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. QUESTION
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Scenario: A client with seizure disorder has a new prescription for carbamazepine. The nurse educates on
adverse effects.
. Which of the following adverse effects should the client monitor for and report?
A. Insomnia
B. Blurred vision
C. Tachypnea
D. Metallic taste
Correct Answer: B. Blurred vision
Rationale:
• Carbamazepine can cause visual disturbances (e.g., blurred or double vision).
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2. QUESTION (Medication Calculation)
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Scenario: A nurse needs to administer heparin 4,000 units subcut. The vial is labeled 10,000 units/mL.
How many mL should the nurse administer?
A. 0.25 mL
B. 0.3 mL
C. 0.4 mL
D. 0.5 mL
Correct Answer: C. 0.4 mL
Rationale:
• Desired dose ÷ Available concentration = 4,000 units ÷ (10,000 units/mL) = 0.4 mL.
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QUESTION 3
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Scenario: A client with chronic pain states their medication “no longer works.” The provider prescribes a
new opioid, but it requires a written prescription.
Which of the following medications requires a written rather than verbal prescription from the
provider?
A. Fentanyl
B. Butorphanol
C. Lorazepam
D. Pentazocine
, Correct Answer: A. Fentanyl
Rationale:
• Fentanyl is a Schedule II controlled substance, requiring a written prescription.
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QUESTION 4
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Scenario: A charge nurse observes a newly licensed nurse providing care. The charge nurse identifies a
critical action that requires an incident report.
Which of the following actions by the new nurse requires the charge nurse to complete an incident
report?
A. Requests a higher dose of morphine for a client still in severe pain 30 min after receiving 2 mg IV bolus
B. Administers ondansetron to a client who vomited twice after receiving meperidine 75 mg IM
C. Gives a scheduled morning dose of insulin to a client whose blood glucose is 120 mg/dL
D. Administers a morning dose of lithium to a client whose lithium level is 1.8 mEq/L
Correct Answer: D. Administers lithium to a client whose level is 1.8 mEq/L
Rationale:
• A lithium level of 1.8 mEq/L indicates probable toxicity (therapeutic range around 0.6–1.2 mEq/L). The
dose should be held, and the provider notified.
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QUESTION 5
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Scenario: A client with alcohol use disorder is hospitalized for withdrawal symptoms (tremors, diaphoresis,
agitation). The nurse plans immediate interventions.
Which of the following interventions is the priority?
A. Assist the client to identify triggers for alcohol use
B. Encourage participation in a 12-step program
C. Implement seizure precautions
D. Administer naltrexone for abstinence maintenance
Correct Answer: C. Implement seizure precautions
Rationale:
• During withdrawal, there's a high seizure risk. Ensuring client safety is the priority.
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QUESTION 6
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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. QUESTION
───────────────────────────────────────────────────────
─
Scenario: A client with seizure disorder has a new prescription for carbamazepine. The nurse educates on
adverse effects.
. Which of the following adverse effects should the client monitor for and report?
A. Insomnia
B. Blurred vision
C. Tachypnea
D. Metallic taste
Correct Answer: B. Blurred vision
Rationale:
• Carbamazepine can cause visual disturbances (e.g., blurred or double vision).
───────────────────────────────────────────────────────
─
2. QUESTION (Medication Calculation)
───────────────────────────────────────────────────────
─
Scenario: A nurse needs to administer heparin 4,000 units subcut. The vial is labeled 10,000 units/mL.
How many mL should the nurse administer?
A. 0.25 mL
B. 0.3 mL
C. 0.4 mL
D. 0.5 mL
Correct Answer: C. 0.4 mL
Rationale:
• Desired dose ÷ Available concentration = 4,000 units ÷ (10,000 units/mL) = 0.4 mL.
───────────────────────────────────────────────────────
─
QUESTION 3
───────────────────────────────────────────────────────
─
Scenario: A client with chronic pain states their medication “no longer works.” The provider prescribes a
new opioid, but it requires a written prescription.
Which of the following medications requires a written rather than verbal prescription from the
provider?
A. Fentanyl
B. Butorphanol
C. Lorazepam
D. Pentazocine
, Correct Answer: A. Fentanyl
Rationale:
• Fentanyl is a Schedule II controlled substance, requiring a written prescription.
───────────────────────────────────────────────────────
─
QUESTION 4
───────────────────────────────────────────────────────
─
Scenario: A charge nurse observes a newly licensed nurse providing care. The charge nurse identifies a
critical action that requires an incident report.
Which of the following actions by the new nurse requires the charge nurse to complete an incident
report?
A. Requests a higher dose of morphine for a client still in severe pain 30 min after receiving 2 mg IV bolus
B. Administers ondansetron to a client who vomited twice after receiving meperidine 75 mg IM
C. Gives a scheduled morning dose of insulin to a client whose blood glucose is 120 mg/dL
D. Administers a morning dose of lithium to a client whose lithium level is 1.8 mEq/L
Correct Answer: D. Administers lithium to a client whose level is 1.8 mEq/L
Rationale:
• A lithium level of 1.8 mEq/L indicates probable toxicity (therapeutic range around 0.6–1.2 mEq/L). The
dose should be held, and the provider notified.
───────────────────────────────────────────────────────
─
QUESTION 5
───────────────────────────────────────────────────────
─
Scenario: A client with alcohol use disorder is hospitalized for withdrawal symptoms (tremors, diaphoresis,
agitation). The nurse plans immediate interventions.
Which of the following interventions is the priority?
A. Assist the client to identify triggers for alcohol use
B. Encourage participation in a 12-step program
C. Implement seizure precautions
D. Administer naltrexone for abstinence maintenance
Correct Answer: C. Implement seizure precautions
Rationale:
• During withdrawal, there's a high seizure risk. Ensuring client safety is the priority.
───────────────────────────────────────────────────────
─
QUESTION 6
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