RN ATI PHARMACOLOGY PROCTORED
EXAM 2023 OVERVIEW | LATEST 2026
STUDY GUIDE & KEY CONCEPTS
Anaphylactic Reaction - ANS✔✔-Client develops an anaphylactic reaction to IV
administration.
Actions for Anaphylactic Reaction - ANS✔✔-Replace infusion with 0.9% sodium
chloride, give diphenhydramine IM, elevate client's legs and feet, administer epinephrine
IM.
Sertraline and Supplements - ANS✔✔-Supplement to avoid: St. John's Wort.
Lisinopril Adverse Effects - ANS✔✔-Adverse effect to monitor: hypotension.
Heparin Vital Sign Changes - ANS✔✔-Vital sign change to monitor: increased pulse
rate.
Medication Error Incident Report - ANS✔✔-Responsible staff member for incident
report: the nurse who identifies the error.
Morphine Epidural Infusion Monitoring - ANS✔✔-Monitor for: pruritus (sign of allergic
reaction to morphine).
Digoxin Administration Steps - ANS✔✔-Sequence of steps: obtain client's apical heart
rate, remove medication from dispensing system, open medication package, compare
client's wristband to medication administration record, document administration of
medication.
Acetaminophen Contraindication - ANS✔✔-Contraindication for receiving medication:
chronic kidney disease.
Furosemide Weight Gain Action - ANS✔✔-Action to take first: notify the provider of the
client's weight gain.
Penicillin G Allergic Reaction Indication - ANS✔✔-Indication of allergic reaction
following injection: urticaria.
Sublingual Nitroglycerin Instruction - ANS✔✔-Instruction to include: place the tablet
between your cheek and gum to dissolve.
Theophylline Understanding Statement - ANS✔✔-Statement indicating understanding of
teaching: 'I will need to have blood levels drawn.'
Mixing Insulin First Action - ANS✔✔-First action to take: inject air into the regular insulin
vial.
Subcutaneous Heparin Administration Action - ANS✔✔-Action to take: insert the needle
at least 5 cm (2 in) from the umbilicus.
Amoxicillin Allergic Reaction Finding - ANS✔✔-Finding indicating allergic reaction:
laryngeal edema.
Medication Reconciliation Instruction - ANS✔✔-Instruction for medication reconciliation:
perform for a client who is transferred to a step-down unit.
Atorvastatin Laboratory Values - ANS✔✔-Laboratory value indicating treatment
effectiveness: LDL 120 mg/dL.
Transcribing Medication Prescription - ANS✔✔-Transcription in client's medical record:
Morphine 6 mg IV push every 3 hr PRN acute pain.
Assessing IV Infusion Site - ANS✔✔-Action to take: apply a warm, moist compress.
EXAM 2023 OVERVIEW | LATEST 2026
STUDY GUIDE & KEY CONCEPTS
Anaphylactic Reaction - ANS✔✔-Client develops an anaphylactic reaction to IV
administration.
Actions for Anaphylactic Reaction - ANS✔✔-Replace infusion with 0.9% sodium
chloride, give diphenhydramine IM, elevate client's legs and feet, administer epinephrine
IM.
Sertraline and Supplements - ANS✔✔-Supplement to avoid: St. John's Wort.
Lisinopril Adverse Effects - ANS✔✔-Adverse effect to monitor: hypotension.
Heparin Vital Sign Changes - ANS✔✔-Vital sign change to monitor: increased pulse
rate.
Medication Error Incident Report - ANS✔✔-Responsible staff member for incident
report: the nurse who identifies the error.
Morphine Epidural Infusion Monitoring - ANS✔✔-Monitor for: pruritus (sign of allergic
reaction to morphine).
Digoxin Administration Steps - ANS✔✔-Sequence of steps: obtain client's apical heart
rate, remove medication from dispensing system, open medication package, compare
client's wristband to medication administration record, document administration of
medication.
Acetaminophen Contraindication - ANS✔✔-Contraindication for receiving medication:
chronic kidney disease.
Furosemide Weight Gain Action - ANS✔✔-Action to take first: notify the provider of the
client's weight gain.
Penicillin G Allergic Reaction Indication - ANS✔✔-Indication of allergic reaction
following injection: urticaria.
Sublingual Nitroglycerin Instruction - ANS✔✔-Instruction to include: place the tablet
between your cheek and gum to dissolve.
Theophylline Understanding Statement - ANS✔✔-Statement indicating understanding of
teaching: 'I will need to have blood levels drawn.'
Mixing Insulin First Action - ANS✔✔-First action to take: inject air into the regular insulin
vial.
Subcutaneous Heparin Administration Action - ANS✔✔-Action to take: insert the needle
at least 5 cm (2 in) from the umbilicus.
Amoxicillin Allergic Reaction Finding - ANS✔✔-Finding indicating allergic reaction:
laryngeal edema.
Medication Reconciliation Instruction - ANS✔✔-Instruction for medication reconciliation:
perform for a client who is transferred to a step-down unit.
Atorvastatin Laboratory Values - ANS✔✔-Laboratory value indicating treatment
effectiveness: LDL 120 mg/dL.
Transcribing Medication Prescription - ANS✔✔-Transcription in client's medical record:
Morphine 6 mg IV push every 3 hr PRN acute pain.
Assessing IV Infusion Site - ANS✔✔-Action to take: apply a warm, moist compress.
