ATI RN
PHARMACOLOGY PROCTORED EXAM
2026, RN ATIPHARMACOLOGY
PROCTORED EXAM
1
,1. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chlorideIV over8 hours. The nurse
plans to use IV tubing with a drop factor of 10gtt/mL. How many gtt/min of IV fluid should the client receive?
(Round your answer to the nearest whole number).
31gtt/min
2. A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home
with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the
nurse take?
o Clarify the medication dosages with theprovider.
o Change the prescribed medication dosages to reconcilethe discrepancy
o Contact the pharmacist regarding the dosage discrepancies
o Ask a family member to verify the medication dosages
3. A nurse is caring for a client who is receiving a fentanyl
transdermalsystem(Duragesic). What is important to document in the
client’srecord?
o Fluidintake
o
Skinintegrity
o Respiratoryrate
oPulserate
4. A nurse is caring for a client who has acute angina and has a prescription
fornitroglycerin. Whichof the following is an appropriate intervention for the nurse totake
whenadministering thismedication?
o Massage the nitroglycerin ointment completely into
theskin. oReplace the nitroglycerin transdermal patch
every 4hours.
o Administer a sustained nitroglycerin tabletorally.
o Administer a nitroglycerin tablet sublingually every 5minutes.
o
5. A nurse is assessing a school age client who is experiencing seizure activity and
isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is
receivinga continuousinfusion of which of the followingIV:
o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units of
2
, regularinsulin o0.9% sodiumchloride
o 0.9% Sodium chloride with 20 mEq of potassiumchloride
o A nurse is providing discharge dietary teaching to a client who has a something and is taking
medicationtheophylline and to provide general instructions the nurse should include?
Avoid caffeinated beverages
2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes
mellitus. Whichof the following actions should the nurse take first?
Inject air into the NPH vial
3. a nurse is teaching a client who has a new prescription of Alendronate for
osteoporosis. Whatinstructions should the nurse include?
Sit upright for at least 30 mins after taking the medication
4. a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving
morphinefor pain. Which of the following findings should the nurse recognize as an adverse
effect of morphine?
Bladder distention
5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin.
Which of thefollowing information should the nurse include in the teaching?
Administer the medication into one nostril once per week
6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse should
instructthe newly license nurse for medication reconciliation for which of the following
clients?
A client who has been transferred to a step-down unit
7. a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical
ripening. Whichof the following is the nurses priority?
Uterine tachysystole
3
, 8. a nurse is performing a return demonstration of an enoxaparin administration. Which of the
followingclient actions indicates an understanding of the teaching?Administers the medication
into the abdomen
9. a nurse is assessing a client how has been taking digoxin and …… which of the following
findings to thenurse indicates this client has developed digoxin toxicity?Blurred vision
ATI PHARMACOLOGY PROCTORED EXAM
10. a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing
muscarinicresponse. Which if the following manifestations should the nurse
expect?Excessive salivation
6. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive
heartfailure. Whichof the following indicates an expectedfinding?
o Activitytolerance
o Orthostatichypoten
sion oLoss of strength
o Increase in bloodpressure
A nurse is providing teaching to a client who has ulcerative colitis and a new
prescription for sulfasalazine. The nurse should instruct the client to monitorfor which
of the following adverse effects of this medication?
1. Jaundice
2. Constipation
3. Oral candidiasis
4. Sedation
a nurse is providing teaching to a client who has rhematoid arthritis and a prescription
for long term prednisone therapy. the nurse should instruct theclient to monitor for
which of the following adverse effects?
1. Stress fractures
2. Orthostatic hypotension
3. Gingival ulcerations
4. Weight loss
Nurse is preparing to administer heparin 8,000 units subcutaneously everyeight hrs.
The amount available is heparin injection 10,000 units/mL. How many milliliters should
the nurse administer per dose? (Round the answer tothe nearest tenth)
4
PHARMACOLOGY PROCTORED EXAM
2026, RN ATIPHARMACOLOGY
PROCTORED EXAM
1
,1. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chlorideIV over8 hours. The nurse
plans to use IV tubing with a drop factor of 10gtt/mL. How many gtt/min of IV fluid should the client receive?
(Round your answer to the nearest whole number).
31gtt/min
2. A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home
with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the
nurse take?
o Clarify the medication dosages with theprovider.
o Change the prescribed medication dosages to reconcilethe discrepancy
o Contact the pharmacist regarding the dosage discrepancies
o Ask a family member to verify the medication dosages
3. A nurse is caring for a client who is receiving a fentanyl
transdermalsystem(Duragesic). What is important to document in the
client’srecord?
o Fluidintake
o
Skinintegrity
o Respiratoryrate
oPulserate
4. A nurse is caring for a client who has acute angina and has a prescription
fornitroglycerin. Whichof the following is an appropriate intervention for the nurse totake
whenadministering thismedication?
o Massage the nitroglycerin ointment completely into
theskin. oReplace the nitroglycerin transdermal patch
every 4hours.
o Administer a sustained nitroglycerin tabletorally.
o Administer a nitroglycerin tablet sublingually every 5minutes.
o
5. A nurse is assessing a school age client who is experiencing seizure activity and
isprescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is
receivinga continuousinfusion of which of the followingIV:
o Lactated Ringerssolution
o 0.9% Sodium chloride with 100 units of
2
, regularinsulin o0.9% sodiumchloride
o 0.9% Sodium chloride with 20 mEq of potassiumchloride
o A nurse is providing discharge dietary teaching to a client who has a something and is taking
medicationtheophylline and to provide general instructions the nurse should include?
Avoid caffeinated beverages
2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes
mellitus. Whichof the following actions should the nurse take first?
Inject air into the NPH vial
3. a nurse is teaching a client who has a new prescription of Alendronate for
osteoporosis. Whatinstructions should the nurse include?
Sit upright for at least 30 mins after taking the medication
4. a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving
morphinefor pain. Which of the following findings should the nurse recognize as an adverse
effect of morphine?
Bladder distention
5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin.
Which of thefollowing information should the nurse include in the teaching?
Administer the medication into one nostril once per week
6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse should
instructthe newly license nurse for medication reconciliation for which of the following
clients?
A client who has been transferred to a step-down unit
7. a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical
ripening. Whichof the following is the nurses priority?
Uterine tachysystole
3
, 8. a nurse is performing a return demonstration of an enoxaparin administration. Which of the
followingclient actions indicates an understanding of the teaching?Administers the medication
into the abdomen
9. a nurse is assessing a client how has been taking digoxin and …… which of the following
findings to thenurse indicates this client has developed digoxin toxicity?Blurred vision
ATI PHARMACOLOGY PROCTORED EXAM
10. a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing
muscarinicresponse. Which if the following manifestations should the nurse
expect?Excessive salivation
6. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive
heartfailure. Whichof the following indicates an expectedfinding?
o Activitytolerance
o Orthostatichypoten
sion oLoss of strength
o Increase in bloodpressure
A nurse is providing teaching to a client who has ulcerative colitis and a new
prescription for sulfasalazine. The nurse should instruct the client to monitorfor which
of the following adverse effects of this medication?
1. Jaundice
2. Constipation
3. Oral candidiasis
4. Sedation
a nurse is providing teaching to a client who has rhematoid arthritis and a prescription
for long term prednisone therapy. the nurse should instruct theclient to monitor for
which of the following adverse effects?
1. Stress fractures
2. Orthostatic hypotension
3. Gingival ulcerations
4. Weight loss
Nurse is preparing to administer heparin 8,000 units subcutaneously everyeight hrs.
The amount available is heparin injection 10,000 units/mL. How many milliliters should
the nurse administer per dose? (Round the answer tothe nearest tenth)
4
