PN PHARMACOLOGY ATI PROCTORED EXAM 2026/2027 –
{2 VERSIONS} NGN QUESTIONS WITH ANSWERS &
RATIONALES (100% VERIFIED) LATEST UPDATE THIS
YEAR INSTANT DOWNLOAD PDF
Q1–Q10: Cardiovascular & Hematologic Drugs
Q1. A client with heart failure is prescribed digoxin. The nurse notes the client’s
potassium level is 3.2 mEq/L. Which action should the nurse take first?
A. Administer the digoxin as prescribed
B. Withhold the digoxin and notify the provider
C. Withhold the digoxin and notify the provider*
D. Give an extra dose of potassium and then administer digoxin
Rationale: Hypokalemia increases the risk for digoxin toxicity; the nurse
should withhold the dose and notify the provider before giving digoxin.
Q2. A client is receiving enoxaparin subcutaneously after hip surgery. Which
assessment finding requires immediate intervention?
A. Mild bruising at the injection site
B. Platelet count of 250,000/mm³
C. New onset of severe headache and confusion*
D. Slight nausea after injection
,Rationale: Severe headache and confusion may indicate intracranial bleeding,
a serious complication of anticoagulant therapy.
Q3. A client with hypertension is prescribed lisinopril. Which instruction should
the nurse include?
A. “Take this medication with a high-potassium diet.”
B. “Expect your heart rate to increase.”
C. “Report a persistent cough to your provider.”*
D. “Stop the medication if you develop a mild rash.”
Rationale: A dry, persistent cough is a common ACE-inhibitor side effect that
may require a medication change.
Q4. (NGN – Select All That Apply) A client is starting warfarin therapy. Which
teaching points should the nurse include? (Select all that apply.)
“Avoid sudden changes in your intake of green leafy vegetables.”*
“Use a soft toothbrush and electric razor to reduce bleeding risk.”*
“Take ibuprofen for minor aches and pains.”
“Keep all lab appointments for INR monitoring.”*
“Stop the medication if you notice small bruises.”
Rationale: Consistent vitamin K intake, bleeding precautions, and
, regular INR checks are essential; NSAIDs increase bleeding risk, and small
bruises alone are not a reason to stop warfarin.
Q5. A client with angina is prescribed sublingual nitroglycerin tablets. Which
statement by the client indicates a need for further teaching?
A. “I will sit or lie down before taking this medication.”
B. “I can take up to three tablets, 5 minutes apart, for chest pain.”
C. “I will store my tablets in the bathroom cabinet.”*
D. “I will call 911 if pain is not relieved after the first dose.”
Rationale: Nitroglycerin should be stored in a cool, dry place; humidity in
bathrooms can reduce potency.
Q6. A client with iron-deficiency anemia is prescribed oral ferrous sulfate. Which
instruction should the nurse provide?
A. “Take this medication with milk to prevent stomach upset.”
B. “Take this medication with orange juice to enhance absorption.”*
C. “Expect your stools to become bright red.”
D. “Stop the medication if your stools turn dark green or black.”
Rationale: Vitamin C (e.g., orange juice) enhances iron absorption; dairy can
inhibit it. Dark stools are expected and not a reason to stop therapy.
, Q7. (NGN – Bow-Tie) A client receiving a heparin IV infusion has an aPTT of 90
seconds (therapeutic range 60–80). Match the findings to the appropriate nursing
actions.
aPTT 90 sec → Decrease infusion rate per protocol*
No active bleeding → Continue close monitoring*
If bleeding occurs → Notify provider and prepare to hold heparin*
Rationale: An above-therapeutic aPTT without bleeding usually requires a
rate reduction and close monitoring; bleeding would require holding the drug and
provider notification.
Q8. A client with hyperlipidemia is prescribed atorvastatin. Which laboratory
value should the nurse monitor most closely?
A. Serum sodium
B. Fasting blood glucose
C. Liver function tests (ALT, AST)*
D. Serum potassium
Rationale: Statins can cause hepatotoxicity; baseline and periodic liver
enzymes are recommended.
Q9. A client is prescribed metoprolol for hypertension. Which finding should the
nurse report before administering the medication?
A. Blood pressure 138/86 mm Hg
{2 VERSIONS} NGN QUESTIONS WITH ANSWERS &
RATIONALES (100% VERIFIED) LATEST UPDATE THIS
YEAR INSTANT DOWNLOAD PDF
Q1–Q10: Cardiovascular & Hematologic Drugs
Q1. A client with heart failure is prescribed digoxin. The nurse notes the client’s
potassium level is 3.2 mEq/L. Which action should the nurse take first?
A. Administer the digoxin as prescribed
B. Withhold the digoxin and notify the provider
C. Withhold the digoxin and notify the provider*
D. Give an extra dose of potassium and then administer digoxin
Rationale: Hypokalemia increases the risk for digoxin toxicity; the nurse
should withhold the dose and notify the provider before giving digoxin.
Q2. A client is receiving enoxaparin subcutaneously after hip surgery. Which
assessment finding requires immediate intervention?
A. Mild bruising at the injection site
B. Platelet count of 250,000/mm³
C. New onset of severe headache and confusion*
D. Slight nausea after injection
,Rationale: Severe headache and confusion may indicate intracranial bleeding,
a serious complication of anticoagulant therapy.
Q3. A client with hypertension is prescribed lisinopril. Which instruction should
the nurse include?
A. “Take this medication with a high-potassium diet.”
B. “Expect your heart rate to increase.”
C. “Report a persistent cough to your provider.”*
D. “Stop the medication if you develop a mild rash.”
Rationale: A dry, persistent cough is a common ACE-inhibitor side effect that
may require a medication change.
Q4. (NGN – Select All That Apply) A client is starting warfarin therapy. Which
teaching points should the nurse include? (Select all that apply.)
“Avoid sudden changes in your intake of green leafy vegetables.”*
“Use a soft toothbrush and electric razor to reduce bleeding risk.”*
“Take ibuprofen for minor aches and pains.”
“Keep all lab appointments for INR monitoring.”*
“Stop the medication if you notice small bruises.”
Rationale: Consistent vitamin K intake, bleeding precautions, and
, regular INR checks are essential; NSAIDs increase bleeding risk, and small
bruises alone are not a reason to stop warfarin.
Q5. A client with angina is prescribed sublingual nitroglycerin tablets. Which
statement by the client indicates a need for further teaching?
A. “I will sit or lie down before taking this medication.”
B. “I can take up to three tablets, 5 minutes apart, for chest pain.”
C. “I will store my tablets in the bathroom cabinet.”*
D. “I will call 911 if pain is not relieved after the first dose.”
Rationale: Nitroglycerin should be stored in a cool, dry place; humidity in
bathrooms can reduce potency.
Q6. A client with iron-deficiency anemia is prescribed oral ferrous sulfate. Which
instruction should the nurse provide?
A. “Take this medication with milk to prevent stomach upset.”
B. “Take this medication with orange juice to enhance absorption.”*
C. “Expect your stools to become bright red.”
D. “Stop the medication if your stools turn dark green or black.”
Rationale: Vitamin C (e.g., orange juice) enhances iron absorption; dairy can
inhibit it. Dark stools are expected and not a reason to stop therapy.
, Q7. (NGN – Bow-Tie) A client receiving a heparin IV infusion has an aPTT of 90
seconds (therapeutic range 60–80). Match the findings to the appropriate nursing
actions.
aPTT 90 sec → Decrease infusion rate per protocol*
No active bleeding → Continue close monitoring*
If bleeding occurs → Notify provider and prepare to hold heparin*
Rationale: An above-therapeutic aPTT without bleeding usually requires a
rate reduction and close monitoring; bleeding would require holding the drug and
provider notification.
Q8. A client with hyperlipidemia is prescribed atorvastatin. Which laboratory
value should the nurse monitor most closely?
A. Serum sodium
B. Fasting blood glucose
C. Liver function tests (ALT, AST)*
D. Serum potassium
Rationale: Statins can cause hepatotoxicity; baseline and periodic liver
enzymes are recommended.
Q9. A client is prescribed metoprolol for hypertension. Which finding should the
nurse report before administering the medication?
A. Blood pressure 138/86 mm Hg
