ATI PN PHARMACOLOGY PROCTORED
EXAM QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
Patient identifiers - ANS -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - ANS ■
Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? - ANS -increased amounts of potassium-
rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - ANS color and temperature
Sumatriptan (treats migraine headaches) adverse effect - ANS pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - ANS -• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,RBC Blood transfusion -
ANS http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS
%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - ANS -they don't cure disease, they slow the
process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - ANS administered by
subcutaneous injection or IV infusion
Lisinopril therapeutic effect - ANS blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - ANS risperidone, Risperdal
Macrodantin medication - ANS used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - ANS -benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - ANS same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
Lipitor - ANS -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.
Garamycin- - ANS Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - ANS -Fatigue
-Bradycardia
-Anorexia
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, -Nausea/Vomiting
Singulair - ANS used before exercise to prevent breathing problems during exercise
(bronchospasm).
What medication to administer with Tylenol overdose? - ANS acetylcysteine (Mucomyst)
must be given IV
HPV vaccine - ANS Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over
a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose
should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - ANS oxygen saturation
Valporic Acid lab - ANS liver
Lithium report immediately - ANS slurred speech
Prednisone report - ANS sore throat
Food to avoid when taking Lithium - ANS -salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - ANS Periodic determination of serum electrolytes to
detect possible electrolyte imbalance should be done at appropriate intervals.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
Patient identifiers - ANS -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - ANS ■
Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? - ANS -increased amounts of potassium-
rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - ANS color and temperature
Sumatriptan (treats migraine headaches) adverse effect - ANS pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - ANS -• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,RBC Blood transfusion -
ANS http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS
%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - ANS -they don't cure disease, they slow the
process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - ANS administered by
subcutaneous injection or IV infusion
Lisinopril therapeutic effect - ANS blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - ANS risperidone, Risperdal
Macrodantin medication - ANS used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - ANS -benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - ANS same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
Lipitor - ANS -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.
Garamycin- - ANS Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - ANS -Fatigue
-Bradycardia
-Anorexia
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, -Nausea/Vomiting
Singulair - ANS used before exercise to prevent breathing problems during exercise
(bronchospasm).
What medication to administer with Tylenol overdose? - ANS acetylcysteine (Mucomyst)
must be given IV
HPV vaccine - ANS Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over
a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose
should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - ANS oxygen saturation
Valporic Acid lab - ANS liver
Lithium report immediately - ANS slurred speech
Prednisone report - ANS sore throat
Food to avoid when taking Lithium - ANS -salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - ANS Periodic determination of serum electrolytes to
detect possible electrolyte imbalance should be done at appropriate intervals.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
