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ATI Pharmacology Proctored Exam – (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ [2026-2027]
ATI Pharmacology Proctored Exam —
Questions
1. A patient is prescribed lisinopril for hypertension. Which
adverse effect should the nurse monitor for?
A. Hyperkalemia
B. Bradycardia
C. Hypoglycemia
D. Hypokalemia
Answer: A
Rationale: ACE inhibitors → potassium retention → risk of hyperkalemia, especially in renal
impairment.
2. A patient taking digoxin reports nausea, vomiting, and
blurred vision. Which lab value should the nurse check?
A. Serum digoxin level
B. Potassium
C. Sodium
D. Calcium
Answer: A
Rationale: These are classic signs of digoxin toxicity → check digoxin levels before next dose.
3. A patient on warfarin is prescribed amoxicillin. What is
the primary concern?
2026 2027 GRADED A+
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A. Increased bleeding risk
B. Decreased anticoagulant effect
C. No interaction
D. Risk of hyperglycemia
Answer: A
Rationale: Many antibiotics → potentiate warfarin effect, increasing bleeding risk → monitor
INR.
4. A patient on metformin is scheduled for contrast dye
study. Which is priority?
A. Hold metformin 24–48 hours before and after contrast
B. Increase metformin dose
C. Administer extra fluids only
D. No action needed
Answer: A
Rationale: Contrast dye → risk of lactic acidosis in patients on metformin → hold before and
after procedure.
5. A patient taking furosemide develops muscle cramps and
weakness. Which lab should the nurse assess first?
A. Potassium
B. Sodium
C. Magnesium
D. Calcium
Answer: A
Rationale: Loop diuretics → potassium wasting, which can cause arrhythmias and muscle
weakness.
6. A patient prescribed amiodarone reports blurred vision.
Which action is appropriate?
2026 2027 GRADED A+
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A. Notify provider; assess for ocular toxicity
B. Ignore; it is expected
C. Stop immediately without provider
D. Encourage hydration
Answer: A
Rationale: Amiodarone → risk of optic neuropathy; visual changes require immediate
evaluation.
7. A patient on levothyroxine reports palpitations and
insomnia. Which lab indicates overdose?
A. TSH decreased, T4 increased
B. TSH increased, T4 decreased
C. TSH and T4 normal
D. TSH decreased, T4 decreased
Answer: A
Rationale: Excess thyroid hormone → hyperthyroid symptoms; lab confirms T4 high and TSH
suppressed.
8. A patient taking SSRIs reports headache, nausea, and
insomnia. Which action is correct?
A. Educate patient that side effects are common early in therapy
B. Discontinue immediately
C. Switch to MAOI
D. Administer opioid for headache
Answer: A
Rationale: Early SSRI therapy → transient side effects; patient education is essential.
9. A patient on digoxin has potassium 3.0 mEq/L. Which
action is priority?
A. Notify provider before giving digoxin
B. Administer digoxin as scheduled
2026 2027 GRADED A+
, 4|Page
C. Encourage fluids
D. Monitor only
Answer: A
Rationale: Hypokalemia increases risk of digoxin toxicity → correct potassium first.
10. A patient on aminoglycosides reports tinnitus and
vertigo. What is the nurse’s priority?
A. Notify provider → ototoxicity risk
B. Continue therapy
C. Give diuretics
D. Encourage hydration only
Answer: A
Rationale: Early sign of ototoxicity → may require discontinuation or dosage adjustment.
11. A patient taking corticosteroids develops hyperglycemia.
Which intervention is priority?
A. Monitor blood glucose and adjust therapy
B. Encourage carbohydrate intake
C. Stop steroid abruptly
D. Ignore
Answer: A
Rationale: Corticosteroids → increase blood sugar; monitor and manage to prevent
complications.
12. A patient taking nitroglycerin for angina reports
dizziness. Which teaching is most important?
A. Sit or lie down when taking medication
B. Take extra dose if dizzy
C. Avoid fluids
D. Stand quickly
2026 2027 GRADED A+
ATI Pharmacology Proctored Exam – (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ [2026-2027]
ATI Pharmacology Proctored Exam —
Questions
1. A patient is prescribed lisinopril for hypertension. Which
adverse effect should the nurse monitor for?
A. Hyperkalemia
B. Bradycardia
C. Hypoglycemia
D. Hypokalemia
Answer: A
Rationale: ACE inhibitors → potassium retention → risk of hyperkalemia, especially in renal
impairment.
2. A patient taking digoxin reports nausea, vomiting, and
blurred vision. Which lab value should the nurse check?
A. Serum digoxin level
B. Potassium
C. Sodium
D. Calcium
Answer: A
Rationale: These are classic signs of digoxin toxicity → check digoxin levels before next dose.
3. A patient on warfarin is prescribed amoxicillin. What is
the primary concern?
2026 2027 GRADED A+
,2|Page
A. Increased bleeding risk
B. Decreased anticoagulant effect
C. No interaction
D. Risk of hyperglycemia
Answer: A
Rationale: Many antibiotics → potentiate warfarin effect, increasing bleeding risk → monitor
INR.
4. A patient on metformin is scheduled for contrast dye
study. Which is priority?
A. Hold metformin 24–48 hours before and after contrast
B. Increase metformin dose
C. Administer extra fluids only
D. No action needed
Answer: A
Rationale: Contrast dye → risk of lactic acidosis in patients on metformin → hold before and
after procedure.
5. A patient taking furosemide develops muscle cramps and
weakness. Which lab should the nurse assess first?
A. Potassium
B. Sodium
C. Magnesium
D. Calcium
Answer: A
Rationale: Loop diuretics → potassium wasting, which can cause arrhythmias and muscle
weakness.
6. A patient prescribed amiodarone reports blurred vision.
Which action is appropriate?
2026 2027 GRADED A+
,3|Page
A. Notify provider; assess for ocular toxicity
B. Ignore; it is expected
C. Stop immediately without provider
D. Encourage hydration
Answer: A
Rationale: Amiodarone → risk of optic neuropathy; visual changes require immediate
evaluation.
7. A patient on levothyroxine reports palpitations and
insomnia. Which lab indicates overdose?
A. TSH decreased, T4 increased
B. TSH increased, T4 decreased
C. TSH and T4 normal
D. TSH decreased, T4 decreased
Answer: A
Rationale: Excess thyroid hormone → hyperthyroid symptoms; lab confirms T4 high and TSH
suppressed.
8. A patient taking SSRIs reports headache, nausea, and
insomnia. Which action is correct?
A. Educate patient that side effects are common early in therapy
B. Discontinue immediately
C. Switch to MAOI
D. Administer opioid for headache
Answer: A
Rationale: Early SSRI therapy → transient side effects; patient education is essential.
9. A patient on digoxin has potassium 3.0 mEq/L. Which
action is priority?
A. Notify provider before giving digoxin
B. Administer digoxin as scheduled
2026 2027 GRADED A+
, 4|Page
C. Encourage fluids
D. Monitor only
Answer: A
Rationale: Hypokalemia increases risk of digoxin toxicity → correct potassium first.
10. A patient on aminoglycosides reports tinnitus and
vertigo. What is the nurse’s priority?
A. Notify provider → ototoxicity risk
B. Continue therapy
C. Give diuretics
D. Encourage hydration only
Answer: A
Rationale: Early sign of ototoxicity → may require discontinuation or dosage adjustment.
11. A patient taking corticosteroids develops hyperglycemia.
Which intervention is priority?
A. Monitor blood glucose and adjust therapy
B. Encourage carbohydrate intake
C. Stop steroid abruptly
D. Ignore
Answer: A
Rationale: Corticosteroids → increase blood sugar; monitor and manage to prevent
complications.
12. A patient taking nitroglycerin for angina reports
dizziness. Which teaching is most important?
A. Sit or lie down when taking medication
B. Take extra dose if dizzy
C. Avoid fluids
D. Stand quickly
2026 2027 GRADED A+
