ATI RN Pharmacology Proctored Testbank
Exam 2025/2026 | Latest Actual Exam |
Comprehensive Pharmacology Test Bank |
NCLEX-RN Test Plan Updated
ATI RN Pharmacology Practice Questions 2025/2026 Edition
Section 1: Cardiovascular Medications
Q1: A nurse teaches a patient about taking a beta-blocker. Which statement indicates
understanding?
a) “I will stop the medication if I feel dizzy.”
b) “I will check my heart rate before each dose.”
c) “I can double the dose if I miss one.”
d) “This medication will cure high blood pressure immediately.”
Answer: b) “I will check my heart rate before each dose.”
Rationale: Beta-blockers decrease heart rate; patients should check pulse before taking the
dose.
Q2: A patient on lisinopril reports a persistent cough. The nurse should:
a) Ignore it
b) Recommend stopping immediately
c) Notify the provider as this is a common side effect
d) Suggest switching to a beta-blocker
Answer: c) Notify the provider as this is a common side effect
Rationale: ACE inhibitors can cause a persistent dry cough; alternative therapy may be
needed.
Q3: Furosemide administration requires monitoring:
a) Sodium only
b) Potassium and fluid balance
c) Blood sugar
d) Coagulation
,Answer: b) Potassium and fluid balance
Rationale: Loop diuretics increase excretion of potassium and fluids, risking electrolyte
imbalance.
Q4: Digoxin toxicity signs include:
a) Bradycardia, nausea, visual changes
b) Hypertension
c) Increased appetite
d) Diarrhea only
Answer: a) Bradycardia, nausea, visual changes
Rationale: Toxicity manifests with GI, cardiac, and visual symptoms; monitoring serum levels is
essential.
Q5: Which teaching point is important for patients taking nitroglycerin?
a) Store in the refrigerator
b) Take before anticipated activity to prevent angina
c) Take only when pain occurs
d) Take with meals to increase absorption
Answer: b) Take before anticipated activity to prevent angina
Rationale: Nitroglycerin prevents angina by dilating coronary arteries; storing in a cool, dry
place is recommended.
Q6: A patient receiving amiodarone should be monitored for:
a) Hypothyroidism
b) Hyperpigmentation
c) Pulmonary toxicity
d) All of the above
Answer: d) All of the above
Rationale: Amiodarone can cause multiple systemic effects requiring monitoring.
Q7: A patient taking warfarin should avoid:
a) Leafy green vegetables in excess
b) Fruits only
c) Proteins
d) Dairy
Answer: a) Leafy green vegetables in excess
Rationale: Vitamin K interferes with warfarin, affecting anticoagulation.
Q8: Enalapril is classified as:
a) ACE inhibitor
b) Beta-blocker
, c) Calcium channel blocker
d) Diuretic
Answer: a) ACE inhibitor
Rationale: ACE inhibitors lower blood pressure by inhibiting angiotensin-converting enzyme.
Q9: A patient reports dizziness after starting antihypertensive therapy. Nursing priority:
a) Continue medication as prescribed
b) Assess orthostatic blood pressure
c) Discontinue therapy immediately
d) Encourage rapid position changes
Answer: b) Assess orthostatic blood pressure
Rationale: Orthostatic hypotension is common; monitoring prevents falls.
Q10: Statins are prescribed to:
a) Reduce cholesterol
b) Lower blood sugar
c) Treat infections
d) Increase blood pressure
Answer: a) Reduce cholesterol
Rationale: Statins inhibit HMG-CoA reductase, lowering LDL cholesterol.
Section 2: Anti-Infectives
Q11: A patient taking vancomycin IV should be monitored for:
a) Red man syndrome
b) Hypoglycemia
c) Bradycardia
d) Hypertension
Answer: a) Red man syndrome
Rationale: Rapid infusion can cause flushing, hypotension, and rash; slow administration
reduces risk.
Q12: Tetracycline teaching includes:
a) Avoid sun exposure
b) Take with antacids
c) Discontinue when symptoms improve
d) Take on an empty stomach only
Answer: a) Avoid sun exposure
Rationale: Tetracyclines cause photosensitivity; sun protection is essential.
Exam 2025/2026 | Latest Actual Exam |
Comprehensive Pharmacology Test Bank |
NCLEX-RN Test Plan Updated
ATI RN Pharmacology Practice Questions 2025/2026 Edition
Section 1: Cardiovascular Medications
Q1: A nurse teaches a patient about taking a beta-blocker. Which statement indicates
understanding?
a) “I will stop the medication if I feel dizzy.”
b) “I will check my heart rate before each dose.”
c) “I can double the dose if I miss one.”
d) “This medication will cure high blood pressure immediately.”
Answer: b) “I will check my heart rate before each dose.”
Rationale: Beta-blockers decrease heart rate; patients should check pulse before taking the
dose.
Q2: A patient on lisinopril reports a persistent cough. The nurse should:
a) Ignore it
b) Recommend stopping immediately
c) Notify the provider as this is a common side effect
d) Suggest switching to a beta-blocker
Answer: c) Notify the provider as this is a common side effect
Rationale: ACE inhibitors can cause a persistent dry cough; alternative therapy may be
needed.
Q3: Furosemide administration requires monitoring:
a) Sodium only
b) Potassium and fluid balance
c) Blood sugar
d) Coagulation
,Answer: b) Potassium and fluid balance
Rationale: Loop diuretics increase excretion of potassium and fluids, risking electrolyte
imbalance.
Q4: Digoxin toxicity signs include:
a) Bradycardia, nausea, visual changes
b) Hypertension
c) Increased appetite
d) Diarrhea only
Answer: a) Bradycardia, nausea, visual changes
Rationale: Toxicity manifests with GI, cardiac, and visual symptoms; monitoring serum levels is
essential.
Q5: Which teaching point is important for patients taking nitroglycerin?
a) Store in the refrigerator
b) Take before anticipated activity to prevent angina
c) Take only when pain occurs
d) Take with meals to increase absorption
Answer: b) Take before anticipated activity to prevent angina
Rationale: Nitroglycerin prevents angina by dilating coronary arteries; storing in a cool, dry
place is recommended.
Q6: A patient receiving amiodarone should be monitored for:
a) Hypothyroidism
b) Hyperpigmentation
c) Pulmonary toxicity
d) All of the above
Answer: d) All of the above
Rationale: Amiodarone can cause multiple systemic effects requiring monitoring.
Q7: A patient taking warfarin should avoid:
a) Leafy green vegetables in excess
b) Fruits only
c) Proteins
d) Dairy
Answer: a) Leafy green vegetables in excess
Rationale: Vitamin K interferes with warfarin, affecting anticoagulation.
Q8: Enalapril is classified as:
a) ACE inhibitor
b) Beta-blocker
, c) Calcium channel blocker
d) Diuretic
Answer: a) ACE inhibitor
Rationale: ACE inhibitors lower blood pressure by inhibiting angiotensin-converting enzyme.
Q9: A patient reports dizziness after starting antihypertensive therapy. Nursing priority:
a) Continue medication as prescribed
b) Assess orthostatic blood pressure
c) Discontinue therapy immediately
d) Encourage rapid position changes
Answer: b) Assess orthostatic blood pressure
Rationale: Orthostatic hypotension is common; monitoring prevents falls.
Q10: Statins are prescribed to:
a) Reduce cholesterol
b) Lower blood sugar
c) Treat infections
d) Increase blood pressure
Answer: a) Reduce cholesterol
Rationale: Statins inhibit HMG-CoA reductase, lowering LDL cholesterol.
Section 2: Anti-Infectives
Q11: A patient taking vancomycin IV should be monitored for:
a) Red man syndrome
b) Hypoglycemia
c) Bradycardia
d) Hypertension
Answer: a) Red man syndrome
Rationale: Rapid infusion can cause flushing, hypotension, and rash; slow administration
reduces risk.
Q12: Tetracycline teaching includes:
a) Avoid sun exposure
b) Take with antacids
c) Discontinue when symptoms improve
d) Take on an empty stomach only
Answer: a) Avoid sun exposure
Rationale: Tetracyclines cause photosensitivity; sun protection is essential.
