ATI 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 situation requires the nurse to complete an incident
report?
A. A client vomits after receiving an oral medication.
B. A client experiences a seizure while ambulating.
C. A client receives insulin 1 hour before the scheduled time.
D. A client’s lunch tray is delivered 20 minutes late.
Correct Answer: C. A client receives insulin 1 hour before the scheduled time
Rationale: Administering insulin too early or late can cause significant blood glucose fluctuations and is
considered a medication-error timing incident.
───────────────────────────────────────────────────────
─
2. A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following
personal protective equipment (PPE) measures should the nurse use?
A. Don a protective gown.
B. Handle in an area with controlled ventilation.
C. Wear an N95 mask.
D. Apply gloves.
Correct Answer: D. Apply gloves
Rationale: When administering oral methotrexate (a chemotherapeutic agent), gloves are the minimum
required PPE to protect against hazardous drug exposure.
───────────────────────────────────────────────────────
─
3. A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following
actions should the nurse take first?
A. Check the client’s blood glucose level.
B. Obtain the client’s HDL level.
C. Monitor the client’s thyroid function.
D. Collect the client’s uric acid level.
Correct Answer: A. Check the client’s blood glucose level
Rationale: Metformin can lower blood glucose. The priority is to assess for hypoglycemia.
───────────────────────────────────────────────────────
─
4. A nurse is caring for a client receiving IV 0.9% sodium chloride for hypovolemia. Which of the following
findings indicates the treatment is effective?
A. Heart rate of 104/min
B. 2+ pitting edema in lower extremities
C. Blood pressure of 124/74 mmHg
D. Increased hematocrit
Correct Answer: C. Blood pressure of 124/74 mmHg
, Rationale: A normalizing blood pressure suggests improved fluid volume status.
───────────────────────────────────────────────────────
─
5. A nurse is preparing to administer propranolol to a client. Which of the following assessments should the
nurse check prior to administration?
A. Heart rate
B. Respiratory rate
C. Pain level
D. Temperature
Correct Answer: A. Heart rate
Rationale: Propranolol is a beta-blocker that can decrease heart rate. Holding the medication may be
necessary if bradycardia is present.
───────────────────────────────────────────────────────
─
6. A nurse is assessing a client who takes phenelzine and reports eating aged cheese. Which manifestation
indicates an interaction between this medication and tyramine-rich foods?
A. Somnolence
B. Bradycardia
C. Diarrhea
D. Hypertension
Correct Answer: D. Hypertension
Rationale: Aged cheese contains tyramine, which can provoke a hypertensive crisis in clients on MAOIs
like phenelzine.
───────────────────────────────────────────────────────
─
7. A nurse is reviewing a client’s medical history prior to administering atropine. Which of the following
conditions is contraindicated?
A. Diarrhea
B. Diverticulitis
C. Glaucoma
D. Bronchospasm
Correct Answer: C. Glaucoma
Rationale: Atropine’s mydriatic (pupil-dilating) effect can worsen intraocular pressure in 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.”
B. “Pour expired tablets into a wastebasket.”
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 situation requires the nurse to complete an incident
report?
A. A client vomits after receiving an oral medication.
B. A client experiences a seizure while ambulating.
C. A client receives insulin 1 hour before the scheduled time.
D. A client’s lunch tray is delivered 20 minutes late.
Correct Answer: C. A client receives insulin 1 hour before the scheduled time
Rationale: Administering insulin too early or late can cause significant blood glucose fluctuations and is
considered a medication-error timing incident.
───────────────────────────────────────────────────────
─
2. A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following
personal protective equipment (PPE) measures should the nurse use?
A. Don a protective gown.
B. Handle in an area with controlled ventilation.
C. Wear an N95 mask.
D. Apply gloves.
Correct Answer: D. Apply gloves
Rationale: When administering oral methotrexate (a chemotherapeutic agent), gloves are the minimum
required PPE to protect against hazardous drug exposure.
───────────────────────────────────────────────────────
─
3. A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following
actions should the nurse take first?
A. Check the client’s blood glucose level.
B. Obtain the client’s HDL level.
C. Monitor the client’s thyroid function.
D. Collect the client’s uric acid level.
Correct Answer: A. Check the client’s blood glucose level
Rationale: Metformin can lower blood glucose. The priority is to assess for hypoglycemia.
───────────────────────────────────────────────────────
─
4. A nurse is caring for a client receiving IV 0.9% sodium chloride for hypovolemia. Which of the following
findings indicates the treatment is effective?
A. Heart rate of 104/min
B. 2+ pitting edema in lower extremities
C. Blood pressure of 124/74 mmHg
D. Increased hematocrit
Correct Answer: C. Blood pressure of 124/74 mmHg
, Rationale: A normalizing blood pressure suggests improved fluid volume status.
───────────────────────────────────────────────────────
─
5. A nurse is preparing to administer propranolol to a client. Which of the following assessments should the
nurse check prior to administration?
A. Heart rate
B. Respiratory rate
C. Pain level
D. Temperature
Correct Answer: A. Heart rate
Rationale: Propranolol is a beta-blocker that can decrease heart rate. Holding the medication may be
necessary if bradycardia is present.
───────────────────────────────────────────────────────
─
6. A nurse is assessing a client who takes phenelzine and reports eating aged cheese. Which manifestation
indicates an interaction between this medication and tyramine-rich foods?
A. Somnolence
B. Bradycardia
C. Diarrhea
D. Hypertension
Correct Answer: D. Hypertension
Rationale: Aged cheese contains tyramine, which can provoke a hypertensive crisis in clients on MAOIs
like phenelzine.
───────────────────────────────────────────────────────
─
7. A nurse is reviewing a client’s medical history prior to administering atropine. Which of the following
conditions is contraindicated?
A. Diarrhea
B. Diverticulitis
C. Glaucoma
D. Bronchospasm
Correct Answer: C. Glaucoma
Rationale: Atropine’s mydriatic (pupil-dilating) effect can worsen intraocular pressure in 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.”
B. “Pour expired tablets into a wastebasket.”
