1
ATI Pharmacology Proctored Exam 2025 (Latest 120
Questions with Correct Answers & Rationales)
Q1.
A nurse is preparing to administer furosemide to a client with heart failure. Which of the
following findings indicates the medication is effective?
A. Decreased shortness of breath
B. Increased blood pressure
C. Decreased urine output
D. Bounding peripheral pulses
Correct Answer: A
Rationale: Furosemide (loop diuretic) reduces fluid overload, which decreases pulmonary
congestion and improves breathing.
B is wrong (furosemide lowers BP).
C is wrong (it increases urine output).
D is wrong (peripheral edema should improve, not worsen).
Drug class: Loop diuretic.
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Q2.
A nurse is educating a client starting warfarin therapy. Which food should the client avoid
excessive intake of?
A. Bananas
B. Spinach
C. Apples
D. Milk
Correct Answer: B
Rationale: Vitamin K-rich foods (spinach, kale) decrease warfarin’s effectiveness. Clients
should maintain consistent intake, not avoid completely.
Drug class: Anticoagulant (Vitamin K antagonist).
Q3.
A client taking digoxin reports nausea, blurred vision, and seeing halos around lights. Which
action should the nurse take first?
A. Assess apical pulse
B. Withhold the medication
C. Administer antiemetic
D. Document findings as normal
Correct Answer: B
Rationale: Symptoms indicate digoxin toxicity. Nurse should hold the dose and notify the
,3
provider. Assessing apical pulse is important, but holding prevents further harm.
Drug class: Cardiac glycoside.
Q4.
A nurse is reviewing a client’s medication list. Which drug combination increases the risk of
bleeding?
A. Warfarin and aspirin
B. Digoxin and furosemide
C. Metoprolol and lisinopril
D. Levothyroxine and calcium supplements
Correct Answer: A
Rationale: Both warfarin and aspirin are anticoagulants/antiplatelets, increasing bleeding risk.
Drug class: Anticoagulant + NSAID interaction.
Q5.
A client with asthma is prescribed albuterol. Which statement by the client indicates effective
teaching?
A. “I will take this medication daily to prevent asthma attacks.”
B. “I will use this medication when I begin to wheeze.”
C. “I will stop taking this if my heart races.”
D. “I should take this with my corticosteroid inhaler every morning.”
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Correct Answer: B
Rationale: Albuterol is a short-acting beta-2 agonist (rescue inhaler). It’s not for daily prevention
(A), tachycardia is a side effect but not a reason to stop (C), and it’s used PRN, not scheduled
with steroids (D).
Drug class: Bronchodilator (SABA).
Q6.
A client receiving morphine develops a respiratory rate of 8/min. Which medication should the
nurse anticipate administering?
A. Acetylcysteine
B. Protamine sulfate
C. Flumazenil
D. Naloxone
Correct Answer: D
Rationale: Naloxone is the opioid antagonist for morphine overdose.
Drug class: Opioid analgesic + antidote.
Q7.
A client prescribed levothyroxine for hypothyroidism asks when to take the medication. Which
is the best response?
A. “Take it with breakfast every day.”
B. “Take it at bedtime with a glass of milk.”
ATI Pharmacology Proctored Exam 2025 (Latest 120
Questions with Correct Answers & Rationales)
Q1.
A nurse is preparing to administer furosemide to a client with heart failure. Which of the
following findings indicates the medication is effective?
A. Decreased shortness of breath
B. Increased blood pressure
C. Decreased urine output
D. Bounding peripheral pulses
Correct Answer: A
Rationale: Furosemide (loop diuretic) reduces fluid overload, which decreases pulmonary
congestion and improves breathing.
B is wrong (furosemide lowers BP).
C is wrong (it increases urine output).
D is wrong (peripheral edema should improve, not worsen).
Drug class: Loop diuretic.
,2
Q2.
A nurse is educating a client starting warfarin therapy. Which food should the client avoid
excessive intake of?
A. Bananas
B. Spinach
C. Apples
D. Milk
Correct Answer: B
Rationale: Vitamin K-rich foods (spinach, kale) decrease warfarin’s effectiveness. Clients
should maintain consistent intake, not avoid completely.
Drug class: Anticoagulant (Vitamin K antagonist).
Q3.
A client taking digoxin reports nausea, blurred vision, and seeing halos around lights. Which
action should the nurse take first?
A. Assess apical pulse
B. Withhold the medication
C. Administer antiemetic
D. Document findings as normal
Correct Answer: B
Rationale: Symptoms indicate digoxin toxicity. Nurse should hold the dose and notify the
,3
provider. Assessing apical pulse is important, but holding prevents further harm.
Drug class: Cardiac glycoside.
Q4.
A nurse is reviewing a client’s medication list. Which drug combination increases the risk of
bleeding?
A. Warfarin and aspirin
B. Digoxin and furosemide
C. Metoprolol and lisinopril
D. Levothyroxine and calcium supplements
Correct Answer: A
Rationale: Both warfarin and aspirin are anticoagulants/antiplatelets, increasing bleeding risk.
Drug class: Anticoagulant + NSAID interaction.
Q5.
A client with asthma is prescribed albuterol. Which statement by the client indicates effective
teaching?
A. “I will take this medication daily to prevent asthma attacks.”
B. “I will use this medication when I begin to wheeze.”
C. “I will stop taking this if my heart races.”
D. “I should take this with my corticosteroid inhaler every morning.”
, 4
Correct Answer: B
Rationale: Albuterol is a short-acting beta-2 agonist (rescue inhaler). It’s not for daily prevention
(A), tachycardia is a side effect but not a reason to stop (C), and it’s used PRN, not scheduled
with steroids (D).
Drug class: Bronchodilator (SABA).
Q6.
A client receiving morphine develops a respiratory rate of 8/min. Which medication should the
nurse anticipate administering?
A. Acetylcysteine
B. Protamine sulfate
C. Flumazenil
D. Naloxone
Correct Answer: D
Rationale: Naloxone is the opioid antagonist for morphine overdose.
Drug class: Opioid analgesic + antidote.
Q7.
A client prescribed levothyroxine for hypothyroidism asks when to take the medication. Which
is the best response?
A. “Take it with breakfast every day.”
B. “Take it at bedtime with a glass of milk.”
