ATI PN PHARMACOLOGY NGN-Aligned
PROCTORED EXAM (2023–2026)
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS!!
<LATEST VERSION>
1.
A nurse is administering lisinopril to a client with heart failure. Which laboratory
value is the priority to monitor?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Correct Answer: B
Rationale: ACE inhibitors decrease aldosterone secretion, increasing the risk of
hyperkalemia. Potassium must be closely monitored to prevent life-threatening
dysrhythmias.
,2.
A client receiving IV vancomycin reports tinnitus. What is the nurse’s priority
action?
A. Slow the infusion rate
B. Notify the provider
C. Administer acetaminophen
D. Reassess in 30 minutes
Correct Answer: B
Rationale: Tinnitus is an early sign of ototoxicity, a serious adverse effect of
vancomycin requiring immediate provider notification.
3.
A nurse reviews a medication list for a client with asthma. Which prescription
should the nurse question?
A. Albuterol
B. Montelukast
C. Propranolol
D. Fluticasone
Correct Answer: C
Rationale: Propranolol is a nonselective beta-blocker that can trigger
bronchoconstriction and worsen asthma symptoms.
4.
A client with type 1 diabetes is prescribed insulin glargine. Which instruction
should the nurse include?
A. Administer with meals
B. Mix with regular insulin
C. Take once daily at the same time
D. Use to correct hyperglycemia
,Correct Answer: C
Rationale: Insulin glargine is a long-acting basal insulin given once daily at the
same time and should not be mixed with other insulins.
5.
A nurse is caring for a client receiving warfarin. Which finding requires immediate
intervention?
A. INR of 2.5
B. Hematuria
C. Bruising on arms
D. Occasional nosebleeds
Correct Answer: B
Rationale: Hematuria indicates active bleeding and is a medical emergency in
clients receiving anticoagulants.
6.
A client receiving morphine develops respiratory depression. Which medication
should the nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. Protamine sulfate
D. Vitamin K
Correct Answer: A
Rationale: Naloxone is an opioid antagonist that reverses respiratory depression
caused by opioids.
, 7.
A nurse evaluates teaching for a client prescribed furosemide. Which statement
indicates understanding?
A. “I will limit potassium-rich foods.”
B. “I will take this medication at bedtime.”
C. “I will report ringing in my ears.”
D. “I will stop the drug if swelling improves.”
Correct Answer: C
Rationale: Loop diuretics can cause ototoxicity, especially at high doses. Tinnitus
must be reported promptly.
8.
A client receiving digoxin has a potassium level of 3.0 mEq/L. What is the nurse’s
priority concern?
A. Decreased drug effectiveness
B. Digoxin toxicity
C. Fluid volume overload
D. Hypercalcemia
Correct Answer: B
Rationale: Hypokalemia increases digoxin toxicity by allowing more digoxin to
bind to myocardial cells.
9.
A nurse administers nitroglycerin to a client with chest pain. Which finding
indicates therapeutic effectiveness?
A. Increased heart rate
B. Decreased blood pressure
C. Relief of chest pain
D. Headache
PROCTORED EXAM (2023–2026)
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS!!
<LATEST VERSION>
1.
A nurse is administering lisinopril to a client with heart failure. Which laboratory
value is the priority to monitor?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Correct Answer: B
Rationale: ACE inhibitors decrease aldosterone secretion, increasing the risk of
hyperkalemia. Potassium must be closely monitored to prevent life-threatening
dysrhythmias.
,2.
A client receiving IV vancomycin reports tinnitus. What is the nurse’s priority
action?
A. Slow the infusion rate
B. Notify the provider
C. Administer acetaminophen
D. Reassess in 30 minutes
Correct Answer: B
Rationale: Tinnitus is an early sign of ototoxicity, a serious adverse effect of
vancomycin requiring immediate provider notification.
3.
A nurse reviews a medication list for a client with asthma. Which prescription
should the nurse question?
A. Albuterol
B. Montelukast
C. Propranolol
D. Fluticasone
Correct Answer: C
Rationale: Propranolol is a nonselective beta-blocker that can trigger
bronchoconstriction and worsen asthma symptoms.
4.
A client with type 1 diabetes is prescribed insulin glargine. Which instruction
should the nurse include?
A. Administer with meals
B. Mix with regular insulin
C. Take once daily at the same time
D. Use to correct hyperglycemia
,Correct Answer: C
Rationale: Insulin glargine is a long-acting basal insulin given once daily at the
same time and should not be mixed with other insulins.
5.
A nurse is caring for a client receiving warfarin. Which finding requires immediate
intervention?
A. INR of 2.5
B. Hematuria
C. Bruising on arms
D. Occasional nosebleeds
Correct Answer: B
Rationale: Hematuria indicates active bleeding and is a medical emergency in
clients receiving anticoagulants.
6.
A client receiving morphine develops respiratory depression. Which medication
should the nurse anticipate administering?
A. Naloxone
B. Flumazenil
C. Protamine sulfate
D. Vitamin K
Correct Answer: A
Rationale: Naloxone is an opioid antagonist that reverses respiratory depression
caused by opioids.
, 7.
A nurse evaluates teaching for a client prescribed furosemide. Which statement
indicates understanding?
A. “I will limit potassium-rich foods.”
B. “I will take this medication at bedtime.”
C. “I will report ringing in my ears.”
D. “I will stop the drug if swelling improves.”
Correct Answer: C
Rationale: Loop diuretics can cause ototoxicity, especially at high doses. Tinnitus
must be reported promptly.
8.
A client receiving digoxin has a potassium level of 3.0 mEq/L. What is the nurse’s
priority concern?
A. Decreased drug effectiveness
B. Digoxin toxicity
C. Fluid volume overload
D. Hypercalcemia
Correct Answer: B
Rationale: Hypokalemia increases digoxin toxicity by allowing more digoxin to
bind to myocardial cells.
9.
A nurse administers nitroglycerin to a client with chest pain. Which finding
indicates therapeutic effectiveness?
A. Increased heart rate
B. Decreased blood pressure
C. Relief of chest pain
D. Headache
