ATI PN Pharmacology Practice Exam (100
Questions) Format: Multiple Choice + SATA +
Answers + Rationales +GUARANTEED PASS
ALREADY GRADED A+
Questions 1–20
1. A practical nurse is administering a medication and notices the client’s name does not
match the medication label. What should the nurse do first?
A. Administer the medication because the room number matches
B. Hold the medication and verify the client identity
C. Ask another nurse to give the medication
D. Document the medication refusal
Answer: B
Rationale: Medication administration requires verification using two identifiers. The nurse
should hold the medication until identity is confirmed.
2. Which medication requires monitoring of serum drug levels?
A. Acetaminophen
B. Digoxin
C. Calcium carbonate
D. Ibuprofen
Answer: B
Rationale: Digoxin has a narrow therapeutic range. Serum levels help prevent toxicity.
3. A client taking digoxin reports nausea, vomiting, and yellow-green vision. The nurse should
suspect:
A. Hypoglycemia
B. Digoxin toxicity
,C. Allergic reaction
D. Dehydration
Answer: B
Rationale: GI symptoms and visual disturbances are classic signs of digoxin toxicity.
4. A nurse is teaching a client taking warfarin. Which statement indicates understanding?
A. “I will avoid foods containing vitamin K completely.”
B. “I will take aspirin for headaches.”
C. “I will keep my vitamin K intake consistent.”
D. “I can stop medication once my bruising improves.”
Answer: C
Rationale: Vitamin K affects warfarin effectiveness. Consistency is required.
5. Which laboratory value should the nurse monitor for a client receiving heparin?
A. INR
B. aPTT
C. Hemoglobin A1C
D. Serum potassium
Answer: B
Rationale: Heparin therapy is monitored using activated partial thromboplastin time (aPTT).
6. A client receiving IV morphine becomes difficult to arouse and has a respiratory rate of
8/min. Which medication should the nurse prepare?
A. Naloxone
B. Flumazenil
C. Protamine sulfate
D. Vitamin K
Answer: A
Rationale: Naloxone reverses opioid-induced respiratory depression.
, 7. Which adverse effect is common with opioid medications?
A. Diarrhea
B. Constipation
C. Hypertension
D. Increased urination
Answer: B
Rationale: Opioids decrease GI motility, causing constipation.
8. A client taking an ACE inhibitor should report:
A. Dry cough
B. Increased appetite
C. Orange urine
D. Increased sweating
Answer: A
Rationale: ACE inhibitors commonly cause persistent dry cough.
9. Which medication is used to reverse benzodiazepine overdose?
A. Naloxone
B. Flumazenil
C. Atropine
D. Epinephrine
Answer: B
Rationale: Flumazenil is a benzodiazepine antagonist.
10. A nurse should question a prescription for insulin when the client’s blood glucose is:
A. 110 mg/dL
B. 140 mg/dL
C. 42 mg/dL
D. 180 mg/dL
Questions) Format: Multiple Choice + SATA +
Answers + Rationales +GUARANTEED PASS
ALREADY GRADED A+
Questions 1–20
1. A practical nurse is administering a medication and notices the client’s name does not
match the medication label. What should the nurse do first?
A. Administer the medication because the room number matches
B. Hold the medication and verify the client identity
C. Ask another nurse to give the medication
D. Document the medication refusal
Answer: B
Rationale: Medication administration requires verification using two identifiers. The nurse
should hold the medication until identity is confirmed.
2. Which medication requires monitoring of serum drug levels?
A. Acetaminophen
B. Digoxin
C. Calcium carbonate
D. Ibuprofen
Answer: B
Rationale: Digoxin has a narrow therapeutic range. Serum levels help prevent toxicity.
3. A client taking digoxin reports nausea, vomiting, and yellow-green vision. The nurse should
suspect:
A. Hypoglycemia
B. Digoxin toxicity
,C. Allergic reaction
D. Dehydration
Answer: B
Rationale: GI symptoms and visual disturbances are classic signs of digoxin toxicity.
4. A nurse is teaching a client taking warfarin. Which statement indicates understanding?
A. “I will avoid foods containing vitamin K completely.”
B. “I will take aspirin for headaches.”
C. “I will keep my vitamin K intake consistent.”
D. “I can stop medication once my bruising improves.”
Answer: C
Rationale: Vitamin K affects warfarin effectiveness. Consistency is required.
5. Which laboratory value should the nurse monitor for a client receiving heparin?
A. INR
B. aPTT
C. Hemoglobin A1C
D. Serum potassium
Answer: B
Rationale: Heparin therapy is monitored using activated partial thromboplastin time (aPTT).
6. A client receiving IV morphine becomes difficult to arouse and has a respiratory rate of
8/min. Which medication should the nurse prepare?
A. Naloxone
B. Flumazenil
C. Protamine sulfate
D. Vitamin K
Answer: A
Rationale: Naloxone reverses opioid-induced respiratory depression.
, 7. Which adverse effect is common with opioid medications?
A. Diarrhea
B. Constipation
C. Hypertension
D. Increased urination
Answer: B
Rationale: Opioids decrease GI motility, causing constipation.
8. A client taking an ACE inhibitor should report:
A. Dry cough
B. Increased appetite
C. Orange urine
D. Increased sweating
Answer: A
Rationale: ACE inhibitors commonly cause persistent dry cough.
9. Which medication is used to reverse benzodiazepine overdose?
A. Naloxone
B. Flumazenil
C. Atropine
D. Epinephrine
Answer: B
Rationale: Flumazenil is a benzodiazepine antagonist.
10. A nurse should question a prescription for insulin when the client’s blood glucose is:
A. 110 mg/dL
B. 140 mg/dL
C. 42 mg/dL
D. 180 mg/dL
