ATI PN Pharmacology Exam 2025/2026
– NGN Style Exam Study Guide
Questions and Verified Answers
() 100% Guarantee Pass.
1. A nurse is monitoring a client who has been receiving long-term
hydrochlorothiazide therapy for recurring episodes of heart failure.
Which finding should the nurse identify as an adverse effect of this
medication?
A) Hyperkalemia
B) Hypokalemia
C) Hypercalcemia
D) Hypernatremia
Correct Answer: B
Rationale: Hydrochlorothiazide is a thiazide diuretic that promotes
potassium excretion, increasing the risk of hypokalemia. This electrolyte
imbalance can cause cardiac arrhythmias and should be monitored
closely.
, 2. A nurse is reinforcing teaching with a newly licensed nurse about using
metoprolol to treat hypertension. Which condition should the nurse
include as a contraindication for this medication?
A) Hypertension
B) Tachycardia
C) Bradycardia
D) Diabetes mellitus
Correct Answer: C
Rationale: Metoprolol is a beta-blocker that slows heart rate and AV
conduction. It is contraindicated in clients with bradycardia (heart rate
<60/min) as it may worsen the condition.
3. 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
adverse effect?
A) Persistent dry cough
,
B) Blurred vision
C) Increased appetite
D) Constipation
Correct Answer: A
Rationale: ACE inhibitors like enalapril can cause accumulation of
bradykinin, leading to a persistent, nonproductive dry cough. This is a
common side effect that should be reported to the provider.
4. A nurse is reinforcing teaching with a client who is prescribed warfarin.
Which food should the client avoid to maintain therapeutic effectiveness?
A) Apples
B) Spinach
C) Chicken
,
D) Bread
Correct Answer: B
Rationale: Spinach is high in vitamin K, which decreases the effectiveness
of warfarin by counteracting its anticoagulant effect. Clients should
maintain consistent vitamin K intake while on warfarin therapy.
5. What is the priority nursing action before administering digoxin?
A) Check blood pressure
B) Assess apical pulse for 1 full minute
C) Review potassium levels
D) Evaluate intake and output
Correct Answer: B
Rationale: The apical pulse should be assessed for 1 full minute before
administering digoxin. If the pulse is below 60/min (adults), the
medication should be held and the provider notified.
– NGN Style Exam Study Guide
Questions and Verified Answers
() 100% Guarantee Pass.
1. A nurse is monitoring a client who has been receiving long-term
hydrochlorothiazide therapy for recurring episodes of heart failure.
Which finding should the nurse identify as an adverse effect of this
medication?
A) Hyperkalemia
B) Hypokalemia
C) Hypercalcemia
D) Hypernatremia
Correct Answer: B
Rationale: Hydrochlorothiazide is a thiazide diuretic that promotes
potassium excretion, increasing the risk of hypokalemia. This electrolyte
imbalance can cause cardiac arrhythmias and should be monitored
closely.
, 2. A nurse is reinforcing teaching with a newly licensed nurse about using
metoprolol to treat hypertension. Which condition should the nurse
include as a contraindication for this medication?
A) Hypertension
B) Tachycardia
C) Bradycardia
D) Diabetes mellitus
Correct Answer: C
Rationale: Metoprolol is a beta-blocker that slows heart rate and AV
conduction. It is contraindicated in clients with bradycardia (heart rate
<60/min) as it may worsen the condition.
3. 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
adverse effect?
A) Persistent dry cough
,
B) Blurred vision
C) Increased appetite
D) Constipation
Correct Answer: A
Rationale: ACE inhibitors like enalapril can cause accumulation of
bradykinin, leading to a persistent, nonproductive dry cough. This is a
common side effect that should be reported to the provider.
4. A nurse is reinforcing teaching with a client who is prescribed warfarin.
Which food should the client avoid to maintain therapeutic effectiveness?
A) Apples
B) Spinach
C) Chicken
,
D) Bread
Correct Answer: B
Rationale: Spinach is high in vitamin K, which decreases the effectiveness
of warfarin by counteracting its anticoagulant effect. Clients should
maintain consistent vitamin K intake while on warfarin therapy.
5. What is the priority nursing action before administering digoxin?
A) Check blood pressure
B) Assess apical pulse for 1 full minute
C) Review potassium levels
D) Evaluate intake and output
Correct Answer: B
Rationale: The apical pulse should be assessed for 1 full minute before
administering digoxin. If the pulse is below 60/min (adults), the
medication should be held and the provider notified.
