2023 ATI RN PHARMACOLOGY
PROCTORED EXAM 2 VERSIONS -
ACTUAL PRACTICE QUESTIONS
LATEST MOCK PRACTICE SET
170 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
2023 ATI RN PHARMACOLOGY PROCTORED EXAM 2 VERSIONS - ACTUAL PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES INSTANT PDF DOWNLOAD. It contains 170 carefully selected questions that reflect
the most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 170 Questions
Foundations - Application - 2023 ATI RN Pharmacology Proctored 2 Versions Actual WITH & Rationales
Instant PDF Download Pharmacology FOR Nursing Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
2023 ATI RN Pharmacology 1-29 Develops, Prescribed, Appropriate, Medication, Digoxin
Proctored 2 Versions Actual
WITH & Rationales Instant
PDF Download
Pharmacology FOR Nursing
Undergraduate YEAR 3 /
Graduate
Prescribed 30-58 Appropriate, Phenytoin, Therapy, Develops, Intervention
Appropriate 59-87 Develops, Prescribed, Medication, Effect, Toxicity
Therapy 88-116 Develops, Appropriate, Interaction, Medication, Long-term
Medication 117-145 Prescribed, Develops, Kidney, Explains, Naloxone
Phenytoin 146-170 Develops, Prescribed, Mechanism, Digoxin, Medication
TOTAL 170 All questions include answers and detailed rationales
,Section A - 2023 ATI RN Pharmacology Proctored 2
Versions Actual WITH & Rationales Instant PDF Download
Pharmacology FOR Nursing Undergraduate YEAR 3 /
Graduate
Q1.
A client on long-term phenytoin therapy develops folate deficiency and megaloblastic
anemia. Which intervention is most appropriate while continuing phenytoin?
A. Discontinue phenytoin and switch to B. Administer folic acid supplement and
levetiracetam monitor phenytoin levels
C. Increase phenytoin dose to compensate D. Restrict dietary folate to prevent drug
for altered metabolism interaction
Correct: B - Administer folic acid supplement and monitor phenytoin levels
Rationale:Phenytoin impairs folate absorption and metabolism, leading to deficiency.
Supplementing folic acid is appropriate while continuing the drug, but it may lower phenytoin
levels, so monitoring is essential. Discontinuing or increasing phenytoin is not indicated, and
restricting folate would worsen deficiency.
Q2.
A client receiving vancomycin develops red man syndrome. Which action is the priority?
A. Administer diphenhydramine and slow B. Discontinue vancomycin immediately and
the infusion rate notify the provider
C. Apply cool compresses and continue the D. Increase the infusion rate to shorten the
infusion at the same rate duration of the reaction
Correct: A - Administer diphenhydramine and slow the infusion rate
Rationale:Red man syndrome is an infusion-related reaction caused by histamine release,
not a true allergy. Slowing the infusion and premedicating with antihistamines like
diphenhydramine prevent or manage it. Discontinuing is unnecessary unless severe;
increasing rate worsens reaction.
Q3.
A client on long-term corticosteroid therapy is scheduled for surgery. Which medication
should the nurse expect to administer preoperatively?
A. Decrease corticosteroid dose to reduce B. Administer an increased dose of
infection risk corticosteroid
Page 3
, Section A - 2023 ATI RN Pharmacology Proctored 2 Versions Actual WITH & Rationales Instant PDF Download Pharmacology FOR Nursing
Undergraduate YEAR 3 / Graduate
C. Hold corticosteroid for 24 hours before D. Switch to an NSAID for anti-inflammatory
surgery effect
Correct: B - Administer an increased dose of corticosteroid
Rationale:Long-term corticosteroid use suppresses the HPA axis, impairing the stress
response. Perioperative stress requires increased doses to prevent adrenal crisis. Decreasing
or holding the dose would be dangerous; NSAIDs do not provide the needed glucocorticoid
activity.
Q4.
A client with heart failure is prescribed digoxin and furosemide. Which lab value increases
the risk of digoxin toxicity?
A. Serum potassium 3.0 mEq/L B. Serum calcium 9.0 mg/dL
C. Serum magnesium 2.0 mEq/L D. Serum sodium 140 mEq/L
Correct: A - Serum potassium 3.0 mEq/L
Rationale:Hypokalemia increases the binding of digoxin to Na+/K+-ATPase, enhancing
toxicity. Furosemide causes potassium loss, so monitoring and replacement are crucial.
Normal calcium, magnesium, and sodium do not directly increase digoxin toxicity risk.
Q5.
A client on warfarin has an INR of 6.5 and exhibits no bleeding. What is the most
appropriate nursing action?
A. Administer vitamin K as prescribed and B. Hold warfarin and repeat INR in 24 hours
monitor INR
C. Administer fresh frozen plasma D. Continue warfarin and monitor for signs
immediately of bleeding
Correct: A - Administer vitamin K as prescribed and monitor INR
Rationale:An INR above therapeutic range without major bleeding is typically managed by
holding warfarin and administering low-dose vitamin K to accelerate INR reduction. FFP is
reserved for serious bleeding. Holding alone may be insufficient for INR >6.0, and continuing
warfarin is unsafe.
Q6.
A client with type 2 diabetes is prescribed metformin. Which condition, if present,
warrants holding the medication?
A. Chronic kidney disease stage 3 (eGFR B. Well-controlled hypertension
45 mL/min)
Page 4
PROCTORED EXAM 2 VERSIONS -
ACTUAL PRACTICE QUESTIONS
LATEST MOCK PRACTICE SET
170 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
2023 ATI RN PHARMACOLOGY PROCTORED EXAM 2 VERSIONS - ACTUAL PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES INSTANT PDF DOWNLOAD. It contains 170 carefully selected questions that reflect
the most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 170 Questions
Foundations - Application - 2023 ATI RN Pharmacology Proctored 2 Versions Actual WITH & Rationales
Instant PDF Download Pharmacology FOR Nursing Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
2023 ATI RN Pharmacology 1-29 Develops, Prescribed, Appropriate, Medication, Digoxin
Proctored 2 Versions Actual
WITH & Rationales Instant
PDF Download
Pharmacology FOR Nursing
Undergraduate YEAR 3 /
Graduate
Prescribed 30-58 Appropriate, Phenytoin, Therapy, Develops, Intervention
Appropriate 59-87 Develops, Prescribed, Medication, Effect, Toxicity
Therapy 88-116 Develops, Appropriate, Interaction, Medication, Long-term
Medication 117-145 Prescribed, Develops, Kidney, Explains, Naloxone
Phenytoin 146-170 Develops, Prescribed, Mechanism, Digoxin, Medication
TOTAL 170 All questions include answers and detailed rationales
,Section A - 2023 ATI RN Pharmacology Proctored 2
Versions Actual WITH & Rationales Instant PDF Download
Pharmacology FOR Nursing Undergraduate YEAR 3 /
Graduate
Q1.
A client on long-term phenytoin therapy develops folate deficiency and megaloblastic
anemia. Which intervention is most appropriate while continuing phenytoin?
A. Discontinue phenytoin and switch to B. Administer folic acid supplement and
levetiracetam monitor phenytoin levels
C. Increase phenytoin dose to compensate D. Restrict dietary folate to prevent drug
for altered metabolism interaction
Correct: B - Administer folic acid supplement and monitor phenytoin levels
Rationale:Phenytoin impairs folate absorption and metabolism, leading to deficiency.
Supplementing folic acid is appropriate while continuing the drug, but it may lower phenytoin
levels, so monitoring is essential. Discontinuing or increasing phenytoin is not indicated, and
restricting folate would worsen deficiency.
Q2.
A client receiving vancomycin develops red man syndrome. Which action is the priority?
A. Administer diphenhydramine and slow B. Discontinue vancomycin immediately and
the infusion rate notify the provider
C. Apply cool compresses and continue the D. Increase the infusion rate to shorten the
infusion at the same rate duration of the reaction
Correct: A - Administer diphenhydramine and slow the infusion rate
Rationale:Red man syndrome is an infusion-related reaction caused by histamine release,
not a true allergy. Slowing the infusion and premedicating with antihistamines like
diphenhydramine prevent or manage it. Discontinuing is unnecessary unless severe;
increasing rate worsens reaction.
Q3.
A client on long-term corticosteroid therapy is scheduled for surgery. Which medication
should the nurse expect to administer preoperatively?
A. Decrease corticosteroid dose to reduce B. Administer an increased dose of
infection risk corticosteroid
Page 3
, Section A - 2023 ATI RN Pharmacology Proctored 2 Versions Actual WITH & Rationales Instant PDF Download Pharmacology FOR Nursing
Undergraduate YEAR 3 / Graduate
C. Hold corticosteroid for 24 hours before D. Switch to an NSAID for anti-inflammatory
surgery effect
Correct: B - Administer an increased dose of corticosteroid
Rationale:Long-term corticosteroid use suppresses the HPA axis, impairing the stress
response. Perioperative stress requires increased doses to prevent adrenal crisis. Decreasing
or holding the dose would be dangerous; NSAIDs do not provide the needed glucocorticoid
activity.
Q4.
A client with heart failure is prescribed digoxin and furosemide. Which lab value increases
the risk of digoxin toxicity?
A. Serum potassium 3.0 mEq/L B. Serum calcium 9.0 mg/dL
C. Serum magnesium 2.0 mEq/L D. Serum sodium 140 mEq/L
Correct: A - Serum potassium 3.0 mEq/L
Rationale:Hypokalemia increases the binding of digoxin to Na+/K+-ATPase, enhancing
toxicity. Furosemide causes potassium loss, so monitoring and replacement are crucial.
Normal calcium, magnesium, and sodium do not directly increase digoxin toxicity risk.
Q5.
A client on warfarin has an INR of 6.5 and exhibits no bleeding. What is the most
appropriate nursing action?
A. Administer vitamin K as prescribed and B. Hold warfarin and repeat INR in 24 hours
monitor INR
C. Administer fresh frozen plasma D. Continue warfarin and monitor for signs
immediately of bleeding
Correct: A - Administer vitamin K as prescribed and monitor INR
Rationale:An INR above therapeutic range without major bleeding is typically managed by
holding warfarin and administering low-dose vitamin K to accelerate INR reduction. FFP is
reserved for serious bleeding. Holding alone may be insufficient for INR >6.0, and continuing
warfarin is unsafe.
Q6.
A client with type 2 diabetes is prescribed metformin. Which condition, if present,
warrants holding the medication?
A. Chronic kidney disease stage 3 (eGFR B. Well-controlled hypertension
45 mL/min)
Page 4
