ATI RN Pharmacology Proctored 2026 exam Q&A
with rationales
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan).
Which of the following statements by the clients indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the medication causes
constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
c. "I should decrease the amount of calcium in my diet while taking the medication."
d. I should take the medication with food if it causes an upset stomach."
c. "I should decrease the amount of calcium in my diet while taking the medication."
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina
pectoris. The nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
b. Reflex tachycardia
,A nurse is caring for a client on a medical unit who takes regular doses of propranolol
(Inderal) for hypertension. Before administering the client's morning dose of propranolol,
which of the following should the nurse plan to monitor? (SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
b. Pulse rate
d. Blood pressure
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which
of the following should the nurse instruct the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
a. Fatigue
c. Anorexia
e. Diplopia
A client has a new prescription for spironolactone (Aldactone). Which of the following
laboratory values should the nurse recognize as a reason to withhold the morning dose
of the medication and notify the provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
b. Serum potassium 5.2 mEq/L
, A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and
furosemide (Lasix). The client's potassium level is 3.2 mEq/L. For which of the following
medication interaction is the client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
b. Toxic levels of digoxin
Propranolol (Inderal) is contraindicated for a client who has which of the following
conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
a. Asthma
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for
chronic stable angina. The nurse should plan to monitor the client for which of the
following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache
d. Headache
A nurse is obtaining a medication history from a client who is to start a new prescription
for warfarin (Coumadin). Which of the following over-the-counter medications should the
nurse instruct the client to avoid?
a. Ranitidine (Zantac)
with rationales
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan).
Which of the following statements by the clients indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the medication causes
constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
c. "I should decrease the amount of calcium in my diet while taking the medication."
d. I should take the medication with food if it causes an upset stomach."
c. "I should decrease the amount of calcium in my diet while taking the medication."
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina
pectoris. The nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
b. Reflex tachycardia
,A nurse is caring for a client on a medical unit who takes regular doses of propranolol
(Inderal) for hypertension. Before administering the client's morning dose of propranolol,
which of the following should the nurse plan to monitor? (SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
b. Pulse rate
d. Blood pressure
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which
of the following should the nurse instruct the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
a. Fatigue
c. Anorexia
e. Diplopia
A client has a new prescription for spironolactone (Aldactone). Which of the following
laboratory values should the nurse recognize as a reason to withhold the morning dose
of the medication and notify the provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
b. Serum potassium 5.2 mEq/L
, A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and
furosemide (Lasix). The client's potassium level is 3.2 mEq/L. For which of the following
medication interaction is the client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
b. Toxic levels of digoxin
Propranolol (Inderal) is contraindicated for a client who has which of the following
conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
a. Asthma
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for
chronic stable angina. The nurse should plan to monitor the client for which of the
following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache
d. Headache
A nurse is obtaining a medication history from a client who is to start a new prescription
for warfarin (Coumadin). Which of the following over-the-counter medications should the
nurse instruct the client to avoid?
a. Ranitidine (Zantac)
