NGN ATI PHARMACOLOGY PROCTORED EXAM INCLUDING
NCLEX 250+ QUESTIONS WITH DETAILED VERIFIED
ANSWERS//ALREADY PASSED WITH A+
1. A nurse is teaching a client about the side effects of opioid
analgesics. Which of the following should the nurse include as
a common side effect?
o A. Hypertension
o B. Constipation
o C. Diarrhea
o D. Polyuria
Rationale: Opioid analgesics commonly cause constipation due to
decreased gastrointestinal motility.
2. A client is prescribed warfarin for atrial fibrillation. Which of
the following should the nurse instruct the client to avoid?
o A. Spinach
o B. Grapefruit
o C. St. John's Wort
o D. Vitamin C supplements
Rationale: St. John's Wort can decrease the effectiveness of
warfarin, increasing the risk of thromboembolic events.
3. A nurse is administering digoxin to a client. Which of the
following should the nurse monitor to avoid digoxin toxicity?
o A. Heart rate
o B. Serum potassium levels
o C. Blood pressure
o D. Respiratory rate
Rationale: Low serum potassium levels can increase the risk of
digoxin toxicity.
,4. A client with diabetes is prescribed insulin lispro. When should
the nurse advise the client to administer this medication?
o A. 15 minutes before a meal
o B. 30 minutes before a meal
o C. 1 hour before a meal
o D. At bedtime
Rationale: Insulin lispro is a rapid-acting insulin and should be
administered 15 minutes before a meal to control postprandial
blood glucose levels.
5. A nurse is teaching a client about the use of albuterol. Which
of the following statements indicates understanding by the
client?
o A. "I should use this medication when I feel an asthma
attack coming on."
o B. "I should take this medication every morning with my
other routine medications."
o C. "I should use this medication before exercise even if I
have no symptoms."
o D. "I should not use this medication more than once a week."
Rationale: Albuterol is a short-acting beta-agonist used for
immediate relief of asthma symptoms and should be used as a
rescue inhaler.
6. A client with bipolar disorder is prescribed lithium. Which of
the following should the nurse monitor to ensure safe
administration?
o A. Serum sodium levels
o B. Liver function tests
o C. Complete blood count
o D. Blood pressure
Rationale: Lithium can cause sodium depletion, and low sodium
levels can lead to lithium toxicity.
,7. A nurse is providing education to a client about levothyroxine
for hypothyroidism. Which of the following instructions should
the nurse include?
o A. Take the medication with food
o B. Take the medication at bedtime
o C. Take the medication on an empty stomach
o D. Take the medication with a calcium supplement
Rationale: Levothyroxine should be taken on an empty stomach to
ensure proper absorption.
8. A client is prescribed metformin for type 2 diabetes. Which of
the following adverse effects should the nurse discuss with the
client?
o A. Weight gain
o B. Hypoglycemia
o C. Gastrointestinal upset
o D. Renal impairment
Rationale: Metformin commonly causes gastrointestinal upset,
including nausea, vomiting, and diarrhea.
9. A client taking prednisone for chronic obstructive pulmonary
disease (COPD) should be monitored for which of the following
side effects?
o A. Hypoglycemia
o B. Osteoporosis
o C. Weight loss
o D. Hyperkalemia
Rationale: Long-term use of prednisone can lead to osteoporosis
due to its effect on calcium metabolism and bone resorption.
10. A nurse is administering furosemide to a client with heart
failure. Which of the following should the nurse assess to
monitor for potential side effects?
, o A. Blood pressure
o B. Heart rate
o C. Respiratory rate
o D. Temperature
Rationale: Furosemide is a diuretic that can cause hypotension
due to its effect on fluid balance.
11. A client is prescribed atorvastatin for hyperlipidemia.
Which of the following side effects should the nurse instruct
the client to report immediately?
o A. Nausea
o B. Headache
o C. Muscle pain or weakness
o D. Constipation
Rationale: Muscle pain or weakness can indicate rhabdomyolysis,
a serious adverse effect of statins.
12. A nurse is teaching a client about the use of nitroglycerin
sublingual tablets. Which instruction should the nurse include?
o A. Place the tablet under the tongue and let it dissolve
completely.
o B. Chew the tablet before swallowing.
o C. Swallow the tablet with a glass of water.
o D. Place the tablet in the cheek and let it dissolve.
Rationale: Nitroglycerin sublingual tablets should be placed under
the tongue to ensure rapid absorption and quick relief from angina.
13. A client taking spironolactone for heart failure should be
monitored for which of the following electrolyte imbalances?
o A. Hypocalcemia
o B. Hypernatremia
o C. Hyperkalemia
o D. Hypomagnesemia
NCLEX 250+ QUESTIONS WITH DETAILED VERIFIED
ANSWERS//ALREADY PASSED WITH A+
1. A nurse is teaching a client about the side effects of opioid
analgesics. Which of the following should the nurse include as
a common side effect?
o A. Hypertension
o B. Constipation
o C. Diarrhea
o D. Polyuria
Rationale: Opioid analgesics commonly cause constipation due to
decreased gastrointestinal motility.
2. A client is prescribed warfarin for atrial fibrillation. Which of
the following should the nurse instruct the client to avoid?
o A. Spinach
o B. Grapefruit
o C. St. John's Wort
o D. Vitamin C supplements
Rationale: St. John's Wort can decrease the effectiveness of
warfarin, increasing the risk of thromboembolic events.
3. A nurse is administering digoxin to a client. Which of the
following should the nurse monitor to avoid digoxin toxicity?
o A. Heart rate
o B. Serum potassium levels
o C. Blood pressure
o D. Respiratory rate
Rationale: Low serum potassium levels can increase the risk of
digoxin toxicity.
,4. A client with diabetes is prescribed insulin lispro. When should
the nurse advise the client to administer this medication?
o A. 15 minutes before a meal
o B. 30 minutes before a meal
o C. 1 hour before a meal
o D. At bedtime
Rationale: Insulin lispro is a rapid-acting insulin and should be
administered 15 minutes before a meal to control postprandial
blood glucose levels.
5. A nurse is teaching a client about the use of albuterol. Which
of the following statements indicates understanding by the
client?
o A. "I should use this medication when I feel an asthma
attack coming on."
o B. "I should take this medication every morning with my
other routine medications."
o C. "I should use this medication before exercise even if I
have no symptoms."
o D. "I should not use this medication more than once a week."
Rationale: Albuterol is a short-acting beta-agonist used for
immediate relief of asthma symptoms and should be used as a
rescue inhaler.
6. A client with bipolar disorder is prescribed lithium. Which of
the following should the nurse monitor to ensure safe
administration?
o A. Serum sodium levels
o B. Liver function tests
o C. Complete blood count
o D. Blood pressure
Rationale: Lithium can cause sodium depletion, and low sodium
levels can lead to lithium toxicity.
,7. A nurse is providing education to a client about levothyroxine
for hypothyroidism. Which of the following instructions should
the nurse include?
o A. Take the medication with food
o B. Take the medication at bedtime
o C. Take the medication on an empty stomach
o D. Take the medication with a calcium supplement
Rationale: Levothyroxine should be taken on an empty stomach to
ensure proper absorption.
8. A client is prescribed metformin for type 2 diabetes. Which of
the following adverse effects should the nurse discuss with the
client?
o A. Weight gain
o B. Hypoglycemia
o C. Gastrointestinal upset
o D. Renal impairment
Rationale: Metformin commonly causes gastrointestinal upset,
including nausea, vomiting, and diarrhea.
9. A client taking prednisone for chronic obstructive pulmonary
disease (COPD) should be monitored for which of the following
side effects?
o A. Hypoglycemia
o B. Osteoporosis
o C. Weight loss
o D. Hyperkalemia
Rationale: Long-term use of prednisone can lead to osteoporosis
due to its effect on calcium metabolism and bone resorption.
10. A nurse is administering furosemide to a client with heart
failure. Which of the following should the nurse assess to
monitor for potential side effects?
, o A. Blood pressure
o B. Heart rate
o C. Respiratory rate
o D. Temperature
Rationale: Furosemide is a diuretic that can cause hypotension
due to its effect on fluid balance.
11. A client is prescribed atorvastatin for hyperlipidemia.
Which of the following side effects should the nurse instruct
the client to report immediately?
o A. Nausea
o B. Headache
o C. Muscle pain or weakness
o D. Constipation
Rationale: Muscle pain or weakness can indicate rhabdomyolysis,
a serious adverse effect of statins.
12. A nurse is teaching a client about the use of nitroglycerin
sublingual tablets. Which instruction should the nurse include?
o A. Place the tablet under the tongue and let it dissolve
completely.
o B. Chew the tablet before swallowing.
o C. Swallow the tablet with a glass of water.
o D. Place the tablet in the cheek and let it dissolve.
Rationale: Nitroglycerin sublingual tablets should be placed under
the tongue to ensure rapid absorption and quick relief from angina.
13. A client taking spironolactone for heart failure should be
monitored for which of the following electrolyte imbalances?
o A. Hypocalcemia
o B. Hypernatremia
o C. Hyperkalemia
o D. Hypomagnesemia
