ATI PHARMACOLOGY PROCTORED EXAM 2025/2026 | 120 VERIFIED QUESTIONS WITH CORRECT ANSWERS & DETAILED RATIONALES | 100% PASS GUARANTEE

1 | Page




ATI PHARMACOLOGY PROCTORED EXAM 2025/2026 | 120

VERIFIED QUESTIONS WITH CORRECT ANSWERS &

DETAILED RATIONALES | 100% PASS GUARANTEE




1. A nurse is preparing to administer epinephrine to a client who is experiencing

an anaphylactic reaction. Which of the following actions should the nurse take?

 A. Administer the medication intravenously.

 B. Use the Z-track method for injection.

 C. Massage the injection site after administration.

 D. Administer the medication intramuscularly in the anterolateral thigh.

o Rationale: For anaphylaxis, the preferred and fastest route for epinephrine

is intramuscular (IM) injection into the anterolateral thigh (vastus lateralis

muscle). This ensures rapid absorption. IV administration is for advanced

cardiac life support and carries higher risks. Z-track is for medications that

irritate subcutaneous tissue, and massaging the site can accelerate

absorption too much.

2. A client is prescribed digoxin (Lanoxin) for heart failure. The nurse should



1/

,2 | Page




assess for which of the following findings as an indication of toxicity?

 A. Constipation

 B. Tachycardia

 C. Diarrhea

 D. Visual disturbances, such as seeing yellow halos

o Rationale: Classic signs of digoxin toxicity include gastrointestinal

effects (anorexia, nausea, vomiting, diarrhea) and, most characteristically,

visual disturbances like yellow-green halos around objects (xanthopsia),

blurred vision, or photophobia. Bradycardia, not tachycardia, is a common

cardiac sign of toxicity.

3. When teaching a client about warfarin (Coumadin), which of the following

statements by the client indicates a need for further teaching?

 A. "I will avoid playing contact sports."

 B. "I will use an electric razor for shaving."

 C. "I will start taking ginger root to help with my nausea."

 D. "I will have my blood tested regularly."

o Rationale: Ginger root can have antiplatelet effects, increasing the risk of

bleeding when taken with an anticoagulant like warfarin. This statement

shows a dangerous misunderstanding. The other options are correct:

avoiding injury (contact sports, using an electric razor) and regular INR




2/

,3 | Page




monitoring are essential with warfarin therapy.

4. A nurse is administering intravenous (IV) furosemide (Lasix) to a client with

pulmonary edema. Which of the following assessments is the priority after

administration?

 A. Blood glucose level

 B. Lung sounds

 C. Bowel sounds

 D. Skin turgor

o Rationale: The primary therapeutic goal of furosemide in pulmonary

edema is to reduce fluid overload and improve respiratory function.

Therefore, the priority assessment is evaluating the effectiveness of the

medication by auscultating lung sounds for decreased crackles. While

monitoring for dehydration (skin turgor) is important, the immediate

priority is respiratory status.

5. A client is receiving vancomycin IV. The nurse should monitor for which of the

following adverse effects?

 A. Hypertension

 B. Constipation

 C. Ototoxicity

 D. Hyperkalemia




3/

, 4 | Page




o Rationale: Vancomycin is associated with two major adverse effects:

nephrotoxicity (kidney damage) and ototoxicity (hearing damage). The

nurse should monitor trough drug levels and renal function (BUN,

creatinine) to prevent toxicity. Red man syndrome (a rash from rapid

infusion) is also common but less dangerous.

6. The nurse is preparing to administer insulin. Which of the following types of

insulin is cloudy and requires rolling between the hands to resuspend?

 A. Insulin glargine (Lantus)

 B. Insulin lispro (Humalog)

 C. NPH insulin (Humulin N)

 D. Insulin detemir (Levemir)

o Rationale: NPH insulin is a suspension of crystalline zinc insulin

combined with protamine. It appears cloudy and must be gently rolled or

agitated to ensure even suspension before administration. All other options

(glargine, lispro, detemir) are clear solutions and should not be shaken.

7. A nurse is caring for a client who has a new prescription for atenolol

(Tenormin). For which of the following adverse effects should the nurse monitor?

 A. Hyperthyroidism

 B. Bradycardia

 C. Hypertension




4/