Actual ATI RN Pharmacology 2023 Proctored Exam with
NGN Questions and Answers-2026 Version.
ATI RN PHARMACOLOGY PROCTORED EXAM – VERSION 2 (100 ITEMS)
SECTION A: STANDALONE QUESTIONS
,1. A nurse is teaching a client about warfarin. Which statement by the client indicates a need for further
teaching?
A. "I will avoid eating large amounts of kale and spinach."
B. "I will get my INR checked regularly."
C. "I can take ibuprofen for my headaches."
D. "I will watch for bleeding gums."
Answer: C – NSAIDs increase bleeding risk with warfarin.
2. A client with asthma is prescribed salmeterol (Serevent). Which instruction is most important?
A. "Use this for sudden shortness of breath."
B. "This is a maintenance medication, not for rescue."
, C. "Take it with food to prevent nausea."
D. "Rinse your mouth after each use."
Answer: B – Salmeterol is long-acting; not for acute attacks.
3. A nurse administers IV hydralazine. The client's blood pressure drops from 160/90 to 100/60. What is the
priority action?
A. Administer IV fluids
B. Place client in Trendelenburg position
C. Continue monitoring
D. Stop the infusion
, Answer: D – Stop hydralazine; rapid drop can cause hypotension.
4. A client on linezolid reports eating aged cheese and red wine. What adverse reaction should the nurse
monitor for?
A. Hypertensive crisis
B. Serotonin syndrome
C. Nephrotoxicity
D. Ototoxicity
Answer: A – Linezolid (MAOI-like effect) + tyramine = hypertensive crisis.
5. Which medication is contraindicated within 48 hours of receiving IV contrast dye?
A. Lisinopril
B. Metformin
C. Furosemide
D. Metoprolol
Answer: B – Metformin + contrast = risk of lactic acidosis.
6. A client takes risperidone. Which finding should the nurse report immediately?
A. Weight gain of 2 kg in 1 month
B. Drowsiness after evening dose
C. Neck muscle spasms and tongue protrusion
D. Mild dry mouth
NGN Questions and Answers-2026 Version.
ATI RN PHARMACOLOGY PROCTORED EXAM – VERSION 2 (100 ITEMS)
SECTION A: STANDALONE QUESTIONS
,1. A nurse is teaching a client about warfarin. Which statement by the client indicates a need for further
teaching?
A. "I will avoid eating large amounts of kale and spinach."
B. "I will get my INR checked regularly."
C. "I can take ibuprofen for my headaches."
D. "I will watch for bleeding gums."
Answer: C – NSAIDs increase bleeding risk with warfarin.
2. A client with asthma is prescribed salmeterol (Serevent). Which instruction is most important?
A. "Use this for sudden shortness of breath."
B. "This is a maintenance medication, not for rescue."
, C. "Take it with food to prevent nausea."
D. "Rinse your mouth after each use."
Answer: B – Salmeterol is long-acting; not for acute attacks.
3. A nurse administers IV hydralazine. The client's blood pressure drops from 160/90 to 100/60. What is the
priority action?
A. Administer IV fluids
B. Place client in Trendelenburg position
C. Continue monitoring
D. Stop the infusion
, Answer: D – Stop hydralazine; rapid drop can cause hypotension.
4. A client on linezolid reports eating aged cheese and red wine. What adverse reaction should the nurse
monitor for?
A. Hypertensive crisis
B. Serotonin syndrome
C. Nephrotoxicity
D. Ototoxicity
Answer: A – Linezolid (MAOI-like effect) + tyramine = hypertensive crisis.
5. Which medication is contraindicated within 48 hours of receiving IV contrast dye?
A. Lisinopril
B. Metformin
C. Furosemide
D. Metoprolol
Answer: B – Metformin + contrast = risk of lactic acidosis.
6. A client takes risperidone. Which finding should the nurse report immediately?
A. Weight gain of 2 kg in 1 month
B. Drowsiness after evening dose
C. Neck muscle spasms and tongue protrusion
D. Mild dry mouth
