ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 100+ QUESTIONS AND ANSWERS
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
A nurse is assessing a client who is re-
ceiving intravenous therapy. The nurse
should identify which of the following
findings as a manifestation of fluid vol-
ume excess? b. Distended neck veins
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
A nurse is caring for a client who has
hyponatremia and is receiving an infu-
sion of a prescribed hypertonic solution.
Which of the following findings should
indicate to the nurse that the treatment
b. Improved cognition
is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
A nurse is teaching a client who has a
new prescription for a nitroglycerin trans-
dermal patch. Which of the following in-
structions should the nurse include?
a. "Discontinue the patch if you experi-
ence a headache." d. "Remove the patch prior to going to
b. "Apply a new patch if you have chest bed."
pain."
c. "Cover the patch with dry gauze when
taking a shower."
d. "Remove the patch prior to going to
bed."
A nurse is reviewing he laboratory re-
d. Potassium 5.2 mEq/L - Hyperkalemia
sults of a client who has a prescription
(serum potassium level greater than 5.0
for sodium polystyrene sulfonate (Kayex-
mEq/L) increases the client risk for fa-
alate) every 6 hr. which of the following
tal cardiac dysrhythmias. Kayexalate is
should the nurse report to the provider?
a. Creatinine 0.72 mg/dL used to decrease the serum potassi-
, ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 100+ QUESTIONS AND ANSWERS
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
b. Sodium 138 mEq/L
um level so the PN should monitor the
c. Magnesium 2 mEq/L
client's serum potassium level
d. Potassium 5.2 mEq/L
A nurse is caring for a client who has tu-
berculosis and is taking isoniazid and ri-
fampin. Which of the following outcomes
indicates that the client is adhering to the
medication regimen?
a. The client has a negative sputum cul- a. The client has a negative sputum cul-
ture ture
b. The client tests negative for HIV
c. The client has a positive purified pro-
tein derivative test
d. The client's liver function test results
are within the expected reference range
A client is caring for a client who devel-
ops an anaphylactic reaction to IV ad-
ministration. After assessing the client's
respiratory status and stopping the med-
ication infusion. Which of the following
actions should the nurse take next? d. Administer epinephrine IM
a. Replace the infusion with 0.9% sodium
chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM
A nurse is caring for a client who is taking
sertraline and reports a desire to begin
taking supplements. Which of the follow-
ing supplements should the nurse advise
the client to avoid? a. St. John's Wort
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
, ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 100+ QUESTIONS AND ANSWERS
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
A nurse is caring for a client who has
heart failure and a new prescription for
lisinopril. For which of the following ad-
verse effects should the nurse monitor
when administering lisinopril? d. Hypotension
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
A nurse is assessing a client who is
receiving heparin IV continuous IV. The
client has an PPT of 90 seconds. They
should monitor the client for which of the
following changes in their vital signs? d. Increased blood pressure
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
A nurse is preparing to administer med-
ication to a client and discovers a med-
ication error. The nurse should recognize
that which of the following staff members
is responsible for completing an incident
b. The nurse who identifies the error
report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
A nurse is planning care for a client
who is receiving morphine via continu-
ous epidural infusion. The nurse should
monitor the client for which of the follow-
a. Pruritus - Sign of allergic reaction to
ing?
a. Pruritus morphine
b. Cough
c. Tachypnea
d. Gastric bleeding
, ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 100+ QUESTIONS AND ANSWERS
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
a. Obtain the client's apical heart rate
A nurse is preparing to administer digox- b. Remove the medication from the dis-
in orally to a client. Identify the sequence pensing system
of steps the nurse should take. (Move the c. Open the medication package
steps into the box on the right placing d. Compare the client's wristband to the
them in the order of performance. Use all medication administration record
the steps.) e. Document administration of the med-
ication
A nurse is reviewing the medical record
of an adult client who has a fever and
a prescription for acetaminophen. Which
of the following findings should the nurse
identify as a contraindication for receiv- a. Alcohol use disorder
ing this medication?
a. Alcohol use disorder b. Chronic kidney disease
b. Chronic kidney disease
c. Hepatitis B vaccine within the last
week
d. Diabetes mellitus
A home health nurse is visiting a client
who has heart failure and a prescription
for furosemide. The nurse identifies that
the client has gained 2.5 kg (5 lb.) since
the last visit 2 days ago. Which of the
following actions should the nurse take
first?
c. Determine medication adherence by
a. Encourage the client to dangle the legs
the client
while sitting in a chair
b. Teach the client about foods low in
sodium
c. Determine medication adherence by
the client
d. Notify the provider of the client's
weight gain
A nurse is preparing to administer the
initial dose of penicillin G IM to a client.
The nurse should monitor for which of
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
A nurse is assessing a client who is re-
ceiving intravenous therapy. The nurse
should identify which of the following
findings as a manifestation of fluid vol-
ume excess? b. Distended neck veins
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
A nurse is caring for a client who has
hyponatremia and is receiving an infu-
sion of a prescribed hypertonic solution.
Which of the following findings should
indicate to the nurse that the treatment
b. Improved cognition
is effective?
a. Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
A nurse is teaching a client who has a
new prescription for a nitroglycerin trans-
dermal patch. Which of the following in-
structions should the nurse include?
a. "Discontinue the patch if you experi-
ence a headache." d. "Remove the patch prior to going to
b. "Apply a new patch if you have chest bed."
pain."
c. "Cover the patch with dry gauze when
taking a shower."
d. "Remove the patch prior to going to
bed."
A nurse is reviewing he laboratory re-
d. Potassium 5.2 mEq/L - Hyperkalemia
sults of a client who has a prescription
(serum potassium level greater than 5.0
for sodium polystyrene sulfonate (Kayex-
mEq/L) increases the client risk for fa-
alate) every 6 hr. which of the following
tal cardiac dysrhythmias. Kayexalate is
should the nurse report to the provider?
a. Creatinine 0.72 mg/dL used to decrease the serum potassi-
, ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 100+ QUESTIONS AND ANSWERS
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
b. Sodium 138 mEq/L
um level so the PN should monitor the
c. Magnesium 2 mEq/L
client's serum potassium level
d. Potassium 5.2 mEq/L
A nurse is caring for a client who has tu-
berculosis and is taking isoniazid and ri-
fampin. Which of the following outcomes
indicates that the client is adhering to the
medication regimen?
a. The client has a negative sputum cul- a. The client has a negative sputum cul-
ture ture
b. The client tests negative for HIV
c. The client has a positive purified pro-
tein derivative test
d. The client's liver function test results
are within the expected reference range
A client is caring for a client who devel-
ops an anaphylactic reaction to IV ad-
ministration. After assessing the client's
respiratory status and stopping the med-
ication infusion. Which of the following
actions should the nurse take next? d. Administer epinephrine IM
a. Replace the infusion with 0.9% sodium
chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM
A nurse is caring for a client who is taking
sertraline and reports a desire to begin
taking supplements. Which of the follow-
ing supplements should the nurse advise
the client to avoid? a. St. John's Wort
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
, ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 100+ QUESTIONS AND ANSWERS
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
A nurse is caring for a client who has
heart failure and a new prescription for
lisinopril. For which of the following ad-
verse effects should the nurse monitor
when administering lisinopril? d. Hypotension
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
A nurse is assessing a client who is
receiving heparin IV continuous IV. The
client has an PPT of 90 seconds. They
should monitor the client for which of the
following changes in their vital signs? d. Increased blood pressure
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
A nurse is preparing to administer med-
ication to a client and discovers a med-
ication error. The nurse should recognize
that which of the following staff members
is responsible for completing an incident
b. The nurse who identifies the error
report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
A nurse is planning care for a client
who is receiving morphine via continu-
ous epidural infusion. The nurse should
monitor the client for which of the follow-
a. Pruritus - Sign of allergic reaction to
ing?
a. Pruritus morphine
b. Cough
c. Tachypnea
d. Gastric bleeding
, ATI PHARMACOLOGY PROCTORED ACTUAL EXAM 100+ QUESTIONS AND ANSWERS
2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
a. Obtain the client's apical heart rate
A nurse is preparing to administer digox- b. Remove the medication from the dis-
in orally to a client. Identify the sequence pensing system
of steps the nurse should take. (Move the c. Open the medication package
steps into the box on the right placing d. Compare the client's wristband to the
them in the order of performance. Use all medication administration record
the steps.) e. Document administration of the med-
ication
A nurse is reviewing the medical record
of an adult client who has a fever and
a prescription for acetaminophen. Which
of the following findings should the nurse
identify as a contraindication for receiv- a. Alcohol use disorder
ing this medication?
a. Alcohol use disorder b. Chronic kidney disease
b. Chronic kidney disease
c. Hepatitis B vaccine within the last
week
d. Diabetes mellitus
A home health nurse is visiting a client
who has heart failure and a prescription
for furosemide. The nurse identifies that
the client has gained 2.5 kg (5 lb.) since
the last visit 2 days ago. Which of the
following actions should the nurse take
first?
c. Determine medication adherence by
a. Encourage the client to dangle the legs
the client
while sitting in a chair
b. Teach the client about foods low in
sodium
c. Determine medication adherence by
the client
d. Notify the provider of the client's
weight gain
A nurse is preparing to administer the
initial dose of penicillin G IM to a client.
The nurse should monitor for which of
