2023 ATI PN
PHARMACOLOGY
PROCTORED/PHARMAC
OLOGY PN ATI
PROCTORED
1. A PN is preparing to administer digoxin. Which assessment finding should the
nurse report before giving the dose?
A. Heart rate 58/min
B. Blood pressure 118/76 mm Hg
C. Respiratory rate 18/min
D. Temperature 98.6°F
Answer: A
Rationale: Digoxin slows the heart rate. A heart rate below 60/min in an adult
may indicate toxicity or risk for bradycardia. The nurse should hold the dose and
notify the provider.
2. A client taking warfarin should be taught to avoid which food?
A. Bananas
B. Spinach
C. Rice
D. Chicken
Answer: B
Rationale: Spinach is high in vitamin K, which antagonizes warfarin. Clients should
keep vitamin K intake consistent, not eliminate it.
,3. Which lab value should the nurse monitor for a client receiving heparin?
A. INR
B. aPTT
C. Platelet count only
D. Blood glucose
Answer: B
Rationale: aPTT is used to monitor heparin therapy. INR is used for warfarin.
4. A client receiving enoxaparin should be monitored for which adverse effect?
A. Hyperkalemia
B. Bleeding
C. Hypertension
D. Constipation
Answer: B
Rationale: Enoxaparin is a low-molecular-weight heparin and increases bleeding
risk.
5. Which medication is the antidote for heparin overdose?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Flumazenil
Answer: B
Rationale: Protamine sulfate reverses heparin. Vitamin K reverses warfarin.
6. Which medication is the antidote for warfarin overdose?
A. Protamine sulfate
B. Vitamin K
, C. Atropine
D. Acetylcysteine
Answer: B
Rationale: Vitamin K promotes clotting factor synthesis and reverses warfarin.
7. A client taking metformin should be taught to report which serious adverse
effect?
A. Polyuria
B. Muscle pain and weakness
C. Dry mouth
D. Constipation
Answer: B
Rationale: Muscle pain, weakness, and difficulty breathing may indicate lactic
acidosis, a rare but serious complication of metformin.
8. Which insulin has the fastest onset?
A. Regular insulin
B. NPH insulin
C. Lispro insulin
D. Glargine insulin
Answer: C
Rationale: Lispro is a rapid-acting insulin with onset in about 15 minutes.
9. Which insulin is long-acting?
A. Regular
B. NPH
C. Lispro
D. Glargine
PHARMACOLOGY
PROCTORED/PHARMAC
OLOGY PN ATI
PROCTORED
1. A PN is preparing to administer digoxin. Which assessment finding should the
nurse report before giving the dose?
A. Heart rate 58/min
B. Blood pressure 118/76 mm Hg
C. Respiratory rate 18/min
D. Temperature 98.6°F
Answer: A
Rationale: Digoxin slows the heart rate. A heart rate below 60/min in an adult
may indicate toxicity or risk for bradycardia. The nurse should hold the dose and
notify the provider.
2. A client taking warfarin should be taught to avoid which food?
A. Bananas
B. Spinach
C. Rice
D. Chicken
Answer: B
Rationale: Spinach is high in vitamin K, which antagonizes warfarin. Clients should
keep vitamin K intake consistent, not eliminate it.
,3. Which lab value should the nurse monitor for a client receiving heparin?
A. INR
B. aPTT
C. Platelet count only
D. Blood glucose
Answer: B
Rationale: aPTT is used to monitor heparin therapy. INR is used for warfarin.
4. A client receiving enoxaparin should be monitored for which adverse effect?
A. Hyperkalemia
B. Bleeding
C. Hypertension
D. Constipation
Answer: B
Rationale: Enoxaparin is a low-molecular-weight heparin and increases bleeding
risk.
5. Which medication is the antidote for heparin overdose?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Flumazenil
Answer: B
Rationale: Protamine sulfate reverses heparin. Vitamin K reverses warfarin.
6. Which medication is the antidote for warfarin overdose?
A. Protamine sulfate
B. Vitamin K
, C. Atropine
D. Acetylcysteine
Answer: B
Rationale: Vitamin K promotes clotting factor synthesis and reverses warfarin.
7. A client taking metformin should be taught to report which serious adverse
effect?
A. Polyuria
B. Muscle pain and weakness
C. Dry mouth
D. Constipation
Answer: B
Rationale: Muscle pain, weakness, and difficulty breathing may indicate lactic
acidosis, a rare but serious complication of metformin.
8. Which insulin has the fastest onset?
A. Regular insulin
B. NPH insulin
C. Lispro insulin
D. Glargine insulin
Answer: C
Rationale: Lispro is a rapid-acting insulin with onset in about 15 minutes.
9. Which insulin is long-acting?
A. Regular
B. NPH
C. Lispro
D. Glargine
