ATI RN Pharmacology 2023/2026
Proctored Exam with NGN 150
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Questions 1-20: Cardiovascular Medications
1. A nurse is administering morphine to a client for postoperative pain. Which
assessment finding requires immediate intervention?
A. Mild nausea
B. Respiratory rate of 8/min
C. Drowsiness
D. Constipation
Answer: B. Respiratory rate of 8/min
Rationale: Morphine can cause respiratory depression. A respiratory rate below 10/min is
critical and requires immediate action. Naloxone may be needed to reverse the effects .
2. Which lab value should the nurse monitor for a client taking warfarin?
A. Potassium
B. INR
C. Hemoglobin A1c
D. BUN
,Answer: B. INR
Rationale: INR (International Normalized Ratio) measures the effectiveness of warfarin
and risk for bleeding. Therapeutic range is typically 2-3 for most conditions .
3. A client is prescribed digoxin. Which symptom indicates digoxin toxicity?
A. Constipation
B. Visual disturbances, such as yellow halos
C. Bradycardia only
D. Hypertension
Answer: B. Visual disturbances, such as yellow halos
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and visual
disturbances like yellow halos or blurred vision. The nurse should hold the dose and
notify the provider .
4. A client is prescribed furosemide. Which electrolyte imbalance is the nurse most
concerned about?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Answer: B. Hypokalemia
Rationale: Furosemide, a loop diuretic, can cause potassium loss, leading to
hypokalemia. This increases the risk of dysrhythmias, especially in clients taking digoxin .
5. Which instruction should the nurse provide for a client taking atorvastatin?
A. Take with grapefruit juice
B. Report muscle pain or weakness
C. Increase vitamin K intake
D. Take on an empty stomach
,Answer: B. Report muscle pain or weakness
Rationale: Statins can cause muscle injury (myopathy or rhabdomyolysis); clients should
report unexplained muscle pain, tenderness, or weakness immediately .
6. Which side effect is common with ACE inhibitors like lisinopril?
A. Dry cough
B. Tachycardia
C. Constipation
D. Hyperglycemia
Answer: A. Dry cough
Rationale: ACE inhibitors can cause a persistent dry cough due to bradykinin
accumulation. If intolerable, the provider may switch to an ARB like losartan .
7. A client taking spironolactone should avoid which food?
A. Bananas
B. Apples
C. Rice
D. Chicken
Answer: A. Bananas
Rationale: Spironolactone is potassium-sparing; high potassium foods (bananas,
oranges, potatoes, salt substitutes) increase the risk of hyperkalemia .
8. Which medication is used to reverse heparin anticoagulation?
A. Vitamin K
B. Protamine sulfate
C. Warfarin
D. Aspirin
Answer: B. Protamine sulfate
Rationale: Protamine sulfate binds and inactivates heparin in case of overdose or
bleeding complications .
, 9. A nurse is assessing a client who has received oxycodone. The nurse notes that
the client's respiratory rate is 8/min. What is the pathophysiology for this finding?
A. Oxycodone blocks the sodium channel suspending nerve conduction
B. Oxycodone promotes vasodilation of cranial arteries
C. Oxycodone causes central nervous system depression
D. Oxycodone inhibits prostaglandin synthesis
Answer: C. Oxycodone causes central nervous system depression
Rationale: Oxycodone is an opioid analgesic that causes central nervous system
depression, including respiratory depression. A respiratory rate of 8/min indicates a
potentially dangerous side effect requiring immediate intervention .
10. A nurse is preparing to administer a scheduled dose of warfarin to a client.
Which laboratory test should the nurse review prior to administration?
A. PT (Prothrombin time)
B. Total iron-binding capacity
C. WBC
D. PTT
Answer: A. PT (Prothrombin time)
Rationale: Warfarin affects the extrinsic pathway of coagulation, which is monitored by
the prothrombin time (PT). Reviewing the PT and INR is essential to ensure therapeutic
levels and prevent bleeding complications .
11. A nurse is caring for a client who has a new prescription for nitroglycerin.
Which of the following client medications is contraindicated for use with
nitroglycerin?
A. Sildenafil
B. Gemfibrozil
C. Lansoprazole
D. Diazepam
Proctored Exam with NGN 150
Screenshot Questions and Answers
100% Verified Correct Answers Real
Exam Prep Pass Fast and Score High
First Attempt
EXAM
Questions 1-20: Cardiovascular Medications
1. A nurse is administering morphine to a client for postoperative pain. Which
assessment finding requires immediate intervention?
A. Mild nausea
B. Respiratory rate of 8/min
C. Drowsiness
D. Constipation
Answer: B. Respiratory rate of 8/min
Rationale: Morphine can cause respiratory depression. A respiratory rate below 10/min is
critical and requires immediate action. Naloxone may be needed to reverse the effects .
2. Which lab value should the nurse monitor for a client taking warfarin?
A. Potassium
B. INR
C. Hemoglobin A1c
D. BUN
,Answer: B. INR
Rationale: INR (International Normalized Ratio) measures the effectiveness of warfarin
and risk for bleeding. Therapeutic range is typically 2-3 for most conditions .
3. A client is prescribed digoxin. Which symptom indicates digoxin toxicity?
A. Constipation
B. Visual disturbances, such as yellow halos
C. Bradycardia only
D. Hypertension
Answer: B. Visual disturbances, such as yellow halos
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and visual
disturbances like yellow halos or blurred vision. The nurse should hold the dose and
notify the provider .
4. A client is prescribed furosemide. Which electrolyte imbalance is the nurse most
concerned about?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Answer: B. Hypokalemia
Rationale: Furosemide, a loop diuretic, can cause potassium loss, leading to
hypokalemia. This increases the risk of dysrhythmias, especially in clients taking digoxin .
5. Which instruction should the nurse provide for a client taking atorvastatin?
A. Take with grapefruit juice
B. Report muscle pain or weakness
C. Increase vitamin K intake
D. Take on an empty stomach
,Answer: B. Report muscle pain or weakness
Rationale: Statins can cause muscle injury (myopathy or rhabdomyolysis); clients should
report unexplained muscle pain, tenderness, or weakness immediately .
6. Which side effect is common with ACE inhibitors like lisinopril?
A. Dry cough
B. Tachycardia
C. Constipation
D. Hyperglycemia
Answer: A. Dry cough
Rationale: ACE inhibitors can cause a persistent dry cough due to bradykinin
accumulation. If intolerable, the provider may switch to an ARB like losartan .
7. A client taking spironolactone should avoid which food?
A. Bananas
B. Apples
C. Rice
D. Chicken
Answer: A. Bananas
Rationale: Spironolactone is potassium-sparing; high potassium foods (bananas,
oranges, potatoes, salt substitutes) increase the risk of hyperkalemia .
8. Which medication is used to reverse heparin anticoagulation?
A. Vitamin K
B. Protamine sulfate
C. Warfarin
D. Aspirin
Answer: B. Protamine sulfate
Rationale: Protamine sulfate binds and inactivates heparin in case of overdose or
bleeding complications .
, 9. A nurse is assessing a client who has received oxycodone. The nurse notes that
the client's respiratory rate is 8/min. What is the pathophysiology for this finding?
A. Oxycodone blocks the sodium channel suspending nerve conduction
B. Oxycodone promotes vasodilation of cranial arteries
C. Oxycodone causes central nervous system depression
D. Oxycodone inhibits prostaglandin synthesis
Answer: C. Oxycodone causes central nervous system depression
Rationale: Oxycodone is an opioid analgesic that causes central nervous system
depression, including respiratory depression. A respiratory rate of 8/min indicates a
potentially dangerous side effect requiring immediate intervention .
10. A nurse is preparing to administer a scheduled dose of warfarin to a client.
Which laboratory test should the nurse review prior to administration?
A. PT (Prothrombin time)
B. Total iron-binding capacity
C. WBC
D. PTT
Answer: A. PT (Prothrombin time)
Rationale: Warfarin affects the extrinsic pathway of coagulation, which is monitored by
the prothrombin time (PT). Reviewing the PT and INR is essential to ensure therapeutic
levels and prevent bleeding complications .
11. A nurse is caring for a client who has a new prescription for nitroglycerin.
Which of the following client medications is contraindicated for use with
nitroglycerin?
A. Sildenafil
B. Gemfibrozil
C. Lansoprazole
D. Diazepam
