PHARMACOLOGY
VERSION 1, 2 & 3 EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIO”)
Actual Qs & Ans to Pass the Exam
This\ATI\test\contains:\
Passing\Score\Guarantee\
Each\Exam\has\70\PHARMACOLOGY\nursing\ques
tions\
multiple-
choice\format\(A,\B,\C,\D)\with\correct\answers
structured\rationales.\
incorporate\Next\Generation\NCLEX\(NGN)-style.\
Some\questions\feature\brief\“scenario”\elements\and\rationales.
,Table of Contents
\ \
ATI\PN\PHARMACOLOGY\EXAM\V1 ...........................2
ATI\PN\PHARMACOLOGY\EXAM\V2 .........................36
ATI\PN\PHARMACOLOGY\EXAM\V3 .........................76
ATI\PN\PHARMACOLOGY\EXAM\V1
1.\A\nurse\is\reinforcing\teaching\with\a\client\who\has\a\new\prescription\for\omepr
azole\oral\capsules.\Which\of\the\following\instructions\should\the\nurse\include?\\
a.\Chew\the\medication\thoroughly\before\swallowing\\
b.\Swallow\the\medication\whole\\
c.\Crush\the\capsules\and\mix\with\food\\
d.\Take\the\medication\with\an\antacid\\
Answer:\b.\Swallow\the\medication\whole\\
Expert\Rationale:\The\nurse\should\instruct\the\client\to\swallow\omeprazole\capsules\w
hole\as\it\is\available\in\delayed-
release\form.\Chewing\or\crushing\the\medication\can\destroy\the\coating\and\reduce\effe
ctiveness.\Omeprazole\is\a\proton\pump\inhibitor\that\blocks\gastric\acid\secretion\and\mu
st\be\absorbed\intact.\\
---
2.\A\nurse\is\reinforcing\teaching\about\comfort\measures\with\the\guardian\of\a\10-
year-
,old\child\who\has\a\viral\infection.\The\nurse\should\plan\to\tell\the\parent\that\aspiri
n\is\contraindicated\because\of\the\risk\for\which\of\the\following\conditions?\\
a.\Hemophilia\\
b.\Reye\syndrome\\
c.\Appendicitis\\
d.\Anaphylaxis\\
Answer:\b.\Reye\syndrome\\
Expert\Rationale:\Aspirin\is\contraindicated\in\children\and\adolescents\with\viral\infectio
ns\due\to\the\increased\risk\of\Reye\syndrome,\a\rare\but\potentially\fatal\condition\causin
g\encephalopathy\and\liver\damage.
---
3.\A\nurse\is\caring\for\a\client\who\has\a\prescription\for\an\IM\injection\of\penicillin
\G\benzathine.\The\client\asks\why\the\injection\must\be\given\IM\instead\of\through\
the\IV\line.\Which\of\the\following\responses\should\the\nurse\make?\\
a.\"IV\administration\causes\an\allergic\reaction."\\
b.\"Your\medication\can't\be\given\IV\because\it\is\not\water-soluble."\\
c.\"IV\doses\are\usually\lower\than\IM\doses."\\
d.\"IM\provides\faster\absorption\than\IV."\\
Answer:\b.\"Your\medication\can't\be\given\IV\because\it\is\not\water-soluble."\\
Expert\Rationale:\Penicillin\G\benzathine\is\poorly\water-
soluble;\administering\it\IV\can\cause\serious\reactions\such\as\embolism.\It\is\formulated\f
or\slow\absorption\from\the\IM\site.
, ---
4.\A\nurse\is\planning\to\reinforce\teaching\about\newborn\immunizations\with\a\cli
ent\who\is\24\hr\postpartum.\Which\of\the\following\information\should\the\nurse\pl
an\to\include?\\
a.\"Your\baby\will\receive\the\first\hepatitis\B\vaccine\before\discharge."\\
b.\"Your\baby\will\receive\the\MMR\vaccine\before\discharge."\\
c.\"Your\baby\will\receive\the\varicella\vaccine\before\discharge."\\
d.\"Your\baby\will\receive\the\flu\vaccine\before\discharge."\\
Answer:\a.\"Your\baby\will\receive\the\first\hepatitis\B\vaccine\before\discharge."\\
Expert\Rationale:\The\newborn\should\receive\the\first\dose\of\the\hepatitis\B\vaccine\wit
hin\24\hours\of\birth\to\provide\early\immunity\against\hepatitis\B\infection.
---
5.\A\client\comes\to\an\urgent\care\clinic\and\announces\with\great\enthusiasm,\"I\a
m\an\expert\at\all\things\medical\as\they\apply\to\me,\and\I\require\zolpidem."\The\cli
ent's\pupils\are\dilated,\along\with\an\elevated\heart\rate\and\blood\pressure\level.\T
he\nurse\should\suspect\intoxication\with\which\of\the\following\substances?\\
a.\Alcohol\\
b.\Heroin\\
c.\Cocaine\\
d.\Benzodiazepines\\
Answer:\c.\Cocaine\\