ATI RN Pharmacology 2023 Proctored Exam with NGN 100
Questions and Answers-2026 Version.
ATI RN PHARMACOLOGY PROCTORED EXAM – NGN VERSION (100 ITEMS)
SECTION A: STANDALONE QUESTIONS (1–45)
1. A nurse is teaching a client with heart failure about digoxin. Which of the following
should the client report immediately?
A. Blurred yellow vision
B. Mild nausea after meals
C. Heart rate of 68 bpm
D. Weight gain of 0.5 kg in 2 days
Answer: A – Yellow/blurred vision indicates digoxin toxicity.
2. A client is prescribed enoxaparin (Lovenox). Which statement by the client indicates
understanding?
A. “I will take this pill with food.”
B. “I will inject it into my abdomen.”
C. “I will stop taking aspirin while on this.”
D. “I will massage the site after injection.”
Answer: B – Enoxaparin is given subcutaneously in the abdomen. Do not massage.
,3. A nurse administers furosemide IV push. Which finding requires immediate action?
A. Serum potassium 3.2 mEq/L
B. Blood glucose 140 mg/dL
C. Urine output 40 mL/hour
D. BUN 18 mg/dL
Answer: A – Hypokalemia increases risk of digoxin toxicity and arrhythmias.
4. A client with tuberculosis is started on rifampin. Which finding is expected?
A. Red-orange urine
B. Blurred vision
C. Constipation
D. Dry cough
Answer: A – Rifampin causes red-orange discoloration of body fluids.
5. Which medication requires a lead II ECG strip before administration?
A. Lisinopril
B. Metoprolol
C. Amiodarone
D. Spironolactone
,Answer: C – Amiodarone prolongs QT interval; baseline ECG needed.
6. A nurse reviews laboratory results for a client on lithium. Which level indicates toxicity?
A. 0.6 mEq/L
B. 0.8 mEq/L
C. 1.2 mEq/L
D. 1.8 mEq/L
Answer: D – Therapeutic: 0.6–1.2 mEq/L. >1.5 mEq/L = toxicity.
7. A client is prescribed warfarin. Which laboratory value indicates therapeutic effect for
atrial fibrillation?
A. INR 1.0
B. INR 2.5
C. aPTT 60 seconds
D. Platelets 150,000
Answer: B – Target INR for AF is 2–3.
8. Which medication is contraindicated in a client with a sulfa allergy?
A. Furosemide
B. Metformin
, C. Lisinopril
D. Atorvastatin
Answer: A – Furosemide is a sulfonamide derivative.
9. A nurse administers naloxone to a client with opioid overdose. Which finding indicates
effectiveness?
A. Respiratory rate increases from 6 to 16
B. Pupils become pinpoint
C. Blood pressure drops
D. Client becomes sedated
Answer: A – Naloxone reverses respiratory depression.
10. A client on metformin reports muscle pain and fatigue. Which lab should be checked?
A. Hemoglobin A1c
B. Serum lactate
C. Liver enzymes
D. Creatinine kinase
Answer: B – Metformin can cause lactic acidosis; muscle pain is a symptom.
Questions and Answers-2026 Version.
ATI RN PHARMACOLOGY PROCTORED EXAM – NGN VERSION (100 ITEMS)
SECTION A: STANDALONE QUESTIONS (1–45)
1. A nurse is teaching a client with heart failure about digoxin. Which of the following
should the client report immediately?
A. Blurred yellow vision
B. Mild nausea after meals
C. Heart rate of 68 bpm
D. Weight gain of 0.5 kg in 2 days
Answer: A – Yellow/blurred vision indicates digoxin toxicity.
2. A client is prescribed enoxaparin (Lovenox). Which statement by the client indicates
understanding?
A. “I will take this pill with food.”
B. “I will inject it into my abdomen.”
C. “I will stop taking aspirin while on this.”
D. “I will massage the site after injection.”
Answer: B – Enoxaparin is given subcutaneously in the abdomen. Do not massage.
,3. A nurse administers furosemide IV push. Which finding requires immediate action?
A. Serum potassium 3.2 mEq/L
B. Blood glucose 140 mg/dL
C. Urine output 40 mL/hour
D. BUN 18 mg/dL
Answer: A – Hypokalemia increases risk of digoxin toxicity and arrhythmias.
4. A client with tuberculosis is started on rifampin. Which finding is expected?
A. Red-orange urine
B. Blurred vision
C. Constipation
D. Dry cough
Answer: A – Rifampin causes red-orange discoloration of body fluids.
5. Which medication requires a lead II ECG strip before administration?
A. Lisinopril
B. Metoprolol
C. Amiodarone
D. Spironolactone
,Answer: C – Amiodarone prolongs QT interval; baseline ECG needed.
6. A nurse reviews laboratory results for a client on lithium. Which level indicates toxicity?
A. 0.6 mEq/L
B. 0.8 mEq/L
C. 1.2 mEq/L
D. 1.8 mEq/L
Answer: D – Therapeutic: 0.6–1.2 mEq/L. >1.5 mEq/L = toxicity.
7. A client is prescribed warfarin. Which laboratory value indicates therapeutic effect for
atrial fibrillation?
A. INR 1.0
B. INR 2.5
C. aPTT 60 seconds
D. Platelets 150,000
Answer: B – Target INR for AF is 2–3.
8. Which medication is contraindicated in a client with a sulfa allergy?
A. Furosemide
B. Metformin
, C. Lisinopril
D. Atorvastatin
Answer: A – Furosemide is a sulfonamide derivative.
9. A nurse administers naloxone to a client with opioid overdose. Which finding indicates
effectiveness?
A. Respiratory rate increases from 6 to 16
B. Pupils become pinpoint
C. Blood pressure drops
D. Client becomes sedated
Answer: A – Naloxone reverses respiratory depression.
10. A client on metformin reports muscle pain and fatigue. Which lab should be checked?
A. Hemoglobin A1c
B. Serum lactate
C. Liver enzymes
D. Creatinine kinase
Answer: B – Metformin can cause lactic acidosis; muscle pain is a symptom.
