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. . PROPOFOL ADVERSE EFFECT
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,Scenario: A client who received propofol for a colonoscopy is in the recovery room.
Question: Which of the following should the nurse monitor for as an adverse effect of propofol?
A. Increased bowel function
B. Increased heart rate
C. Decreased respiratory rate
D. Decreased body temperature
Correct Answer: C. Decreased respiratory rate
Rationale: Propofol depresses the CNS and can lead to respiratory depression.
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2. . FILGRASTIM EFFECTIVENESS
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Scenario: A client with neutropenia receives filgrastim injections daily. The nurse reviews recent lab results.
Question: Which lab value should the nurse monitor to evaluate the effectiveness of filgrastim therapy?
A. WBC count
B. INR
C. BUN
D. Potassium
Correct Answer: A. WBC count
Rationale: Filgrastim stimulates production of white blood cells. Monitoring WBC count measures effectiveness.
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3. . CEFACLOR ALLERGIC REACTION
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Scenario: A client taking cefaclor reports new physical symptoms to the nurse.
Question: Which of the following findings should the nurse recognize as an indication of an allergic
reaction?
A. Hematuria
B. Pruritus
C. Slurred speech
D. Tremor
Correct Answer: B. Pruritus
Rationale: Pruritus (itching) often accompanies hypersensitivity reactions to antibiotics such as cephalosporins.
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4. . RIGHT MEDICATION ADMINISTRATION
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Scenario: A nurse is preparing to administer a newly prescribed medication. The nurse follows the six rights of
medication administration.
Question: Which of the following actions ensures the right medication is administered to the correct client?
A. Ask another nurse to check the medication dosage prior to administration
B. Use two client identifiers prior to administering the medication
C. Document the full name of the prescribed medication after administration
D. Verify a written order with the medication administration record
, Correct Answer: B. Use two client identifiers prior to administering the medication
Rationale: Verifying two unique client identifiers is a key step to ensure safe medication administration.
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5. . NITROGLYCERIN SUBLINGUAL INSTRUCTIONS
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Scenario: A client newly diagnosed with angina receives a prescription for sublingual nitroglycerin tablets.
Question: Which of the following instructions should the nurse include in the teaching?
A. “Call 911 if pain persists 30 minutes after taking one tablet.”
B. “Place the tablet under the tongue until dissolved.”
C. “Store the tablets in a refrigerator in a plastic container.”
D. “Take a tablet every 10 minutes until the pain subsides.”
Correct Answer: B. “Place the tablet under the tongue until dissolved.”
Rationale: Sublingual nitroglycerin is rapidly absorbed when allowed to dissolve under the tongue.
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6. . PROPRANOLOL ASSESSMENT BEFORE ADMINISTRATION
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Scenario: A nurse is preparing to give propranolol to a client with hypertension. The nurse checks the client’s current
vitals.
Question: Which of the following assessments is the priority before administering propranolol?
A. Pain level
B. Respiratory rate
C. Heart rate
D. Temperature
Correct Answer: C. Heart rate
Rationale: Propranolol can decrease heart rate. Withhold if heart rate is too low (e.g., <60 bpm).
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7. . NITROGLYCERIN AND CONTRAINDICATED MEDICATION
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Scenario: A client with chest pain is prescribed sublingual nitroglycerin. During medication reconciliation, the nurse
identifies a potential interaction.
Question: Which of the following medications is contraindicated with nitroglycerin?
A. Lansoprazole
B. Diazepam
C. Sildenafil
D. Gemfibrozil
Correct Answer: C. Sildenafil
Rationale: Sildenafil (a phosphodiesterase inhibitor) plus nitroglycerin can cause severe, life-threatening
hypotension.
──────────────────────────────────────────────────────────
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. . PROPOFOL ADVERSE EFFECT
──────────────────────────────────────────────────────────
,Scenario: A client who received propofol for a colonoscopy is in the recovery room.
Question: Which of the following should the nurse monitor for as an adverse effect of propofol?
A. Increased bowel function
B. Increased heart rate
C. Decreased respiratory rate
D. Decreased body temperature
Correct Answer: C. Decreased respiratory rate
Rationale: Propofol depresses the CNS and can lead to respiratory depression.
──────────────────────────────────────────────────────────
2. . FILGRASTIM EFFECTIVENESS
──────────────────────────────────────────────────────────
Scenario: A client with neutropenia receives filgrastim injections daily. The nurse reviews recent lab results.
Question: Which lab value should the nurse monitor to evaluate the effectiveness of filgrastim therapy?
A. WBC count
B. INR
C. BUN
D. Potassium
Correct Answer: A. WBC count
Rationale: Filgrastim stimulates production of white blood cells. Monitoring WBC count measures effectiveness.
──────────────────────────────────────────────────────────
3. . CEFACLOR ALLERGIC REACTION
──────────────────────────────────────────────────────────
Scenario: A client taking cefaclor reports new physical symptoms to the nurse.
Question: Which of the following findings should the nurse recognize as an indication of an allergic
reaction?
A. Hematuria
B. Pruritus
C. Slurred speech
D. Tremor
Correct Answer: B. Pruritus
Rationale: Pruritus (itching) often accompanies hypersensitivity reactions to antibiotics such as cephalosporins.
──────────────────────────────────────────────────────────
4. . RIGHT MEDICATION ADMINISTRATION
──────────────────────────────────────────────────────────
Scenario: A nurse is preparing to administer a newly prescribed medication. The nurse follows the six rights of
medication administration.
Question: Which of the following actions ensures the right medication is administered to the correct client?
A. Ask another nurse to check the medication dosage prior to administration
B. Use two client identifiers prior to administering the medication
C. Document the full name of the prescribed medication after administration
D. Verify a written order with the medication administration record
, Correct Answer: B. Use two client identifiers prior to administering the medication
Rationale: Verifying two unique client identifiers is a key step to ensure safe medication administration.
──────────────────────────────────────────────────────────
5. . NITROGLYCERIN SUBLINGUAL INSTRUCTIONS
──────────────────────────────────────────────────────────
Scenario: A client newly diagnosed with angina receives a prescription for sublingual nitroglycerin tablets.
Question: Which of the following instructions should the nurse include in the teaching?
A. “Call 911 if pain persists 30 minutes after taking one tablet.”
B. “Place the tablet under the tongue until dissolved.”
C. “Store the tablets in a refrigerator in a plastic container.”
D. “Take a tablet every 10 minutes until the pain subsides.”
Correct Answer: B. “Place the tablet under the tongue until dissolved.”
Rationale: Sublingual nitroglycerin is rapidly absorbed when allowed to dissolve under the tongue.
──────────────────────────────────────────────────────────
6. . PROPRANOLOL ASSESSMENT BEFORE ADMINISTRATION
──────────────────────────────────────────────────────────
Scenario: A nurse is preparing to give propranolol to a client with hypertension. The nurse checks the client’s current
vitals.
Question: Which of the following assessments is the priority before administering propranolol?
A. Pain level
B. Respiratory rate
C. Heart rate
D. Temperature
Correct Answer: C. Heart rate
Rationale: Propranolol can decrease heart rate. Withhold if heart rate is too low (e.g., <60 bpm).
──────────────────────────────────────────────────────────
7. . NITROGLYCERIN AND CONTRAINDICATED MEDICATION
──────────────────────────────────────────────────────────
Scenario: A client with chest pain is prescribed sublingual nitroglycerin. During medication reconciliation, the nurse
identifies a potential interaction.
Question: Which of the following medications is contraindicated with nitroglycerin?
A. Lansoprazole
B. Diazepam
C. Sildenafil
D. Gemfibrozil
Correct Answer: C. Sildenafil
Rationale: Sildenafil (a phosphodiesterase inhibitor) plus nitroglycerin can cause severe, life-threatening
hypotension.
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