ATI RN PHARMACOLOGY
PROCTORED EXAM
Professional Answered Review Edition
TEST INSTRUCTIONS
1. Read each question carefully and review the available answer choices.
2. Answer choices are alphabetized where appropriate; answers are matched by their full text.
3. Review each rationale and verify uncertain items against current course materials.
4. Amber rationale panels identify items where the extracted source did not establish a confident answer.
,QUESTION 001 ATI RN PHARMACOLOGY REVIEW
A nurse is caring for a client who was admitted with acute psychosis and is being treated with
haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the
client exhibits which of the following? (Select all that apply.)
A. Facial grimacing and eye blinking
B. Fine hand tremors and pill rolling
C. Involuntary pelvic rocking and hip thrusting movements.
D. Tongue thrusting and lip smacking
E. Urinary retention and constipation
ANSWER
Tongue thrusting and lip smacking
RATIONALE
Tardive dyskinesia is associated with involuntary repetitive movements, particularly orofacial movements and
sometimes trunk or pelvic movements. Urinary retention and pill-rolling tremor are not the characteristic
findings.
QUESTION 002 ATI RN PHARMACOLOGY REVIEW
When administering a Serotonin Antagonist it is important to monitor for?
A. Anorexia
B. Intake and output
C. Mental status changes
D. Respiratory rate
ANSWER
Mental status changes
RATIONALE
Monitoring depends on the specific serotonin antagonist and clinical context. Mental-status changes can indicate
a clinically important adverse response and warrant assessment.
QUESTION 003 ATI RN PHARMACOLOGY REVIEW
A nurse is caring for a client who is to receive a unit of packed RBCs. The nurse should prime the blood
administration tubing using which of the following IV solutions?
A. 0.9% sodium chloride
B. 5% dextrose in water
C. Lactated ringers
D. ringers solution
ANSWER
0.9% sodium chloride
RATIONALE
0.9% sodium chloride is compatible with packed red blood cell administration tubing; dextrose-containing
solutions and other fluids can damage cells or create compatibility concerns.
ATI RN PHARMACOLOGY REVIEW • PAGE 2
,QUESTION 004 ATI RN PHARMACOLOGY REVIEW
A nursing is caring for a client who reports that his current pain medication is no longer relieving her
pain. Which of the following medications requires the nurse to obtain a written rather than a verbal
prescription from the provider?
A. Butorphanol
B. Fentanyl
C. Lorazepam
D. Pentazocine
ANSWER
Fentanyl
RATIONALE
The best-supported choice is “Fentanyl” based on the available question wording and answer choices. Review
the medication’s indication, expected effects, contraindications, and relevant monitoring to reinforce the
concept.
QUESTION 005 ATI RN PHARMACOLOGY REVIEW
A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the
client for which of the following severe reactions to this medication?
A. Hypokalemia
B. Ototoxicity
C. Postural hypotension.
D. Tachycardia
ANSWER
Postural hypotension.
RATIONALE
The best-supported choice is “Postural hypotension.” based on the available question wording and answer
choices. Review the medication’s indication, expected effects, contraindications, and relevant monitoring to
reinforce the concept.
QUESTION 006 ATI RN PHARMACOLOGY REVIEW
What is Phenelzine?
A. MAOI antidepressant
B. Snri antidepressant
C. Ssri antidepressant
D. Tca antidepressant
ANSWER
MAOI antidepressant
RATIONALE
Phenelzine is a monoamine oxidase inhibitor (MAOI) antidepressant.
ATI RN PHARMACOLOGY REVIEW • PAGE 3
, QUESTION 007 ATI RN PHARMACOLOGY REVIEW
A nurse is providing teaching to a client who has angina pectoris and a new prescription for
nitroglycerin sublingual tablets. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5
ANSWER
"I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5
RATIONALE
The best-supported choice is “"I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to
2 more tablets 5” based on the available question wording and answer choices. Review the medication’s
indication, expected effects, contraindications, and relevant monitoring to reinforce the concept.
QUESTION 008 ATI RN PHARMACOLOGY REVIEW
Which of the following conditions is a contraindication for metoclopramide?
A. Glaucoma
B. Hyperthyroidism
C. Intestinal obstruction
D. Low blood pressure
ANSWER
Intestinal obstruction
RATIONALE
Metoclopramide increases gastrointestinal motility and is contraindicated when stimulation of the GI tract could
be dangerous, such as with an intestinal obstruction.
QUESTION 009 ATI RN PHARMACOLOGY REVIEW
What is a priority adverse effect to report when taking lamotrigine for seizure disorder?
A. Diplopia
B. Dizziness
C. Headache
D. Rash
ANSWER
Rash
RATIONALE
A new rash during lamotrigine therapy requires prompt evaluation because serious skin reactions, including
Stevens–Johnson syndrome, can occur.
ATI RN PHARMACOLOGY REVIEW • PAGE 4
PROCTORED EXAM
Professional Answered Review Edition
TEST INSTRUCTIONS
1. Read each question carefully and review the available answer choices.
2. Answer choices are alphabetized where appropriate; answers are matched by their full text.
3. Review each rationale and verify uncertain items against current course materials.
4. Amber rationale panels identify items where the extracted source did not establish a confident answer.
,QUESTION 001 ATI RN PHARMACOLOGY REVIEW
A nurse is caring for a client who was admitted with acute psychosis and is being treated with
haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the
client exhibits which of the following? (Select all that apply.)
A. Facial grimacing and eye blinking
B. Fine hand tremors and pill rolling
C. Involuntary pelvic rocking and hip thrusting movements.
D. Tongue thrusting and lip smacking
E. Urinary retention and constipation
ANSWER
Tongue thrusting and lip smacking
RATIONALE
Tardive dyskinesia is associated with involuntary repetitive movements, particularly orofacial movements and
sometimes trunk or pelvic movements. Urinary retention and pill-rolling tremor are not the characteristic
findings.
QUESTION 002 ATI RN PHARMACOLOGY REVIEW
When administering a Serotonin Antagonist it is important to monitor for?
A. Anorexia
B. Intake and output
C. Mental status changes
D. Respiratory rate
ANSWER
Mental status changes
RATIONALE
Monitoring depends on the specific serotonin antagonist and clinical context. Mental-status changes can indicate
a clinically important adverse response and warrant assessment.
QUESTION 003 ATI RN PHARMACOLOGY REVIEW
A nurse is caring for a client who is to receive a unit of packed RBCs. The nurse should prime the blood
administration tubing using which of the following IV solutions?
A. 0.9% sodium chloride
B. 5% dextrose in water
C. Lactated ringers
D. ringers solution
ANSWER
0.9% sodium chloride
RATIONALE
0.9% sodium chloride is compatible with packed red blood cell administration tubing; dextrose-containing
solutions and other fluids can damage cells or create compatibility concerns.
ATI RN PHARMACOLOGY REVIEW • PAGE 2
,QUESTION 004 ATI RN PHARMACOLOGY REVIEW
A nursing is caring for a client who reports that his current pain medication is no longer relieving her
pain. Which of the following medications requires the nurse to obtain a written rather than a verbal
prescription from the provider?
A. Butorphanol
B. Fentanyl
C. Lorazepam
D. Pentazocine
ANSWER
Fentanyl
RATIONALE
The best-supported choice is “Fentanyl” based on the available question wording and answer choices. Review
the medication’s indication, expected effects, contraindications, and relevant monitoring to reinforce the
concept.
QUESTION 005 ATI RN PHARMACOLOGY REVIEW
A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the
client for which of the following severe reactions to this medication?
A. Hypokalemia
B. Ototoxicity
C. Postural hypotension.
D. Tachycardia
ANSWER
Postural hypotension.
RATIONALE
The best-supported choice is “Postural hypotension.” based on the available question wording and answer
choices. Review the medication’s indication, expected effects, contraindications, and relevant monitoring to
reinforce the concept.
QUESTION 006 ATI RN PHARMACOLOGY REVIEW
What is Phenelzine?
A. MAOI antidepressant
B. Snri antidepressant
C. Ssri antidepressant
D. Tca antidepressant
ANSWER
MAOI antidepressant
RATIONALE
Phenelzine is a monoamine oxidase inhibitor (MAOI) antidepressant.
ATI RN PHARMACOLOGY REVIEW • PAGE 3
, QUESTION 007 ATI RN PHARMACOLOGY REVIEW
A nurse is providing teaching to a client who has angina pectoris and a new prescription for
nitroglycerin sublingual tablets. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5
ANSWER
"I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5
RATIONALE
The best-supported choice is “"I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to
2 more tablets 5” based on the available question wording and answer choices. Review the medication’s
indication, expected effects, contraindications, and relevant monitoring to reinforce the concept.
QUESTION 008 ATI RN PHARMACOLOGY REVIEW
Which of the following conditions is a contraindication for metoclopramide?
A. Glaucoma
B. Hyperthyroidism
C. Intestinal obstruction
D. Low blood pressure
ANSWER
Intestinal obstruction
RATIONALE
Metoclopramide increases gastrointestinal motility and is contraindicated when stimulation of the GI tract could
be dangerous, such as with an intestinal obstruction.
QUESTION 009 ATI RN PHARMACOLOGY REVIEW
What is a priority adverse effect to report when taking lamotrigine for seizure disorder?
A. Diplopia
B. Dizziness
C. Headache
D. Rash
ANSWER
Rash
RATIONALE
A new rash during lamotrigine therapy requires prompt evaluation because serious skin reactions, including
Stevens–Johnson syndrome, can occur.
ATI RN PHARMACOLOGY REVIEW • PAGE 4
