ATI RN Pharmacology Proctored Practice Exam – (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ [2026]
1. A patient is prescribed furosemide. Which electrolyte imbalance should the nurse monitor for?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hypoglycemia
Answer: A
Rationale: Furosemide is a loop diuretic that increases potassium excretion, risking
hypokalemia.
2. A patient taking warfarin reports dark stools. What is the priority nursing action?
A. Notify the provider immediately
B. Encourage hydration
C. Continue therapy as prescribed
D. Check blood pressure
Answer: A
Rationale: Dark stools may indicate gastrointestinal bleeding, a serious adverse effect of
anticoagulants.
3. A patient is prescribed lisinopril. Which assessment finding requires intervention?
A. Persistent dry cough
B. Mild headache
C. Occasional dizziness
D. Slight fatigue
Answer: A
Rationale: A persistent cough is a common ACE inhibitor side effect; severe angioedema
1
requires urgent intervention.
Page
2026 Graded A+ EXAM
, 4. A patient is taking digoxin. Which symptom indicates toxicity?
A. Visual disturbances, nausea, bradycardia
B. Mild fatigue
C. Occasional cough
D. Headache
Answer: A
Rationale: Digoxin toxicity presents with GI symptoms, visual changes (yellow-green halos),
and bradycardia.
5. A nurse is administering insulin to a diabetic patient. Which is the priority action to prevent
hypoglycemia?
A. Confirm blood glucose before administration
B. Administer with no verification
C. Give insulin regardless of meal schedule
D. Only give insulin at bedtime
Answer: A
Rationale: Checking blood glucose ensures safe dosing and prevents hypoglycemia.
6. Which medication is prescribed for anaphylaxis?
A. Epinephrine
B. Diphenhydramine only
C. Albuterol
D. Furosemide
Answer: A
Rationale: Epinephrine is the first-line treatment for severe allergic reactions; antihistamines
may be adjuncts.
7. A patient is prescribed vancomycin. Which lab should the nurse monitor?
A. Serum creatinine
B. Blood glucose
2
C. Platelet count
Page
D. ALT/AST only
2026 Graded A+ EXAM
, Answer: A
Rationale: Vancomycin is nephrotoxic; renal function must be monitored.
8. A patient is taking simvastatin. Which teaching is important?
A. Report muscle pain or weakness
B. Avoid all fruits
C. Take only once per week
D. Skip meals before dosing
Answer: A
Rationale: Statins can cause myopathy and rhabdomyolysis; patients should report muscle
symptoms immediately.
9. A patient is prescribed albuterol. Which adverse effect should the nurse monitor?
A. Tachycardia and tremors
B. Bradycardia
C. Constipation
D. Hypoglycemia
Answer: A
Rationale: Beta-2 agonists can cause sympathetic stimulation, leading to tachycardia and
tremors.
10. Which lab should be monitored for a patient taking heparin?
A. aPTT
B. INR only
C. Blood glucose
D. Hemoglobin A1c
Answer: A
Rationale: Heparin therapy requires aPTT monitoring to ensure therapeutic anticoagulation.
3
Page
2026 Graded A+ EXAM
, 11. A patient taking digoxin and furosemide reports nausea and weakness. Which is the priority
action?
A. Hold digoxin and notify the provider
B. Administer antiemetic
C. Increase furosemide
D. Encourage fluids
Answer: A
Rationale: Symptoms may indicate digoxin toxicity, especially in the context of hypokalemia
from diuretics.
12. A patient taking nitroglycerin reports headache. Which teaching is appropriate?
A. Headache is a common side effect; take acetaminophen if needed
B. Discontinue the medication immediately
C. Headache is unrelated
D. Take extra doses
Answer: A
Rationale: Headache is common with nitrates and generally resolves; symptomatic relief with
acetaminophen is appropriate.
13. A patient is prescribed levothyroxine. Which assessment indicates effective therapy?
A. Normal TSH levels and improved energy
B. Decreased appetite only
C. Weight gain only
D. Bradycardia
Answer: A
Rationale: Levothyroxine normalizes thyroid hormone levels, improving energy and metabolic
function.
14. Which adverse effect is most concerning for a patient taking amiodarone?
A. Pulmonary fibrosis
B. Mild cough
C. Headache
4
D. Constipation
Page
2026 Graded A+ EXAM
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ [2026]
1. A patient is prescribed furosemide. Which electrolyte imbalance should the nurse monitor for?
A. Hypokalemia
B. Hyperkalemia
C. Hypercalcemia
D. Hypoglycemia
Answer: A
Rationale: Furosemide is a loop diuretic that increases potassium excretion, risking
hypokalemia.
2. A patient taking warfarin reports dark stools. What is the priority nursing action?
A. Notify the provider immediately
B. Encourage hydration
C. Continue therapy as prescribed
D. Check blood pressure
Answer: A
Rationale: Dark stools may indicate gastrointestinal bleeding, a serious adverse effect of
anticoagulants.
3. A patient is prescribed lisinopril. Which assessment finding requires intervention?
A. Persistent dry cough
B. Mild headache
C. Occasional dizziness
D. Slight fatigue
Answer: A
Rationale: A persistent cough is a common ACE inhibitor side effect; severe angioedema
1
requires urgent intervention.
Page
2026 Graded A+ EXAM
, 4. A patient is taking digoxin. Which symptom indicates toxicity?
A. Visual disturbances, nausea, bradycardia
B. Mild fatigue
C. Occasional cough
D. Headache
Answer: A
Rationale: Digoxin toxicity presents with GI symptoms, visual changes (yellow-green halos),
and bradycardia.
5. A nurse is administering insulin to a diabetic patient. Which is the priority action to prevent
hypoglycemia?
A. Confirm blood glucose before administration
B. Administer with no verification
C. Give insulin regardless of meal schedule
D. Only give insulin at bedtime
Answer: A
Rationale: Checking blood glucose ensures safe dosing and prevents hypoglycemia.
6. Which medication is prescribed for anaphylaxis?
A. Epinephrine
B. Diphenhydramine only
C. Albuterol
D. Furosemide
Answer: A
Rationale: Epinephrine is the first-line treatment for severe allergic reactions; antihistamines
may be adjuncts.
7. A patient is prescribed vancomycin. Which lab should the nurse monitor?
A. Serum creatinine
B. Blood glucose
2
C. Platelet count
Page
D. ALT/AST only
2026 Graded A+ EXAM
, Answer: A
Rationale: Vancomycin is nephrotoxic; renal function must be monitored.
8. A patient is taking simvastatin. Which teaching is important?
A. Report muscle pain or weakness
B. Avoid all fruits
C. Take only once per week
D. Skip meals before dosing
Answer: A
Rationale: Statins can cause myopathy and rhabdomyolysis; patients should report muscle
symptoms immediately.
9. A patient is prescribed albuterol. Which adverse effect should the nurse monitor?
A. Tachycardia and tremors
B. Bradycardia
C. Constipation
D. Hypoglycemia
Answer: A
Rationale: Beta-2 agonists can cause sympathetic stimulation, leading to tachycardia and
tremors.
10. Which lab should be monitored for a patient taking heparin?
A. aPTT
B. INR only
C. Blood glucose
D. Hemoglobin A1c
Answer: A
Rationale: Heparin therapy requires aPTT monitoring to ensure therapeutic anticoagulation.
3
Page
2026 Graded A+ EXAM
, 11. A patient taking digoxin and furosemide reports nausea and weakness. Which is the priority
action?
A. Hold digoxin and notify the provider
B. Administer antiemetic
C. Increase furosemide
D. Encourage fluids
Answer: A
Rationale: Symptoms may indicate digoxin toxicity, especially in the context of hypokalemia
from diuretics.
12. A patient taking nitroglycerin reports headache. Which teaching is appropriate?
A. Headache is a common side effect; take acetaminophen if needed
B. Discontinue the medication immediately
C. Headache is unrelated
D. Take extra doses
Answer: A
Rationale: Headache is common with nitrates and generally resolves; symptomatic relief with
acetaminophen is appropriate.
13. A patient is prescribed levothyroxine. Which assessment indicates effective therapy?
A. Normal TSH levels and improved energy
B. Decreased appetite only
C. Weight gain only
D. Bradycardia
Answer: A
Rationale: Levothyroxine normalizes thyroid hormone levels, improving energy and metabolic
function.
14. Which adverse effect is most concerning for a patient taking amiodarone?
A. Pulmonary fibrosis
B. Mild cough
C. Headache
4
D. Constipation
Page
2026 Graded A+ EXAM
