COMPREHENSIVE PRACTICE (2026/2027 EDITION)
150 Multiple-Choice Questions - Complete Practice Exam
Independent-Study Disclaimer
This practice examination is an independent study aid and is not affiliated with, endorsed by, or sponsored by ATI
Testing / Virtual ATI (VATI) or any other organization. It is provided for educational and self-assessment
purposes only and is not a substitute for official nursing curricula, the NCLEX-RN test plan, or professional
guidance. Drug information and standards are subject to change; always consult current references, FDA
guidelines, and clinical best practices.
, Section 1: Medication Safety & Administration – Six Rights, High-Alert
Meds, Error Prevention (20 questions)
Q1: Which of the following are the 'Six Rights' of medication administration?
A. Right room, bed, and nurse
B. Right cost, brand, and pharmacy
C. Right mood, temperature
D. Right patient, drug, dose, route, time, and documentation [CORRECT]
Correct Answer: D
Rationale: The Six Rights are patient, drug, dose, route, time, and documentation. The others are incorrect.
Q2: Which of the following is a 'right' in medication administration?
A. Right bed number
B. Right nurse preference
C. Right dose [CORRECT]
D. Right day
Correct Answer: C
Rationale: Right dose is one of the Six Rights. The others are not.
Q3: How many checks are typically performed before administering a medication?
A. One check
B. Three checks [CORRECT]
C. No checks
D. Five checks
Correct Answer: B
Rationale: The 'three checks' are performed before medication administration. The others are incorrect.
Q4: Which of the following is TRUE about identifying the right patient?
A. Use the room number
B. Use two patient identifiers (e.g., name and date of birth) [CORRECT]
C. Ask the visitor
D. Use the bed number
Correct Answer: B
Rationale: Two identifiers are used to verify the patient. The others are insufficient.
Q5: Which of the following is a high-alert medication?
A. Insulin, heparin, and opioids [CORRECT]
B. Multivitamins
C. Calcium carbonate
D. A topical cream
Correct Answer: A
Rationale: Insulin, heparin, and opioids are high-alert medications. The others are not.
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, Q6: Which of the following is TRUE about high-alert medications?
A. No extra care is needed
B. They require extra precautions (e.g., independent double checks) [CORRECT]
C. They are safe
D. They are not monitored
Correct Answer: B
Rationale: High-alert medications require extra precautions. The others are incorrect.
Q7: Which of the following is TRUE about look-alike/sound-alike medications?
A. They require tall man lettering and careful verification [CORRECT]
B. They are not a concern
C. They are identical
D. No precautions are needed
Correct Answer: A
Rationale: Look-alike/sound-alike drugs require tall man lettering and careful verification. The others are
incorrect.
Q8: Which of the following is TRUE about medication reconciliation?
A. It is optional
B. It is only for new patients
C. It ignores medications
D. It compares the patient's medications across care settings to prevent errors [CORRECT]
Correct Answer: D
Rationale: Medication reconciliation prevents errors across settings. The others are incorrect.
Q9: Which of the following is TRUE about a 'stat' order?
A. It is routine
B. It is given later
C. It is administered immediately [CORRECT]
D. It is optional
Correct Answer: C
Rationale: A stat order is administered immediately. The others are incorrect.
Q10: Which of the following is TRUE about a 'PRN' order?
A. It is on a fixed schedule
B. It is never given
C. It is administered as needed for a specific indication [CORRECT]
D. It is optional
Correct Answer: C
Rationale: PRN means 'as needed' for a specific indication. The others are incorrect.
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, Q11: Which of the following is TRUE about a medication error?
A. It should be reported, documented, and the patient assessed [CORRECT]
B. It is hidden
C. It is ignored
D. It is never discussed
Correct Answer: A
Rationale: Medication errors are reported, documented, and the patient assessed. The others are improper.
Q12: Which of the following is TRUE about patient education on medications?
A. Teach the purpose, side effects, administration, and monitoring [CORRECT]
B. No education is needed
C. Education is optional
D. Only the dose is taught
Correct Answer: A
Rationale: Patient education covers purpose, side effects, administration, and monitoring. The others are
incomplete.
Q13: Which of the following is TRUE about verifying a medication?
A. Skip verification
B. Guess the dose
C. Verify the medication, dose, and patient before administration [CORRECT]
D. Ignore allergies
Correct Answer: C
Rationale: Verifying medication, dose, and patient prevents errors. The others are unsafe.
Q14: Which of the following is TRUE about an allergy to a medication?
A. Administer it anyway
B. Ignore the allergy
C. Give a double dose
D. The allergy is verified, documented, and the drug avoided [CORRECT]
Correct Answer: D
Rationale: Allergies are verified, documented, and the drug avoided. The others are unsafe.
Q15: Which of the following is TRUE about a medication that is not available?
A. Substitute a similar drug
B. Hold it and notify the provider [CORRECT]
C. Give a double dose
D. Skip it
Correct Answer: B
Rationale: If a medication is unavailable, hold it and notify the provider. The others are unsafe.
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