ATI RN Pharmacology Proctored 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
1
Rationale: A persistent cough is a common ACE inhibitor side effect; severe angioedema
Page
requires urgent intervention.
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.
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 - CORRECT ✔✔✔✔✔ 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. - CORRECT ✔✔✔✔✔ C. A client
receives their insulin 1 hour before scheduled.
2
Page
2026 Graded A+ EXAM
, 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. - CORRECT ✔✔✔✔✔ 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.) - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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
3
Page
the treatment?
2026 Graded A+ EXAM
, A. Potassium level
B. BUN
C. INR
D. WBC count - CORRECT ✔✔✔✔✔ 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. - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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?
4
Page
A. An older adult client living in a long-term care facility.
2026 Graded A+ EXAM
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
1
Rationale: A persistent cough is a common ACE inhibitor side effect; severe angioedema
Page
requires urgent intervention.
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.
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 - CORRECT ✔✔✔✔✔ 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. - CORRECT ✔✔✔✔✔ C. A client
receives their insulin 1 hour before scheduled.
2
Page
2026 Graded A+ EXAM
, 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. - CORRECT ✔✔✔✔✔ 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.) - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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
3
Page
the treatment?
2026 Graded A+ EXAM
, A. Potassium level
B. BUN
C. INR
D. WBC count - CORRECT ✔✔✔✔✔ 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. - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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 - CORRECT ✔✔✔✔✔ 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?
4
Page
A. An older adult client living in a long-term care facility.
2026 Graded A+ EXAM
