ATI RN Pharmacology Exam with NGN: Real Exam Questions and Correct
Answers for A+ Grade Latest 2026
A nurse is teaching a client who has diabetes mellitus and a new prescription for a combination of lispro
insulin and NPH insulin. Which of the following statements by the client indicates an understanding of
the teaching?
Answer:
• "I will mix these medications in one syringe."
• "I should draw up the NPH insulin first."
Rationale:
• Lispro (a rapid-acting insulin) and NPH (an intermediate-acting insulin) can be mixed in the same
syringe to minimize injections.
• To prevent contamination, the clear insulin (lispro) should be drawn up first, followed by the
cloudy insulin (NPH).
• Lispro insulin is clear, not cloudy, and it begins working quickly, so the client should eat within 15
minutes of administration, not 1 hour
,A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should
identify that which of the following is the priority finding?
Answer:
Respirations deep at a rate of 10/min
Rationale:
When using the airway, breathing, circulation (ABC) priority framework, respiratory status is the highest
priority. Morphine is a respiratory depressant. A respiratory rate of 10/min indicates respiratory depression,
which is a life-threatening adverse effect and requires immediate intervention. While the other findings
(hypotension, decreased urine output, vomiting) are concerning, they do not pose as immediate a threat to
survival as inadequate breathing.
A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who
has infective endocarditis. Which of the following actions should the nurse take?
Answer:
, Administer the medication over 2 hr.
Rationale:
• Administer the medication over 2 hr: Amphotericin B lipid complex is typically infused over
approximately 2 hours to reduce the risk of infusion-related reactions. The exact time can vary
by specific product and facility protocol, but a prolonged infusion (not a rapid bolus) is standard.
• Discard the medication if it is yellow: This is incorrect. Amphotericin B lipid complex is a
translucent yellow suspension. A yellow color is normal and expected; the medication should not
be discarded for this reason.
• Use a gravity flow set: This is not recommended. An in-line filter is often required, and an IV
pump is typically used to control the infusion rate accurately and ensure patient safety
A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa. The client
experienced a sudden "gush" of bright red vaginal bleeding. Which of the following assessment findings
requires immediate follow-up?
Answer:
• Fetal heart rate
• Vaginal bleeding
Rationale:
In a client with placenta previa and active bleeding, the priority assessments are those that evaluate:
• Fetal well-being – A non-reassuring fetal heart rate can indicate fetal distress from hypoxia or
compromised blood flow, requiring immediate intervention.
, • Maternal hemodynamic stability – Ongoing vaginal bleeding must be quantified and monitored
closely, as increased bleeding can lead to maternal shock and fetal compromise.
Question 1 of 70
A nurse is preparing to administer eye drops to a client. Which of the following actions should the
nurse take? (Select all that apply.)
☐ Have the client lie on her side
☐ Ask the client to look up at the ceiling
☐ ☐ Tell the client to blink when the drops enter her eye
☑ Drop the medication into the center of the client's conjunctival sac
☑ Instruct the client to close her eye gently after instillation
Explanation:
Eye drops should be placed in the conjunctival sac to ensure proper absorption and avoid corneal
damage. The client should close the eye gently to distribute the medication and prevent systemic
absorption. Blinking when drops enter the eye should be avoided as it can cause the medication to spill
out.
Answers for A+ Grade Latest 2026
A nurse is teaching a client who has diabetes mellitus and a new prescription for a combination of lispro
insulin and NPH insulin. Which of the following statements by the client indicates an understanding of
the teaching?
Answer:
• "I will mix these medications in one syringe."
• "I should draw up the NPH insulin first."
Rationale:
• Lispro (a rapid-acting insulin) and NPH (an intermediate-acting insulin) can be mixed in the same
syringe to minimize injections.
• To prevent contamination, the clear insulin (lispro) should be drawn up first, followed by the
cloudy insulin (NPH).
• Lispro insulin is clear, not cloudy, and it begins working quickly, so the client should eat within 15
minutes of administration, not 1 hour
,A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should
identify that which of the following is the priority finding?
Answer:
Respirations deep at a rate of 10/min
Rationale:
When using the airway, breathing, circulation (ABC) priority framework, respiratory status is the highest
priority. Morphine is a respiratory depressant. A respiratory rate of 10/min indicates respiratory depression,
which is a life-threatening adverse effect and requires immediate intervention. While the other findings
(hypotension, decreased urine output, vomiting) are concerning, they do not pose as immediate a threat to
survival as inadequate breathing.
A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who
has infective endocarditis. Which of the following actions should the nurse take?
Answer:
, Administer the medication over 2 hr.
Rationale:
• Administer the medication over 2 hr: Amphotericin B lipid complex is typically infused over
approximately 2 hours to reduce the risk of infusion-related reactions. The exact time can vary
by specific product and facility protocol, but a prolonged infusion (not a rapid bolus) is standard.
• Discard the medication if it is yellow: This is incorrect. Amphotericin B lipid complex is a
translucent yellow suspension. A yellow color is normal and expected; the medication should not
be discarded for this reason.
• Use a gravity flow set: This is not recommended. An in-line filter is often required, and an IV
pump is typically used to control the infusion rate accurately and ensure patient safety
A nurse is caring for a client who is at 32 weeks of gestation and has complete placenta previa. The client
experienced a sudden "gush" of bright red vaginal bleeding. Which of the following assessment findings
requires immediate follow-up?
Answer:
• Fetal heart rate
• Vaginal bleeding
Rationale:
In a client with placenta previa and active bleeding, the priority assessments are those that evaluate:
• Fetal well-being – A non-reassuring fetal heart rate can indicate fetal distress from hypoxia or
compromised blood flow, requiring immediate intervention.
, • Maternal hemodynamic stability – Ongoing vaginal bleeding must be quantified and monitored
closely, as increased bleeding can lead to maternal shock and fetal compromise.
Question 1 of 70
A nurse is preparing to administer eye drops to a client. Which of the following actions should the
nurse take? (Select all that apply.)
☐ Have the client lie on her side
☐ Ask the client to look up at the ceiling
☐ ☐ Tell the client to blink when the drops enter her eye
☑ Drop the medication into the center of the client's conjunctival sac
☑ Instruct the client to close her eye gently after instillation
Explanation:
Eye drops should be placed in the conjunctival sac to ensure proper absorption and avoid corneal
damage. The client should close the eye gently to distribute the medication and prevent systemic
absorption. Blinking when drops enter the eye should be avoided as it can cause the medication to spill
out.
