ATI RN PHARMACOLOGY PROCTORED EXAM –
NGN VERSION (2026 STYLE)
Part 1: Multiple Choice (Questions 1–60)
1. A nurse is administering IV vancomycin. Which finding
requires immediate intervention?
A. Flushing and pruritus of the neck and face
B. Serum creatinine 1.1 mg/dL
C. Tinnitus
D. Infiltration of IV site
Answer: A – Red man syndrome (flushing, pruritus) requires
slowing the infusion; it’s not an allergic reaction but a
histamine release.
2. A client on lithium reports nausea, blurred vision, and fine
hand tremors. Which action should the nurse take?
A. Hold the next dose and obtain a lithium level
,B. Administer benztropine for tremors
C. Encourage increased fluid intake
D. Reassure the client that this is normal
Answer: A – Early toxicity (1.5–2.0 mEq/L) causes these
symptoms; hold dose and check level.
3. A nurse provides discharge teaching for a client on warfarin.
Which statement indicates understanding?
A. “I will take ibuprofen for headaches.”
B. “I will eat more leafy green vegetables.”
C. “I will use an electric razor.”
D. “I will check my INR weekly at home.”
Answer: C – Electric razor reduces bleeding risk.
4. A client receives furosemide 40 mg IV. Which finding
indicates a therapeutic effect?
A. Decreased blood pressure
, B. Urine output 200 mL in 2 hours
C. Potassium 4.0 mEq/L
D. Weight loss of 1 kg in 24 hours
Answer: D – Weight loss from diuresis is the best indicator.
5. A nurse is administering digoxin. Which finding should
prompt withholding the dose?
A. Heart rate 62 bpm
B. Apical pulse 52 bpm
C. Potassium 4.2 mEq/L
D. Client reports nausea
Answer: B – Hold if apical pulse <60 bpm in an adult (or <70 in
an infant/child).
6. A client on enoxaparin post-op develops sudden back pain
and leg numbness. What should the nurse suspect?
A. Heparin-induced thrombocytopenia (HIT)
NGN VERSION (2026 STYLE)
Part 1: Multiple Choice (Questions 1–60)
1. A nurse is administering IV vancomycin. Which finding
requires immediate intervention?
A. Flushing and pruritus of the neck and face
B. Serum creatinine 1.1 mg/dL
C. Tinnitus
D. Infiltration of IV site
Answer: A – Red man syndrome (flushing, pruritus) requires
slowing the infusion; it’s not an allergic reaction but a
histamine release.
2. A client on lithium reports nausea, blurred vision, and fine
hand tremors. Which action should the nurse take?
A. Hold the next dose and obtain a lithium level
,B. Administer benztropine for tremors
C. Encourage increased fluid intake
D. Reassure the client that this is normal
Answer: A – Early toxicity (1.5–2.0 mEq/L) causes these
symptoms; hold dose and check level.
3. A nurse provides discharge teaching for a client on warfarin.
Which statement indicates understanding?
A. “I will take ibuprofen for headaches.”
B. “I will eat more leafy green vegetables.”
C. “I will use an electric razor.”
D. “I will check my INR weekly at home.”
Answer: C – Electric razor reduces bleeding risk.
4. A client receives furosemide 40 mg IV. Which finding
indicates a therapeutic effect?
A. Decreased blood pressure
, B. Urine output 200 mL in 2 hours
C. Potassium 4.0 mEq/L
D. Weight loss of 1 kg in 24 hours
Answer: D – Weight loss from diuresis is the best indicator.
5. A nurse is administering digoxin. Which finding should
prompt withholding the dose?
A. Heart rate 62 bpm
B. Apical pulse 52 bpm
C. Potassium 4.2 mEq/L
D. Client reports nausea
Answer: B – Hold if apical pulse <60 bpm in an adult (or <70 in
an infant/child).
6. A client on enoxaparin post-op develops sudden back pain
and leg numbness. What should the nurse suspect?
A. Heparin-induced thrombocytopenia (HIT)
