ATI RN PHARMACOLOGY PROCTORED EXAM 2026/2027 - 400 VERIFIED QUESTIONS
WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Pharmacology CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=83
B=100 C=106 D=111
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Warfarin INR 4.8 bleeding antidote? (Variant 1 - 2026/2027)
A. Naloxone
B. Protamine
C. Flumazenil
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
2. Heparin therapeutic aPTT? (Variant 2 - 2026/2027)
A. 100-150
B. 60-80 seconds
C. 10-20 sec
D. 0-10
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
3. Gentamicin side effect? (Variant 3 - 2026/2027)
A. Hyperkalemia only
B. Weight loss
C. No effects
D. Nephrotoxicity and ototoxicity
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
4. Opioid overdose triad? (Variant 4 - 2026/2027)
A. Resp depression, pinpoint pupils, decreased LOC - Naloxone
B. HTN
C. Tachycardia
D. Dilated pupils
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
5. Warfarin INR 4.8 bleeding antidote? (Variant 5 - 2026/2027)
A. Flumazenil
B. Protamine
C. Naloxone
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
6. Heparin therapeutic aPTT? (Variant 6 - 2026/2027)
A. 0-10
B. 100-150
C. 10-20 sec
D. 60-80 seconds
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
7. Gentamicin side effect? (Variant 7 - 2026/2027)
A. Hyperkalemia only
B. Weight loss
, C. Nephrotoxicity and ototoxicity
D. No effects
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
8. Opioid overdose triad? (Variant 8 - 2026/2027)
A. Resp depression, pinpoint pupils, decreased LOC - Naloxone
B. Dilated pupils
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
9. Warfarin INR 4.8 bleeding antidote? (Variant 9 - 2026/2027)
A. Vitamin K + 4F-PCC
B. Flumazenil
C. Protamine
D. Naloxone
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
10. Heparin therapeutic aPTT? (Variant 10 - 2026/2027)
A. 60-80 seconds
B. 10-20 sec
C. 100-150
D. 0-10
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
11. Gentamicin side effect? (Variant 11 - 2026/2027)
A. Hyperkalemia only
B. No effects
C. Nephrotoxicity and ototoxicity
D. Weight loss
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
12. Opioid overdose triad? (Variant 12 - 2026/2027)
A. Tachycardia
B. Resp depression, pinpoint pupils, decreased LOC - Naloxone
C. Dilated pupils
D. HTN
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
13. Warfarin INR 4.8 bleeding antidote? (Variant 13 - 2026/2027)
A. Protamine
B. Flumazenil
C. Naloxone
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
14. Heparin therapeutic aPTT? (Variant 14 - 2026/2027)
A. 0-10
B. 60-80 seconds
C. 10-20 sec
D. 100-150
,Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
15. Gentamicin side effect? (Variant 15 - 2026/2027)
A. Weight loss
B. Nephrotoxicity and ototoxicity
C. No effects
D. Hyperkalemia only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
16. Opioid overdose triad? (Variant 16 - 2026/2027)
A. Tachycardia
B. HTN
C. Dilated pupils
D. Resp depression, pinpoint pupils, decreased LOC - Naloxone
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
17. Warfarin INR 4.8 bleeding antidote? (Variant 17 - 2026/2027)
A. Naloxone
B. Flumazenil
C. Vitamin K + 4F-PCC
D. Protamine
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
18. Heparin therapeutic aPTT? (Variant 18 - 2026/2027)
A. 0-10
B. 10-20 sec
C. 100-150
D. 60-80 seconds
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
19. Gentamicin side effect? (Variant 19 - 2026/2027)
A. No effects
B. Hyperkalemia only
C. Weight loss
D. Nephrotoxicity and ototoxicity
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
20. Opioid overdose triad? (Variant 20 - 2026/2027)
A. Tachycardia
B. Resp depression, pinpoint pupils, decreased LOC - Naloxone
C. Dilated pupils
D. HTN
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
21. Warfarin INR 4.8 bleeding antidote? (Variant 21 - 2026/2027)
A. Protamine
B. Naloxone
C. Flumazenil
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
, 22. Heparin therapeutic aPTT? (Variant 22 - 2026/2027)
A. 60-80 seconds
B. 100-150
C. 10-20 sec
D. 0-10
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
23. Gentamicin side effect? (Variant 23 - 2026/2027)
A. Nephrotoxicity and ototoxicity
B. No effects
C. Weight loss
D. Hyperkalemia only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
24. Opioid overdose triad? (Variant 24 - 2026/2027)
A. HTN
B. Resp depression, pinpoint pupils, decreased LOC - Naloxone
C. Tachycardia
D. Dilated pupils
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
25. Warfarin INR 4.8 bleeding antidote? (Variant 25 - 2026/2027)
A. Naloxone
B. Vitamin K + 4F-PCC
C. Flumazenil
D. Protamine
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
26. Heparin therapeutic aPTT? (Variant 26 - 2026/2027)
A. 0-10
B. 100-150
C. 60-80 seconds
D. 10-20 sec
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
27. Gentamicin side effect? (Variant 27 - 2026/2027)
A. No effects
B. Weight loss
C. Nephrotoxicity and ototoxicity
D. Hyperkalemia only
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
28. Opioid overdose triad? (Variant 28 - 2026/2027)
A. Resp depression, pinpoint pupils, decreased LOC - Naloxone
B. HTN
C. Dilated pupils
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
29. Warfarin INR 4.8 bleeding antidote? (Variant 29 - 2026/2027)
A. Flumazenil
WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Pharmacology CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=83
B=100 C=106 D=111
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Warfarin INR 4.8 bleeding antidote? (Variant 1 - 2026/2027)
A. Naloxone
B. Protamine
C. Flumazenil
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
2. Heparin therapeutic aPTT? (Variant 2 - 2026/2027)
A. 100-150
B. 60-80 seconds
C. 10-20 sec
D. 0-10
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
3. Gentamicin side effect? (Variant 3 - 2026/2027)
A. Hyperkalemia only
B. Weight loss
C. No effects
D. Nephrotoxicity and ototoxicity
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
4. Opioid overdose triad? (Variant 4 - 2026/2027)
A. Resp depression, pinpoint pupils, decreased LOC - Naloxone
B. HTN
C. Tachycardia
D. Dilated pupils
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
5. Warfarin INR 4.8 bleeding antidote? (Variant 5 - 2026/2027)
A. Flumazenil
B. Protamine
C. Naloxone
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
6. Heparin therapeutic aPTT? (Variant 6 - 2026/2027)
A. 0-10
B. 100-150
C. 10-20 sec
D. 60-80 seconds
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
7. Gentamicin side effect? (Variant 7 - 2026/2027)
A. Hyperkalemia only
B. Weight loss
, C. Nephrotoxicity and ototoxicity
D. No effects
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
8. Opioid overdose triad? (Variant 8 - 2026/2027)
A. Resp depression, pinpoint pupils, decreased LOC - Naloxone
B. Dilated pupils
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
9. Warfarin INR 4.8 bleeding antidote? (Variant 9 - 2026/2027)
A. Vitamin K + 4F-PCC
B. Flumazenil
C. Protamine
D. Naloxone
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
10. Heparin therapeutic aPTT? (Variant 10 - 2026/2027)
A. 60-80 seconds
B. 10-20 sec
C. 100-150
D. 0-10
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
11. Gentamicin side effect? (Variant 11 - 2026/2027)
A. Hyperkalemia only
B. No effects
C. Nephrotoxicity and ototoxicity
D. Weight loss
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
12. Opioid overdose triad? (Variant 12 - 2026/2027)
A. Tachycardia
B. Resp depression, pinpoint pupils, decreased LOC - Naloxone
C. Dilated pupils
D. HTN
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
13. Warfarin INR 4.8 bleeding antidote? (Variant 13 - 2026/2027)
A. Protamine
B. Flumazenil
C. Naloxone
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
14. Heparin therapeutic aPTT? (Variant 14 - 2026/2027)
A. 0-10
B. 60-80 seconds
C. 10-20 sec
D. 100-150
,Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
15. Gentamicin side effect? (Variant 15 - 2026/2027)
A. Weight loss
B. Nephrotoxicity and ototoxicity
C. No effects
D. Hyperkalemia only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
16. Opioid overdose triad? (Variant 16 - 2026/2027)
A. Tachycardia
B. HTN
C. Dilated pupils
D. Resp depression, pinpoint pupils, decreased LOC - Naloxone
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
17. Warfarin INR 4.8 bleeding antidote? (Variant 17 - 2026/2027)
A. Naloxone
B. Flumazenil
C. Vitamin K + 4F-PCC
D. Protamine
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
18. Heparin therapeutic aPTT? (Variant 18 - 2026/2027)
A. 0-10
B. 10-20 sec
C. 100-150
D. 60-80 seconds
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
19. Gentamicin side effect? (Variant 19 - 2026/2027)
A. No effects
B. Hyperkalemia only
C. Weight loss
D. Nephrotoxicity and ototoxicity
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Therapeutic communication: open-ended,
empathy.
20. Opioid overdose triad? (Variant 20 - 2026/2027)
A. Tachycardia
B. Resp depression, pinpoint pupils, decreased LOC - Naloxone
C. Dilated pupils
D. HTN
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
21. Warfarin INR 4.8 bleeding antidote? (Variant 21 - 2026/2027)
A. Protamine
B. Naloxone
C. Flumazenil
D. Vitamin K + 4F-PCC
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
, 22. Heparin therapeutic aPTT? (Variant 22 - 2026/2027)
A. 60-80 seconds
B. 100-150
C. 10-20 sec
D. 0-10
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
23. Gentamicin side effect? (Variant 23 - 2026/2027)
A. Nephrotoxicity and ototoxicity
B. No effects
C. Weight loss
D. Hyperkalemia only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
24. Opioid overdose triad? (Variant 24 - 2026/2027)
A. HTN
B. Resp depression, pinpoint pupils, decreased LOC - Naloxone
C. Tachycardia
D. Dilated pupils
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
25. Warfarin INR 4.8 bleeding antidote? (Variant 25 - 2026/2027)
A. Naloxone
B. Vitamin K + 4F-PCC
C. Flumazenil
D. Protamine
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
26. Heparin therapeutic aPTT? (Variant 26 - 2026/2027)
A. 0-10
B. 100-150
C. 60-80 seconds
D. 10-20 sec
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
27. Gentamicin side effect? (Variant 27 - 2026/2027)
A. No effects
B. Weight loss
C. Nephrotoxicity and ototoxicity
D. Hyperkalemia only
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
28. Opioid overdose triad? (Variant 28 - 2026/2027)
A. Resp depression, pinpoint pupils, decreased LOC - Naloxone
B. HTN
C. Dilated pupils
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
29. Warfarin INR 4.8 bleeding antidote? (Variant 29 - 2026/2027)
A. Flumazenil
