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ATI Pharmacology Proctored Assessment
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2026 – Complete Practice Questions & # # # # #
Answers with Detailed Rationales for # # # #
Exam Success #
1) What TSH level indicates effective levothyroxine therapy? Thyroid
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stimulating hormone (TSH) level is 2 microunits/mL.
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2) What should a patient on an antihypertensive do to prevent falls? I will
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move slowly from sitting to standing to prevent falls.
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3) What adverse effect of sulfonamides should a patient report? I should
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expect a rash to develop.
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4) What is a critical step when taking a telephone medication order? Read the
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prescription back to the provider after transcribing.
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5) How should a patient with epilepsy monitor treatment effectiveness? I will
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keep a seizure frequency chart.
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6) What is the priority action for a patient with a suspected MI? Apply a
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cardiac monitor. #
7) What is the therapeutic INR range for a patient on warfarin? INR should be
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between 2 and 3. # # #
8) What should a patient avoid while taking metronidazole? Avoid alcohol
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consumption during and for 48 hours after treatment.
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9) What is the antidote for heparin overdose? Protamine sulfate.
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,#
10) What is the most common side effect of ACE inhibitors? Dry, persistent
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cough.
11) What laboratory value must be monitored in a patient taking
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lithium? Serum lithium level (therapeutic: 0.6–1.2 mEq/L).
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12) What patient teaching is essential for nitroglycerin patches? Remove the
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patch at night for 10–12 hours to prevent tolerance.
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13) What is the antidote for warfarin overdose? Vitamin K (phytonadione).
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14) What should a patient on an MAOI avoid? Avoid tyramine-rich foods (aged
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cheese, cured meats, red wine).
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15) What is the first action when a patient experiences angioedema from an
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ACE inhibitor? Discontinue the medication and administer epinephrine if airway
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compromised.
16) How should a patient take alendronate (Fosamax)? Take on an empty
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stomach with a full glass of water, remain upright for 30 minutes.
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17) What is the primary adverse effect of gentamicin? Nephrotoxicity and
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ototoxicity.
18) What lab value should be monitored in a patient on furosemide? Serum
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potassium (risk of hypokalemia).
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19) What is the therapeutic digoxin level? 0.5–2 ng/mL.
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20) What are early signs of digoxin toxicity? Nausea, vomiting, yellow vision,
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bradycardia.
21) What should a patient on isoniazid (INH) supplement? Vitamin B6
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(pyridoxine) to prevent peripheral neuropathy.
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,#
22) What is the most serious adverse effect of clozapine? Agranulocytosis –
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monitor absolute neutrophil count (ANC).
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23) What should a patient on an opioid analgesic do to prevent
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constipation? Increase fluid intake, fiber, and use stool softeners.
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24) What is the reversal agent for benzodiazepines? Flumazenil.
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25) What should a patient on prednisone report immediately? Sudden weight
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gain, swelling, or black tarry stools.
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26) How should a patient use an albuterol rescue inhaler? Use it first, then wait
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1 minute before using corticosteroid inhaler.
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27) What is the therapeutic range for phenytoin (Dilantin)? 10–20 mcg/mL.
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28) What are signs of phenytoin toxicity? Nystagmus, ataxia, slurred speech.
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29) What should a patient on a statin report to the provider? Unexplained
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muscle pain or weakness (risk of rhabdomyolysis).
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30) What is the antidote for acetaminophen overdose? N-acetylcysteine
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(Mucomyst).
31) What should a patient on a beta-blocker monitor for? Slow pulse rate
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(below 60 bpm, notify provider).
# # # #
32) What is a common side effect of selective serotonin reuptake inhibitors
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(SSRIs)? Sexual dysfunction and gastrointestinal upset.
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33) What is serotonin syndrome? Agitation, confusion, fever, diaphoresis,
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muscle rigidity – stop serotonergic drugs.
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34) What should a patient on spironolactone avoid? Potassium supplements and
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potassium-rich foods (salt substitutes). # # #
ATI Pharmacology Proctored Assessment
# # #
2026 – Complete Practice Questions & # # # # #
Answers with Detailed Rationales for # # # #
Exam Success #
1) What TSH level indicates effective levothyroxine therapy? Thyroid
# # # # # # # #
stimulating hormone (TSH) level is 2 microunits/mL.
# # # # # #
2) What should a patient on an antihypertensive do to prevent falls? I will
# # # # # # # # # # # # #
move slowly from sitting to standing to prevent falls.
# # # # # # # #
3) What adverse effect of sulfonamides should a patient report? I should
# # # # # # # # # # #
expect a rash to develop.
# # # #
4) What is a critical step when taking a telephone medication order? Read the
# # # # # # # # # # # # #
prescription back to the provider after transcribing.
# # # # # #
5) How should a patient with epilepsy monitor treatment effectiveness? I will
# # # # # # # # # # #
keep a seizure frequency chart.
# # # #
6) What is the priority action for a patient with a suspected MI? Apply a
# # # # # # # # # # # # # #
cardiac monitor. #
7) What is the therapeutic INR range for a patient on warfarin? INR should be
# # # # # # # # # # # # # #
between 2 and 3. # # #
8) What should a patient avoid while taking metronidazole? Avoid alcohol
# # # # # # # # # #
consumption during and for 48 hours after treatment.
# # # # # # #
9) What is the antidote for heparin overdose? Protamine sulfate.
# # # # # # # # #
,#
10) What is the most common side effect of ACE inhibitors? Dry, persistent
# # # # # # # # # # # #
cough.
11) What laboratory value must be monitored in a patient taking
# # # # # # # # # #
lithium? Serum lithium level (therapeutic: 0.6–1.2 mEq/L).
# # # # # #
12) What patient teaching is essential for nitroglycerin patches? Remove the
# # # # # # # # # #
patch at night for 10–12 hours to prevent tolerance.
# # # # # # # #
13) What is the antidote for warfarin overdose? Vitamin K (phytonadione).
# # # # # # # # # #
14) What should a patient on an MAOI avoid? Avoid tyramine-rich foods (aged
# # # # # # # # # # # #
cheese, cured meats, red wine).
# # # #
15) What is the first action when a patient experiences angioedema from an
# # # # # # # # # # # #
ACE inhibitor? Discontinue the medication and administer epinephrine if airway
# # # # # # # # #
compromised.
16) How should a patient take alendronate (Fosamax)? Take on an empty
# # # # # # # # # # #
stomach with a full glass of water, remain upright for 30 minutes.
# # # # # # # # # # #
17) What is the primary adverse effect of gentamicin? Nephrotoxicity and
# # # # # # # # # #
ototoxicity.
18) What lab value should be monitored in a patient on furosemide? Serum
# # # # # # # # # # # #
potassium (risk of hypokalemia).
# # #
19) What is the therapeutic digoxin level? 0.5–2 ng/mL.
# # # # # # # #
20) What are early signs of digoxin toxicity? Nausea, vomiting, yellow vision,
# # # # # # # # # # #
bradycardia.
21) What should a patient on isoniazid (INH) supplement? Vitamin B6
# # # # # # # # # #
(pyridoxine) to prevent peripheral neuropathy.
# # # #
,#
22) What is the most serious adverse effect of clozapine? Agranulocytosis –
# # # # # # # # # # #
monitor absolute neutrophil count (ANC).
# # # #
23) What should a patient on an opioid analgesic do to prevent
# # # # # # # # # # #
constipation? Increase fluid intake, fiber, and use stool softeners.
# # # # # # # #
24) What is the reversal agent for benzodiazepines? Flumazenil.
# # # # # # # #
25) What should a patient on prednisone report immediately? Sudden weight
# # # # # # # # # #
gain, swelling, or black tarry stools.
# # # # #
26) How should a patient use an albuterol rescue inhaler? Use it first, then wait
# # # # # # # # # # # # # #
1 minute before using corticosteroid inhaler.
# # # #
27) What is the therapeutic range for phenytoin (Dilantin)? 10–20 mcg/mL.
# # # # # # # # # #
28) What are signs of phenytoin toxicity? Nystagmus, ataxia, slurred speech.
# # # # # # # # # #
29) What should a patient on a statin report to the provider? Unexplained
# # # # # # # # # # # #
muscle pain or weakness (risk of rhabdomyolysis).
# # # # # #
30) What is the antidote for acetaminophen overdose? N-acetylcysteine
# # # # # # # #
(Mucomyst).
31) What should a patient on a beta-blocker monitor for? Slow pulse rate
# # # # # # # # # # # #
(below 60 bpm, notify provider).
# # # #
32) What is a common side effect of selective serotonin reuptake inhibitors
# # # # # # # # # # #
(SSRIs)? Sexual dysfunction and gastrointestinal upset.
# # # # #
33) What is serotonin syndrome? Agitation, confusion, fever, diaphoresis,
# # # # # # # #
muscle rigidity – stop serotonergic drugs.
# # # # #
34) What should a patient on spironolactone avoid? Potassium supplements and
# # # # # # # # # #
potassium-rich foods (salt substitutes). # # #
