RN ATI Pharmacology Proctored Exam Retake
2025 – 295 Verified Questions & Detailed
Answers (A+ Graded)
1. A client is prescribed Lisinopril. Which therapeutic effect should the nurse monitor for?
A. Increased heart rate
B. Decreased blood pressure ✓
C. Relief of chest pain
D. Reduced anxiety
2. The nurse administers Furosemide (Lasix) to a client. Which finding indicates a therapeutic
effect?
A. Decreased respiratory rate
B. Increased urine output ✓
C. Elevated blood pressure
D. Relief of headache
3. A client is started on Metformin for Type 2 Diabetes. The nurse should include which
instruction in the teaching plan?
A. "Take the medication on an empty stomach."
B. "Avoid drinking alcohol while on this medication." ✓
C. "This medication can cause weight gain."
D. "You will need to check your blood sugar only once a week."
4. When administering Digoxin, the nurse must assess for which sign of toxicity?
A. Tachycardia
B. Hypertension
C. Anorexia, nausea, and visual disturbances ✓
D. Constipation
5. A client receiving Warfarin (Coumadin) has an INR of 5.5. The nurse's priority action is to:
A. Administer the next dose as scheduled.
B. Prepare to administer Vitamin K. ✓
C. Encourage foods high in Vitamin K.
D. Assess for signs of clotting.
,6. Which client is at highest risk for developing an adverse reaction to a medication?
A. A 25-year-old with a sprained ankle.
B. A 45-year-old with hypertension.
C. An 80-year-old with heart failure and renal impairment. ✓
D. A 30-year-old with seasonal allergies.
7. The nurse is preparing to administer Insulin Glargine (Lantus). Which action is correct?
A. Shake the vial vigorously to mix it.
B. Administer it within 15 minutes of a meal.
C. Administer it subcutaneously at the same time every day. ✓
D. Mix it with NPH insulin in the same syringe.
8. A client is experiencing an anaphylactic reaction to a medication. The nurse's first action
should be to:
A. Administer diphenhydramine (Benadryl) orally.
B. Apply a tourniquet above the injection site.
C. Administer Epinephrine intramuscularly. ✓
D. Start a peripheral IV line.
9. Which instruction is most important for a client taking Phenytoin (Dilantin)?
A. "Take the medication with milk."
B. "Have your blood levels checked regularly." ✓
C. "Stop taking the medication if you feel better."
D. "Avoid all physical activity."
10. The nurse is caring for a client with Parkinson's disease who is taking Levodopa-
Carbidopa. The nurse should monitor for which common side effect?
A. Hypertension
B. Dyskinesia (involuntary movements) ✓
C. Hypoglycemia
D. Diarrhea
11. A client with asthma is prescribed Albuterol via nebulizer. What is the primary intended
effect?
A. Reduce inflammation
B. Promote bronchodilation ✓
C. Suppress the cough reflex
D. Thin respiratory secretions
,12. Which laboratory value is most critical to monitor for a client receiving Heparin?
A. INR
B. aPTT ✓
C. Hemoglobin & Hematocrit
D. Serum Potassium
13. When teaching a client about taking Bethanechol (Urecholine), the nurse should
emphasize that it is used to treat:
A. Urinary retention. ✓
B. Hypertension.
C. Gastric ulcers.
D. Bradycardia.
14. A client taking Hydrochlorothiazide should be encouraged to eat foods rich in:
A. Sodium
B. Calcium
C. Potassium ✓
D. Iron
15. The nurse should question an order for Metoprolol for a client with which condition?
A. Hypertension
B. Heart Failure
C. Asthma ✓
D. Myocardial Infarction
16. Which medication is classified as a proton pump inhibitor (PPI)?
A. Famotidine (Pepcid)
B. Omeprazole (Prilosec) ✓
C. Sucralfate (Carafate)
D. Metoclopramide (Reglan)
17. A client is about to receive their first dose of Penicillin. The nurse's priority question to the
client is:
A. "Are you allergic to any medications, especially Penicillin?" ✓
B. "When was your last meal?"
C. "What is your pain level?"
D. "Do you have trouble swallowing?"
18. The therapeutic effect of Donepezil (Aricept) for a client with Alzheimer's disease is:
A. Cure the disease.
, B. Slow the progression of cognitive decline. ✓
C. Prevent the formation of plaques.
D. Improve motor function.
19. Which finding in a client taking Lithium would require immediate follow-up?
A. Dry mouth
B. Fine hand tremor
C. Polyuria
D. Coarse tremor, confusion, and diarrhea ✓
20. The nurse is preparing to administer Morphine sulfate. Which is an essential nursing
assessment prior to administration?
A. Apical heart rate
B. Respiratory rate ✓
C. Pupil reaction
D. Bowel sounds
21. Which medication requires the nurse to monitor for a "black box" warning regarding
increased risk of suicidal thoughts?
A. Omeprazole (Prilosec)
B. Lisinopril (Zestril)
C. Sertraline (Zoloft) ✓
D. Atorvastatin (Lipitor)
22. A client taking Clopidogrel (Plavix) should be taught to:
A. Report any unusual bleeding or bruising. ✓
B. Take the medication on an empty stomach.
C. Avoid all green leafy vegetables.
D. Monitor their heart rate daily.
23. Which instruction is correct for a client using Nitroglycerin sublingual tablets for chest
pain?
A. "Swallow the tablet with a full glass of water."
B. "Lie down or sit down when you take the tablet." ✓
C. "Take up to 5 tablets every 2 minutes until pain is relieved."
D. "If one tablet doesn't work, wait 30 minutes before taking another."
24. The nurse is administering Ibuprofen (Motrin) to a client. Which statement by the client
indicates a potential adverse effect?
A. "I have some mild heartburn after taking it."
2025 – 295 Verified Questions & Detailed
Answers (A+ Graded)
1. A client is prescribed Lisinopril. Which therapeutic effect should the nurse monitor for?
A. Increased heart rate
B. Decreased blood pressure ✓
C. Relief of chest pain
D. Reduced anxiety
2. The nurse administers Furosemide (Lasix) to a client. Which finding indicates a therapeutic
effect?
A. Decreased respiratory rate
B. Increased urine output ✓
C. Elevated blood pressure
D. Relief of headache
3. A client is started on Metformin for Type 2 Diabetes. The nurse should include which
instruction in the teaching plan?
A. "Take the medication on an empty stomach."
B. "Avoid drinking alcohol while on this medication." ✓
C. "This medication can cause weight gain."
D. "You will need to check your blood sugar only once a week."
4. When administering Digoxin, the nurse must assess for which sign of toxicity?
A. Tachycardia
B. Hypertension
C. Anorexia, nausea, and visual disturbances ✓
D. Constipation
5. A client receiving Warfarin (Coumadin) has an INR of 5.5. The nurse's priority action is to:
A. Administer the next dose as scheduled.
B. Prepare to administer Vitamin K. ✓
C. Encourage foods high in Vitamin K.
D. Assess for signs of clotting.
,6. Which client is at highest risk for developing an adverse reaction to a medication?
A. A 25-year-old with a sprained ankle.
B. A 45-year-old with hypertension.
C. An 80-year-old with heart failure and renal impairment. ✓
D. A 30-year-old with seasonal allergies.
7. The nurse is preparing to administer Insulin Glargine (Lantus). Which action is correct?
A. Shake the vial vigorously to mix it.
B. Administer it within 15 minutes of a meal.
C. Administer it subcutaneously at the same time every day. ✓
D. Mix it with NPH insulin in the same syringe.
8. A client is experiencing an anaphylactic reaction to a medication. The nurse's first action
should be to:
A. Administer diphenhydramine (Benadryl) orally.
B. Apply a tourniquet above the injection site.
C. Administer Epinephrine intramuscularly. ✓
D. Start a peripheral IV line.
9. Which instruction is most important for a client taking Phenytoin (Dilantin)?
A. "Take the medication with milk."
B. "Have your blood levels checked regularly." ✓
C. "Stop taking the medication if you feel better."
D. "Avoid all physical activity."
10. The nurse is caring for a client with Parkinson's disease who is taking Levodopa-
Carbidopa. The nurse should monitor for which common side effect?
A. Hypertension
B. Dyskinesia (involuntary movements) ✓
C. Hypoglycemia
D. Diarrhea
11. A client with asthma is prescribed Albuterol via nebulizer. What is the primary intended
effect?
A. Reduce inflammation
B. Promote bronchodilation ✓
C. Suppress the cough reflex
D. Thin respiratory secretions
,12. Which laboratory value is most critical to monitor for a client receiving Heparin?
A. INR
B. aPTT ✓
C. Hemoglobin & Hematocrit
D. Serum Potassium
13. When teaching a client about taking Bethanechol (Urecholine), the nurse should
emphasize that it is used to treat:
A. Urinary retention. ✓
B. Hypertension.
C. Gastric ulcers.
D. Bradycardia.
14. A client taking Hydrochlorothiazide should be encouraged to eat foods rich in:
A. Sodium
B. Calcium
C. Potassium ✓
D. Iron
15. The nurse should question an order for Metoprolol for a client with which condition?
A. Hypertension
B. Heart Failure
C. Asthma ✓
D. Myocardial Infarction
16. Which medication is classified as a proton pump inhibitor (PPI)?
A. Famotidine (Pepcid)
B. Omeprazole (Prilosec) ✓
C. Sucralfate (Carafate)
D. Metoclopramide (Reglan)
17. A client is about to receive their first dose of Penicillin. The nurse's priority question to the
client is:
A. "Are you allergic to any medications, especially Penicillin?" ✓
B. "When was your last meal?"
C. "What is your pain level?"
D. "Do you have trouble swallowing?"
18. The therapeutic effect of Donepezil (Aricept) for a client with Alzheimer's disease is:
A. Cure the disease.
, B. Slow the progression of cognitive decline. ✓
C. Prevent the formation of plaques.
D. Improve motor function.
19. Which finding in a client taking Lithium would require immediate follow-up?
A. Dry mouth
B. Fine hand tremor
C. Polyuria
D. Coarse tremor, confusion, and diarrhea ✓
20. The nurse is preparing to administer Morphine sulfate. Which is an essential nursing
assessment prior to administration?
A. Apical heart rate
B. Respiratory rate ✓
C. Pupil reaction
D. Bowel sounds
21. Which medication requires the nurse to monitor for a "black box" warning regarding
increased risk of suicidal thoughts?
A. Omeprazole (Prilosec)
B. Lisinopril (Zestril)
C. Sertraline (Zoloft) ✓
D. Atorvastatin (Lipitor)
22. A client taking Clopidogrel (Plavix) should be taught to:
A. Report any unusual bleeding or bruising. ✓
B. Take the medication on an empty stomach.
C. Avoid all green leafy vegetables.
D. Monitor their heart rate daily.
23. Which instruction is correct for a client using Nitroglycerin sublingual tablets for chest
pain?
A. "Swallow the tablet with a full glass of water."
B. "Lie down or sit down when you take the tablet." ✓
C. "Take up to 5 tablets every 2 minutes until pain is relieved."
D. "If one tablet doesn't work, wait 30 minutes before taking another."
24. The nurse is administering Ibuprofen (Motrin) to a client. Which statement by the client
indicates a potential adverse effect?
A. "I have some mild heartburn after taking it."
