ATI PN Pharmacology Level 3 Proctored
Exam Prep Document | Practical Nursing
Pharmacology, Medication Safety &
NGN-PN Clinical | Verified Questions with
Detailed Rationales
Level 3 – Medication Safety & Core Pharmacology
Question 1 – Safe Medication Administration
Which action is part of the “rights” of medication administration?
A. Right diagnosis
B. Right documentation
C. Right prognosis
D. Right diet
Correct Answer: B
Rationale:
The “rights” include right patient, medication, dose, route, time, documentation, reason,
and response.
Question 2 – High-Alert Medication
Which medication is considered high-alert?
A. Acetaminophen
B. Insulin
C. Vitamin C
D. Loratadine
Correct Answer: B
,Rationale:
Insulin can cause life-threatening hypoglycemia if misused.
Question 3 – Hypoglycemia Treatment
A client with diabetes has blood glucose of 52 mg/dL and is conscious.
What should the nurse give first?
A. IV insulin
B. Orange juice
C. Long-acting insulin
D. Metformin
Correct Answer: B
Rationale:
Conscious hypoglycemia is treated with fast-acting carbohydrates.
Question 4 – Opioid Safety
Which finding indicates opioid toxicity?
A. Hypertension and tachycardia
B. Respiratory depression and pinpoint pupils
C. Increased appetite
D. Dilated pupils and agitation
Correct Answer: B
Rationale:
Classic opioid overdose = CNS depression + respiratory depression.
Question 5 – Antidote
Which antidote reverses opioid overdose?
A. Flumazenil
B. Naloxone
,C. Vitamin K
D. Acetylcysteine
Correct Answer: B
Rationale:
Naloxone rapidly reverses opioid effects.
Question 6 – Digoxin Toxicity
Which symptom suggests digoxin toxicity?
A. Bradycardia and visual changes
B. Hypertension
C. Hyperactivity
D. Fever
Correct Answer: A
Rationale:
Digoxin toxicity includes bradycardia, nausea, visual halos.
Question 7 – Anticoagulant Monitoring
Which lab is used to monitor warfarin therapy?
A. aPTT
B. INR
C. Hemoglobin A1c
D. Troponin
Correct Answer: B
Rationale:
Warfarin is monitored using INR (goal typically 2–3).
Question 8 – Heparin Antidote
What is the antidote for heparin overdose?
, A. Protamine sulfate
B. Vitamin K
C. Narcan
D. Atropine
Correct Answer: A
Rationale:
Protamine sulfate neutralizes heparin.
Question 9 – Antibiotic Teaching
Which instruction is correct for antibiotics?
A. Stop when symptoms improve
B. Take until full prescription is finished
C. Share with family members
D. Skip doses if feeling better
Correct Answer: B
Rationale:
Stopping early increases resistance risk.
Question 10 – Penicillin Allergy
Which symptom suggests anaphylaxis?
A. Mild rash
B. Itching only
C. Wheezing and hypotension
D. Headache
Correct Answer: C
Rationale:
Anaphylaxis involves airway compromise and shock.
Question 11 – NSAID Risk
Exam Prep Document | Practical Nursing
Pharmacology, Medication Safety &
NGN-PN Clinical | Verified Questions with
Detailed Rationales
Level 3 – Medication Safety & Core Pharmacology
Question 1 – Safe Medication Administration
Which action is part of the “rights” of medication administration?
A. Right diagnosis
B. Right documentation
C. Right prognosis
D. Right diet
Correct Answer: B
Rationale:
The “rights” include right patient, medication, dose, route, time, documentation, reason,
and response.
Question 2 – High-Alert Medication
Which medication is considered high-alert?
A. Acetaminophen
B. Insulin
C. Vitamin C
D. Loratadine
Correct Answer: B
,Rationale:
Insulin can cause life-threatening hypoglycemia if misused.
Question 3 – Hypoglycemia Treatment
A client with diabetes has blood glucose of 52 mg/dL and is conscious.
What should the nurse give first?
A. IV insulin
B. Orange juice
C. Long-acting insulin
D. Metformin
Correct Answer: B
Rationale:
Conscious hypoglycemia is treated with fast-acting carbohydrates.
Question 4 – Opioid Safety
Which finding indicates opioid toxicity?
A. Hypertension and tachycardia
B. Respiratory depression and pinpoint pupils
C. Increased appetite
D. Dilated pupils and agitation
Correct Answer: B
Rationale:
Classic opioid overdose = CNS depression + respiratory depression.
Question 5 – Antidote
Which antidote reverses opioid overdose?
A. Flumazenil
B. Naloxone
,C. Vitamin K
D. Acetylcysteine
Correct Answer: B
Rationale:
Naloxone rapidly reverses opioid effects.
Question 6 – Digoxin Toxicity
Which symptom suggests digoxin toxicity?
A. Bradycardia and visual changes
B. Hypertension
C. Hyperactivity
D. Fever
Correct Answer: A
Rationale:
Digoxin toxicity includes bradycardia, nausea, visual halos.
Question 7 – Anticoagulant Monitoring
Which lab is used to monitor warfarin therapy?
A. aPTT
B. INR
C. Hemoglobin A1c
D. Troponin
Correct Answer: B
Rationale:
Warfarin is monitored using INR (goal typically 2–3).
Question 8 – Heparin Antidote
What is the antidote for heparin overdose?
, A. Protamine sulfate
B. Vitamin K
C. Narcan
D. Atropine
Correct Answer: A
Rationale:
Protamine sulfate neutralizes heparin.
Question 9 – Antibiotic Teaching
Which instruction is correct for antibiotics?
A. Stop when symptoms improve
B. Take until full prescription is finished
C. Share with family members
D. Skip doses if feeling better
Correct Answer: B
Rationale:
Stopping early increases resistance risk.
Question 10 – Penicillin Allergy
Which symptom suggests anaphylaxis?
A. Mild rash
B. Itching only
C. Wheezing and hypotension
D. Headache
Correct Answer: C
Rationale:
Anaphylaxis involves airway compromise and shock.
Question 11 – NSAID Risk
