ATI PN PHARMACOLOGY VERSION 1, 2 & 3 EXAM (NGN-STYLE QUESTIONS & CASE “SCENARIO”) Actual Qs & Ans to Pass the Exam

ATI PN
PHARMACOLOGY
VERSION 1, 2 & 3 EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIO”)
Actual Qs & Ans to Pass the Exam

This ATI test contains:

 Passing Score Guarantee
 Each Exam has 70 PHARMACOLOGY nursing
questions
 multiple-choice format (A, B, C, D) with correct
answers
 structured rationales.
 incorporate Next Generation NCLEX (NGN)-style.
 Some questions feature brief “scenario” elements and rationales.

,Table of Contents
ATI PN PHARMACOLOGY EXAM V1 .........................2

ATI PN PHARMACOLOGY EXAM V2 .......................36

ATI PN PHARMACOLOGY EXAM V3 .......................76



ATI PN PHARMACOLOGY EXAM V1


1. A nurse is reinforcing teaching with a client who has a new prescription for
omeprazole oral capsules. Which of the following instructions should the nurse
include?

a. Chew the medication thoroughly before swallowing

b. Swallow the medication whole

c. Crush the capsules and mix with food
d. Take the medication with an antacid



Answer: b. Swallow the medication whole



Expert Rationale: The nurse should instruct the client to swallow omeprazole capsules
whole as it is available in delayed-release form. Chewing or crushing the medication
can destroy the coating and reduce effectiveness. Omeprazole is a proton pump
inhibitor that blocks gastric acid secretion and must be absorbed intact.



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2. A nurse is reinforcing teaching about comfort measures with the guardian of a
10-year-old child who has a viral infection. The nurse should plan to tell the

,parent that aspirin is contraindicated because of the risk for which of the
following conditions?

a. Hemophilia

b. Reye syndrome

c. Appendicitis

d. Anaphylaxis


Answer: b. Reye syndrome



Expert Rationale: Aspirin is contraindicated in children and adolescents with viral
infections due to the increased risk of Reye syndrome, a rare but potentially fatal
condition causing encephalopathy and liver damage.


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3. A nurse is caring for a client who has a prescription for an IM injection of
penicillin G benzathine. The client asks why the injection must be given IM
instead of through the IV line. Which of the following responses should the nurse
make?
a. "IV administration causes an allergic reaction."

b. "Your medication can't be given IV because it is not water-soluble."

c. "IV doses are usually lower than IM doses."

d. "IM provides faster absorption than IV."



Answer: b. "Your medication can't be given IV because it is not water-soluble."



Expert Rationale: Penicillin G benzathine is poorly water-soluble; administering it IV
can cause serious reactions such as embolism. It is formulated for slow absorption from
the IM site.

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4. A nurse is planning to reinforce teaching about newborn immunizations with a cl
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ient who is 24 hr postpartum. Which of the following information should the nurse
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plan to include? ;; ;; ;;;;




a. "Your baby will receive the first hepatitis B vaccine before discharge."
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b. "Your baby will receive the MMR vaccine before discharge."
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c. "Your baby will receive the varicella vaccine before discharge."
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d. "Your baby will receive the flu vaccine before discharge."
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Answer: a. "Your baby will receive the first hepatitis B vaccine before discharge."
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Expert Rationale: The newborn should receive the first dose of the hepatitis B vaccine wit
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hin 24 hours of birth to provide early immunity against hepatitis B infection.
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5. A client comes to an urgent care clinic and announces with great enthusiasm, "I
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am an expert at all things medical as they apply to me, and I require zolpidem." The
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client's pupils are dilated, along with an elevated heart rate and blood pressure lev
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el. The nurse should suspect intoxication with which of the following substances?
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a. Alcohol
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b. Heroin
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c. Cocaine
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d. Benzodiazepines
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Answer: c. Cocaine ;; ;; ;;;;