ATI RETAKE
PHARMACOLOGY
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 PHARMACOLOGY nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
https://www.stuvia.com/user/LUCIDWISE
, ➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales.
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1. A nurse is preparing to mix short-acting insulin with NPH insulin
drawn from two vials. Which of the following actions should the nurse
take?
A. Administer the insulin within 20 minutes of preparing it.
B. Ensure the NPH insulin is drawn into the syringe first.
C. Inject air into the vial to withdraw the short-acting insulin first.
D. Use two separate syringes to mix the insulin.
Answer: C. Inject air into the vial to withdraw the short-acting insulin first.
Rationale: The correct sequence is to inject air into the NPH vial (cloudy),
then inject air into the short-acting vial (clear) and withdraw the short-
acting insulin first. This prevents contaminating the clear insulin with the
cloudy insulin.
───────────────────────────────────────────────────────
─
2. A nurse is caring for a client who is receiving an IV infusion via pump
at a rate of 3 mL/min. The infusion started 2 hours ago with 500 mL in
the medication bag. How many milliliters have infused?
https://www.stuvia.com/user/LUCIDWISE
, A. 180 mL
B. 157 mL
C. 360 mL
D. 334 mL
Answer: C. 360 mL
Rationale:
• 3 mL/min × 60 min/hr = 180 mL/hr
• In 2 hours: 180 mL/hr × 2 hr = 360 mL total infused.
3. A nurse is assessing a client who is receiving a peripheral IV infusion
and notes infiltration of fluid into the tissues surrounding the insertion
site. Which of the following actions should the nurse take?
A. Apply pressure to the IV site.
B. Elevate the extremity.
C. Flush the IV catheter.
D. Slow the infusion rate.
Answer: B. Elevate the extremity
Rationale: Elevating the affected extremity helps reduce swelling and
promotes fluid reabsorption into the circulation. It also decreases
discomfort and reduces continued leakage into the surrounding tissue.
───────────────────────────────────────────────────────
─
https://www.stuvia.com/user/LUCIDWISE
, 4. A nurse is caring for a client who takes warfarin and reports starting
several new herbal supplements. Which of the following supplements is
contraindicated for concurrent use with warfarin?
A. Probiotics
B. Coenzyme Q10
C. Valerian
D. Ginkgo biloba
Answer: D. Ginkgo biloba
Rationale: Ginkgo biloba has antiplatelet properties that can potentiate
warfarin’s anticoagulant effects, increasing the risk of serious bleeding.
───────────────────────────────────────────────────────
─
5. [NGN Case Study Format]
3 Days Ago:
• Client presents reporting intermittent spotting between menstrual cycles.
• Pelvic exam and swabs for STIs completed.
• Current medication: combined oral contraceptive (COC).
Today:
• Client returns to discuss laboratory results.
• Provider prescribes doxycycline (based on test findings).
A nurse is providing teaching about doxycycline. Which of the following
two statements should the nurse include when educating the client?
Select two that apply.
https://www.stuvia.com/user/LUCIDWISE
PHARMACOLOGY
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE
“SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Exam has 70 PHARMACOLOGY nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
https://www.stuvia.com/user/LUCIDWISE
, ➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales.
─────────
1. A nurse is preparing to mix short-acting insulin with NPH insulin
drawn from two vials. Which of the following actions should the nurse
take?
A. Administer the insulin within 20 minutes of preparing it.
B. Ensure the NPH insulin is drawn into the syringe first.
C. Inject air into the vial to withdraw the short-acting insulin first.
D. Use two separate syringes to mix the insulin.
Answer: C. Inject air into the vial to withdraw the short-acting insulin first.
Rationale: The correct sequence is to inject air into the NPH vial (cloudy),
then inject air into the short-acting vial (clear) and withdraw the short-
acting insulin first. This prevents contaminating the clear insulin with the
cloudy insulin.
───────────────────────────────────────────────────────
─
2. A nurse is caring for a client who is receiving an IV infusion via pump
at a rate of 3 mL/min. The infusion started 2 hours ago with 500 mL in
the medication bag. How many milliliters have infused?
https://www.stuvia.com/user/LUCIDWISE
, A. 180 mL
B. 157 mL
C. 360 mL
D. 334 mL
Answer: C. 360 mL
Rationale:
• 3 mL/min × 60 min/hr = 180 mL/hr
• In 2 hours: 180 mL/hr × 2 hr = 360 mL total infused.
3. A nurse is assessing a client who is receiving a peripheral IV infusion
and notes infiltration of fluid into the tissues surrounding the insertion
site. Which of the following actions should the nurse take?
A. Apply pressure to the IV site.
B. Elevate the extremity.
C. Flush the IV catheter.
D. Slow the infusion rate.
Answer: B. Elevate the extremity
Rationale: Elevating the affected extremity helps reduce swelling and
promotes fluid reabsorption into the circulation. It also decreases
discomfort and reduces continued leakage into the surrounding tissue.
───────────────────────────────────────────────────────
─
https://www.stuvia.com/user/LUCIDWISE
, 4. A nurse is caring for a client who takes warfarin and reports starting
several new herbal supplements. Which of the following supplements is
contraindicated for concurrent use with warfarin?
A. Probiotics
B. Coenzyme Q10
C. Valerian
D. Ginkgo biloba
Answer: D. Ginkgo biloba
Rationale: Ginkgo biloba has antiplatelet properties that can potentiate
warfarin’s anticoagulant effects, increasing the risk of serious bleeding.
───────────────────────────────────────────────────────
─
5. [NGN Case Study Format]
3 Days Ago:
• Client presents reporting intermittent spotting between menstrual cycles.
• Pelvic exam and swabs for STIs completed.
• Current medication: combined oral contraceptive (COC).
Today:
• Client returns to discuss laboratory results.
• Provider prescribes doxycycline (based on test findings).
A nurse is providing teaching about doxycycline. Which of the following
two statements should the nurse include when educating the client?
Select two that apply.
https://www.stuvia.com/user/LUCIDWISE
