ATI PN Pharmacology 2026 Proctored Exam Comprising
NGN and All Questions and Answers
Original PN Pharmacology NGN Practice Exam
Section A: NGN Case Study
Client Scenario:
Mr. J, age 72, is admitted with heart failure exacerbation. He takes:
• Digoxin 0.125 mg PO daily
• Furosemide 40 mg PO daily
• Lisinopril 10 mg PO daily
• Metoprolol succinate 25 mg PO daily
Assessment findings:
• Nausea and vomiting
• Reports “yellow-green halos” around lights
• Confusion
• HR 52 bpm
• BP 98/60 mm Hg
• K+ 3.1 mEq/L
• Digoxin level 2.4 ng/mL
,Item 1
Which findings are cues that indicate possible digoxin toxicity? Select all that apply.
A. Nausea and vomiting
B. Visual halos
C. Confusion
D. HR 52 bpm
E. K+ 3.1 mEq/L
F. Digoxin level 2.4 ng/mL
Answer: A, B, C, D, E, F
Rationale: Digoxin toxicity can cause GI symptoms, visual disturbances, confusion, bradycardia,
and dysrhythmias. Hypokalemia increases the risk of toxicity. A digoxin level of 2.4 ng/mL is
elevated/toxic, especially with symptoms.
Item 2
Which action should the nurse take first?
A. Administer the next scheduled digoxin dose
B. Hold digoxin and notify the provider
C. Encourage potassium-rich foods
D. Recheck the blood pressure in 1 hour
Answer: B
Rationale: The client has signs of digoxin toxicity. The priority is to hold the medication and
notify the provider. Administering more digoxin could worsen toxicity.
, Item 3
Which prescription should the nurse question?
A. Obtain a serum digoxin level
B. Administer digoxin 0.125 mg PO now
C. Monitor potassium level
D. Place the client on continuous cardiac monitoring
Answer: B
Rationale: The client is symptomatic with an elevated digoxin level. The nurse should question
any order to administer more digoxin.
Item 4
Which lab value should be corrected to reduce the risk of digoxin toxicity?
A. Sodium 134 mEq/L
B. Potassium 3.1 mEq/L
C. Hemoglobin 13.2 g/dL
D. BUN 18 mg/dL
Answer: B
Rationale: Hypokalemia increases myocardial sensitivity to digoxin and raises the risk of toxicity.
Potassium should be replaced as prescribed.
NGN and All Questions and Answers
Original PN Pharmacology NGN Practice Exam
Section A: NGN Case Study
Client Scenario:
Mr. J, age 72, is admitted with heart failure exacerbation. He takes:
• Digoxin 0.125 mg PO daily
• Furosemide 40 mg PO daily
• Lisinopril 10 mg PO daily
• Metoprolol succinate 25 mg PO daily
Assessment findings:
• Nausea and vomiting
• Reports “yellow-green halos” around lights
• Confusion
• HR 52 bpm
• BP 98/60 mm Hg
• K+ 3.1 mEq/L
• Digoxin level 2.4 ng/mL
,Item 1
Which findings are cues that indicate possible digoxin toxicity? Select all that apply.
A. Nausea and vomiting
B. Visual halos
C. Confusion
D. HR 52 bpm
E. K+ 3.1 mEq/L
F. Digoxin level 2.4 ng/mL
Answer: A, B, C, D, E, F
Rationale: Digoxin toxicity can cause GI symptoms, visual disturbances, confusion, bradycardia,
and dysrhythmias. Hypokalemia increases the risk of toxicity. A digoxin level of 2.4 ng/mL is
elevated/toxic, especially with symptoms.
Item 2
Which action should the nurse take first?
A. Administer the next scheduled digoxin dose
B. Hold digoxin and notify the provider
C. Encourage potassium-rich foods
D. Recheck the blood pressure in 1 hour
Answer: B
Rationale: The client has signs of digoxin toxicity. The priority is to hold the medication and
notify the provider. Administering more digoxin could worsen toxicity.
, Item 3
Which prescription should the nurse question?
A. Obtain a serum digoxin level
B. Administer digoxin 0.125 mg PO now
C. Monitor potassium level
D. Place the client on continuous cardiac monitoring
Answer: B
Rationale: The client is symptomatic with an elevated digoxin level. The nurse should question
any order to administer more digoxin.
Item 4
Which lab value should be corrected to reduce the risk of digoxin toxicity?
A. Sodium 134 mEq/L
B. Potassium 3.1 mEq/L
C. Hemoglobin 13.2 g/dL
D. BUN 18 mg/dL
Answer: B
Rationale: Hypokalemia increases myocardial sensitivity to digoxin and raises the risk of toxicity.
Potassium should be replaced as prescribed.
