ATI PN Pharmacology Proctored Exam Actual
Exam 2026/2027 | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Pharmacokinetics, Principles, & Safety
Q1: A PN is preparing to administer a subcutaneous injection of insulin aspart. The vial
is labeled 10 mL, 100 units/mL, and the dose is 8 units. Which action BEST
demonstrates adherence to the “Right Medication”?
A. Draw the 8 units directly into the syringe and proceed to administration
B. Compare the medication label to the MAR at the patient’s bedside, then draw 8 units
C. Ask another PN to verify the insulin type while drawing up 8 units
D. Show the vial to the supervising RN after drawing 8 units
Correct Answer: B
Rationale: The “Right Medication” requires checking the label to the MAR at the bedside
immediately before administration. Option A omits the bedside check. Option C is
incomplete (needs MAR comparison). Option D places verification after drawing, which
is too late for error prevention.
Q2: A new order reads: “Give acetaminophen 650 mg PO q6h PRN pain.” The facility
stock bottle is 325 mg/tablet. Which action is CORRECT for the PN?
A. Give two 325 mg tablets now and document 650 mg
B. Call the pharmacist to request 500 mg tablets
C. Crush the tablets and mix with water for faster absorption
,D. Administer one 325 mg tablet and reassess in 1 hour
Correct Answer: A
Rationale: Two 325 mg tablets equal 650 mg; no pharmacy intervention is needed.
Crushing (C) is unnecessary and not ordered. Giving half the dose (D) is outside the
order and delays pain relief.
Q3: A PN notes a patient’s wristband is missing. The patient states, “I took it off
because it was itchy.” The PN has an antibiotic due in 10 minutes. Which action is
MOST appropriate?
A. Ask the patient to state name and DOB and verify against the MAR
B. Proceed with administration since the patient is alert and knows his name
C. Retype and apply a new wristband before administering the medication
D. Give the medication now and reapply the band after the next patient
Correct Answer: C
Rationale: A secure wristband is a Joint Commission requirement for safe identification.
Option A is an insufficient substitute for the band. Options B and D violate safety policy
and place the PN at legal risk.
Q4: A PN is asked to administer an oral liquid medication via a PEG tube. The pharmacy
label reads “Shake well, give 15 mL PO.” Which step is ESSENTIAL immediately before
administration?
A. Dilute the liquid with 30 mL sterile water
B. Flush the tube with 15 mL water, give med, then flush again
C. Clamp the tube for 30 minutes after the dose
, D. Check residual volume and re-administer if > 100 mL
Correct Answer: B
Rationale: Flushing before and after prevents tube clogging and ensures full dose
delivery. Diluting (A) is unnecessary unless specified. Clamping (C) is not standard.
Checking residual (D) is for gastric tubes, not PEG.
Q5: A PN receives a telephone order for morphine 2 mg IV q4h PRN. Which statement to
the provider verifies the “Right Dose” and reduces error?
A. “Morphine 2 mg IV every 4 hours as needed—correct?”
B. “That’s a low dose; should I give 4 mg?”
C. “I’ll give the morphine now and document it.”
D. “The patient is allergic to codeine—is morphine safe?”
Correct Answer: A
Rationale: Repeat-back of dose, route, frequency confirms accuracy (Right Dose).
Option B exceeds scope by suggesting dose changes. Option C skips verification.
Option D addresses allergy (Right Medication) but not dose.
Q6: A PN discovers an error: he gave metoprolol 50 mg instead of the ordered 25 mg.
The patient’s BP is 100/60 mmHg, HR 52 bpm. Which action is required FIRST?
A. Complete an incident report before the shift ends
B. Notify the supervising RN immediately
C. Document the error in the patient’s chart only
D. Reassure the patient and take no further action
Exam 2026/2027 | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Pharmacokinetics, Principles, & Safety
Q1: A PN is preparing to administer a subcutaneous injection of insulin aspart. The vial
is labeled 10 mL, 100 units/mL, and the dose is 8 units. Which action BEST
demonstrates adherence to the “Right Medication”?
A. Draw the 8 units directly into the syringe and proceed to administration
B. Compare the medication label to the MAR at the patient’s bedside, then draw 8 units
C. Ask another PN to verify the insulin type while drawing up 8 units
D. Show the vial to the supervising RN after drawing 8 units
Correct Answer: B
Rationale: The “Right Medication” requires checking the label to the MAR at the bedside
immediately before administration. Option A omits the bedside check. Option C is
incomplete (needs MAR comparison). Option D places verification after drawing, which
is too late for error prevention.
Q2: A new order reads: “Give acetaminophen 650 mg PO q6h PRN pain.” The facility
stock bottle is 325 mg/tablet. Which action is CORRECT for the PN?
A. Give two 325 mg tablets now and document 650 mg
B. Call the pharmacist to request 500 mg tablets
C. Crush the tablets and mix with water for faster absorption
,D. Administer one 325 mg tablet and reassess in 1 hour
Correct Answer: A
Rationale: Two 325 mg tablets equal 650 mg; no pharmacy intervention is needed.
Crushing (C) is unnecessary and not ordered. Giving half the dose (D) is outside the
order and delays pain relief.
Q3: A PN notes a patient’s wristband is missing. The patient states, “I took it off
because it was itchy.” The PN has an antibiotic due in 10 minutes. Which action is
MOST appropriate?
A. Ask the patient to state name and DOB and verify against the MAR
B. Proceed with administration since the patient is alert and knows his name
C. Retype and apply a new wristband before administering the medication
D. Give the medication now and reapply the band after the next patient
Correct Answer: C
Rationale: A secure wristband is a Joint Commission requirement for safe identification.
Option A is an insufficient substitute for the band. Options B and D violate safety policy
and place the PN at legal risk.
Q4: A PN is asked to administer an oral liquid medication via a PEG tube. The pharmacy
label reads “Shake well, give 15 mL PO.” Which step is ESSENTIAL immediately before
administration?
A. Dilute the liquid with 30 mL sterile water
B. Flush the tube with 15 mL water, give med, then flush again
C. Clamp the tube for 30 minutes after the dose
, D. Check residual volume and re-administer if > 100 mL
Correct Answer: B
Rationale: Flushing before and after prevents tube clogging and ensures full dose
delivery. Diluting (A) is unnecessary unless specified. Clamping (C) is not standard.
Checking residual (D) is for gastric tubes, not PEG.
Q5: A PN receives a telephone order for morphine 2 mg IV q4h PRN. Which statement to
the provider verifies the “Right Dose” and reduces error?
A. “Morphine 2 mg IV every 4 hours as needed—correct?”
B. “That’s a low dose; should I give 4 mg?”
C. “I’ll give the morphine now and document it.”
D. “The patient is allergic to codeine—is morphine safe?”
Correct Answer: A
Rationale: Repeat-back of dose, route, frequency confirms accuracy (Right Dose).
Option B exceeds scope by suggesting dose changes. Option C skips verification.
Option D addresses allergy (Right Medication) but not dose.
Q6: A PN discovers an error: he gave metoprolol 50 mg instead of the ordered 25 mg.
The patient’s BP is 100/60 mmHg, HR 52 bpm. Which action is required FIRST?
A. Complete an incident report before the shift ends
B. Notify the supervising RN immediately
C. Document the error in the patient’s chart only
D. Reassure the patient and take no further action
