ATI CAPSTONE PHARMACOLOGY 2
NEWEST 2026 ACTUAL EXAM| RN ATI
CAPSTONE PHARMACOLOGY 2 EXAM
WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALE/
GUARANTEED PASS( GRADED A+)
Question 1
A nurse is caring for a client who is prescribed digoxin. Which finding
should the nurse recognize as a possible manifestation of digoxin
toxicity?
A. Increased appetite
B. Hypertension
C. Yellow-green visual disturbances
D. Increased urine output
Answer: C. Yellow-green visual disturbances
Rationale: Visual disturbances, nausea, vomiting, anorexia, and
dysrhythmias can occur with digoxin toxicity. The nurse should also
monitor the client's apical pulse and serum digoxin concentration.
Question 2
,A client taking warfarin asks which laboratory test is used to monitor
therapeutic effectiveness. Which response should the nurse provide?
A. aPTT
B. Platelet count
C. Bleeding time
D. INR
Answer: D. INR
Rationale: Warfarin therapy is monitored primarily using the
international normalized ratio (INR). The target range depends on the
indication for therapy.
Question 3
A nurse is teaching a client who has a prescription for lisinopril. Which
adverse effect should the nurse instruct the client to report?
A. Increased appetite
B. Persistent cough
C. Orange urine
D. Increased salivation
Answer: B. Persistent cough
Rationale: ACE inhibitors such as lisinopril can cause a persistent dry
cough. Angioedema is a more serious reaction requiring immediate
medical attention.
Question 4
A client receiving furosemide reports muscle weakness. Which
laboratory value should the nurse assess first?
,A. Calcium
B. Sodium
C. Potassium
D. Phosphate
Answer: C. Potassium
Rationale: Furosemide is a loop diuretic that can cause potassium loss.
Hypokalemia can produce muscle weakness, dysrhythmias, and other
complications.
Question 5
A nurse is administering insulin lispro. When should the nurse
administer this medication in relation to meals?
A. 2 hr after eating
B. 1 hr before eating
C. At bedtime only
D. When the meal is available or shortly before the meal
Answer: D. When the meal is available or shortly before the meal
Rationale: Insulin lispro is rapid acting and should be coordinated
closely with food intake to reduce the risk of hypoglycemia.
Question 6
A client taking metformin is scheduled for a procedure requiring
iodinated contrast. Which action should the nurse anticipate?
A. Increase the metformin dose
B. Administer an additional dose immediately before the procedure
C. Hold metformin as prescribed around the contrast procedure and
, follow renal-function monitoring instructions
D. Substitute digoxin
Answer: C. Hold metformin as prescribed around the contrast
procedure and follow renal-function monitoring instructions
Rationale: Metformin may need to be temporarily withheld in certain
clients receiving iodinated contrast because of the risk associated with
impaired renal function and lactic acidosis.
Question 7
A client taking levothyroxine asks how to take the medication. Which
instruction should the nurse provide?
A. Take it with calcium supplements.
B. Take it only when symptoms occur.
C. Take it with a high-fiber meal.
D. Take it consistently on an empty stomach, preferably in the
morning.
Answer: D. Take it consistently on an empty stomach, preferably in
the morning.
Rationale: Levothyroxine absorption is more consistent when taken on
an empty stomach. Calcium and iron supplements can decrease
absorption and should generally be separated from levothyroxine.
Question 8
A nurse is assessing a client who received morphine. Which finding
requires the most immediate intervention?
NEWEST 2026 ACTUAL EXAM| RN ATI
CAPSTONE PHARMACOLOGY 2 EXAM
WITH COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALE/
GUARANTEED PASS( GRADED A+)
Question 1
A nurse is caring for a client who is prescribed digoxin. Which finding
should the nurse recognize as a possible manifestation of digoxin
toxicity?
A. Increased appetite
B. Hypertension
C. Yellow-green visual disturbances
D. Increased urine output
Answer: C. Yellow-green visual disturbances
Rationale: Visual disturbances, nausea, vomiting, anorexia, and
dysrhythmias can occur with digoxin toxicity. The nurse should also
monitor the client's apical pulse and serum digoxin concentration.
Question 2
,A client taking warfarin asks which laboratory test is used to monitor
therapeutic effectiveness. Which response should the nurse provide?
A. aPTT
B. Platelet count
C. Bleeding time
D. INR
Answer: D. INR
Rationale: Warfarin therapy is monitored primarily using the
international normalized ratio (INR). The target range depends on the
indication for therapy.
Question 3
A nurse is teaching a client who has a prescription for lisinopril. Which
adverse effect should the nurse instruct the client to report?
A. Increased appetite
B. Persistent cough
C. Orange urine
D. Increased salivation
Answer: B. Persistent cough
Rationale: ACE inhibitors such as lisinopril can cause a persistent dry
cough. Angioedema is a more serious reaction requiring immediate
medical attention.
Question 4
A client receiving furosemide reports muscle weakness. Which
laboratory value should the nurse assess first?
,A. Calcium
B. Sodium
C. Potassium
D. Phosphate
Answer: C. Potassium
Rationale: Furosemide is a loop diuretic that can cause potassium loss.
Hypokalemia can produce muscle weakness, dysrhythmias, and other
complications.
Question 5
A nurse is administering insulin lispro. When should the nurse
administer this medication in relation to meals?
A. 2 hr after eating
B. 1 hr before eating
C. At bedtime only
D. When the meal is available or shortly before the meal
Answer: D. When the meal is available or shortly before the meal
Rationale: Insulin lispro is rapid acting and should be coordinated
closely with food intake to reduce the risk of hypoglycemia.
Question 6
A client taking metformin is scheduled for a procedure requiring
iodinated contrast. Which action should the nurse anticipate?
A. Increase the metformin dose
B. Administer an additional dose immediately before the procedure
C. Hold metformin as prescribed around the contrast procedure and
, follow renal-function monitoring instructions
D. Substitute digoxin
Answer: C. Hold metformin as prescribed around the contrast
procedure and follow renal-function monitoring instructions
Rationale: Metformin may need to be temporarily withheld in certain
clients receiving iodinated contrast because of the risk associated with
impaired renal function and lactic acidosis.
Question 7
A client taking levothyroxine asks how to take the medication. Which
instruction should the nurse provide?
A. Take it with calcium supplements.
B. Take it only when symptoms occur.
C. Take it with a high-fiber meal.
D. Take it consistently on an empty stomach, preferably in the
morning.
Answer: D. Take it consistently on an empty stomach, preferably in
the morning.
Rationale: Levothyroxine absorption is more consistent when taken on
an empty stomach. Calcium and iron supplements can decrease
absorption and should generally be separated from levothyroxine.
Question 8
A nurse is assessing a client who received morphine. Which finding
requires the most immediate intervention?
