ATI CMS Pharmacology
Proctored Exam Exam
QUESTIONS AND VERIFIED
ACCURATE SOLUTION
(DETAILED & ELABORATED)
|GET IT 100% ACCURATE!!
2026 TEST!!
1. A nurse is preparing to administer digoxin to a client with
heart failure. Which finding should cause the nurse to
withhold the medication?
A. Blood pressure 128/76 mm Hg
B. Respiratory rate 18/min
C. Apical pulse 54/min
D. Temperature 37°C (98.6°F)
Answer: C. Apical pulse 54/min
Rationale: Digoxin should be withheld if the apical pulse is
below 60 beats/min because of the risk of severe bradycardia.
2. A client taking warfarin asks which laboratory test is used
to monitor therapy. The nurse should respond:
,A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
Answer: B. INR
Rationale: Warfarin therapy is monitored using the
international normalized ratio (INR).
3. Which adverse effect should a nurse monitor for in a
client taking furosemide?
A. Hyperkalemia
B. Hypertension
C. Hypokalemia
D. Bradycardia
Answer: C. Hypokalemia
Rationale: Loop diuretics increase potassium excretion,
placing clients at risk for hypokalemia.
4. A nurse is teaching a client about nitroglycerin sublingual
tablets. Which instruction is appropriate?
A. Swallow tablets whole.
B. Store tablets in a dark glass container.
C. Take with milk.
D. Refrigerate tablets.
Answer: B. Store tablets in a dark glass container.
,Rationale: Nitroglycerin is sensitive to light and moisture and
should remain in its original dark container.
5. A client taking lisinopril should be monitored for which
adverse effect?
A. Dry cough
B. Constipation
C. Hyperglycemia
D. Tinnitus
Answer: A. Dry cough
Rationale: ACE inhibitors commonly cause a persistent dry
cough due to bradykinin accumulation.
6. Which medication is classified as a beta-blocker?
A. Losartan
B. Metoprolol
C. Diltiazem
D. Nitroglycerin
Answer: B. Metoprolol
Rationale: Metoprolol is a beta1-selective adrenergic blocker
used for hypertension and heart disease.
7. A client receiving heparin develops bleeding. Which
medication should the nurse anticipate administering?
, A. Vitamin K
B. Acetylcysteine
C. Protamine sulfate
D. Naloxone
Answer: C. Protamine sulfate
Rationale: Protamine sulfate reverses the anticoagulant
effects of heparin.
8. Which statement indicates understanding of insulin
glargine?
A. "I can mix it with regular insulin."
B. "It provides long-acting glucose control."
C. "It peaks in 2 hours."
D. "I should take it only with meals."
Answer: B. "It provides long-acting glucose control."
Rationale: Insulin glargine is a long-acting insulin with no
pronounced peak.
9. Metformin is contraindicated in clients with:
A. Hypertension
B. Renal impairment
C. Asthma
D. Osteoarthritis
Answer: B. Renal impairment
Proctored Exam Exam
QUESTIONS AND VERIFIED
ACCURATE SOLUTION
(DETAILED & ELABORATED)
|GET IT 100% ACCURATE!!
2026 TEST!!
1. A nurse is preparing to administer digoxin to a client with
heart failure. Which finding should cause the nurse to
withhold the medication?
A. Blood pressure 128/76 mm Hg
B. Respiratory rate 18/min
C. Apical pulse 54/min
D. Temperature 37°C (98.6°F)
Answer: C. Apical pulse 54/min
Rationale: Digoxin should be withheld if the apical pulse is
below 60 beats/min because of the risk of severe bradycardia.
2. A client taking warfarin asks which laboratory test is used
to monitor therapy. The nurse should respond:
,A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
Answer: B. INR
Rationale: Warfarin therapy is monitored using the
international normalized ratio (INR).
3. Which adverse effect should a nurse monitor for in a
client taking furosemide?
A. Hyperkalemia
B. Hypertension
C. Hypokalemia
D. Bradycardia
Answer: C. Hypokalemia
Rationale: Loop diuretics increase potassium excretion,
placing clients at risk for hypokalemia.
4. A nurse is teaching a client about nitroglycerin sublingual
tablets. Which instruction is appropriate?
A. Swallow tablets whole.
B. Store tablets in a dark glass container.
C. Take with milk.
D. Refrigerate tablets.
Answer: B. Store tablets in a dark glass container.
,Rationale: Nitroglycerin is sensitive to light and moisture and
should remain in its original dark container.
5. A client taking lisinopril should be monitored for which
adverse effect?
A. Dry cough
B. Constipation
C. Hyperglycemia
D. Tinnitus
Answer: A. Dry cough
Rationale: ACE inhibitors commonly cause a persistent dry
cough due to bradykinin accumulation.
6. Which medication is classified as a beta-blocker?
A. Losartan
B. Metoprolol
C. Diltiazem
D. Nitroglycerin
Answer: B. Metoprolol
Rationale: Metoprolol is a beta1-selective adrenergic blocker
used for hypertension and heart disease.
7. A client receiving heparin develops bleeding. Which
medication should the nurse anticipate administering?
, A. Vitamin K
B. Acetylcysteine
C. Protamine sulfate
D. Naloxone
Answer: C. Protamine sulfate
Rationale: Protamine sulfate reverses the anticoagulant
effects of heparin.
8. Which statement indicates understanding of insulin
glargine?
A. "I can mix it with regular insulin."
B. "It provides long-acting glucose control."
C. "It peaks in 2 hours."
D. "I should take it only with meals."
Answer: B. "It provides long-acting glucose control."
Rationale: Insulin glargine is a long-acting insulin with no
pronounced peak.
9. Metformin is contraindicated in clients with:
A. Hypertension
B. Renal impairment
C. Asthma
D. Osteoarthritis
Answer: B. Renal impairment
