ATI PHARMACOLOGY PROCTORED 2026 EXAM ACTUAL
EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS A+
GRADE ASSURED
1) A nurse is reviewing the laboratory results of a client who has a prescription for
sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following
should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater
than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias.
Kayexalate is used to decrease theserum potassium level, so the PN
should monitor the client's serum potassium level
2) A nurse is assessing a client who is receiving intravenous therapy. The
nurse should identify which of the following findings as a manifestation of
fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
3) A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
4) A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse
include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
5) A nurse is caring for a client who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the client is adhering
to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference range
6) A client is caring for a client who develops an anaphylactic reaction to IV
administration. After assessing the client’s respiratory status and
stopping the medication infusion. Which of the following actions should
, the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client’s legs and feet
d. Administer epinephrine IM
7) A nurse is caring for a client who is taking sertraline and reports a desire to
begin taking supplements. Which of the following supplements should the
nurse advise the client to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8) A nurse is caring for a client who has heart failure and a new prescription for
lisinopril. For which of the following adverse effects should the nurse monitor
when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9) *A nurse is assessing a client who is receiving heparin IV continuous IV. The
client has an PPT of90 seconds. They should monitor the client for which of
the following changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
10) A nurse is preparing to administer medication to a client and discovers a
medication error. The nurse should recognize that which of the following staff
members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
11) A nurse is planning care for a client who is receiving morphine via continuous
epidural infusion.The nurse should monitor the client for which of the following?
a. Pruritus – Sign of allergic reaction to morphine
b. Cough
c. Tachypnea
d. Gastric bleeding
12) A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps thenurse should take. (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps.)
a. Obtain the client’s apical heart rate
b. Remove the medication from the
dispensing systemc. Open the
medication package
d. Compare the client’s wristband to the medication
, administration recorde. Document administration of the
medication
13) A nurse is reviewing the medical record of an adult client who has a
fever and a prescription for acetaminophen. Which of the following
findings should the nurse identify as a contraindication for receiving this
medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
14) A home health nurse is visiting a client who has heart failure and a prescription
for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.)
since the last visit 2 days ago. Whichof the following actions should the nurse
take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
15) A nurse is preparing to administer the initial dose of penicillin G IM to a client.
The nurse should monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
16) A nurse is teaching a client who has angina a new prescription for
sublingual nitroglycerin tablets. Which of the following instructions should
the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17) A nurse is providing teaching to a client who has a new prescription for
theophylline, a sustained-released capsule. Which of the following
statements by the client indicates anunderstanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
18) A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it toclient who has diabetes mellitus following actions should
the nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form
the vialc. Inject air into the NPH
vial
d. Inject air into the regular insulin vial
EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS A+
GRADE ASSURED
1) A nurse is reviewing the laboratory results of a client who has a prescription for
sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following
should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater
than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias.
Kayexalate is used to decrease theserum potassium level, so the PN
should monitor the client's serum potassium level
2) A nurse is assessing a client who is receiving intravenous therapy. The
nurse should identify which of the following findings as a manifestation of
fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
3) A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
4) A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse
include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
5) A nurse is caring for a client who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the client is adhering
to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference range
6) A client is caring for a client who develops an anaphylactic reaction to IV
administration. After assessing the client’s respiratory status and
stopping the medication infusion. Which of the following actions should
, the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client’s legs and feet
d. Administer epinephrine IM
7) A nurse is caring for a client who is taking sertraline and reports a desire to
begin taking supplements. Which of the following supplements should the
nurse advise the client to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8) A nurse is caring for a client who has heart failure and a new prescription for
lisinopril. For which of the following adverse effects should the nurse monitor
when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9) *A nurse is assessing a client who is receiving heparin IV continuous IV. The
client has an PPT of90 seconds. They should monitor the client for which of
the following changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
10) A nurse is preparing to administer medication to a client and discovers a
medication error. The nurse should recognize that which of the following staff
members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
11) A nurse is planning care for a client who is receiving morphine via continuous
epidural infusion.The nurse should monitor the client for which of the following?
a. Pruritus – Sign of allergic reaction to morphine
b. Cough
c. Tachypnea
d. Gastric bleeding
12) A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps thenurse should take. (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps.)
a. Obtain the client’s apical heart rate
b. Remove the medication from the
dispensing systemc. Open the
medication package
d. Compare the client’s wristband to the medication
, administration recorde. Document administration of the
medication
13) A nurse is reviewing the medical record of an adult client who has a
fever and a prescription for acetaminophen. Which of the following
findings should the nurse identify as a contraindication for receiving this
medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
14) A home health nurse is visiting a client who has heart failure and a prescription
for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.)
since the last visit 2 days ago. Whichof the following actions should the nurse
take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
15) A nurse is preparing to administer the initial dose of penicillin G IM to a client.
The nurse should monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
16) A nurse is teaching a client who has angina a new prescription for
sublingual nitroglycerin tablets. Which of the following instructions should
the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17) A nurse is providing teaching to a client who has a new prescription for
theophylline, a sustained-released capsule. Which of the following
statements by the client indicates anunderstanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
18) A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it toclient who has diabetes mellitus following actions should
the nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form
the vialc. Inject air into the NPH
vial
d. Inject air into the regular insulin vial
