1
Page | 1
ATI PHARMACOLOGY PROCTORED TEST
BANK 2025 | 100 VERIFIED NCLEX-STYLE
QUESTIONS + DETAILED RATIONALES |
REAL EXAM FORMAT | GUARANTEED A+
PASS
, 2
1. A nurse is caring for a client with hypokalemia. Which assessment finding requires
immediate nursing intervention?
Page | 2
1. Muscle weakness
✔ 2. Irregular heart rhythm
2. Abdominal cramping
3. Generalized fatigue
ANS: 2
Rationale: Hypokalemia affects nerve conduction and cardiac muscle function. An irregular
heart rhythm could signal life-threatening arrhythmias.
Test-Taking Strategy: Apply the ABCs—focus on circulation and life-threatening
symptoms.
PTS: 1
DIF: Analysis
REF: Silvestri, L.A., & Silvestri, A.E. (2022). Saunders Comprehensive Review for the
NCLEX-RN® (9th ed.). Elsevier.
OBJ: Client Needs: Physiological Integrity – Reduction of Risk Potential
2. A nurse is teaching a client newly prescribed furosemide. Which client statement indicates
a need for further teaching?
1. "I’ll weigh myself daily."
2. "I’ll eat more bananas and oranges."
, 3
3. "I might feel dizzy when I stand quickly."
✔ 4. "I can take this medication at bedtime."
Page | 3 ANS: 4
Rationale: Furosemide is a loop diuretic. Taking it at night may lead to nocturia and
interrupted sleep. It should be taken in the morning.
Test-Taking Strategy: Look for safety concerns and lifestyle factors.
PTS: 1
DIF: Application
REF: Lehne, R.A. (2022). Pharmacology for Nursing Care (11th ed.). Elsevier.
OBJ: Client Needs: Physiological Integrity – Pharmacological and Parenteral Therapies
3. A nurse is caring for a client with major depressive disorder. Which behavior requires the
nurse’s immediate attention?
1. Staying in bed most of the day
2. Refusing meals
✔ 3. Giving away personal belongings
3. Lack of interest in hobbies
ANS: 3
Rationale: Giving away belongings is a red flag for suicidal ideation. This requires
immediate safety assessment.
Test-Taking Strategy: Prioritize suicide risk indicators.
PTS: 1
DIF: Analysis
, 4
REF: Varcarolis, E. (2022). Essentials of Psychiatric Mental Health Nursing (5th ed.).
Elsevier.
OBJ: Client Needs: Safe and Effective Care Environment – Management of Care
Page | 4
4. A postpartum nurse is assessing a client 1 hour after delivery. Which finding requires
immediate intervention?
1. Fundus firm and at the umbilicus
2. Moderate lochia rubra
✔ 3. Saturated perineal pad in 15 minutes
3. Mild afterpains with breastfeeding
ANS: 3
Rationale: Saturating a pad in <1 hour suggests postpartum hemorrhage. Immediate action is
needed to prevent hypovolemic shock.
Test-Taking Strategy: Use the “urgency” cue and vital risk concepts.
PTS: 1
DIF: Application
REF: Lowdermilk, D.L. (2023). Maternity and Women’s Health Care (14th ed.). Elsevier.
OBJ: Client Needs: Physiological Integrity – Reduction of Risk Potential
Page | 1
ATI PHARMACOLOGY PROCTORED TEST
BANK 2025 | 100 VERIFIED NCLEX-STYLE
QUESTIONS + DETAILED RATIONALES |
REAL EXAM FORMAT | GUARANTEED A+
PASS
, 2
1. A nurse is caring for a client with hypokalemia. Which assessment finding requires
immediate nursing intervention?
Page | 2
1. Muscle weakness
✔ 2. Irregular heart rhythm
2. Abdominal cramping
3. Generalized fatigue
ANS: 2
Rationale: Hypokalemia affects nerve conduction and cardiac muscle function. An irregular
heart rhythm could signal life-threatening arrhythmias.
Test-Taking Strategy: Apply the ABCs—focus on circulation and life-threatening
symptoms.
PTS: 1
DIF: Analysis
REF: Silvestri, L.A., & Silvestri, A.E. (2022). Saunders Comprehensive Review for the
NCLEX-RN® (9th ed.). Elsevier.
OBJ: Client Needs: Physiological Integrity – Reduction of Risk Potential
2. A nurse is teaching a client newly prescribed furosemide. Which client statement indicates
a need for further teaching?
1. "I’ll weigh myself daily."
2. "I’ll eat more bananas and oranges."
, 3
3. "I might feel dizzy when I stand quickly."
✔ 4. "I can take this medication at bedtime."
Page | 3 ANS: 4
Rationale: Furosemide is a loop diuretic. Taking it at night may lead to nocturia and
interrupted sleep. It should be taken in the morning.
Test-Taking Strategy: Look for safety concerns and lifestyle factors.
PTS: 1
DIF: Application
REF: Lehne, R.A. (2022). Pharmacology for Nursing Care (11th ed.). Elsevier.
OBJ: Client Needs: Physiological Integrity – Pharmacological and Parenteral Therapies
3. A nurse is caring for a client with major depressive disorder. Which behavior requires the
nurse’s immediate attention?
1. Staying in bed most of the day
2. Refusing meals
✔ 3. Giving away personal belongings
3. Lack of interest in hobbies
ANS: 3
Rationale: Giving away belongings is a red flag for suicidal ideation. This requires
immediate safety assessment.
Test-Taking Strategy: Prioritize suicide risk indicators.
PTS: 1
DIF: Analysis
, 4
REF: Varcarolis, E. (2022). Essentials of Psychiatric Mental Health Nursing (5th ed.).
Elsevier.
OBJ: Client Needs: Safe and Effective Care Environment – Management of Care
Page | 4
4. A postpartum nurse is assessing a client 1 hour after delivery. Which finding requires
immediate intervention?
1. Fundus firm and at the umbilicus
2. Moderate lochia rubra
✔ 3. Saturated perineal pad in 15 minutes
3. Mild afterpains with breastfeeding
ANS: 3
Rationale: Saturating a pad in <1 hour suggests postpartum hemorrhage. Immediate action is
needed to prevent hypovolemic shock.
Test-Taking Strategy: Use the “urgency” cue and vital risk concepts.
PTS: 1
DIF: Application
REF: Lowdermilk, D.L. (2023). Maternity and Women’s Health Care (14th ed.). Elsevier.
OBJ: Client Needs: Physiological Integrity – Reduction of Risk Potential
