & Rationales
1. Anaphylaxis Following a Bee Sting — SATA
Question: A school nurse is assessing a child who has been stung by a bee. The child's hand is
swelling and the nurse notes that the child is allergic to insect stings. Which of the following
findings should the nurse expect if the child develops anaphylaxis? (SATA)
A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor
CORRECT ANSWERS:
B) Nausea
D) Urticaria
E) Stridor
Rationale: Anaphylaxis is a severe systemic hypersensitivity reaction. Expected manifestations
include gastrointestinal symptoms such as nausea, skin manifestations such as urticaria, and
airway obstruction manifested by stridor. Bradycardia and hypertension are not typical findings;
hypotension and tachycardia are more likely with severe anaphylaxis.
2. Oral Care for an Unconscious Client
Question: A nurse is caring for a client who is unconscious. Which of the following actions
should the nurse take when providing oral care for the client?
,A) Test for the presence of the clients gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open
CORRECT ANSWER: A) Test for the presence of the clients gag reflex
Rationale: An unconscious client is at increased risk for aspiration. The nurse should assess the
gag reflex before providing oral care. The client should not be placed flat in the supine position
because secretions can enter the airway.
3. Acute Myelogenous Leukemia and Thrombocytopenia
Question: A nurse is planning care for a client who has acute myelogenous leukemia and a
platelet count of 48,000/mm^3. Which of the follow interventions should the nurse include?
A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth
CORRECT ANSWER: A) Avoid IM injections
Rationale: A platelet count of 48,000/mm³ indicates thrombocytopenia and increases the risk of
bleeding. IM injections can cause tissue trauma and bleeding and should therefore be avoided.
4. Assessment of Cranial Nerve V
Question: A nurse is preparing to assess the function of the clients trigeminal nerve (cranial
nerve V). Which of the following items should the nurse gather for the test?
A) Sugar
B) Coffee
C) Cotton wisps
D) Snellen chart
CORRECT ANSWER: C) Cotton wisps
Rationale: Cranial nerve V, the trigeminal nerve, is responsible for facial sensation and motor
function related to chewing. A cotton wisp can be used to assess light-touch sensation on the
face.
, 5. Medication to Maintain Sobriety After Alcohol Detoxification
Question: A nurse is caring for a client with alcohol use disorder who has undergone
detoxification. Which of the following medications should the nurse expect the provider to
prescribe to assist the client with maintaining sobriety
A) Varenicline
B) Clonidine
C) Buprenorphine
D) Disulfiram
CORRECT ANSWER: D) Disulfiram
Rationale: Disulfiram is used to help maintain abstinence from alcohol. It causes an unpleasant
reaction when alcohol is consumed, which discourages alcohol use.
6. Therapeutic Communication With a Client Who Has Depression
Question: A newly admitted client who has major depressive disorder states to the nurse, "I'm a
failure, I can't even cope with the little things anymore." Which of the following responses
should the nurse provide?
A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now"
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get better"
CORRECT ANSWER: C) "Do you feel like you don't deserve to feel good about yourself?"
Rationale: This response encourages the client to explore feelings of worthlessness and self-
esteem, which are common manifestations of major depressive disorder. The nurse should
avoid giving false reassurance or asking judgmental questions.
7. Erikson's Developmental Task — Middle Adulthood
Question: A nurse is caring for a middle-aged adult client. The nurse should identify which of
the following statements as an indication that the client has completed Eriksons developmental
task for her age group?
Proctored Exam 2026 Level 3 with
NGN 70 Questions to Succeed in Real
RN Pharmacology Exam and Answers
High-Yield NCLEX® Nursing Questions, Correct Answers & Rationales
1. Anaphylaxis Following a Bee Sting — SATA
Question: A school nurse is assessing a child who has been stung by a bee. The child's hand is
swelling and the nurse notes that the child is allergic to insect stings. Which of the following
findings should the nurse expect if the child develops anaphylaxis? (SATA)
A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor
CORRECT ANSWERS:
B) Nausea
D) Urticaria
E) Stridor
Rationale: Anaphylaxis is a severe systemic hypersensitivity reaction. Expected manifestations
include gastrointestinal symptoms such as nausea, skin manifestations such as urticaria, and
airway obstruction manifested by stridor. Bradycardia and hypertension are not typical findings;
hypotension and tachycardia are more likely with severe anaphylaxis.
2. Oral Care for an Unconscious Client
Question: A nurse is caring for a client who is unconscious. Which of the following actions
should the nurse take when providing oral care for the client?
,A) Test for the presence of the clients gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open
CORRECT ANSWER: A) Test for the presence of the clients gag reflex
Rationale: An unconscious client is at increased risk for aspiration. The nurse should assess the
gag reflex before providing oral care. The client should not be placed flat in the supine position
because secretions can enter the airway.
3. Acute Myelogenous Leukemia and Thrombocytopenia
Question: A nurse is planning care for a client who has acute myelogenous leukemia and a
platelet count of 48,000/mm^3. Which of the follow interventions should the nurse include?
A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth
CORRECT ANSWER: A) Avoid IM injections
Rationale: A platelet count of 48,000/mm³ indicates thrombocytopenia and increases the risk of
bleeding. IM injections can cause tissue trauma and bleeding and should therefore be avoided.
4. Assessment of Cranial Nerve V
Question: A nurse is preparing to assess the function of the clients trigeminal nerve (cranial
nerve V). Which of the following items should the nurse gather for the test?
A) Sugar
B) Coffee
C) Cotton wisps
D) Snellen chart
CORRECT ANSWER: C) Cotton wisps
Rationale: Cranial nerve V, the trigeminal nerve, is responsible for facial sensation and motor
function related to chewing. A cotton wisp can be used to assess light-touch sensation on the
face.
, 5. Medication to Maintain Sobriety After Alcohol Detoxification
Question: A nurse is caring for a client with alcohol use disorder who has undergone
detoxification. Which of the following medications should the nurse expect the provider to
prescribe to assist the client with maintaining sobriety
A) Varenicline
B) Clonidine
C) Buprenorphine
D) Disulfiram
CORRECT ANSWER: D) Disulfiram
Rationale: Disulfiram is used to help maintain abstinence from alcohol. It causes an unpleasant
reaction when alcohol is consumed, which discourages alcohol use.
6. Therapeutic Communication With a Client Who Has Depression
Question: A newly admitted client who has major depressive disorder states to the nurse, "I'm a
failure, I can't even cope with the little things anymore." Which of the following responses
should the nurse provide?
A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now"
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get better"
CORRECT ANSWER: C) "Do you feel like you don't deserve to feel good about yourself?"
Rationale: This response encourages the client to explore feelings of worthlessness and self-
esteem, which are common manifestations of major depressive disorder. The nurse should
avoid giving false reassurance or asking judgmental questions.
7. Erikson's Developmental Task — Middle Adulthood
Question: A nurse is caring for a middle-aged adult client. The nurse should identify which of
the following statements as an indication that the client has completed Eriksons developmental
task for her age group?
