ATI PN Pharmacology Proctored Exam 2026
includes NGN and All 200 Practice Questions and
100% Correct Answers
Unit 1: Analgesics and Musculoskeletal Medications
1. A nurse is caring for a client who is receiving morphine via a patient-
controlled analgesia (PCA) pump. Which of the following findings should the
nurse identify as the priority?
A. Respiratory rate of 10/min
B. Drowsiness
C. Nausea
D. Itching
2. A nurse is teaching a client about the adverse effects of aspirin. Which of the
following should the nurse include? (SATA)
A. Tinnitus
B. Gastric bleeding
C. Hyperglycemia
D. Hepatotoxicity
E. Prolonged bleeding time
3. A nurse is administering a muscle relaxant to a client with multiple sclerosis.
The client reports a sudden onset of severe muscle spasms. Which of the
following actions should the nurse take first?
A. Administer the next dose of the muscle relaxant.
B. Assess the client's pain level.
C. Notify the provider.
D. Apply a warm compress to the affected area.
4. A client is prescribed allopurinol for gout. Which of the following instructions
should the nurse include?
A. "Take this medication with food to prevent stomach upset."
B. "Increase your intake of purine-rich foods."
C. "You should expect your gout pain to resolve immediately."
D. "Report any rash or fever to your provider immediately."
,5. A nurse is reviewing the medication administration record for a client who is
receiving acetaminophen. The nurse should identify that which of the following
medications increases the client's risk for hepatotoxicity?
A. Warfarin
B. Ibuprofen
C. Isoniazid
D. Omeprazole
6. A nurse is assessing a client who is taking a NSAID for arthritis. Which of the
following findings should the nurse report to the provider?
A. Blood pressure 128/82 mm Hg
B. Heart rate 88/min
C. Black, tarry stools
D. Weight loss of 1 kg (2.2 lb)
7. A nurse is preparing to administer sumatriptan to a client who has a migraine.
The nurse should recognize that sumatriptan is contraindicated for which of the
following client conditions?
A. Hypertension
B. Coronary artery disease
C. Diabetes mellitus
D. Asthma
8. A nurse is providing teaching to a client who is starting methotrexate therapy
for rheumatoid arthritis. Which of the following instructions should the nurse
include?
A. "You should avoid crowds and people who are sick."
B. "You can drink alcohol in moderation."
C. "This medication will take effect within 24 hours."
D. "You should take this medication with an antacid."
9. A nurse is caring for a client who has been taking prednisone for 2 weeks and
abruptly stops. Which of the following findings should the nurse expect?
A. Weight loss
B. Hypoglycemia
C. Hypotension
D. Hyperkalemia
,10. A nurse is administering colchicine to a client who has an acute gout attack.
The nurse should monitor the client for which of the following adverse effects?
A. Constipation
B. Hypertension
C. Diarrhea
D. Bradycardia
11. A nurse is teaching a client about the use of capsaicin cream for
osteoarthritis. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will apply the cream to my entire body."
B. "I will apply the cream before I take a hot shower."
C. "I will wear gloves when applying the cream."
D. "I will expect a cooling sensation after application."
12. A nurse is reviewing the medical history of a client who is prescribed
celecoxib. The nurse should identify that which of the following is a
contraindication for this medication?
A. History of peptic ulcer disease
B. History of myocardial infarction
C. History of asthma
D. History of hypertension
13. A nurse is caring for a client who is receiving a continuous epidural infusion
of an opioid. Which of the following assessments is the priority?
A. Pain level
B. Respiratory status
C. Urinary output
D. Level of consciousness
14. A nurse is administering naloxone to a client who has opioid-induced
respiratory depression. Which of the following findings indicates the medication
is effective?
A. Increased respiratory rate
B. Decreased pain level
C. Increased blood pressure
D. Decreased heart rate
, 15. A nurse is providing teaching to a client who is prescribed baclofen for
muscle spasms. Which of the following should the nurse include as a potential
adverse effect?
A. Insomnia
B. Hypertension
C. Drowsiness
D. Diarrhea
16. A nurse is caring for a client who is taking etanercept for rheumatoid
arthritis. The nurse should monitor the client for which of the following serious
adverse effects?
A. Infection
B. Hypertension
C. Hyperglycemia
D. Constipation
17. A client who is taking aspirin for primary prevention of a myocardial
infarction reports ringing in the ears. Which of the following actions should the
nurse take?
A. Tell the client to continue the medication as prescribed.
B. Advise the client to take the medication with food.
C. Instruct the client to stop taking the medication and notify the provider.
D. Recommend the client take an antacid with the medication.
18. A nurse is reviewing the laboratory results for a client who is taking
methotrexate. Which of the following findings should the nurse report to the
provider?
A. Hemoglobin 14 g/dL
B. WBC count 3,000/mm³
C. Platelet count 250,000/mm³
D. Creatinine 0.9 mg/dL
19. A nurse is teaching a client about the use of a fentanyl transdermal patch.
Which of the following instructions should the nurse include?
A. "Apply the patch to a hairy area for better absorption."
B. "You can cut the patch in half if your pain is less severe."
includes NGN and All 200 Practice Questions and
100% Correct Answers
Unit 1: Analgesics and Musculoskeletal Medications
1. A nurse is caring for a client who is receiving morphine via a patient-
controlled analgesia (PCA) pump. Which of the following findings should the
nurse identify as the priority?
A. Respiratory rate of 10/min
B. Drowsiness
C. Nausea
D. Itching
2. A nurse is teaching a client about the adverse effects of aspirin. Which of the
following should the nurse include? (SATA)
A. Tinnitus
B. Gastric bleeding
C. Hyperglycemia
D. Hepatotoxicity
E. Prolonged bleeding time
3. A nurse is administering a muscle relaxant to a client with multiple sclerosis.
The client reports a sudden onset of severe muscle spasms. Which of the
following actions should the nurse take first?
A. Administer the next dose of the muscle relaxant.
B. Assess the client's pain level.
C. Notify the provider.
D. Apply a warm compress to the affected area.
4. A client is prescribed allopurinol for gout. Which of the following instructions
should the nurse include?
A. "Take this medication with food to prevent stomach upset."
B. "Increase your intake of purine-rich foods."
C. "You should expect your gout pain to resolve immediately."
D. "Report any rash or fever to your provider immediately."
,5. A nurse is reviewing the medication administration record for a client who is
receiving acetaminophen. The nurse should identify that which of the following
medications increases the client's risk for hepatotoxicity?
A. Warfarin
B. Ibuprofen
C. Isoniazid
D. Omeprazole
6. A nurse is assessing a client who is taking a NSAID for arthritis. Which of the
following findings should the nurse report to the provider?
A. Blood pressure 128/82 mm Hg
B. Heart rate 88/min
C. Black, tarry stools
D. Weight loss of 1 kg (2.2 lb)
7. A nurse is preparing to administer sumatriptan to a client who has a migraine.
The nurse should recognize that sumatriptan is contraindicated for which of the
following client conditions?
A. Hypertension
B. Coronary artery disease
C. Diabetes mellitus
D. Asthma
8. A nurse is providing teaching to a client who is starting methotrexate therapy
for rheumatoid arthritis. Which of the following instructions should the nurse
include?
A. "You should avoid crowds and people who are sick."
B. "You can drink alcohol in moderation."
C. "This medication will take effect within 24 hours."
D. "You should take this medication with an antacid."
9. A nurse is caring for a client who has been taking prednisone for 2 weeks and
abruptly stops. Which of the following findings should the nurse expect?
A. Weight loss
B. Hypoglycemia
C. Hypotension
D. Hyperkalemia
,10. A nurse is administering colchicine to a client who has an acute gout attack.
The nurse should monitor the client for which of the following adverse effects?
A. Constipation
B. Hypertension
C. Diarrhea
D. Bradycardia
11. A nurse is teaching a client about the use of capsaicin cream for
osteoarthritis. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will apply the cream to my entire body."
B. "I will apply the cream before I take a hot shower."
C. "I will wear gloves when applying the cream."
D. "I will expect a cooling sensation after application."
12. A nurse is reviewing the medical history of a client who is prescribed
celecoxib. The nurse should identify that which of the following is a
contraindication for this medication?
A. History of peptic ulcer disease
B. History of myocardial infarction
C. History of asthma
D. History of hypertension
13. A nurse is caring for a client who is receiving a continuous epidural infusion
of an opioid. Which of the following assessments is the priority?
A. Pain level
B. Respiratory status
C. Urinary output
D. Level of consciousness
14. A nurse is administering naloxone to a client who has opioid-induced
respiratory depression. Which of the following findings indicates the medication
is effective?
A. Increased respiratory rate
B. Decreased pain level
C. Increased blood pressure
D. Decreased heart rate
, 15. A nurse is providing teaching to a client who is prescribed baclofen for
muscle spasms. Which of the following should the nurse include as a potential
adverse effect?
A. Insomnia
B. Hypertension
C. Drowsiness
D. Diarrhea
16. A nurse is caring for a client who is taking etanercept for rheumatoid
arthritis. The nurse should monitor the client for which of the following serious
adverse effects?
A. Infection
B. Hypertension
C. Hyperglycemia
D. Constipation
17. A client who is taking aspirin for primary prevention of a myocardial
infarction reports ringing in the ears. Which of the following actions should the
nurse take?
A. Tell the client to continue the medication as prescribed.
B. Advise the client to take the medication with food.
C. Instruct the client to stop taking the medication and notify the provider.
D. Recommend the client take an antacid with the medication.
18. A nurse is reviewing the laboratory results for a client who is taking
methotrexate. Which of the following findings should the nurse report to the
provider?
A. Hemoglobin 14 g/dL
B. WBC count 3,000/mm³
C. Platelet count 250,000/mm³
D. Creatinine 0.9 mg/dL
19. A nurse is teaching a client about the use of a fentanyl transdermal patch.
Which of the following instructions should the nurse include?
A. "Apply the patch to a hairy area for better absorption."
B. "You can cut the patch in half if your pain is less severe."
