ATI Pharmacology & Nursing Proctored
Exam Questions 2025-2026 | 200+ Question
&Answer with Detailed Explanations
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1. A community health nurse is planning care for a client who has active tuberculosis
(TB). Which of the following interventions should the nurse include in the plan of
care?
a. Instruct the client to use a HEPA filter mask in public
b. Provide the client with a surgical mask to wear when outside the home
c. Encourage the client to sleep in the same room as family members
d. Recommend that household members begin prophylactic antiviral medication
Correct answer: b. Provide the client with a surgical mask to wear when outside the
home
Explanation:
Clients with active TB should wear surgical masks outside their homes to reduce
transmission. HEPA masks are for healthcare workers. The client should avoid close
contact and antiviral drugs are not used for TB.
2. A nurse is preparing to administer an intradermal tuberculosis skin test. Which of
the following actions should the nurse take?
a. Inject the solution at a 45-degree angle
b. Rub the site gently after injection
c. Insert the needle with the bevel up
d. Massage the site to enhance absorption
Correct answer: c. Insert the needle with the bevel up
Explanation:
Intradermal injections must be given at a shallow angle (10–15 degrees) with the bevel
up to form a bleb. Rubbing or massaging the site is avoided to prevent altering the test
outcome.
3. A nurse is educating a group of migrant farmworkers about skin cancer prevention.
Which of the following instructions should the nurse include?
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a. Use sunscreen with SPF 15
b. Wear dark-colored, loose-fitting clothing
c. Avoid sun exposure during midday hours
d. Apply sunscreen once daily
Correct answer: c. Avoid sun exposure during midday hours
Explanation:
Avoiding sun from 10 a.m. to 4 p.m. minimizes UV exposure. SPF 30+ is recommended.
Sunscreen should be reapplied every 2 hours. Light-colored clothing offers better sun
protection than dark-colored.
4. A nurse is providing teaching to a client who is starting therapy with isoniazid for
tuberculosis. Which of the following client statements indicates understanding?
a. "I will limit my intake of green vegetables."
b. "I will need to take this medication for 3 months."
c. "I should report any numbness or tingling in my hands."
d. "I can consume alcohol occasionally while on this medication."
Correct answer: c. "I should report any numbness or tingling in my hands."
Explanation:
Isoniazid can cause peripheral neuropathy. Clients should promptly report tingling or
numbness. Treatment duration is usually 6–9 months, and alcohol should be avoided due
to hepatotoxicity risk.
5. A community health nurse is conducting a home visit for a client who has
uncontrolled hypertension. Which of the following actions should the nurse take
first?
a. Provide information on a low-sodium diet
b. Assess the client’s current understanding of hypertension
c. Encourage daily physical activity
d. Review the client’s medication adherence
Correct answer: b. Assess the client’s current understanding of hypertension
Explanation:
Assessment is always the first step. Understanding what the client knows helps tailor the
rest of the care. Interventions like diet and exercise come after evaluating knowledge and
readiness.
6. A nurse is working with a team to develop a disaster response plan. Which of the
following should the nurse identify as a secondary prevention strategy?
a. Providing emergency shelter
b. Conducting search and rescue operations
c. Monitoring for disease outbreaks among survivors
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d. Training volunteers for disaster response
Correct answer: c. Monitoring for disease outbreaks among survivors
Explanation:
Secondary prevention focuses on early detection and treatment. Monitoring disease
outbreaks helps contain health issues after a disaster. Shelters and rescues are primary,
and training is primary prevention.
7. A public health nurse is conducting a community assessment. Which of the
following data sources is considered secondary data?
a. Interviews with residents
b. Local health department reports
c. Focus groups with key informants
d. Windshield survey observations
Correct answer: b. Local health department reports
Explanation:
Secondary data comes from sources collected by others, like public records and reports.
Interviews and surveys are primary data because they are collected directly from
individuals.
8. A nurse is caring for a client who is in the early stages of alcohol withdrawal. Which
of the following findings should the nurse expect?
a. Bradycardia
b. Hypotension
c. Tremors
d. Hypothermia
Correct answer: c. Tremors
Explanation:
Tremors, irritability, and insomnia are early signs of alcohol withdrawal. The condition
usually causes elevated vital signs, not bradycardia or hypotension. Hypothermia is
uncommon in early withdrawal.
9. A nurse is planning care for a client who reports intimate partner violence (IPV).
Which of the following actions should the nurse take first?
a. Provide community resources
b. Document the client’s injuries
c. Assess the client’s immediate safety
d. Report the incident to the police
Correct answer: c. Assess the client’s immediate safety
Explanation:
Client safety is the top priority. Assessing for immediate danger guides urgent