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ATI RN PHARMACOLOGY
PROCTORED EXAM WITH NGN
2026-2027 UPDATE EXAM
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
> 70 Questions and Answers
PASS
> 100% Guarantee Pass 100%
> Multiple-Choice (A–D) GUARANTEED
> Each Question Includes The Correct Answer
> Expert-Verified explanation
,ATI RN PHARMACOLOGY 2026 PROCTORED EXAM WITH NGN 2026-2027 UPDATE EXAM
Question 1: A nurse is caring for a client with a urinary tract infection who has been prescribed ciprofloxacin.
Which of the following statements by the client indicates a need for further teaching?
A. “I will complete the entire course of this antibiotic.”
B. “I can take the medication with or without food.”
C. “I should increase my fluid intake while taking this medication.”
D. “I will take this medication with an antacid if I feel stomach upset.”
Correct answer ✔✔: D. “I will take this medication with an antacid if I feel stomach upset.”
Explanation: Ciprofloxacin absorption can be significantly reduced by antacids containing magnesium or
aluminum, decreasing its effectiveness. Clients should be instructed to take ciprofloxacin at least 2 hours before or
6 hours after taking antacids. Completing the full course of therapy ensures eradication of the infection. The
medication may be taken with or without food to reduce gastrointestinal upset. Increasing fluid intake helps prevent
crystalluria and kidney injury. Proper education promotes effective treatment and prevents antibiotic resistance or
treatment failure.
Question 2: A nurse is monitoring a client who is receiving vancomycin intravenously. Which of the following
findings indicates a potentially serious adverse effect?
A. Mild headache after infusion
B. Redness and flushing of the upper body
C. Serum creatinine increase from 1.0 to 1.8 mg/dL
D. Mild nausea during infusion
Correct answer ✔✔: C. Serum creatinine increase from 1.0 to 1.8 mg/dL
Explanation: An increase in serum creatinine indicates nephrotoxicity, a serious potential adverse effect of
vancomycin. Redness and flushing of the upper body, known as “red man syndrome,” can occur if the infusion is
given too rapidly but is usually reversible and less dangerous. Mild headache and nausea are common side effects.
Early detection of nephrotoxicity allows prompt adjustment of dosage or discontinuation, preventing permanent
kidney damage and ensuring safe administration of vancomycin.
Page 2
,ATI RN PHARMACOLOGY 2026 PROCTORED EXAM WITH NGN 2026-2027 UPDATE EXAM
Question 3: A nurse is providing education to a client with type 1 diabetes mellitus about self-administration of
insulin. Which of the following statements by the client indicates correct understanding?
A. “I will rotate my injection sites to prevent skin problems.”
B. “I can mix long-acting insulin with rapid-acting insulin in the same syringe.”
C. “I will skip my insulin dose if I plan to eat less than usual.”
D. “I will store my insulin in the freezer to keep it effective.”
Correct answer ✔✔: A. “I will rotate my injection sites to prevent skin problems.”
Explanation: Rotating injection sites prevents lipohypertrophy, which can interfere with insulin absorption.
Long-acting insulin should not be mixed with other insulins in the same syringe, and insulin should not be skipped
as this can lead to hyperglycemia or diabetic ketoacidosis. Insulin should be stored in the refrigerator but not
frozen, as freezing damages its potency. Proper technique and storage ensure effective blood glucose control and
prevent complications.
Question 4: A nurse is caring for a client receiving a blood transfusion. Which of the following findings requires
immediate intervention?
A. Blood pressure of 130/78 mm Hg
B. Client reports itching and hives during transfusion
C. Temperature of 37.5°C (99.5°F)
D. Urine output of 60 mL over 2 hours
Correct answer ✔✔: B. Client reports itching and hives during transfusion
Explanation: Itching and hives indicate a possible allergic transfusion reaction. The nurse should immediately stop
the transfusion, maintain IV access with normal saline using new tubing, and notify the healthcare provider. Blood
pressure and mild temperature changes are expected findings and may not require intervention. Normal urine
output does not indicate a problem. Prompt recognition and management of transfusion reactions prevent
progression to anaphylaxis or other life-threatening complications.
Page 3
, ATI RN PHARMACOLOGY 2026 PROCTORED EXAM WITH NGN 2026-2027 UPDATE EXAM
Question 5: A nurse is providing dietary teaching to a client with hypertension who has a new prescription for
hydrochlorothiazide. Which of the following statements indicates understanding of the teaching?
A. “I should limit foods high in potassium like bananas and oranges.”
B. “I will increase my intake of potassium-rich foods such as potatoes and spinach.”
C. “I will avoid drinking water to prevent swelling.”
D. “I do not need to monitor my weight while taking this medication.”
Correct answer ✔✔: B. “I will increase my intake of potassium-rich foods such as potatoes and spinach.”
Explanation: Hydrochlorothiazide is a thiazide diuretic that can cause potassium loss, increasing the risk of
hypokalemia. Encouraging the intake of potassium-rich foods helps maintain electrolyte balance and prevent
complications such as cardiac dysrhythmias. Limiting potassium-rich foods is incorrect and increases risk. Clients
should not restrict water unless specifically prescribed, and monitoring weight helps assess fluid status and
effectiveness of the medication. Proper dietary education enhances medication safety and therapeutic effectiveness.
Question 6: A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should
monitor the client for which of the following adverse effects?
A. Insomnia
B. Orthostatic hypotension
C. Tinnitus
D. Fluid retention
Correct answer ✔✔: D. Fluid retention
Explanation: Pioglitazone is a thiazolidinedione antidiabetic agent that can cause fluid retention and heart failure.
The nurse should monitor the client for signs of fluid overload such as weight gain, edema, and shortness of breath.
Page 4
ATI RN PHARMACOLOGY
PROCTORED EXAM WITH NGN
2026-2027 UPDATE EXAM
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
> 70 Questions and Answers
PASS
> 100% Guarantee Pass 100%
> Multiple-Choice (A–D) GUARANTEED
> Each Question Includes The Correct Answer
> Expert-Verified explanation
,ATI RN PHARMACOLOGY 2026 PROCTORED EXAM WITH NGN 2026-2027 UPDATE EXAM
Question 1: A nurse is caring for a client with a urinary tract infection who has been prescribed ciprofloxacin.
Which of the following statements by the client indicates a need for further teaching?
A. “I will complete the entire course of this antibiotic.”
B. “I can take the medication with or without food.”
C. “I should increase my fluid intake while taking this medication.”
D. “I will take this medication with an antacid if I feel stomach upset.”
Correct answer ✔✔: D. “I will take this medication with an antacid if I feel stomach upset.”
Explanation: Ciprofloxacin absorption can be significantly reduced by antacids containing magnesium or
aluminum, decreasing its effectiveness. Clients should be instructed to take ciprofloxacin at least 2 hours before or
6 hours after taking antacids. Completing the full course of therapy ensures eradication of the infection. The
medication may be taken with or without food to reduce gastrointestinal upset. Increasing fluid intake helps prevent
crystalluria and kidney injury. Proper education promotes effective treatment and prevents antibiotic resistance or
treatment failure.
Question 2: A nurse is monitoring a client who is receiving vancomycin intravenously. Which of the following
findings indicates a potentially serious adverse effect?
A. Mild headache after infusion
B. Redness and flushing of the upper body
C. Serum creatinine increase from 1.0 to 1.8 mg/dL
D. Mild nausea during infusion
Correct answer ✔✔: C. Serum creatinine increase from 1.0 to 1.8 mg/dL
Explanation: An increase in serum creatinine indicates nephrotoxicity, a serious potential adverse effect of
vancomycin. Redness and flushing of the upper body, known as “red man syndrome,” can occur if the infusion is
given too rapidly but is usually reversible and less dangerous. Mild headache and nausea are common side effects.
Early detection of nephrotoxicity allows prompt adjustment of dosage or discontinuation, preventing permanent
kidney damage and ensuring safe administration of vancomycin.
Page 2
,ATI RN PHARMACOLOGY 2026 PROCTORED EXAM WITH NGN 2026-2027 UPDATE EXAM
Question 3: A nurse is providing education to a client with type 1 diabetes mellitus about self-administration of
insulin. Which of the following statements by the client indicates correct understanding?
A. “I will rotate my injection sites to prevent skin problems.”
B. “I can mix long-acting insulin with rapid-acting insulin in the same syringe.”
C. “I will skip my insulin dose if I plan to eat less than usual.”
D. “I will store my insulin in the freezer to keep it effective.”
Correct answer ✔✔: A. “I will rotate my injection sites to prevent skin problems.”
Explanation: Rotating injection sites prevents lipohypertrophy, which can interfere with insulin absorption.
Long-acting insulin should not be mixed with other insulins in the same syringe, and insulin should not be skipped
as this can lead to hyperglycemia or diabetic ketoacidosis. Insulin should be stored in the refrigerator but not
frozen, as freezing damages its potency. Proper technique and storage ensure effective blood glucose control and
prevent complications.
Question 4: A nurse is caring for a client receiving a blood transfusion. Which of the following findings requires
immediate intervention?
A. Blood pressure of 130/78 mm Hg
B. Client reports itching and hives during transfusion
C. Temperature of 37.5°C (99.5°F)
D. Urine output of 60 mL over 2 hours
Correct answer ✔✔: B. Client reports itching and hives during transfusion
Explanation: Itching and hives indicate a possible allergic transfusion reaction. The nurse should immediately stop
the transfusion, maintain IV access with normal saline using new tubing, and notify the healthcare provider. Blood
pressure and mild temperature changes are expected findings and may not require intervention. Normal urine
output does not indicate a problem. Prompt recognition and management of transfusion reactions prevent
progression to anaphylaxis or other life-threatening complications.
Page 3
, ATI RN PHARMACOLOGY 2026 PROCTORED EXAM WITH NGN 2026-2027 UPDATE EXAM
Question 5: A nurse is providing dietary teaching to a client with hypertension who has a new prescription for
hydrochlorothiazide. Which of the following statements indicates understanding of the teaching?
A. “I should limit foods high in potassium like bananas and oranges.”
B. “I will increase my intake of potassium-rich foods such as potatoes and spinach.”
C. “I will avoid drinking water to prevent swelling.”
D. “I do not need to monitor my weight while taking this medication.”
Correct answer ✔✔: B. “I will increase my intake of potassium-rich foods such as potatoes and spinach.”
Explanation: Hydrochlorothiazide is a thiazide diuretic that can cause potassium loss, increasing the risk of
hypokalemia. Encouraging the intake of potassium-rich foods helps maintain electrolyte balance and prevent
complications such as cardiac dysrhythmias. Limiting potassium-rich foods is incorrect and increases risk. Clients
should not restrict water unless specifically prescribed, and monitoring weight helps assess fluid status and
effectiveness of the medication. Proper dietary education enhances medication safety and therapeutic effectiveness.
Question 6: A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should
monitor the client for which of the following adverse effects?
A. Insomnia
B. Orthostatic hypotension
C. Tinnitus
D. Fluid retention
Correct answer ✔✔: D. Fluid retention
Explanation: Pioglitazone is a thiazolidinedione antidiabetic agent that can cause fluid retention and heart failure.
The nurse should monitor the client for signs of fluid overload such as weight gain, edema, and shortness of breath.
Page 4
