ATI PN
PHARMACOLOGY
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 PHARMACOLOGY nursing questions
➢ multiple-choice format (A, B, C, D) with correct
answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and rationales.
,1. A nurse is caring for a client who has multiple medication allergies.
During which of the following steps of the nursing process should the
nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
Answer: C. Data Collection
Expert Rationale: Allergies should be identified during the Data Collection
phase of the nursing process. This step involves gathering comprehensive
information about the client’s health status, including medication allergies,
to ensure safe and effective care planning and implementation.
---
2. A nurse is caring for a client and realizes after administering the
0900 medications that she gave digoxin 0.25 mg PO to the client
instead of the prescribed dose of digoxin 0.125 mg PO. Which of the
following actions should the nurse take first?
A. Notify the provider
B. Contact the nursing supervisor
C. Check the client's apical pulse
D. Complete an incident report
Answer: C. Check the client's apical pulse
,Expert Rationale: The priority action is to assess the client’s condition first,
specifically by checking the apical pulse, because digoxin toxicity can
cause bradycardia. After assessment, the nurse should notify the provider
and complete the incident report.
---
3. A nurse is preparing to administer medication to a client. Which of
the following abbreviations indicates the greatest frequency of
medication administration?
A. BID
B. TID
C. QID
D. Q8h
Answer: C. QID
Expert Rationale: QID (four times a day) indicates the greatest frequency
compared to BID (twice daily), TID (three times daily), or Q8h (every 8
hours, which equals three times daily).
---
4. A nurse is reviewing the medication administration record of a
client who has impaired swallowing. The nurse should crush the
medication when administering which of the following prescriptions?
, A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2
additional doses
Answer: B. Levothyroxine 75 mcg PO q AM before breakfast
Expert Rationale: Enteric-coated (EC) and extended-release (XR)
formulations should not be crushed as it can interfere with their absorption
and effectiveness. Nitroglycerin SL (sublingual) is given under the tongue.
Levothyroxine tablets can be crushed safely if the client has difficulty
swallowing.
---
5. A nurse is caring for a client who is receiving cefotetan 1 g via
intermittent IV bolus every 12 hours to treat a postoperative infection.
Which of the following manifestations should the nurse monitor for as
an adverse effect of the medication?
A. Disorientation
B. Epistaxis
C. Constipation
D. Jaundice
Answer: B. Epistaxis
PHARMACOLOGY
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 PHARMACOLOGY nursing questions
➢ multiple-choice format (A, B, C, D) with correct
answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and rationales.
,1. A nurse is caring for a client who has multiple medication allergies.
During which of the following steps of the nursing process should the
nurse identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
Answer: C. Data Collection
Expert Rationale: Allergies should be identified during the Data Collection
phase of the nursing process. This step involves gathering comprehensive
information about the client’s health status, including medication allergies,
to ensure safe and effective care planning and implementation.
---
2. A nurse is caring for a client and realizes after administering the
0900 medications that she gave digoxin 0.25 mg PO to the client
instead of the prescribed dose of digoxin 0.125 mg PO. Which of the
following actions should the nurse take first?
A. Notify the provider
B. Contact the nursing supervisor
C. Check the client's apical pulse
D. Complete an incident report
Answer: C. Check the client's apical pulse
,Expert Rationale: The priority action is to assess the client’s condition first,
specifically by checking the apical pulse, because digoxin toxicity can
cause bradycardia. After assessment, the nurse should notify the provider
and complete the incident report.
---
3. A nurse is preparing to administer medication to a client. Which of
the following abbreviations indicates the greatest frequency of
medication administration?
A. BID
B. TID
C. QID
D. Q8h
Answer: C. QID
Expert Rationale: QID (four times a day) indicates the greatest frequency
compared to BID (twice daily), TID (three times daily), or Q8h (every 8
hours, which equals three times daily).
---
4. A nurse is reviewing the medication administration record of a
client who has impaired swallowing. The nurse should crush the
medication when administering which of the following prescriptions?
, A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2
additional doses
Answer: B. Levothyroxine 75 mcg PO q AM before breakfast
Expert Rationale: Enteric-coated (EC) and extended-release (XR)
formulations should not be crushed as it can interfere with their absorption
and effectiveness. Nitroglycerin SL (sublingual) is given under the tongue.
Levothyroxine tablets can be crushed safely if the client has difficulty
swallowing.
---
5. A nurse is caring for a client who is receiving cefotetan 1 g via
intermittent IV bolus every 12 hours to treat a postoperative infection.
Which of the following manifestations should the nurse monitor for as
an adverse effect of the medication?
A. Disorientation
B. Epistaxis
C. Constipation
D. Jaundice
Answer: B. Epistaxis
