RN ATI Pharmacology 2026 Retake Proctored
Exam | All NGN 70 Level 3 Passing Screenshot
Questions and Answers
1–10: Pharmacokinetics, Safety, Antidotes, Math
1. Which route bypasses the first-pass effect?
A. Oral
B. Rectal
C. IV
D. Sublingual
Answer: C. IV
Rationale: IV administration enters systemic circulation directly,
avoiding hepatic first-pass metabolism.
2. Which drug has a narrow therapeutic index and requires serum
level monitoring?
A. Digoxin
B. Acetaminophen
C. Amoxicillin
D. Ondansetron
Answer: A. Digoxin
Rationale: Digoxin has a narrow therapeutic range; toxicity can occur
easily.
3. Which are included in the “Six Rights” of medication
administration? SATA
A. Right patient
B. Right drug
C. Right dose
D. Right route
,E. Right time
F. Right documentation
Answer: A, B, C, D, E, F
Rationale: These are core medication administration rights.
4. What is the antidote for heparin?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Flumazenil
Answer: B. Protamine sulfate
Rationale: Protamine sulfate neutralizes heparin.
5. What is the antidote for warfarin?
A. Protamine sulfate
B. Vitamin K
C. Acetylcysteine
D. Naloxone
Answer: B. Vitamin K
Rationale: Vitamin K reverses warfarin anticoagulation.
6. What is the antidote for opioid overdose?
A. Naloxone
B. Flumazenil
C. Atropine
D. Protamine sulfate
Answer: A. Naloxone
Rationale: Naloxone is an opioid antagonist.
7. What is the antidote for benzodiazepine overdose?
A. Naloxone
B. Flumazenil
C. Vitamin K
, D. Acetylcysteine
Answer: B. Flumazenil
Rationale: Flumazenil reverses benzodiazepine effects.
8. What is the antidote for acetaminophen toxicity?
A. Acetylcysteine
B. Naloxone
C. Protamine sulfate
D. Flumazenil
Answer: A. Acetylcysteine
Rationale: Acetylcysteine replenishes glutathione and protects the liver.
9. A nurse is teaching about insulin lispro. When should the client
expect onset?
A. 5–15 minutes
B. 30–60 minutes
C. 1–2 hours
D. 4–6 hours
Answer: A. 5–15 minutes
Rationale: Lispro is a rapid-acting insulin with onset around 15
minutes.
10. Which findings indicate digoxin toxicity? SATA
A. Bradycardia
B. Nausea
C. Visual halos
D. Hypertension
E. Hyperkalemia
Answer: A, B, C
Rationale: Digoxin toxicity commonly causes bradycardia, GI upset,
and visual disturbances.
Exam | All NGN 70 Level 3 Passing Screenshot
Questions and Answers
1–10: Pharmacokinetics, Safety, Antidotes, Math
1. Which route bypasses the first-pass effect?
A. Oral
B. Rectal
C. IV
D. Sublingual
Answer: C. IV
Rationale: IV administration enters systemic circulation directly,
avoiding hepatic first-pass metabolism.
2. Which drug has a narrow therapeutic index and requires serum
level monitoring?
A. Digoxin
B. Acetaminophen
C. Amoxicillin
D. Ondansetron
Answer: A. Digoxin
Rationale: Digoxin has a narrow therapeutic range; toxicity can occur
easily.
3. Which are included in the “Six Rights” of medication
administration? SATA
A. Right patient
B. Right drug
C. Right dose
D. Right route
,E. Right time
F. Right documentation
Answer: A, B, C, D, E, F
Rationale: These are core medication administration rights.
4. What is the antidote for heparin?
A. Vitamin K
B. Protamine sulfate
C. Naloxone
D. Flumazenil
Answer: B. Protamine sulfate
Rationale: Protamine sulfate neutralizes heparin.
5. What is the antidote for warfarin?
A. Protamine sulfate
B. Vitamin K
C. Acetylcysteine
D. Naloxone
Answer: B. Vitamin K
Rationale: Vitamin K reverses warfarin anticoagulation.
6. What is the antidote for opioid overdose?
A. Naloxone
B. Flumazenil
C. Atropine
D. Protamine sulfate
Answer: A. Naloxone
Rationale: Naloxone is an opioid antagonist.
7. What is the antidote for benzodiazepine overdose?
A. Naloxone
B. Flumazenil
C. Vitamin K
, D. Acetylcysteine
Answer: B. Flumazenil
Rationale: Flumazenil reverses benzodiazepine effects.
8. What is the antidote for acetaminophen toxicity?
A. Acetylcysteine
B. Naloxone
C. Protamine sulfate
D. Flumazenil
Answer: A. Acetylcysteine
Rationale: Acetylcysteine replenishes glutathione and protects the liver.
9. A nurse is teaching about insulin lispro. When should the client
expect onset?
A. 5–15 minutes
B. 30–60 minutes
C. 1–2 hours
D. 4–6 hours
Answer: A. 5–15 minutes
Rationale: Lispro is a rapid-acting insulin with onset around 15
minutes.
10. Which findings indicate digoxin toxicity? SATA
A. Bradycardia
B. Nausea
C. Visual halos
D. Hypertension
E. Hyperkalemia
Answer: A, B, C
Rationale: Digoxin toxicity commonly causes bradycardia, GI upset,
and visual disturbances.
