1
RN ATI Pharmacology Proctored Exam 2025–2026 |
140 Verified Questions + Detailed Rationales | NGN-
Ready A+ Pack
1. A nurse is administering morphine IV to a postoperative client. Which
of the following is the priority action?
A. Monitor for constipation
B. Encourage fluid intake
C. ✅ Monitor respiratory rate
D. Assess pain level every 4 hours
🟩 Rationale: Morphine is a CNS depressant. Respiratory depression is
the most serious adverse effect and must be monitored closely.
2. A client prescribed furosemide reports muscle cramps and weakness.
Which lab value should the nurse assess?
A. Sodium
B. Glucose
, 2
C. ✅ Potassium
D. Calcium
🟩 Rationale: Furosemide (Lasix) can cause hypokalemia. Muscle
cramps indicate possible electrolyte imbalance.
3. Which of the following medications requires monitoring for lithium
toxicity when taken concurrently?
A. ✅ Furosemide
B. Lisinopril
C. Acetaminophen
D. Lorazepam
🟩 Rationale: Diuretics can lead to sodium loss, increasing lithium
reabsorption and toxicity risk.
4. A nurse is teaching a client who is prescribed nitroglycerin sublingual
tablets. Which instruction is correct?
A. Take after eating
B. Swallow with water
C. Store in the refrigerator
D. ✅ Place under tongue at onset of chest pain
, 3
🟩 Rationale: Sublingual nitroglycerin should be placed under the
tongue for rapid absorption during angina.
5. Which lab result must be reviewed before administering warfarin?
A. aPTT
B. ✅ INR
C. Platelets
D. Fibrinogen
🟩 Rationale: Warfarin requires INR monitoring to assess therapeutic
anticoagulation and bleeding risk.
6. A nurse is preparing to administer digoxin. The client's HR is 54 bpm.
What should the nurse do?
A. Administer with food
B. Notify the provider
C. ✅ Hold the dose and notify the provider
D. Administer and recheck HR in 15 min
🟩 Rationale: Digoxin can cause bradycardia. Hold if HR is below 60
and notify the provider.
, 4
7. A client is starting levothyroxine. Which finding should the nurse
report immediately?
A. Mild weight loss
B. ✅ Chest pain
C. Increased energy
D. Fine hand tremors
🟩 Rationale: Chest pain may indicate cardiac effects of levothyroxine
and must be reported ASAP.
8. A client taking phenytoin reports gum swelling. What should the nurse
recommend?
A. ✅ Good oral hygiene with soft toothbrush
B. Stop the drug
C. Increase vitamin C
D. Use antiseptic mouthwash
🟩 Rationale: Gingival hyperplasia is a common side effect. Good oral
care helps reduce this risk.
9. A nurse should hold metformin for a client scheduled for which
procedure?
A. Cataract surgery
RN ATI Pharmacology Proctored Exam 2025–2026 |
140 Verified Questions + Detailed Rationales | NGN-
Ready A+ Pack
1. A nurse is administering morphine IV to a postoperative client. Which
of the following is the priority action?
A. Monitor for constipation
B. Encourage fluid intake
C. ✅ Monitor respiratory rate
D. Assess pain level every 4 hours
🟩 Rationale: Morphine is a CNS depressant. Respiratory depression is
the most serious adverse effect and must be monitored closely.
2. A client prescribed furosemide reports muscle cramps and weakness.
Which lab value should the nurse assess?
A. Sodium
B. Glucose
, 2
C. ✅ Potassium
D. Calcium
🟩 Rationale: Furosemide (Lasix) can cause hypokalemia. Muscle
cramps indicate possible electrolyte imbalance.
3. Which of the following medications requires monitoring for lithium
toxicity when taken concurrently?
A. ✅ Furosemide
B. Lisinopril
C. Acetaminophen
D. Lorazepam
🟩 Rationale: Diuretics can lead to sodium loss, increasing lithium
reabsorption and toxicity risk.
4. A nurse is teaching a client who is prescribed nitroglycerin sublingual
tablets. Which instruction is correct?
A. Take after eating
B. Swallow with water
C. Store in the refrigerator
D. ✅ Place under tongue at onset of chest pain
, 3
🟩 Rationale: Sublingual nitroglycerin should be placed under the
tongue for rapid absorption during angina.
5. Which lab result must be reviewed before administering warfarin?
A. aPTT
B. ✅ INR
C. Platelets
D. Fibrinogen
🟩 Rationale: Warfarin requires INR monitoring to assess therapeutic
anticoagulation and bleeding risk.
6. A nurse is preparing to administer digoxin. The client's HR is 54 bpm.
What should the nurse do?
A. Administer with food
B. Notify the provider
C. ✅ Hold the dose and notify the provider
D. Administer and recheck HR in 15 min
🟩 Rationale: Digoxin can cause bradycardia. Hold if HR is below 60
and notify the provider.
, 4
7. A client is starting levothyroxine. Which finding should the nurse
report immediately?
A. Mild weight loss
B. ✅ Chest pain
C. Increased energy
D. Fine hand tremors
🟩 Rationale: Chest pain may indicate cardiac effects of levothyroxine
and must be reported ASAP.
8. A client taking phenytoin reports gum swelling. What should the nurse
recommend?
A. ✅ Good oral hygiene with soft toothbrush
B. Stop the drug
C. Increase vitamin C
D. Use antiseptic mouthwash
🟩 Rationale: Gingival hyperplasia is a common side effect. Good oral
care helps reduce this risk.
9. A nurse should hold metformin for a client scheduled for which
procedure?
A. Cataract surgery
