1
2025 ATI RN Pharmacology Proctored
Exam – Actual Questions with
Medication Safety Protocols | 100%
Accurate
Student Name: _________________________
Date: _______________
Time Limit: 90 minutes
Total Questions: 70
Cardiovascular Medications
1. A client is prescribed lisinopril for hypertension. What is the priority teaching
point?
A. Take with a high-fat meal
B. Monitor for orthostatic hypotension
C. Increase sodium intake
D. Avoid potassium supplements
Correct Answer: B. Monitor for orthostatic hypotension
Rationale: Lisinopril, an ACE inhibitor, can cause orthostatic hypotension,
requiring monitoring, especially when standing, per ATI pharmacology
guidelines.
2. Case Study: A client is prescribed heparin 5000 units IV bolus. The vial is 10,000
units/mL. How many mL should the nurse administer?
A. 0.2 mL
B. 0.5 mL
C. 1 mL
D. 2 mL
Correct Answer: B. 0.5 mL
Rationale: Dose = 5000 units ÷ 10,000 units/mL = 0.5 mL, per ATI calculation
standards.
3. A client with atrial fibrillation is prescribed warfarin. What is the therapeutic INR
range?
A. 1.0–1.5
B. 2.0–3.0
C. 3.5–4.5
D. 5.0–6.0
, 2
Correct Answer: B. 2.0–3.0
Rationale: An INR of 2.0–3.0 is therapeutic for atrial fibrillation to prevent
thromboembolism, per AHA and ATI guidelines.
4. SATA: Which symptoms indicate digoxin toxicity? (Select All That Apply)
A. Nausea
B. Bradycardia
C. Visual disturbances
D. Hypertension
E. Confusion
Correct Answers: A, B, C, E
Rationale: Digoxin toxicity causes nausea, bradycardia, visual disturbances
(e.g., yellow halos), and confusion. Hypertension is not typical, per ATI
guidelines.
5. A client is receiving a nitroglycerin drip for angina. What is the nurse’s priority
monitoring parameter?
A. Blood glucose
B. Blood pressure
C. Respiratory rate
D. Temperature
Correct Answer: B. Blood pressure
Rationale: Nitroglycerin causes vasodilation, requiring blood pressure
monitoring to prevent hypotension, per ATI guidelines.
6. Calculation: A client is prescribed furosemide 40 mg IV. The vial is 10 mg/mL.
How many mL should the nurse administer?
A. 2 mL
B. 3 mL
C. 4 mL
D. 5 mL
Correct Answer: C. 4 mL
Rationale: Dose = 40 mg ÷ 10 mg/mL = 4 mL, per ATI calculation standards.
7. A client with heart failure reports dizziness when standing. What medication is
likely responsible?
A. Metoprolol
B. Digoxin
C. Enalapril
D. Atorvastatin
Correct Answer: C. Enalapril
Rationale: Enalapril, an ACE inhibitor, causes vasodilation, leading to
orthostatic hypotension and dizziness, per ATI guidelines.
8. What is the nurse’s priority action for a client with a potassium level of 2.8
mEq/L on digoxin?
A. Administer digoxin as ordered
B. Notify the provider immediately
C. Encourage potassium-rich foods
D. Increase digoxin dose
Correct Answer: B. Notify the provider immediately
Rationale: Hypokalemia (2.8 mEq/L) increases digoxin toxicity risk, requiring
provider notification, per ATI guidelines.
2025 ATI RN Pharmacology Proctored
Exam – Actual Questions with
Medication Safety Protocols | 100%
Accurate
Student Name: _________________________
Date: _______________
Time Limit: 90 minutes
Total Questions: 70
Cardiovascular Medications
1. A client is prescribed lisinopril for hypertension. What is the priority teaching
point?
A. Take with a high-fat meal
B. Monitor for orthostatic hypotension
C. Increase sodium intake
D. Avoid potassium supplements
Correct Answer: B. Monitor for orthostatic hypotension
Rationale: Lisinopril, an ACE inhibitor, can cause orthostatic hypotension,
requiring monitoring, especially when standing, per ATI pharmacology
guidelines.
2. Case Study: A client is prescribed heparin 5000 units IV bolus. The vial is 10,000
units/mL. How many mL should the nurse administer?
A. 0.2 mL
B. 0.5 mL
C. 1 mL
D. 2 mL
Correct Answer: B. 0.5 mL
Rationale: Dose = 5000 units ÷ 10,000 units/mL = 0.5 mL, per ATI calculation
standards.
3. A client with atrial fibrillation is prescribed warfarin. What is the therapeutic INR
range?
A. 1.0–1.5
B. 2.0–3.0
C. 3.5–4.5
D. 5.0–6.0
, 2
Correct Answer: B. 2.0–3.0
Rationale: An INR of 2.0–3.0 is therapeutic for atrial fibrillation to prevent
thromboembolism, per AHA and ATI guidelines.
4. SATA: Which symptoms indicate digoxin toxicity? (Select All That Apply)
A. Nausea
B. Bradycardia
C. Visual disturbances
D. Hypertension
E. Confusion
Correct Answers: A, B, C, E
Rationale: Digoxin toxicity causes nausea, bradycardia, visual disturbances
(e.g., yellow halos), and confusion. Hypertension is not typical, per ATI
guidelines.
5. A client is receiving a nitroglycerin drip for angina. What is the nurse’s priority
monitoring parameter?
A. Blood glucose
B. Blood pressure
C. Respiratory rate
D. Temperature
Correct Answer: B. Blood pressure
Rationale: Nitroglycerin causes vasodilation, requiring blood pressure
monitoring to prevent hypotension, per ATI guidelines.
6. Calculation: A client is prescribed furosemide 40 mg IV. The vial is 10 mg/mL.
How many mL should the nurse administer?
A. 2 mL
B. 3 mL
C. 4 mL
D. 5 mL
Correct Answer: C. 4 mL
Rationale: Dose = 40 mg ÷ 10 mg/mL = 4 mL, per ATI calculation standards.
7. A client with heart failure reports dizziness when standing. What medication is
likely responsible?
A. Metoprolol
B. Digoxin
C. Enalapril
D. Atorvastatin
Correct Answer: C. Enalapril
Rationale: Enalapril, an ACE inhibitor, causes vasodilation, leading to
orthostatic hypotension and dizziness, per ATI guidelines.
8. What is the nurse’s priority action for a client with a potassium level of 2.8
mEq/L on digoxin?
A. Administer digoxin as ordered
B. Notify the provider immediately
C. Encourage potassium-rich foods
D. Increase digoxin dose
Correct Answer: B. Notify the provider immediately
Rationale: Hypokalemia (2.8 mEq/L) increases digoxin toxicity risk, requiring
provider notification, per ATI guidelines.
