ATI RN Pharmacology Proctored Exam Most Recent exam
COMPLETE (2026) EXAM Questions and Answers (Verified
Answers) (Latest Update 2026) Graded A+
ATI RN Pharmacology Proctored Exam Questions
1. A nurse is administering morphine to a client for postoperative pain. Which assessment
finding requires immediate intervention?
A. Mild nausea
B. Respiratory rate of 8/min
C. Drowsiness
D. Constipation
Rationale: Morphine can cause respiratory depression. A respiratory rate below 10/min is
critical and requires immediate action.
2. Which lab value should the nurse monitor for a client taking warfarin?
A. INR
B. Potassium
C. Hemoglobin A1c
D. BUN
Rationale: INR (International Normalized Ratio) measures the effectiveness of warfarin and risk
for bleeding.
3. A client is prescribed digoxin. Which symptom indicates digoxin toxicity?
A. Constipation
B. Visual disturbances, such as yellow halos
C. Bradycardia only
D. Hypertension
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and visual disturbances like
yellow halos.
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,4. A client is prescribed furosemide. Which electrolyte imbalance is the nurse most
concerned about?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Rationale: Furosemide, a loop diuretic, can cause potassium loss, leading to hypokalemia.
5. Which instruction should the nurse provide for a client taking atorvastatin?
A. Take with grapefruit juice
B. Report muscle pain or weakness
C. Increase vitamin K intake
D. Take on an empty stomach
Rationale: Statins can cause muscle injury (myopathy or rhabdomyolysis); clients should report
unexplained muscle pain.
6. A client is prescribed albuterol for asthma. Which finding indicates a therapeutic effect?
A. Increased wheezing
B. Decreased shortness of breath
C. Hypotension
D. Bradycardia
Rationale: Albuterol is a bronchodilator that improves airflow and reduces respiratory distress.
7. Which adverse effect should the nurse monitor for in a client taking lithium?
A. Tremors
B. Bradycardia
C. Constipation
D. Hypoglycemia
Rationale: Fine tremors are an early sign of lithium toxicity; monitoring levels and symptoms is
essential.
8. A client taking insulin lispro should be instructed to:
A. Administer 30–45 minutes before meals
B. Administer immediately before meals
C. Take only once daily
D. Administer at bedtime
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,Rationale: Rapid-acting insulin (lispro) is taken immediately before meals to control
postprandial glucose.
9. Which medication is used to treat anaphylaxis?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Prednisone
Rationale: Epinephrine rapidly reverses airway constriction and hypotension during
anaphylaxis.
10. A client taking metformin reports nausea and abdominal pain. Which complication
should the nurse assess for?
A. Lactic acidosis
B. Hyperkalemia
C. Hypoglycemia
D. Hypertension
Rationale: Metformin carries a risk of lactic acidosis, especially in clients with renal
impairment.
11. Which side effect is common with ACE inhibitors like lisinopril?
A. Dry cough
B. Tachycardia
C. Constipation
D. Hyperglycemia
Rationale: ACE inhibitors can cause a persistent dry cough due to bradykinin accumulation.
12. A client taking spironolactone should avoid which food?
A. Bananas
B. Apples
C. Rice
D. Chicken
Rationale: Spironolactone is potassium-sparing; high potassium foods increase the risk of
hyperkalemia.
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, 13. Which medication is used to reverse heparin anticoagulation?
A. Vitamin K
B. Protamine sulfate
C. Warfarin
D. Aspirin
Rationale: Protamine sulfate binds and inactivates heparin in case of overdose.
14. A client is prescribed prednisone. Which instruction should the nurse provide?
A. Take with food
B. Take on an empty stomach
C. Avoid fluids
D. Stop abruptly
Rationale: Corticosteroids can cause gastric irritation; taking with food minimizes GI upset.
15. Which side effect should be monitored in clients taking aminoglycosides?
A. Ototoxicity and nephrotoxicity
B. Hypertension
C. Hyperglycemia
D. Constipation
Rationale: Aminoglycosides can damage the kidneys and auditory system; monitoring is
essential.
16. Which medication is used to treat hypothyroidism?
A. Methimazole
B. Levothyroxine
C. Propylthiouracil
D. Radioactive iodine
Rationale: Levothyroxine is a synthetic thyroid hormone used to replace deficient hormones.
17. Which medication is used to treat hyperthyroidism?
A. Methimazole
B. Levothyroxine
C. Insulin
D. Spironolactone
Rationale: Methimazole inhibits thyroid hormone synthesis in hyperthyroidism.
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EXAMPREPMASTER
COMPLETE (2026) EXAM Questions and Answers (Verified
Answers) (Latest Update 2026) Graded A+
ATI RN Pharmacology Proctored Exam Questions
1. A nurse is administering morphine to a client for postoperative pain. Which assessment
finding requires immediate intervention?
A. Mild nausea
B. Respiratory rate of 8/min
C. Drowsiness
D. Constipation
Rationale: Morphine can cause respiratory depression. A respiratory rate below 10/min is
critical and requires immediate action.
2. Which lab value should the nurse monitor for a client taking warfarin?
A. INR
B. Potassium
C. Hemoglobin A1c
D. BUN
Rationale: INR (International Normalized Ratio) measures the effectiveness of warfarin and risk
for bleeding.
3. A client is prescribed digoxin. Which symptom indicates digoxin toxicity?
A. Constipation
B. Visual disturbances, such as yellow halos
C. Bradycardia only
D. Hypertension
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and visual disturbances like
yellow halos.
1
Page
EXAMPREPMASTER
,4. A client is prescribed furosemide. Which electrolyte imbalance is the nurse most
concerned about?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Rationale: Furosemide, a loop diuretic, can cause potassium loss, leading to hypokalemia.
5. Which instruction should the nurse provide for a client taking atorvastatin?
A. Take with grapefruit juice
B. Report muscle pain or weakness
C. Increase vitamin K intake
D. Take on an empty stomach
Rationale: Statins can cause muscle injury (myopathy or rhabdomyolysis); clients should report
unexplained muscle pain.
6. A client is prescribed albuterol for asthma. Which finding indicates a therapeutic effect?
A. Increased wheezing
B. Decreased shortness of breath
C. Hypotension
D. Bradycardia
Rationale: Albuterol is a bronchodilator that improves airflow and reduces respiratory distress.
7. Which adverse effect should the nurse monitor for in a client taking lithium?
A. Tremors
B. Bradycardia
C. Constipation
D. Hypoglycemia
Rationale: Fine tremors are an early sign of lithium toxicity; monitoring levels and symptoms is
essential.
8. A client taking insulin lispro should be instructed to:
A. Administer 30–45 minutes before meals
B. Administer immediately before meals
C. Take only once daily
D. Administer at bedtime
2
Page
EXAMPREPMASTER
,Rationale: Rapid-acting insulin (lispro) is taken immediately before meals to control
postprandial glucose.
9. Which medication is used to treat anaphylaxis?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Prednisone
Rationale: Epinephrine rapidly reverses airway constriction and hypotension during
anaphylaxis.
10. A client taking metformin reports nausea and abdominal pain. Which complication
should the nurse assess for?
A. Lactic acidosis
B. Hyperkalemia
C. Hypoglycemia
D. Hypertension
Rationale: Metformin carries a risk of lactic acidosis, especially in clients with renal
impairment.
11. Which side effect is common with ACE inhibitors like lisinopril?
A. Dry cough
B. Tachycardia
C. Constipation
D. Hyperglycemia
Rationale: ACE inhibitors can cause a persistent dry cough due to bradykinin accumulation.
12. A client taking spironolactone should avoid which food?
A. Bananas
B. Apples
C. Rice
D. Chicken
Rationale: Spironolactone is potassium-sparing; high potassium foods increase the risk of
hyperkalemia.
3
Page
EXAMPREPMASTER
, 13. Which medication is used to reverse heparin anticoagulation?
A. Vitamin K
B. Protamine sulfate
C. Warfarin
D. Aspirin
Rationale: Protamine sulfate binds and inactivates heparin in case of overdose.
14. A client is prescribed prednisone. Which instruction should the nurse provide?
A. Take with food
B. Take on an empty stomach
C. Avoid fluids
D. Stop abruptly
Rationale: Corticosteroids can cause gastric irritation; taking with food minimizes GI upset.
15. Which side effect should be monitored in clients taking aminoglycosides?
A. Ototoxicity and nephrotoxicity
B. Hypertension
C. Hyperglycemia
D. Constipation
Rationale: Aminoglycosides can damage the kidneys and auditory system; monitoring is
essential.
16. Which medication is used to treat hypothyroidism?
A. Methimazole
B. Levothyroxine
C. Propylthiouracil
D. Radioactive iodine
Rationale: Levothyroxine is a synthetic thyroid hormone used to replace deficient hormones.
17. Which medication is used to treat hyperthyroidism?
A. Methimazole
B. Levothyroxine
C. Insulin
D. Spironolactone
Rationale: Methimazole inhibits thyroid hormone synthesis in hyperthyroidism.
4
Page
EXAMPREPMASTER
