ATI Pharmacology Nursing Proctored Exam
(RN) – 2023 Edition with Full Question Bank,
NCLEX®-Style Practice Items, and Step-by-
Step Rationales
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following
laboratory tests should the nurse review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - answ✔️✔️-A. PT
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - answ✔️✔️-C. A client receives their insulin 1 hour
before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory
rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the
client's respiratory rate?
,A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
D. Oxycodone inhibits prostaglandin synthesis. - answ✔️✔️-C. Oxycodone causes central nervous
system depression.
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus
over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - answ✔️✔️-50gtt/min
A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth
every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the
provider?
A. Dose
B. Route
C. Frequency
D. Reason - answ✔️✔️-D. Reason
1. A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings
should the nurse assess prior to administration of the medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation - answ✔️✔️-A. Blood pressure
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the
treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse
effects?
,A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea - answ✔️✔️-A. Blurred vision
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following
laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count - answ✔️✔️-D. WBC count
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has
hypoglycemia. Which of the following actions should the nurse take?
A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases. - answ✔️✔️-B. Administer IV dextrose.
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion.
Which of the following findings indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation - answ✔️✔️-B. Hypotension
, A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements.
The nurse should identify which of the following supplements is contraindicated for concurrent use with
warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics - answ✔️✔️-A. Ginkgo biloba
A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following
findings requires the nurse's intervention?
A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
D. Blood pressure 106/68 mm Hg - answ✔️✔️-A. HR of 56/min
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify
which of the following clients as having a contraindication for receiving this immunization?
A. An older adult client living in a long-term care facility.
B. A young adult who has an allergy to eggs C. A child who recently received the human papillomavirus
vaccine.
D. A client who has AIDS - answ✔️✔️-D. A client who has AIDS
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications
should the nurse plan to administer?
A. Propafenone
B. Simvastatin
C. Prochlorperazine
(RN) – 2023 Edition with Full Question Bank,
NCLEX®-Style Practice Items, and Step-by-
Step Rationales
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following
laboratory tests should the nurse review prior to administration?
A. PT
B. Total iron-binding capacity
C. WBC
D. PTT - answ✔️✔️-A. PT
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. - answ✔️✔️-C. A client receives their insulin 1 hour
before scheduled.
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory
rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the
client's respiratory rate?
,A. Oxycodone blocks the sodium channel suspending nerve conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
D. Oxycodone inhibits prostaglandin synthesis. - answ✔️✔️-C. Oxycodone causes central nervous
system depression.
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml- via intermittent IV bolus
over 30 min. The drop factor of the manual IV tubing is I5 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - answ✔️✔️-50gtt/min
A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth
every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the
provider?
A. Dose
B. Route
C. Frequency
D. Reason - answ✔️✔️-D. Reason
1. A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings
should the nurse assess prior to administration of the medication?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Oxygen saturation - answ✔️✔️-A. Blood pressure
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the
treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse
effects?
,A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea - answ✔️✔️-A. Blurred vision
A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following
laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count - answ✔️✔️-D. WBC count
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has
hypoglycemia. Which of the following actions should the nurse take?
A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases. - answ✔️✔️-B. Administer IV dextrose.
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion.
Which of the following findings indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation - answ✔️✔️-B. Hypotension
, A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements.
The nurse should identify which of the following supplements is contraindicated for concurrent use with
warfarin?
A. Ginkgo biloba
B. Coenzyme
C. Valerian
D. Probiotics - answ✔️✔️-A. Ginkgo biloba
A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following
findings requires the nurse's intervention?
A. Heart rate of 56/min
B. Sa02 95% on 2 L/min of oxygen
C. Respirations 22/min
D. Blood pressure 106/68 mm Hg - answ✔️✔️-A. HR of 56/min
A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify
which of the following clients as having a contraindication for receiving this immunization?
A. An older adult client living in a long-term care facility.
B. A young adult who has an allergy to eggs C. A child who recently received the human papillomavirus
vaccine.
D. A client who has AIDS - answ✔️✔️-D. A client who has AIDS
A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications
should the nurse plan to administer?
A. Propafenone
B. Simvastatin
C. Prochlorperazine
