NGN ATI PN PHARMACOLOGY EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS A NEW UPDATED
VERSION LATEST 2026-2027 (100% CORRECT VERIFIED
ANSWERS) ALREADY GRADED A+
Question 1
A nurse is administering Digoxin to a client with heart failure. Which finding requires the nurse to withhold the
medication?
A. Apical pulse 88/min
B. Blood pressure 140/86 mm Hg
C. Apical pulse 54/min
D. Respiratory rate 18/min
Rationale: Digoxin should be withheld if the apical pulse is below 60/min due to risk of bradycardia and
toxicity.
Question 2 (NGN Case Study)
A client is prescribed Warfarin. Which lab value indicates therapeutic effect?
A. Platelets 150,000/mm³
B. Hemoglobin 14 g/dL
C. INR 2.5
D. aPTT 25 seconds
Rationale: Therapeutic INR for warfarin is typically 2–3.
Question 3
A nurse is teaching a client about Lisinopril. Which statement indicates understanding?
A. “I should avoid foods high in calcium.”
B. “I should report a persistent cough.”
C. “I should increase sodium intake.”
D. “I will take this only when symptomatic.”
Rationale: ACE inhibitors commonly cause a dry cough.
,Question 4
Which adverse effect should the nurse monitor for in a client taking Furosemide?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
Rationale: Loop diuretics cause potassium loss.
Question 5
A nurse is administering Metformin. Which condition is a contraindication?
A. Hypertension
B. Renal impairment
C. Hyperlipidemia
D. Obesity
Rationale: Metformin can cause lactic acidosis, especially in renal dysfunction.
Question 6 (NGN)
A client receives Morphine postoperatively. Which assessment requires immediate intervention?
A. Pain 6/10
B. Respiratory rate 8/min
C. BP 130/80 mm Hg
D. Pulse 90/min
Rationale: Opioids depress respiratory drive.
Question 7
Which food should a client taking MAO inhibitors avoid?
A. Apples
B. Rice
C. Aged cheese
D. Chicken
Rationale: Tyramine-containing foods can cause hypertensive crisis.
, Question 8
A nurse is caring for a client on Heparin. Which lab is monitored?
A. INR
B. aPTT
C. Platelet count only
D. Hemoglobin
Rationale: Heparin therapy is monitored using aPTT.
Question 9
A client is prescribed Atorvastatin. Which lab should be monitored?
A. Creatinine
B. Glucose
C. Liver enzymes
D. Sodium
Rationale: Statins can cause hepatotoxicity.
Question 10
Which instruction should be given to a client taking Alendronate?
A. Take with food
B. Lie down after taking
C. Remain upright for 30 minutes
D. Take at bedtime
Rationale: Prevents esophageal irritation.
Question 11 (NGN)
A client on Insulin glargine asks when it peaks. What is the correct response?
A. 1–2 hours
B. 4–6 hours
C. No pronounced peak
D. 12 hours
Rationale: Glargine provides steady basal insulin.
CORRECT DETAILED ANSWERS A NEW UPDATED
VERSION LATEST 2026-2027 (100% CORRECT VERIFIED
ANSWERS) ALREADY GRADED A+
Question 1
A nurse is administering Digoxin to a client with heart failure. Which finding requires the nurse to withhold the
medication?
A. Apical pulse 88/min
B. Blood pressure 140/86 mm Hg
C. Apical pulse 54/min
D. Respiratory rate 18/min
Rationale: Digoxin should be withheld if the apical pulse is below 60/min due to risk of bradycardia and
toxicity.
Question 2 (NGN Case Study)
A client is prescribed Warfarin. Which lab value indicates therapeutic effect?
A. Platelets 150,000/mm³
B. Hemoglobin 14 g/dL
C. INR 2.5
D. aPTT 25 seconds
Rationale: Therapeutic INR for warfarin is typically 2–3.
Question 3
A nurse is teaching a client about Lisinopril. Which statement indicates understanding?
A. “I should avoid foods high in calcium.”
B. “I should report a persistent cough.”
C. “I should increase sodium intake.”
D. “I will take this only when symptomatic.”
Rationale: ACE inhibitors commonly cause a dry cough.
,Question 4
Which adverse effect should the nurse monitor for in a client taking Furosemide?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
Rationale: Loop diuretics cause potassium loss.
Question 5
A nurse is administering Metformin. Which condition is a contraindication?
A. Hypertension
B. Renal impairment
C. Hyperlipidemia
D. Obesity
Rationale: Metformin can cause lactic acidosis, especially in renal dysfunction.
Question 6 (NGN)
A client receives Morphine postoperatively. Which assessment requires immediate intervention?
A. Pain 6/10
B. Respiratory rate 8/min
C. BP 130/80 mm Hg
D. Pulse 90/min
Rationale: Opioids depress respiratory drive.
Question 7
Which food should a client taking MAO inhibitors avoid?
A. Apples
B. Rice
C. Aged cheese
D. Chicken
Rationale: Tyramine-containing foods can cause hypertensive crisis.
, Question 8
A nurse is caring for a client on Heparin. Which lab is monitored?
A. INR
B. aPTT
C. Platelet count only
D. Hemoglobin
Rationale: Heparin therapy is monitored using aPTT.
Question 9
A client is prescribed Atorvastatin. Which lab should be monitored?
A. Creatinine
B. Glucose
C. Liver enzymes
D. Sodium
Rationale: Statins can cause hepatotoxicity.
Question 10
Which instruction should be given to a client taking Alendronate?
A. Take with food
B. Lie down after taking
C. Remain upright for 30 minutes
D. Take at bedtime
Rationale: Prevents esophageal irritation.
Question 11 (NGN)
A client on Insulin glargine asks when it peaks. What is the correct response?
A. 1–2 hours
B. 4–6 hours
C. No pronounced peak
D. 12 hours
Rationale: Glargine provides steady basal insulin.
