ATI PN Pharmacology Proctored Exam Actual
Exam 2026/2027 | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Pharmacokinetics, Principles, & Safety
Q1: During morning med pass, an LPN finds a new order for “Lisinopril 10 mg PO daily”
in the eMAR but the tablet available is 5 mg. The nurse’s first action is to:
A. Give two 5 mg tablets and document the substitution
B. Verify the order and check facility policy on tablet splitting or obtain 10 mg tablet
C. Hold the dose until the pharmacist arrives
D. Ask the RN to rewrite the order for 5 mg
Correct Answer: B
Rationale: The “Right medication” and “Right dose” require verification; splitting may be
allowed, but policy must be confirmed. Giving two tablets (A) without verification risks
error. Holding (C) delays therapy, and rewriting (D) is outside PN scope.
,Q2: A PN is preparing to administer insulin. Which action best demonstrates adherence
to the “Right patient” element?
A. Calling the patient by name and checking the ID band against the MAR
B. Asking the roommate to confirm identity
C. Verifying the name on the medication label only
D. Relying on the patient’s verbal confirmation alone
Correct Answer: A
Rationale: Two identifiers (name + ID band) are required. Roommate confirmation (B) is
unreliable, label only (C) misses patient verification, and verbal alone (D) is insufficient
per Joint Commission standards.
Q3: A PN notes a patient’s MAR lists both warfarin 5 mg and aspirin 81 mg scheduled
at 0800. The nurse’s most appropriate action before administration is to:
A. Give both medications as scheduled
B. Check the most recent INR result and clarify with the RN/provider if bleeding risk is
high
C. Hold the aspirin and document “held per nurse judgment”
D. Administer only the warfarin
,Correct Answer: B
Rationale: Dual antiplatelet/anticoagulant therapy increases bleeding risk; recent INR
guides safety. Giving both (A) without assessment is unsafe. Holding (C,D) without
provider input exceeds PN scope.
Q4: A PN is administering a subcutaneous injection. Which site provides the fastest
absorption for a rapid-acting insulin dose?
A. Dorsogluteal
B. Abdomen
C. Ventrogluteal
D. Vastus lateralis
Correct Answer: B
Rationale: The abdomen offers the fastest absorption due to rich blood supply.
Dorsogluteal (A) and vastus lateralis (D) are slower, and ventrogluteal (C) is
intermediate.
Q5: A PN is preparing to give a liquid medication via NG tube. Which technique best
ensures the “Right route”?
A. Mix the drug with enteral formula
, B. Confirm tube placement, flush with 15 mL water, give drug, flush again
C. Crush enteric-coated tablets and dissolve
D. Give all tablets together to save time
Correct Answer: B
Rationale: Confirming placement and flushing prevents clogging and ensures delivery.
Mixing with formula (A) alters absorption, crushing enteric (C) destroys coating, and
giving together (D) risks interactions.
Q6: A PN discovers an error: a patient received digoxin 0.25 mg instead of the ordered
0.125 mg. The first nursing action is to:
A. Complete an incident report after the shift
B. Assess the patient’s apical pulse and notify the RN/provider immediately
C. Document the error in the nurse’s notes only
D. Tell the patient not to worry
Correct Answer: B
Rationale: Patient safety requires immediate assessment for toxicity (bradycardia) and
provider notification. Delaying report (A) or minimal documentation (C) violates policy,
and reassurance (D) is inadequate.
Exam 2026/2027 | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
SECTION 1: Pharmacokinetics, Principles, & Safety
Q1: During morning med pass, an LPN finds a new order for “Lisinopril 10 mg PO daily”
in the eMAR but the tablet available is 5 mg. The nurse’s first action is to:
A. Give two 5 mg tablets and document the substitution
B. Verify the order and check facility policy on tablet splitting or obtain 10 mg tablet
C. Hold the dose until the pharmacist arrives
D. Ask the RN to rewrite the order for 5 mg
Correct Answer: B
Rationale: The “Right medication” and “Right dose” require verification; splitting may be
allowed, but policy must be confirmed. Giving two tablets (A) without verification risks
error. Holding (C) delays therapy, and rewriting (D) is outside PN scope.
,Q2: A PN is preparing to administer insulin. Which action best demonstrates adherence
to the “Right patient” element?
A. Calling the patient by name and checking the ID band against the MAR
B. Asking the roommate to confirm identity
C. Verifying the name on the medication label only
D. Relying on the patient’s verbal confirmation alone
Correct Answer: A
Rationale: Two identifiers (name + ID band) are required. Roommate confirmation (B) is
unreliable, label only (C) misses patient verification, and verbal alone (D) is insufficient
per Joint Commission standards.
Q3: A PN notes a patient’s MAR lists both warfarin 5 mg and aspirin 81 mg scheduled
at 0800. The nurse’s most appropriate action before administration is to:
A. Give both medications as scheduled
B. Check the most recent INR result and clarify with the RN/provider if bleeding risk is
high
C. Hold the aspirin and document “held per nurse judgment”
D. Administer only the warfarin
,Correct Answer: B
Rationale: Dual antiplatelet/anticoagulant therapy increases bleeding risk; recent INR
guides safety. Giving both (A) without assessment is unsafe. Holding (C,D) without
provider input exceeds PN scope.
Q4: A PN is administering a subcutaneous injection. Which site provides the fastest
absorption for a rapid-acting insulin dose?
A. Dorsogluteal
B. Abdomen
C. Ventrogluteal
D. Vastus lateralis
Correct Answer: B
Rationale: The abdomen offers the fastest absorption due to rich blood supply.
Dorsogluteal (A) and vastus lateralis (D) are slower, and ventrogluteal (C) is
intermediate.
Q5: A PN is preparing to give a liquid medication via NG tube. Which technique best
ensures the “Right route”?
A. Mix the drug with enteral formula
, B. Confirm tube placement, flush with 15 mL water, give drug, flush again
C. Crush enteric-coated tablets and dissolve
D. Give all tablets together to save time
Correct Answer: B
Rationale: Confirming placement and flushing prevents clogging and ensures delivery.
Mixing with formula (A) alters absorption, crushing enteric (C) destroys coating, and
giving together (D) risks interactions.
Q6: A PN discovers an error: a patient received digoxin 0.25 mg instead of the ordered
0.125 mg. The first nursing action is to:
A. Complete an incident report after the shift
B. Assess the patient’s apical pulse and notify the RN/provider immediately
C. Document the error in the nurse’s notes only
D. Tell the patient not to worry
Correct Answer: B
Rationale: Patient safety requires immediate assessment for toxicity (bradycardia) and
provider notification. Delaying report (A) or minimal documentation (C) violates policy,
and reassurance (D) is inadequate.
