ATI RN PHARMACOLOGY
PROCTORED EXAM NGN
2026-2027 Update Exam
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 70 Questions and Answers
➢ 100% Guarantee Pass
➢ Multiple-Choice & NGN Cases
➢ Each Question Includes The Correct Answer
➢ Expert-Verified Rationales
,ATI RN Pharmacology Proctored Exam NGN — 2026-2027 Update Exam
QUESTION 1
A nurse is caring for a client with a urinary tract infection who has been prescribed ciprofloxacin. Which of the
following statements by the client indicates a need for further teaching?
A. “I will complete the entire course of this antibiotic.”
B. “I can take the medication with or without food.”
C. “I should increase my fluid intake while taking this medication.”
D. “I will take this medication with an antacid if I feel stomach upset.”
Correct answer ✔✔ D. “I will take this medication with an antacid if I feel stomach upset.”
Rationale: Ciprofloxacin absorption is significantly reduced by antacids containing aluminum, magnesium, or
calcium. Clients should take ciprofloxacin at least 2 hours before or 6 hours after antacids.
QUESTION 2
A nurse is monitoring a client who is receiving vancomycin intravenously for a severe infection. Which of the
following findings indicates a potentially serious adverse effect requiring immediate intervention?
A. Mild headache after infusion
B. Redness and flushing of the upper body
C. Serum creatinine increase from 1.0 to 1.8 mg/dL
D. Mild nausea during infusion
Correct answer ✔✔ C. Serum creatinine increase from 1.0 to 1.8 mg/dL
Rationale: An increase in serum creatinine indicates nephrotoxicity, a serious adverse effect of vancomycin
requiring dosage adjustment or discontinuation to prevent permanent kidney injury.
Page 2
,ATI RN Pharmacology Proctored Exam NGN — 2026-2027 Update Exam
QUESTION 3
A nurse is assessing a client who is receiving digoxin 0.25 mg daily for heart failure. Which of the following
findings should indicate to the nurse that the client is experiencing digoxin toxicity?
A. Blood pressure 140/90 mmHg
B. Apical pulse rate 88/min with regular rhythm
C. Anorexia, nausea, and yellow-green visual halo disturbances
D. Increased urinary output of 150 mL/hr
Correct answer ✔✔ C. Anorexia, nausea, and yellow-green visual halo disturbances
Rationale: Classic early signs of digoxin toxicity include gastrointestinal distress (anorexia, nausea, vomiting),
cardiac dysrhythmias/bradycardia, and characteristic yellow-green visual halo disturbances.
QUESTION 4
A nurse is preparing to administer enoxaparin 40 mg subcutaneously to a postoperative client for DVT
prophylaxis. Which of the following actions should the nurse plan to take?
A. Rub the injection site vigorously after administration to enhance absorption
B. Administer the injection into the anterolateral abdominal wall 2 inches away from the umbilicus
C. Expel the nitrogen air bubble from the prefilled syringe prior to injection
D. Aspirate for blood return prior to injecting the heparin derivative
Correct answer ✔✔ B. Administer the injection into the anterolateral abdominal wall 2 inches away
from the umbilicus
Rationale: Enoxaparin is injected subcutaneously into the abdomen at least 2 inches away from the navel. The
air bubble in the syringe should not be expelled as it seals the medication in the tissue.
Page 3
, ATI RN Pharmacology Proctored Exam NGN — 2026-2027 Update Exam
QUESTION 5
A nurse is providing dietary teaching to a client with hypertension who has a new prescription for
hydrochlorothiazide. Which of the following statements indicates understanding of the teaching?
A. “I will avoid potassium-rich foods like bananas and oranges.”
B. “I should consume foods rich in potassium such as spinach, potatoes, and bananas.”
C. “I need to limit my fluid intake to 1 liter per day.”
D. “I will take this medication at bedtime so I don't get dizzy.”
Correct answer ✔✔ B. “I should consume foods rich in potassium such as spinach, potatoes, and
bananas.”
Rationale: Hydrochlorothiazide is a potassium-wasting thiazide diuretic. Clients are encouraged to consume
potassium-rich foods to prevent hypokalemia.
QUESTION 6
A nurse is caring for a client receiving a continuous IV heparin infusion for a pulmonary embolism. The client's
activated partial thromboplastin time (aPTT) is 98 seconds (control 30 to 40 seconds). Which action should the
nurse take?
A. Increase the heparin infusion rate by 10%
B. Stop the heparin infusion, notify the provider, and prepare protamine sulfate if ordered
C. Administer oral Vitamin K1 immediately
D. Continue current infusion rate as aPTT is within target range
Correct answer ✔✔ B. Stop the heparin infusion, notify the provider, and prepare protamine sulfate
if ordered
Rationale: Target therapeutic aPTT is 1.5 to 2.5 times control (60-80 seconds). An aPTT of 98 seconds indicates
over-anticoagulation and high bleeding risk; heparin should be stopped and protamine sulfate prepared.
Page 4
PROCTORED EXAM NGN
2026-2027 Update Exam
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 70 Questions and Answers
➢ 100% Guarantee Pass
➢ Multiple-Choice & NGN Cases
➢ Each Question Includes The Correct Answer
➢ Expert-Verified Rationales
,ATI RN Pharmacology Proctored Exam NGN — 2026-2027 Update Exam
QUESTION 1
A nurse is caring for a client with a urinary tract infection who has been prescribed ciprofloxacin. Which of the
following statements by the client indicates a need for further teaching?
A. “I will complete the entire course of this antibiotic.”
B. “I can take the medication with or without food.”
C. “I should increase my fluid intake while taking this medication.”
D. “I will take this medication with an antacid if I feel stomach upset.”
Correct answer ✔✔ D. “I will take this medication with an antacid if I feel stomach upset.”
Rationale: Ciprofloxacin absorption is significantly reduced by antacids containing aluminum, magnesium, or
calcium. Clients should take ciprofloxacin at least 2 hours before or 6 hours after antacids.
QUESTION 2
A nurse is monitoring a client who is receiving vancomycin intravenously for a severe infection. Which of the
following findings indicates a potentially serious adverse effect requiring immediate intervention?
A. Mild headache after infusion
B. Redness and flushing of the upper body
C. Serum creatinine increase from 1.0 to 1.8 mg/dL
D. Mild nausea during infusion
Correct answer ✔✔ C. Serum creatinine increase from 1.0 to 1.8 mg/dL
Rationale: An increase in serum creatinine indicates nephrotoxicity, a serious adverse effect of vancomycin
requiring dosage adjustment or discontinuation to prevent permanent kidney injury.
Page 2
,ATI RN Pharmacology Proctored Exam NGN — 2026-2027 Update Exam
QUESTION 3
A nurse is assessing a client who is receiving digoxin 0.25 mg daily for heart failure. Which of the following
findings should indicate to the nurse that the client is experiencing digoxin toxicity?
A. Blood pressure 140/90 mmHg
B. Apical pulse rate 88/min with regular rhythm
C. Anorexia, nausea, and yellow-green visual halo disturbances
D. Increased urinary output of 150 mL/hr
Correct answer ✔✔ C. Anorexia, nausea, and yellow-green visual halo disturbances
Rationale: Classic early signs of digoxin toxicity include gastrointestinal distress (anorexia, nausea, vomiting),
cardiac dysrhythmias/bradycardia, and characteristic yellow-green visual halo disturbances.
QUESTION 4
A nurse is preparing to administer enoxaparin 40 mg subcutaneously to a postoperative client for DVT
prophylaxis. Which of the following actions should the nurse plan to take?
A. Rub the injection site vigorously after administration to enhance absorption
B. Administer the injection into the anterolateral abdominal wall 2 inches away from the umbilicus
C. Expel the nitrogen air bubble from the prefilled syringe prior to injection
D. Aspirate for blood return prior to injecting the heparin derivative
Correct answer ✔✔ B. Administer the injection into the anterolateral abdominal wall 2 inches away
from the umbilicus
Rationale: Enoxaparin is injected subcutaneously into the abdomen at least 2 inches away from the navel. The
air bubble in the syringe should not be expelled as it seals the medication in the tissue.
Page 3
, ATI RN Pharmacology Proctored Exam NGN — 2026-2027 Update Exam
QUESTION 5
A nurse is providing dietary teaching to a client with hypertension who has a new prescription for
hydrochlorothiazide. Which of the following statements indicates understanding of the teaching?
A. “I will avoid potassium-rich foods like bananas and oranges.”
B. “I should consume foods rich in potassium such as spinach, potatoes, and bananas.”
C. “I need to limit my fluid intake to 1 liter per day.”
D. “I will take this medication at bedtime so I don't get dizzy.”
Correct answer ✔✔ B. “I should consume foods rich in potassium such as spinach, potatoes, and
bananas.”
Rationale: Hydrochlorothiazide is a potassium-wasting thiazide diuretic. Clients are encouraged to consume
potassium-rich foods to prevent hypokalemia.
QUESTION 6
A nurse is caring for a client receiving a continuous IV heparin infusion for a pulmonary embolism. The client's
activated partial thromboplastin time (aPTT) is 98 seconds (control 30 to 40 seconds). Which action should the
nurse take?
A. Increase the heparin infusion rate by 10%
B. Stop the heparin infusion, notify the provider, and prepare protamine sulfate if ordered
C. Administer oral Vitamin K1 immediately
D. Continue current infusion rate as aPTT is within target range
Correct answer ✔✔ B. Stop the heparin infusion, notify the provider, and prepare protamine sulfate
if ordered
Rationale: Target therapeutic aPTT is 1.5 to 2.5 times control (60-80 seconds). An aPTT of 98 seconds indicates
over-anticoagulation and high bleeding risk; heparin should be stopped and protamine sulfate prepared.
Page 4
