ATI PN Pharmacology Proctored Exam with NGN 60
Questions and Answers | PN ATI Pharmacology
Proctored Exam with NGN 60 Questions and Rationales |
ATI PN Pharmacology Retake Proctored Exam with NGN
60 Questions and Answers
Question 1
A nurse is preparing to administer an otic medication to a 6-month-old infant. Which of
the following actions is correct?
A. Pull the pinna down and back.
B. Pull the pinna up and back.
,C. Pull the earlobe straight out.
D. Place the client in a supine position with the head turned toward the affected ear.
Correct Answer: A
Rationale: For children under 3 years of age, the pinna should be pulled down and back
to straighten the ear canal. For adults and children over 3, the pinna is pulled up and
back. Positioning the client with the affected ear facing up is important.
Question 2
A client is prescribed colchicine for acute gout. Which of the following instructions
should the nurse include?
A. "Take this medication with a full glass of water."
B. "This medication is safe for clients with renal impairment."
C. "You may experience constipation as a common side effect."
D. "Take this medication at the first sign of a gout attack."
Correct Answer: D
Rationale: Colchicine is most effective when taken at the first sign of a gout flare. It is
not safe for renal impairment (B) and can cause diarrhea (not constipation, C). It does
not require a specific fluid intake (A) beyond normal.
Question 3
A nurse is caring for a client who is receiving IV acyclovir. Which of the following actions
is most important?
A. Monitor the IV site for infiltration.
B. Encourage oral fluids.
,C. Monitor urine output.
D. Administer the medication over 1 hour.
Correct Answer: C
Rationale: Acyclovir can crystallize in the renal tubules, causing nephrotoxicity.
Monitoring urine output is essential to ensure adequate renal perfusion. The infusion
should be given over at least 1 hour (D) to prevent crystallization, but monitoring output
(C) is the priority assessment.
Question 4
A client is prescribed cefuroxime. Which of the following statements indicates the client
understands the medication?
A. "I can stop this medication if my symptoms improve."
B. "I should take this medication with food to reduce stomach upset."
C. "I can drink alcohol while taking this medication."
D. "This medication is safe for my penicillin allergy."
Correct Answer: B
Rationale: Cefuroxime (a cephalosporin) can cause GI upset; taking it with food helps
reduce this. It should be taken for the full course (A). Alcohol (C) should be avoided or
limited. Cross-sensitivity with penicillin (D) exists, so caution is needed.
Question 5
A nurse is preparing to administer digoxin 0.125 mg orally to a client with heart failure.
Which lab value should the nurse check before administration?
A. Serum potassium
B. Serum sodium
, C. Blood urea nitrogen
D. Hemoglobin
Correct Answer: A
Rationale: Digoxin toxicity is potentiated by hypokalemia. The nurse must check serum
potassium levels to ensure they are within the normal range (3.5 – 5.0 mEq/L) before
administration.
Question 6
A client is prescribed metformin for type 2 diabetes. Which instruction should the nurse
include in patient teaching?
A. Take the medication with a high-fat meal
B. Monitor for signs of lactic acidosis
C. Expect weight gain as a side effect
D. Take the medication only at bedtime
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a serious side effect. Patients
should be taught to recognize symptoms like muscle pain or weakness. Metformin is
taken with meals to reduce GI upset, not specifically high-fat meals (A). It is weight-
neutral or may cause weight loss (C). Dosing is not limited to bedtime (D).
Question 7
A nurse is administering heparin 5,000 units subcutaneously. What is the most
important nursing action to prevent complications?
A. Rotate injection sites
B. Administer with a meal
Questions and Answers | PN ATI Pharmacology
Proctored Exam with NGN 60 Questions and Rationales |
ATI PN Pharmacology Retake Proctored Exam with NGN
60 Questions and Answers
Question 1
A nurse is preparing to administer an otic medication to a 6-month-old infant. Which of
the following actions is correct?
A. Pull the pinna down and back.
B. Pull the pinna up and back.
,C. Pull the earlobe straight out.
D. Place the client in a supine position with the head turned toward the affected ear.
Correct Answer: A
Rationale: For children under 3 years of age, the pinna should be pulled down and back
to straighten the ear canal. For adults and children over 3, the pinna is pulled up and
back. Positioning the client with the affected ear facing up is important.
Question 2
A client is prescribed colchicine for acute gout. Which of the following instructions
should the nurse include?
A. "Take this medication with a full glass of water."
B. "This medication is safe for clients with renal impairment."
C. "You may experience constipation as a common side effect."
D. "Take this medication at the first sign of a gout attack."
Correct Answer: D
Rationale: Colchicine is most effective when taken at the first sign of a gout flare. It is
not safe for renal impairment (B) and can cause diarrhea (not constipation, C). It does
not require a specific fluid intake (A) beyond normal.
Question 3
A nurse is caring for a client who is receiving IV acyclovir. Which of the following actions
is most important?
A. Monitor the IV site for infiltration.
B. Encourage oral fluids.
,C. Monitor urine output.
D. Administer the medication over 1 hour.
Correct Answer: C
Rationale: Acyclovir can crystallize in the renal tubules, causing nephrotoxicity.
Monitoring urine output is essential to ensure adequate renal perfusion. The infusion
should be given over at least 1 hour (D) to prevent crystallization, but monitoring output
(C) is the priority assessment.
Question 4
A client is prescribed cefuroxime. Which of the following statements indicates the client
understands the medication?
A. "I can stop this medication if my symptoms improve."
B. "I should take this medication with food to reduce stomach upset."
C. "I can drink alcohol while taking this medication."
D. "This medication is safe for my penicillin allergy."
Correct Answer: B
Rationale: Cefuroxime (a cephalosporin) can cause GI upset; taking it with food helps
reduce this. It should be taken for the full course (A). Alcohol (C) should be avoided or
limited. Cross-sensitivity with penicillin (D) exists, so caution is needed.
Question 5
A nurse is preparing to administer digoxin 0.125 mg orally to a client with heart failure.
Which lab value should the nurse check before administration?
A. Serum potassium
B. Serum sodium
, C. Blood urea nitrogen
D. Hemoglobin
Correct Answer: A
Rationale: Digoxin toxicity is potentiated by hypokalemia. The nurse must check serum
potassium levels to ensure they are within the normal range (3.5 – 5.0 mEq/L) before
administration.
Question 6
A client is prescribed metformin for type 2 diabetes. Which instruction should the nurse
include in patient teaching?
A. Take the medication with a high-fat meal
B. Monitor for signs of lactic acidosis
C. Expect weight gain as a side effect
D. Take the medication only at bedtime
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a serious side effect. Patients
should be taught to recognize symptoms like muscle pain or weakness. Metformin is
taken with meals to reduce GI upset, not specifically high-fat meals (A). It is weight-
neutral or may cause weight loss (C). Dosing is not limited to bedtime (D).
Question 7
A nurse is administering heparin 5,000 units subcutaneously. What is the most
important nursing action to prevent complications?
A. Rotate injection sites
B. Administer with a meal
