2023 ATI PN
Pharmacology
280 EXAM QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 280 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Exam prep
• NCLEX-PN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
"If you require further clarification or in need of
any study resources, feel free to Message me."
,TABLE OF CONTENTS
2023 ATI PN Pharmacology - Interactive Exam Sets
Click an exam set below to open it.
ATI PN PHARMACOLOGY EXAM SET 1 Page 3
Open exam set
ATI PN PHARMACOLOGY EXAM SET 2 Page 35
Open exam set
ATI PN PHARMACOLOGY EXAM SET 3 Page 74
Open exam set
ATI PN PHARMACOLOGY EXAM SET 4 Page 123
Open exam set
PDF bookmarks are also available in the navigation panel.
, 2023 ATI PN
Pharmacology
EXAM QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 70 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Proctored Exam prep
• NCLEX-PN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,A nurse is assisting in the care of a client in the provider's office.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and
pseudoephedrine is no longer effective. Nasal mucosa is red and edematous.
Nares are patent. Frontal and maxillary sinuses are non-tender to palpation.
Oral mucosa is pink and moist.
3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal
mucosa is red and edematous. Nares are non-patent and nasal crusting is
present. Client reports mouth breathing due to nasal congestion. Frontal and
maxillary sinuses are tender to palpation. Oral mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies
3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client
to ____________________________________________ and
____________________________________.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client to use
saline nasal spray prior to administering medication and instill two sprays of
the medication in each nostril.
When generating solutions for a client who has a new prescription for fluticasone
propionate, the nurse should plan to reinforce teaching with the client about the
medication. The nurse should reinforce with the client to use a saline nasal spray
,prior to administering medication to remove nasal crusting. The nurse should also
reinforce to instill two sprays of fluticasone into each nostril to administer 100 mcg
per nostril.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL
to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The
nurse should ensure that the manual IV infusion is set to deliver how many
gtt/min? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
31 gtt/min
Follow these steps to calculate the infusion rate using the Dimensional
Analysis method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit
of measure being calculated on the left side of the equation.)
X gtt/min =
Step 2: Determine the ratio that contains the same unit as the unit being calculated.
(Place the ratio on the right side of the equation, ensuring that the unit in the
numerator matches the unit being calculated.)
X gtt/min = 15 gtt/1mL
Step 3: Place any remaining ratios that are relevant to the item on the right side of
the equation, along with any needed conversion factors, to cancel out unwanted
units of measurement.
X gtt/min = 15 gtt/1mL x 1,000 mL/8 hr x 1 hr/60 min
Step 4: Solve for X.
X gtt/min = 31.25 gtt/min
Step 5: Round if necessary. 31.25 = 31 gtt/min
Step 6: Determine whether the amount to administer makes sense. If the
prescription reads 0.9% sodium chloride 1,000 mL IV to infuse 8 hr and the drop
factor on the manual IV tubing is 15 gtt/mL, it makes sense to administer 31
gtt/min. The nurse should set the manual IV infusion to deliver 0.9% sodium
chloride 1,000 mL IV at 31 gtt/min over 8 hr.
,A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of
the following actions should the nurse take after instilling the eyedrops?
a. Ask the client to blink their eyes several times.
b. Apply pressure to the upper eyelid.
c. Press the nasolacrimal duct.
d. Tell the client to keep their eyes open for at least 15 seconds.
c. Press the nasolacrimal duct.
The nurse should press the client's nasolacrimal duct after instilling the eye drops
to prevent the medication from absorbing into systemic circulation.
A nurse is planning to reinforce teaching about newborn immunizations with
a client who is 24 hr postpartum. Which of the following information should
the nurse plan to include?
a. "Your baby will receive the first hepatitis B vaccine before discharge."
b. "Your baby will receive the rotavirus vaccine if your blood titer is low."
c. "Your baby will receive their first influenza vaccine at the 4-week
checkup."
d. "Your baby will receive the varicella vaccine if you have a history of
chickenpox."
a. "Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next
dose at age 1 to 2 months.
A nurse is reinforcing dietary teaching with a client who has a new
prescription for phenelzine. Which of the following foods should the nurse
include in the teaching as an appropriate food choice?
a. Yogurt
b. Avocado
c. Smoked salmon
,d. Pepperoni
a. Yogurt
Clients taking phenelzine should avoid consuming
tyramine, which can cause high blood pressure. Yogurt
contains little or no tyramine. Therefore, the nurse
should instruct the client that yogurt is an appropriate
food choice.
A nurse is reinforcing teaching with a client who has a new prescription
for colchicine to manage gouty arthritis. Which of the
following manifestations should the nurse include as an adverse effect of this
medication?
a. Abdominal pain
b. Wheezing
c. Excessive urination
d. Tinnitus
a. Abdominal pain
Abdominal pain indicates cellular damage to the gastrointestinal tract. The nurse
should notify the provider, and the client should discontinue the medication
immediately.
A nurse is reviewing medication prescriptions for a group of clients. The
nurse should recognize that which of the following prescriptions can result in
medication administration error?
a. Penicillin G benzathine 1.2 million units IM daily
b. Furosemide 10.0 mg PO daily
,c. Albuterol 2.5 mg 2 inhalations every 6 hr as needed for shortness of breath
d. Insulin glargine 15 units subcutaneous daily at bedtime
b. Furosemide 10.0 mg PO daily
The nurse should avoid using a trailing zero
following a whole number. This prescription
can result in a medication error because the
nurse can mistake the dosage as 100 mg
instead of 10 mg because the decimal point is
not always recognized.
A nurse is monitoring a client who has been receiving long-
term hydrochlorothiazide therapy for recurring episodes of heart failure.
Which of the following findings should the nurse identify as an adverse effect
of this medication?
a. Hypokalemia
b. Hypermagnesemia
c. Hypernatremia
d. Hypocalcemia
a. Hypokalemia
, Hydrochlorothiazide is a thiazide diuretic that can cause hypokalemia due to
excessive potassium excretion in the urine.
A nurse is reinforcing teaching with a client who has a prescription
for alendronate. Which of the following client responses indicates to the nurse
an understanding of the teaching?
a. "I will take the medication with my breakfast."
b. "I will take the medication with 1 tablespoon of an antacid."
c. "I will lie down for 30 minutes after taking the medication."
d. "I will take the medication with 8 ounces of water."
d. "I will take the medication with 8 ounces of water."
The client should take alendronate on an empty stomach with 240
mL (8 oz) of water to ensure it does not lodge in the esophagus,
which can result in esophageal ulcerations.
At 0800 a nurse assists with initiating a 1,000 mL IV infusion for a client,
which is running at 125 mL/hr. How much fluid is left in the IV bag
at 1300? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
375 mL
Follow these steps to calculate the infusion rate and remaining infusion:
Step 1: What is the unit of measurement the nurse should calculate? mL
Step 2: What is the total volume to be infused? Total volume = 1,000 mL
Step 3: What is the rate of infusion? Rate = 125 mL/hr
Step 4: What is the total infusion time so far? Time = 5 hr
Pharmacology
280 EXAM QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 280 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Exam prep
• NCLEX-PN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
"If you require further clarification or in need of
any study resources, feel free to Message me."
,TABLE OF CONTENTS
2023 ATI PN Pharmacology - Interactive Exam Sets
Click an exam set below to open it.
ATI PN PHARMACOLOGY EXAM SET 1 Page 3
Open exam set
ATI PN PHARMACOLOGY EXAM SET 2 Page 35
Open exam set
ATI PN PHARMACOLOGY EXAM SET 3 Page 74
Open exam set
ATI PN PHARMACOLOGY EXAM SET 4 Page 123
Open exam set
PDF bookmarks are also available in the navigation panel.
, 2023 ATI PN
Pharmacology
EXAM QUESTIONS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 70 Pharmacology nursing questions
• Detailed answer rationales for each question
• Exam-focused, high-yield content
Perfect For:
• PN/LPN nursing students
• ATI Pharmacology Proctored Exam prep
• NCLEX-PN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,A nurse is assisting in the care of a client in the provider's office.
Assessment
09/09:
Client reports seasonal allergies have worsened since last year, and
pseudoephedrine is no longer effective. Nasal mucosa is red and edematous.
Nares are patent. Frontal and maxillary sinuses are non-tender to palpation.
Oral mucosa is pink and moist.
3/21:
Client reports increased sneezing and nasal congestion and pruritus. Nasal
mucosa is red and edematous. Nares are non-patent and nasal crusting is
present. Client reports mouth breathing due to nasal congestion. Frontal and
maxillary sinuses are tender to palpation. Oral mucosa is pink and dry.
Provider Prescriptions
09/09:
Loratadine 10 mg PO once daily PRN seasonal allergies
3/21:
Fluticasone propionate 100 mcg per nostril once daily PRN seasonal allergies
Complete the following sentence by using the lists of options.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client
to ____________________________________________ and
____________________________________.
The nurse is planning to reinforce teaching to the client about their newly
prescribed medication. The nurse should plan to reinforce with the client to use
saline nasal spray prior to administering medication and instill two sprays of
the medication in each nostril.
When generating solutions for a client who has a new prescription for fluticasone
propionate, the nurse should plan to reinforce teaching with the client about the
medication. The nurse should reinforce with the client to use a saline nasal spray
,prior to administering medication to remove nasal crusting. The nurse should also
reinforce to instill two sprays of fluticasone into each nostril to administer 100 mcg
per nostril.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL
to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The
nurse should ensure that the manual IV infusion is set to deliver how many
gtt/min? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
31 gtt/min
Follow these steps to calculate the infusion rate using the Dimensional
Analysis method of calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit
of measure being calculated on the left side of the equation.)
X gtt/min =
Step 2: Determine the ratio that contains the same unit as the unit being calculated.
(Place the ratio on the right side of the equation, ensuring that the unit in the
numerator matches the unit being calculated.)
X gtt/min = 15 gtt/1mL
Step 3: Place any remaining ratios that are relevant to the item on the right side of
the equation, along with any needed conversion factors, to cancel out unwanted
units of measurement.
X gtt/min = 15 gtt/1mL x 1,000 mL/8 hr x 1 hr/60 min
Step 4: Solve for X.
X gtt/min = 31.25 gtt/min
Step 5: Round if necessary. 31.25 = 31 gtt/min
Step 6: Determine whether the amount to administer makes sense. If the
prescription reads 0.9% sodium chloride 1,000 mL IV to infuse 8 hr and the drop
factor on the manual IV tubing is 15 gtt/mL, it makes sense to administer 31
gtt/min. The nurse should set the manual IV infusion to deliver 0.9% sodium
chloride 1,000 mL IV at 31 gtt/min over 8 hr.
,A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of
the following actions should the nurse take after instilling the eyedrops?
a. Ask the client to blink their eyes several times.
b. Apply pressure to the upper eyelid.
c. Press the nasolacrimal duct.
d. Tell the client to keep their eyes open for at least 15 seconds.
c. Press the nasolacrimal duct.
The nurse should press the client's nasolacrimal duct after instilling the eye drops
to prevent the medication from absorbing into systemic circulation.
A nurse is planning to reinforce teaching about newborn immunizations with
a client who is 24 hr postpartum. Which of the following information should
the nurse plan to include?
a. "Your baby will receive the first hepatitis B vaccine before discharge."
b. "Your baby will receive the rotavirus vaccine if your blood titer is low."
c. "Your baby will receive their first influenza vaccine at the 4-week
checkup."
d. "Your baby will receive the varicella vaccine if you have a history of
chickenpox."
a. "Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next
dose at age 1 to 2 months.
A nurse is reinforcing dietary teaching with a client who has a new
prescription for phenelzine. Which of the following foods should the nurse
include in the teaching as an appropriate food choice?
a. Yogurt
b. Avocado
c. Smoked salmon
,d. Pepperoni
a. Yogurt
Clients taking phenelzine should avoid consuming
tyramine, which can cause high blood pressure. Yogurt
contains little or no tyramine. Therefore, the nurse
should instruct the client that yogurt is an appropriate
food choice.
A nurse is reinforcing teaching with a client who has a new prescription
for colchicine to manage gouty arthritis. Which of the
following manifestations should the nurse include as an adverse effect of this
medication?
a. Abdominal pain
b. Wheezing
c. Excessive urination
d. Tinnitus
a. Abdominal pain
Abdominal pain indicates cellular damage to the gastrointestinal tract. The nurse
should notify the provider, and the client should discontinue the medication
immediately.
A nurse is reviewing medication prescriptions for a group of clients. The
nurse should recognize that which of the following prescriptions can result in
medication administration error?
a. Penicillin G benzathine 1.2 million units IM daily
b. Furosemide 10.0 mg PO daily
,c. Albuterol 2.5 mg 2 inhalations every 6 hr as needed for shortness of breath
d. Insulin glargine 15 units subcutaneous daily at bedtime
b. Furosemide 10.0 mg PO daily
The nurse should avoid using a trailing zero
following a whole number. This prescription
can result in a medication error because the
nurse can mistake the dosage as 100 mg
instead of 10 mg because the decimal point is
not always recognized.
A nurse is monitoring a client who has been receiving long-
term hydrochlorothiazide therapy for recurring episodes of heart failure.
Which of the following findings should the nurse identify as an adverse effect
of this medication?
a. Hypokalemia
b. Hypermagnesemia
c. Hypernatremia
d. Hypocalcemia
a. Hypokalemia
, Hydrochlorothiazide is a thiazide diuretic that can cause hypokalemia due to
excessive potassium excretion in the urine.
A nurse is reinforcing teaching with a client who has a prescription
for alendronate. Which of the following client responses indicates to the nurse
an understanding of the teaching?
a. "I will take the medication with my breakfast."
b. "I will take the medication with 1 tablespoon of an antacid."
c. "I will lie down for 30 minutes after taking the medication."
d. "I will take the medication with 8 ounces of water."
d. "I will take the medication with 8 ounces of water."
The client should take alendronate on an empty stomach with 240
mL (8 oz) of water to ensure it does not lodge in the esophagus,
which can result in esophageal ulcerations.
At 0800 a nurse assists with initiating a 1,000 mL IV infusion for a client,
which is running at 125 mL/hr. How much fluid is left in the IV bag
at 1300? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)
375 mL
Follow these steps to calculate the infusion rate and remaining infusion:
Step 1: What is the unit of measurement the nurse should calculate? mL
Step 2: What is the total volume to be infused? Total volume = 1,000 mL
Step 3: What is the rate of infusion? Rate = 125 mL/hr
Step 4: What is the total infusion time so far? Time = 5 hr
