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
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
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, 1. . A nurse is caring for a group of clients. Which of the following situations requires
completion of an incident report?
A. A client vomits after receiving an oral medication.
B. A client experiences a seizure.
C. A client receives their insulin 1 hour before the scheduled time.
D. A client receives their meal tray 20 minutes late.
Answer: C. The client receiving insulin 1 hour before scheduled time.
Rationale: Administering insulin either too early or too late can put the client at risk for hypoglycemia or
hyperglycemia. This is a medication administration error, requiring an incident report.
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2. . A nurse prepares to administer methotrexate in oral tablet form to a client. Which of the
following actions should the nurse take?
A. Don a protective gown.
B. Handle the medication in a controlled ventilation area.
C. Wear an N95 mask.
D. Apply gloves.
Answer: D. Apply gloves.
Rationale: When handling oral chemotherapeutic or antineoplastic agents like methotrexate, gloves are
required to reduce exposure.
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3. . A nurse has accidentally administered a client’s dose of metformin instead of the
prescribed medication. Which of the following actions should the nurse take first?
A. Check the client’s glucose level.
B. Obtain the client’s HDL level.
C. Monitor the client’s thyroid function.
D. Collect a uric acid sample.
Answer: A. Check the client’s glucose level.
Rationale: Metformin lowers blood glucose. The priority is to assess for hypoglycemia by checking the
client’s current blood glucose.
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4. . A nurse is caring for a client receiving IV 0.9% sodium chloride for hypovolemia. Which of
the following findings indicates that treatment is effective?
A. Heart rate 104/min
B. 2+ pitting edema in lower extremities
C. Blood pressure 124/74 mm Hg
D. Increased hematocrit
, Answer: C. Blood pressure of 124/74 mm Hg
Rationale: Returning blood pressure to a normal range suggests resolution of hypovolemia.
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5. . A nurse is about to administer propranolol to a client. Which of the following should the
nurse assess prior to administering this medication?
A. Heart rate
B. Respiratory rate
C. Pain level
D. Temperature
Answer: A. Heart rate
Rationale: Propranolol, a nonselective beta-blocker, can cause bradycardia. The nurse should verify HR
before administration.
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─
6. . A nurse is assessing a client taking phenelzine who reports consuming aged cheese.
Which clinical manifestation indicates a possible interaction?
A. Somnolence
B. Bradycardia
C. Diarrhea
D. Hypertension
Answer: D. Hypertension
Rationale: Phenelzine (MAOI) and tyramine-containing foods (e.g., aged cheese) can precipitate a
hypertensive crisis.
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7. . A nurse is reviewing a client’s medical history before giving atropine. Which of the
following conditions is a contraindication for atropine?
A. Asthma
B. Diverticulitis
C. Glaucoma
D. Bronchospasms
Answer: C. Glaucoma
Rationale: Atropine can increase intraocular pressure due to its mydriatic effect, worsening glaucoma.
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─
8. . A home care nurse is teaching a client about safe medication disposal. Which of the
following instructions should the nurse include?
A. “Return expired medication to the pharmacist.”
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
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales.
───────────────────────────────────────────────────────
─
, 1. . A nurse is caring for a group of clients. Which of the following situations requires
completion of an incident report?
A. A client vomits after receiving an oral medication.
B. A client experiences a seizure.
C. A client receives their insulin 1 hour before the scheduled time.
D. A client receives their meal tray 20 minutes late.
Answer: C. The client receiving insulin 1 hour before scheduled time.
Rationale: Administering insulin either too early or too late can put the client at risk for hypoglycemia or
hyperglycemia. This is a medication administration error, requiring an incident report.
───────────────────────────────────────────────────────
─
2. . A nurse prepares to administer methotrexate in oral tablet form to a client. Which of the
following actions should the nurse take?
A. Don a protective gown.
B. Handle the medication in a controlled ventilation area.
C. Wear an N95 mask.
D. Apply gloves.
Answer: D. Apply gloves.
Rationale: When handling oral chemotherapeutic or antineoplastic agents like methotrexate, gloves are
required to reduce exposure.
───────────────────────────────────────────────────────
─
3. . A nurse has accidentally administered a client’s dose of metformin instead of the
prescribed medication. Which of the following actions should the nurse take first?
A. Check the client’s glucose level.
B. Obtain the client’s HDL level.
C. Monitor the client’s thyroid function.
D. Collect a uric acid sample.
Answer: A. Check the client’s glucose level.
Rationale: Metformin lowers blood glucose. The priority is to assess for hypoglycemia by checking the
client’s current blood glucose.
───────────────────────────────────────────────────────
─
4. . A nurse is caring for a client receiving IV 0.9% sodium chloride for hypovolemia. Which of
the following findings indicates that treatment is effective?
A. Heart rate 104/min
B. 2+ pitting edema in lower extremities
C. Blood pressure 124/74 mm Hg
D. Increased hematocrit
, Answer: C. Blood pressure of 124/74 mm Hg
Rationale: Returning blood pressure to a normal range suggests resolution of hypovolemia.
───────────────────────────────────────────────────────
─
5. . A nurse is about to administer propranolol to a client. Which of the following should the
nurse assess prior to administering this medication?
A. Heart rate
B. Respiratory rate
C. Pain level
D. Temperature
Answer: A. Heart rate
Rationale: Propranolol, a nonselective beta-blocker, can cause bradycardia. The nurse should verify HR
before administration.
───────────────────────────────────────────────────────
─
6. . A nurse is assessing a client taking phenelzine who reports consuming aged cheese.
Which clinical manifestation indicates a possible interaction?
A. Somnolence
B. Bradycardia
C. Diarrhea
D. Hypertension
Answer: D. Hypertension
Rationale: Phenelzine (MAOI) and tyramine-containing foods (e.g., aged cheese) can precipitate a
hypertensive crisis.
───────────────────────────────────────────────────────
─
7. . A nurse is reviewing a client’s medical history before giving atropine. Which of the
following conditions is a contraindication for atropine?
A. Asthma
B. Diverticulitis
C. Glaucoma
D. Bronchospasms
Answer: C. Glaucoma
Rationale: Atropine can increase intraocular pressure due to its mydriatic effect, worsening glaucoma.
───────────────────────────────────────────────────────
─
8. . A home care nurse is teaching a client about safe medication disposal. Which of the
following instructions should the nurse include?
A. “Return expired medication to the pharmacist.”
