ATI PHARMACOLOGY PROCTORED PRACTICE EXAM 1 NEWEST
2026 ACTUAL EXAM COMPLETE 140 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+.
A nurse is assessing a 5-year-old child's need for pain medication. Which of
the following actions by the nurse will best determine whether the child
needs pain medication?
A) Ask the parents if they think the child is in pain
B) Have the child rate the pain using the FACES pain rating scale
C) Observe the child's behavioral cues
D) Assess the child's vital signs
Correct Answer: B
Rationale
The FACES pain rating scale is a developmentally appropriate tool for
children as young as 3 years of age. It uses facial expressions to help the
child communicate pain intensity, making it the most reliable method for
assessing pain in a 5-year-old child. Option A is incorrect because parents
may not accurately quantify the child's pain. Option C is incorrect while
behavioral observation is important, it is not as reliable as self-report in a
child of this age. Option D is incorrect because vital signs are not a reliable
indicator of pain intensity in children.
DIF: Cognitive Level: Apply (Application)
TOP: Pain Assessment in Children
MSC: Physiological Integrity/Basic Care and Comfort
,A nurse is providing teaching to a client who is prescribed an MAOI. Which of
the following should the nurse instruct the client to avoid while taking this
medication?
A) Red wine
B) Cottage cheese
C) Fresh fruits
D) Vegetables
Correct Answer: A
Rationale
MAOIs (monoamine oxidase inhibitors) interact with tyramine-rich foods,
which can cause a hypertensive crisis. Red wine contains tyramine and
should be avoided. Option B is incorrect because cottage cheese is low in
tyramine and is safe. Option C is incorrect because fresh fruits are not
tyramine-rich. Option D is incorrect because vegetables are generally safe
unless fermented.
DIF: Cognitive Level: Understand (Comprehension)
TOP: MAOI Dietary Interactions
MSC: Pharmacological and Parenteral Therapies
A nurse is obtaining a medication history from a client who is prescribed
tobramycin sulfate. Which of the following medications should the nurse
notify the provider concerning concurrent use?
A) Paroxetine (Paxil)
B) Ibuprofen (Motrin)
C) Acetaminophen (Tylenol)
D) Levothyroxine (Synthroid)
Correct Answer: B
,Rationale
Tobramycin is an aminoglycoside antibiotic that can cause nephrotoxicity.
Concurrent use with ibuprofen, a nonsteroidal anti-inflammatory drug
(NSAID), increases the risk of nephrotoxicity. Option A is incorrect because
paroxetine does not significantly interact with tobramycin. Option C is
incorrect because acetaminophen does not significantly interact with
tobramycin. Option D is incorrect because levothyroxine does not
significantly interact with tobramycin.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Drug-Drug Interactions
MSC: Pharmacological and Parenteral Therapies
A nurse is caring for a client in the PACU. The client is 1 hour postoperative, is
difficult to arouse, and is hypotensive. The nurse should administer which of
the following medications?
A) Lorazepam (Ativan)
B) Naloxone (Narcan)
C) Flumazenil (Romazicon)
D) Epinephrine
Correct Answer: B
Rationale
The client's symptoms of being difficult to arouse and hypotensive following
surgery are consistent with opioid-induced respiratory depression and
sedation. Naloxone is the opioid antagonist used to reverse these effects.
Option A is incorrect because lorazepam is a benzodiazepine and would
further depress the CNS. Option C is incorrect because flumazenil is used to
reverse benzodiazepine overdose. Option D is incorrect because epinephrine
is used for anaphylaxis and cardiac arrest.
, DIF: Cognitive Level: Apply (Application)
TOP: Opioid Overdose Management
MSC: Pharmacological and Parenteral Therapies
A nurse is providing discharge instructions for a client who has a prescription
for colesevelam (WelChol). Which of the following statements by the client
indicates a need for additional teaching?
A) "I will mix the medication with 30 mL of water."
B) "I will increase my fiber intake while taking this medication."
C) "I will take this medication with meals."
D) "I will monitor for constipation."
Correct Answer: A
Rationale
Colesevelam should be mixed with 4 to 8 ounces (120-240 mL) of water or
other beverage, not 30 mL. Mixing with only 30 mL may cause the powder to
clump and not dissolve properly. Option B is incorrect because increasing
fiber intake is an appropriate recommendation. Option C is incorrect
because colesevelam should be taken with meals. Option D is incorrect
because monitoring for constipation is appropriate, as it is a common
adverse effect.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Bile Acid Sequestrant Administration
MSC: Pharmacological and Parenteral Therapies
A nurse is providing teaching about insulin glargine (Lantus) to a client who
has type 1 diabetes mellitus. Which of the following should the nurse
include in the instructions?
2026 ACTUAL EXAM COMPLETE 140 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+.
A nurse is assessing a 5-year-old child's need for pain medication. Which of
the following actions by the nurse will best determine whether the child
needs pain medication?
A) Ask the parents if they think the child is in pain
B) Have the child rate the pain using the FACES pain rating scale
C) Observe the child's behavioral cues
D) Assess the child's vital signs
Correct Answer: B
Rationale
The FACES pain rating scale is a developmentally appropriate tool for
children as young as 3 years of age. It uses facial expressions to help the
child communicate pain intensity, making it the most reliable method for
assessing pain in a 5-year-old child. Option A is incorrect because parents
may not accurately quantify the child's pain. Option C is incorrect while
behavioral observation is important, it is not as reliable as self-report in a
child of this age. Option D is incorrect because vital signs are not a reliable
indicator of pain intensity in children.
DIF: Cognitive Level: Apply (Application)
TOP: Pain Assessment in Children
MSC: Physiological Integrity/Basic Care and Comfort
,A nurse is providing teaching to a client who is prescribed an MAOI. Which of
the following should the nurse instruct the client to avoid while taking this
medication?
A) Red wine
B) Cottage cheese
C) Fresh fruits
D) Vegetables
Correct Answer: A
Rationale
MAOIs (monoamine oxidase inhibitors) interact with tyramine-rich foods,
which can cause a hypertensive crisis. Red wine contains tyramine and
should be avoided. Option B is incorrect because cottage cheese is low in
tyramine and is safe. Option C is incorrect because fresh fruits are not
tyramine-rich. Option D is incorrect because vegetables are generally safe
unless fermented.
DIF: Cognitive Level: Understand (Comprehension)
TOP: MAOI Dietary Interactions
MSC: Pharmacological and Parenteral Therapies
A nurse is obtaining a medication history from a client who is prescribed
tobramycin sulfate. Which of the following medications should the nurse
notify the provider concerning concurrent use?
A) Paroxetine (Paxil)
B) Ibuprofen (Motrin)
C) Acetaminophen (Tylenol)
D) Levothyroxine (Synthroid)
Correct Answer: B
,Rationale
Tobramycin is an aminoglycoside antibiotic that can cause nephrotoxicity.
Concurrent use with ibuprofen, a nonsteroidal anti-inflammatory drug
(NSAID), increases the risk of nephrotoxicity. Option A is incorrect because
paroxetine does not significantly interact with tobramycin. Option C is
incorrect because acetaminophen does not significantly interact with
tobramycin. Option D is incorrect because levothyroxine does not
significantly interact with tobramycin.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Drug-Drug Interactions
MSC: Pharmacological and Parenteral Therapies
A nurse is caring for a client in the PACU. The client is 1 hour postoperative, is
difficult to arouse, and is hypotensive. The nurse should administer which of
the following medications?
A) Lorazepam (Ativan)
B) Naloxone (Narcan)
C) Flumazenil (Romazicon)
D) Epinephrine
Correct Answer: B
Rationale
The client's symptoms of being difficult to arouse and hypotensive following
surgery are consistent with opioid-induced respiratory depression and
sedation. Naloxone is the opioid antagonist used to reverse these effects.
Option A is incorrect because lorazepam is a benzodiazepine and would
further depress the CNS. Option C is incorrect because flumazenil is used to
reverse benzodiazepine overdose. Option D is incorrect because epinephrine
is used for anaphylaxis and cardiac arrest.
, DIF: Cognitive Level: Apply (Application)
TOP: Opioid Overdose Management
MSC: Pharmacological and Parenteral Therapies
A nurse is providing discharge instructions for a client who has a prescription
for colesevelam (WelChol). Which of the following statements by the client
indicates a need for additional teaching?
A) "I will mix the medication with 30 mL of water."
B) "I will increase my fiber intake while taking this medication."
C) "I will take this medication with meals."
D) "I will monitor for constipation."
Correct Answer: A
Rationale
Colesevelam should be mixed with 4 to 8 ounces (120-240 mL) of water or
other beverage, not 30 mL. Mixing with only 30 mL may cause the powder to
clump and not dissolve properly. Option B is incorrect because increasing
fiber intake is an appropriate recommendation. Option C is incorrect
because colesevelam should be taken with meals. Option D is incorrect
because monitoring for constipation is appropriate, as it is a common
adverse effect.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Bile Acid Sequestrant Administration
MSC: Pharmacological and Parenteral Therapies
A nurse is providing teaching about insulin glargine (Lantus) to a client who
has type 1 diabetes mellitus. Which of the following should the nurse
include in the instructions?
