ATI RN Pharmacology Proctored Exam Retake 2023/2026 with NGN : Verified Questions &
100% Verified Answers | Guaranteed First Attempt Pass! PROCTORED EXAM STUDY GUIDE
Latest 2025/2026 Update (exam Questions with correct Answers and Rationales)
ATI RN PHARMACOLOGY PROCTORED EXAM RETAKE 2023/2026 – WITH NGN
SECTION I: Multiple Choice (Questions 1-80)
1. A nurse is administering IV furosemide (Lasix) to a client with heart failure. Which
finding requires immediate intervention?
• A) Urinary output of 200 mL in 2 hours
• B) Serum potassium 3.2 mEq/L
• C) Blood pressure 135/85 mm Hg
• D) Bilateral +1 pedal edema
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting. A serum potassium
of 3.2 mEq/L (hypokalemia) increases the risk of digoxin toxicity and cardiac arrhythmias.
Immediate intervention (e.g., potassium replacement) is needed. Option A indicates
adequate diuresis. Option C is acceptable. Option D shows mild edema.
2. A client is prescribed digoxin (Lanoxin) and furosemide. Which finding suggests digoxin
toxicity?
• A) Bradycardia and nausea
• B) Hypertension and polyuria
• C) Hyperkalemia and muscle cramps
• D) Tachycardia and dry mouth
Correct Answer: A
Rationale: Digoxin toxicity causes bradycardia, nausea, vomiting, visual disturbances (yellow-
green halos), and arrhythmias. Hypokalemia from furosemide increases toxicity risk.
, 3. A nurse is teaching a client about warfarin (Coumadin). Which statement indicates
understanding?
• A) “I will eat more green leafy vegetables.”
• B) “I will take ibuprofen for headaches.”
• C) “I will use an electric razor for shaving.”
• D) “I will check my blood glucose daily.”
Correct Answer: C
Rationale: Warfarin increases bleeding risk. An electric razor prevents cuts. Green leafy
vegetables (vitamin K) reduce warfarin efficacy. Ibuprofen increases GI bleeding risk.
4. A client receives enoxaparin (Lovenox) subcutaneously. Which action is correct?
• A) Expel air bubble before injection
• B) Massage site after injection
• C) Inject into abdominal tissue with needle at 90-degree angle
• D) Aspirate before injecting
Correct Answer: C
Rationale: Enoxaparin is given deep subcut in the abdomen, 90-degree angle, with air
bubble left in syringe (to prevent medication loss). Do not massage or aspirate.
5. A nurse administers naloxone (Narcan) to a client with opioid overdose. What is the
priority assessment after administration?
• A) Blood pressure
• B) Respiratory rate
• C) Level of consciousness
• D) Pain level
Correct Answer: B
Rationale: Naloxone reverses respiratory depression. The priority is to ensure respiratory
rate improves. BP and LOC are secondary.
6. A client with type 1 diabetes has a prescription for regular insulin at 0700. When is the
peak action time?
100% Verified Answers | Guaranteed First Attempt Pass! PROCTORED EXAM STUDY GUIDE
Latest 2025/2026 Update (exam Questions with correct Answers and Rationales)
ATI RN PHARMACOLOGY PROCTORED EXAM RETAKE 2023/2026 – WITH NGN
SECTION I: Multiple Choice (Questions 1-80)
1. A nurse is administering IV furosemide (Lasix) to a client with heart failure. Which
finding requires immediate intervention?
• A) Urinary output of 200 mL in 2 hours
• B) Serum potassium 3.2 mEq/L
• C) Blood pressure 135/85 mm Hg
• D) Bilateral +1 pedal edema
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting. A serum potassium
of 3.2 mEq/L (hypokalemia) increases the risk of digoxin toxicity and cardiac arrhythmias.
Immediate intervention (e.g., potassium replacement) is needed. Option A indicates
adequate diuresis. Option C is acceptable. Option D shows mild edema.
2. A client is prescribed digoxin (Lanoxin) and furosemide. Which finding suggests digoxin
toxicity?
• A) Bradycardia and nausea
• B) Hypertension and polyuria
• C) Hyperkalemia and muscle cramps
• D) Tachycardia and dry mouth
Correct Answer: A
Rationale: Digoxin toxicity causes bradycardia, nausea, vomiting, visual disturbances (yellow-
green halos), and arrhythmias. Hypokalemia from furosemide increases toxicity risk.
, 3. A nurse is teaching a client about warfarin (Coumadin). Which statement indicates
understanding?
• A) “I will eat more green leafy vegetables.”
• B) “I will take ibuprofen for headaches.”
• C) “I will use an electric razor for shaving.”
• D) “I will check my blood glucose daily.”
Correct Answer: C
Rationale: Warfarin increases bleeding risk. An electric razor prevents cuts. Green leafy
vegetables (vitamin K) reduce warfarin efficacy. Ibuprofen increases GI bleeding risk.
4. A client receives enoxaparin (Lovenox) subcutaneously. Which action is correct?
• A) Expel air bubble before injection
• B) Massage site after injection
• C) Inject into abdominal tissue with needle at 90-degree angle
• D) Aspirate before injecting
Correct Answer: C
Rationale: Enoxaparin is given deep subcut in the abdomen, 90-degree angle, with air
bubble left in syringe (to prevent medication loss). Do not massage or aspirate.
5. A nurse administers naloxone (Narcan) to a client with opioid overdose. What is the
priority assessment after administration?
• A) Blood pressure
• B) Respiratory rate
• C) Level of consciousness
• D) Pain level
Correct Answer: B
Rationale: Naloxone reverses respiratory depression. The priority is to ensure respiratory
rate improves. BP and LOC are secondary.
6. A client with type 1 diabetes has a prescription for regular insulin at 0700. When is the
peak action time?
