1
ATI PN PHARMACOLOGY PROCTORED EXAM
2026/2027 | VERSION 2 | 75 VERIFIED Q&A |
DETAILED RATIONALES | NGN-ALIGNED | PASS
GUARANTEED – A+ GRADED
Q1: Medication Administration – Enteral Tube Medication
A PN is preparing to administer medications through a client's NG tube. Which action is correct?
A. Mix all medications together before administration
B. Flush the tube with water before and after each medication
C. Administer medications with the enteral feeding
D. Use sterile technique for medication administration
Correct Answer: B
Rationale: Flush the tube with water before and after each medication to prevent clogging and
ensure delivery. Do not mix medications together (risk of incompatibility). Administer medications
one at a time. [100% CORRECT]
Q2: Medication Administration – Ear Drops (Child)
A PN is instilling ear drops in a 3-year-old child. The PN should:
A. Pull the pinna up and back
B. Pull the pinna down and back
C. Pull the pinna straight out
D. Pull the pinna forward
Correct Answer: B
Rationale: For children under 3, pull the pinna down and back to straighten the ear canal. For adults
and children over 3, pull up and back. [100% CORRECT]
Q3: Medication Administration – Ophthalmic Ointment
A PN is applying ophthalmic ointment. Which action is correct?
A. Apply from inner to outer canthus
B. Apply from outer to inner canthus
C. Apply directly to the cornea
D. Touch the tip to the eye
Correct Answer: A
Rationale: Apply ophthalmic ointment from inner to outer canthus to prevent contamination of the
lacrimal duct. Do not touch the tip to the eye. [100% CORRECT]
,2
Q4: Medication Administration – Rectal Suppository (Child)
A PN is administering a rectal suppository to a child. The PN should:
A. Insert the suppository past the internal sphincter
B. Insert the suppository just inside the anal canal
C. Lubricate with petroleum jelly
D. Insert during a bowel movement
Correct Answer: A
Rationale: Insert the suppository past the internal sphincter to prevent expulsion. Lubricate with
water-soluble lubricant. [100% CORRECT]
Q5: Medication Administration – Subcutaneous Injection
A PN is administering a subcutaneous injection. The needle should be inserted at:
A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 30 degrees
Correct Answer: B
Rationale: Subcutaneous injection: 45 degrees for average client, 90 degrees for obese client. [100%
CORRECT]
Q6: Medication Administration – Intramuscular Injection
A PN is administering an IM injection. Which site is preferred for adults?
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis
Correct Answer: B
Rationale: Ventrogluteal is the preferred IM site for adults: free of major nerves and blood vessels.
[100% CORRECT]
Q7: Medication Administration – Insulin Mixing
A PN is mixing Regular and NPH insulin. Which action is correct?
A. Draw up NPH first, then Regular
B. Draw up Regular first, then NPH
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C. Shake both vials vigorously
D. Use the same syringe for multiple clients
Correct Answer: B
Rationale: Draw up Regular (clear) insulin first to prevent contamination of the Regular vial with
NPH (cloudy). Then draw up NPH. [100% CORRECT]
Q8: Medication Administration – Insulin Storage
A client asks about storing insulin. Which statement indicates understanding?
A. "I will store unopened insulin in the freezer."
B. "I will keep my current insulin pen at room temperature for up to 28 days."
C. "I will leave insulin in direct sunlight."
D. "I will shake the insulin vigorously before use."
Correct Answer: B
Rationale: Unopened insulin: refrigerate. Opened insulin: room temperature for up to 28 days. Do
not freeze. Do not shake vigorously; roll gently. [100% CORRECT]
Q9: Dosage Calculation – Oral Liquid
Order: 500 mg. Available: 250 mg/5 mL. How many mL?
A. 10 mL
B. 5 mL
C. 15 mL
D. 20 mL
Correct Answer: A
Rationale: (500 ÷ 250) × 5 = 10 mL. [100% CORRECT]
Q10: Dosage Calculation – IV Rate
Order: 1000 mL over 8 hours. Pump rate?
A. 125 mL/hr
B. 100 mL/hr
C. 150 mL/hr
D. 200 mL/hr
Correct Answer: A
Rationale: 1000 ÷ 8 = 125 mL/hr. [100% CORRECT]
Q11: Dosage Calculation – Pediatric
ATI PN PHARMACOLOGY PROCTORED EXAM
2026/2027 | VERSION 2 | 75 VERIFIED Q&A |
DETAILED RATIONALES | NGN-ALIGNED | PASS
GUARANTEED – A+ GRADED
Q1: Medication Administration – Enteral Tube Medication
A PN is preparing to administer medications through a client's NG tube. Which action is correct?
A. Mix all medications together before administration
B. Flush the tube with water before and after each medication
C. Administer medications with the enteral feeding
D. Use sterile technique for medication administration
Correct Answer: B
Rationale: Flush the tube with water before and after each medication to prevent clogging and
ensure delivery. Do not mix medications together (risk of incompatibility). Administer medications
one at a time. [100% CORRECT]
Q2: Medication Administration – Ear Drops (Child)
A PN is instilling ear drops in a 3-year-old child. The PN should:
A. Pull the pinna up and back
B. Pull the pinna down and back
C. Pull the pinna straight out
D. Pull the pinna forward
Correct Answer: B
Rationale: For children under 3, pull the pinna down and back to straighten the ear canal. For adults
and children over 3, pull up and back. [100% CORRECT]
Q3: Medication Administration – Ophthalmic Ointment
A PN is applying ophthalmic ointment. Which action is correct?
A. Apply from inner to outer canthus
B. Apply from outer to inner canthus
C. Apply directly to the cornea
D. Touch the tip to the eye
Correct Answer: A
Rationale: Apply ophthalmic ointment from inner to outer canthus to prevent contamination of the
lacrimal duct. Do not touch the tip to the eye. [100% CORRECT]
,2
Q4: Medication Administration – Rectal Suppository (Child)
A PN is administering a rectal suppository to a child. The PN should:
A. Insert the suppository past the internal sphincter
B. Insert the suppository just inside the anal canal
C. Lubricate with petroleum jelly
D. Insert during a bowel movement
Correct Answer: A
Rationale: Insert the suppository past the internal sphincter to prevent expulsion. Lubricate with
water-soluble lubricant. [100% CORRECT]
Q5: Medication Administration – Subcutaneous Injection
A PN is administering a subcutaneous injection. The needle should be inserted at:
A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 30 degrees
Correct Answer: B
Rationale: Subcutaneous injection: 45 degrees for average client, 90 degrees for obese client. [100%
CORRECT]
Q6: Medication Administration – Intramuscular Injection
A PN is administering an IM injection. Which site is preferred for adults?
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis
Correct Answer: B
Rationale: Ventrogluteal is the preferred IM site for adults: free of major nerves and blood vessels.
[100% CORRECT]
Q7: Medication Administration – Insulin Mixing
A PN is mixing Regular and NPH insulin. Which action is correct?
A. Draw up NPH first, then Regular
B. Draw up Regular first, then NPH
, 3
C. Shake both vials vigorously
D. Use the same syringe for multiple clients
Correct Answer: B
Rationale: Draw up Regular (clear) insulin first to prevent contamination of the Regular vial with
NPH (cloudy). Then draw up NPH. [100% CORRECT]
Q8: Medication Administration – Insulin Storage
A client asks about storing insulin. Which statement indicates understanding?
A. "I will store unopened insulin in the freezer."
B. "I will keep my current insulin pen at room temperature for up to 28 days."
C. "I will leave insulin in direct sunlight."
D. "I will shake the insulin vigorously before use."
Correct Answer: B
Rationale: Unopened insulin: refrigerate. Opened insulin: room temperature for up to 28 days. Do
not freeze. Do not shake vigorously; roll gently. [100% CORRECT]
Q9: Dosage Calculation – Oral Liquid
Order: 500 mg. Available: 250 mg/5 mL. How many mL?
A. 10 mL
B. 5 mL
C. 15 mL
D. 20 mL
Correct Answer: A
Rationale: (500 ÷ 250) × 5 = 10 mL. [100% CORRECT]
Q10: Dosage Calculation – IV Rate
Order: 1000 mL over 8 hours. Pump rate?
A. 125 mL/hr
B. 100 mL/hr
C. 150 mL/hr
D. 200 mL/hr
Correct Answer: A
Rationale: 1000 ÷ 8 = 125 mL/hr. [100% CORRECT]
Q11: Dosage Calculation – Pediatric
