1
ATI RN Pharmacology Proctored Exam 2025–2026 |
Retake A Test Bank | 120 Verified Questions + NGN
Rationales
Question 1
A client is prescribed digoxin. Which of the following should the nurse
monitor to avoid toxicity?
A. Sodium
B. Calcium
C. Potassium 🔵
D. Magnesium
Correct Answer: C. Potassium
Rationale: Hypokalemia increases the risk of digoxin toxicity — monitor
potassium closely.
Question 2
What is a priority teaching point for a client prescribed alendronate?
A. Take with orange juice
B. Remain upright for 30 minutes after taking 🔵
C. Take at bedtime
D. Take with a calcium supplement
, 2
Correct Answer: B. Remain upright for 30 minutes after taking
Rationale: Prevents esophagitis, a common side effect of
bisphosphonates.
Question 3
A nurse is preparing to administer furosemide. Which finding requires
immediate action?
A. Blood glucose of 120 mg/dL
B. Potassium of 3.0 mEq/L 🔵
C. Heart rate of 76 bpm
D. BP of 130/86
Correct Answer: B. Potassium of 3.0 mEq/L
Rationale: Hypokalemia is a major risk with loop diuretics — can lead
to arrhythmias.
Question 4
Which instruction should be included for a client prescribed
nitroglycerin sublingual tablets?
A. Swallow the tablet whole
B. Take with meals
C. Store in a dark, original container 🔵
D. Take with water
Correct Answer: C. Store in a dark, original container
Rationale: Light and heat can deactivate nitroglycerin — store properly.
, 3
Question 5
A client taking phenytoin reports gum swelling. What is the nurse’s best
response?
A. "This is a normal reaction." 🔵
B. "Stop the medication."
C. "Brush less frequently."
D. "Add mouthwash to reduce it."
Correct Answer: A. "This is a normal reaction."
Rationale: Gingival hyperplasia is a common side effect — emphasize
oral hygiene.
Question 6
Which lab value should be monitored for a client receiving warfarin?
A. aPTT
B. INR 🔵
C. BUN
D. WBC
Correct Answer: B. INR
Rationale: INR determines therapeutic effectiveness and safety of
warfarin.
Question 7
A nurse is teaching a client about isoniazid (INH) therapy for
tuberculosis. Which supplement is prescribed to prevent neuropathy?
A. Vitamin C
, 4
B. Folic acid
C. Vitamin B6 (pyridoxine) 🔵
D. Iron
Correct Answer: C. Vitamin B6 (pyridoxine)
Rationale: Prevents peripheral neuropathy, a common INH side effect.
Question 8
Which of the following medications is contraindicated during
pregnancy?
A. Levothyroxine
B. Lisinopril 🔵
C. Metoprolol
D. Acetaminophen
Correct Answer: B. Lisinopril
Rationale: ACE inhibitors can cause fetal abnormalities —
contraindicated in pregnancy.
Question 9
Tetracycline should not be taken with:
A. Milk 🔵
B. Water
C. Orange juice
D. Toast
Correct Answer: A. Milk
ATI RN Pharmacology Proctored Exam 2025–2026 |
Retake A Test Bank | 120 Verified Questions + NGN
Rationales
Question 1
A client is prescribed digoxin. Which of the following should the nurse
monitor to avoid toxicity?
A. Sodium
B. Calcium
C. Potassium 🔵
D. Magnesium
Correct Answer: C. Potassium
Rationale: Hypokalemia increases the risk of digoxin toxicity — monitor
potassium closely.
Question 2
What is a priority teaching point for a client prescribed alendronate?
A. Take with orange juice
B. Remain upright for 30 minutes after taking 🔵
C. Take at bedtime
D. Take with a calcium supplement
, 2
Correct Answer: B. Remain upright for 30 minutes after taking
Rationale: Prevents esophagitis, a common side effect of
bisphosphonates.
Question 3
A nurse is preparing to administer furosemide. Which finding requires
immediate action?
A. Blood glucose of 120 mg/dL
B. Potassium of 3.0 mEq/L 🔵
C. Heart rate of 76 bpm
D. BP of 130/86
Correct Answer: B. Potassium of 3.0 mEq/L
Rationale: Hypokalemia is a major risk with loop diuretics — can lead
to arrhythmias.
Question 4
Which instruction should be included for a client prescribed
nitroglycerin sublingual tablets?
A. Swallow the tablet whole
B. Take with meals
C. Store in a dark, original container 🔵
D. Take with water
Correct Answer: C. Store in a dark, original container
Rationale: Light and heat can deactivate nitroglycerin — store properly.
, 3
Question 5
A client taking phenytoin reports gum swelling. What is the nurse’s best
response?
A. "This is a normal reaction." 🔵
B. "Stop the medication."
C. "Brush less frequently."
D. "Add mouthwash to reduce it."
Correct Answer: A. "This is a normal reaction."
Rationale: Gingival hyperplasia is a common side effect — emphasize
oral hygiene.
Question 6
Which lab value should be monitored for a client receiving warfarin?
A. aPTT
B. INR 🔵
C. BUN
D. WBC
Correct Answer: B. INR
Rationale: INR determines therapeutic effectiveness and safety of
warfarin.
Question 7
A nurse is teaching a client about isoniazid (INH) therapy for
tuberculosis. Which supplement is prescribed to prevent neuropathy?
A. Vitamin C
, 4
B. Folic acid
C. Vitamin B6 (pyridoxine) 🔵
D. Iron
Correct Answer: C. Vitamin B6 (pyridoxine)
Rationale: Prevents peripheral neuropathy, a common INH side effect.
Question 8
Which of the following medications is contraindicated during
pregnancy?
A. Levothyroxine
B. Lisinopril 🔵
C. Metoprolol
D. Acetaminophen
Correct Answer: B. Lisinopril
Rationale: ACE inhibitors can cause fetal abnormalities —
contraindicated in pregnancy.
Question 9
Tetracycline should not be taken with:
A. Milk 🔵
B. Water
C. Orange juice
D. Toast
Correct Answer: A. Milk
