ATI Pharm Proctored Exam 2026 | Real Exam Questions &
Verified Answers | Complete Nursing Prep
1. What is one of the primary adverse effects to monitor for after administering
epidural anesthesia?
Headache
Fever
Hypotension
Nausea
2. A patient receiving an antibiotic that affects the bacterial cell wall develops a
rash and difficulty breathing. What should be the immediate nursing
intervention?
Continue the antibiotic and monitor the rash.
Document the reaction and inform the physician later.
Administer an antihistamine and observe.
Stop the antibiotic and assess the patient's airway.
3. What is the primary purpose of administering Oxytocin during labor?
To induce or augment labor contractions
To relieve pain during labor
To prevent infection during delivery
To promote fetal development
,4. A patient on long-term lithium therapy presents with increased thirst,
frequent urination, and tremors. What should be the nurse's immediate
action?
Increase the patient's fluid intake.
Document the symptoms and continue monitoring.
Administer a dose of lithium.
Assess the patient's lithium level.
5. Describe why patients with glaucoma should avoid anticholinergic
medications.
Anticholinergic medications can increase intraocular pressure,
worsening glaucoma.
Anticholinergic medications have no effect on intraocular pressure.
Anticholinergic medications are safe for all patients.
Anticholinergic medications are used to treat glaucoma.
6. If a client taking phenelzine accidentally consumes a high-tyramine food,
what immediate action should they take?
Seek medical attention for potential hypertensive crisis.
Increase their dosage of phenelzine.
Switch to a different medication without consulting a doctor.
Continue taking the medication as prescribed.
7. If a patient receiving morphine exhibits signs of respiratory depression, what
should be the immediate nursing intervention?
Administer naloxone as per protocol.
, Monitor the patient without intervention.
Increase the morphine dosage.
Notify the physician and wait for further instructions.
8. A patient on Levothyroxine reports feeling fatigued and has gained weight
since their last appointment. What should be the next step in their treatment
plan?
Switch the patient to a different medication.
Evaluate the need for a dosage increase of Levothyroxine.
Decrease the dosage of Levothyroxine.
Advise the patient to stop taking Levothyroxine.
9. Why is it important for clients taking bisphosphonates to remain upright for at
least 30 minutes after taking the medication?
Remaining upright helps prevent esophageal irritation and ensures
proper absorption of the medication.
Remaining upright enhances the medication's effectiveness against
osteoporosis.
Remaining upright is necessary to avoid interactions with other
medications.
Remaining upright allows the medication to dissolve faster in the
stomach.
10. What are the adverse effects of cyclophosphamide?
bone marrow suppression; thrombocytopenia; nausea, vomiting,
anorexia, diarrhea
cardiotoxicity, lower blood cell counts, hair loss, nausea and vomiting
, nausea, vomiting, hot flashes, fluid retention
nervous system toxicity; constipation
11. A 31-year-old multigravida client at 39 weeks' gestation admitted to the
hospital in active labor is receiving intravenous LR solution and a continuous
epidural anesthetic. During the first hour after administration of the
anesthetic, the nurse should monitor the client for which adverse reaction?
Hypotension
Tremors
Headache
Diaphoresis
12. Describe the contraindications for using an epinephrine auto-injector in
patients with specific medical conditions.
It is contraindicated only in children under 12.
Only patients with asthma should avoid it.
Patients with certain heart conditions or those who are
hypersensitive to epinephrine should avoid using an auto-injector.
All patients can use it regardless of medical history.
13. Which dietary supplements are known to interact with Tetracycline?
Vitamin C
Folic acid
Calcium supplements
Iron supplements
Verified Answers | Complete Nursing Prep
1. What is one of the primary adverse effects to monitor for after administering
epidural anesthesia?
Headache
Fever
Hypotension
Nausea
2. A patient receiving an antibiotic that affects the bacterial cell wall develops a
rash and difficulty breathing. What should be the immediate nursing
intervention?
Continue the antibiotic and monitor the rash.
Document the reaction and inform the physician later.
Administer an antihistamine and observe.
Stop the antibiotic and assess the patient's airway.
3. What is the primary purpose of administering Oxytocin during labor?
To induce or augment labor contractions
To relieve pain during labor
To prevent infection during delivery
To promote fetal development
,4. A patient on long-term lithium therapy presents with increased thirst,
frequent urination, and tremors. What should be the nurse's immediate
action?
Increase the patient's fluid intake.
Document the symptoms and continue monitoring.
Administer a dose of lithium.
Assess the patient's lithium level.
5. Describe why patients with glaucoma should avoid anticholinergic
medications.
Anticholinergic medications can increase intraocular pressure,
worsening glaucoma.
Anticholinergic medications have no effect on intraocular pressure.
Anticholinergic medications are safe for all patients.
Anticholinergic medications are used to treat glaucoma.
6. If a client taking phenelzine accidentally consumes a high-tyramine food,
what immediate action should they take?
Seek medical attention for potential hypertensive crisis.
Increase their dosage of phenelzine.
Switch to a different medication without consulting a doctor.
Continue taking the medication as prescribed.
7. If a patient receiving morphine exhibits signs of respiratory depression, what
should be the immediate nursing intervention?
Administer naloxone as per protocol.
, Monitor the patient without intervention.
Increase the morphine dosage.
Notify the physician and wait for further instructions.
8. A patient on Levothyroxine reports feeling fatigued and has gained weight
since their last appointment. What should be the next step in their treatment
plan?
Switch the patient to a different medication.
Evaluate the need for a dosage increase of Levothyroxine.
Decrease the dosage of Levothyroxine.
Advise the patient to stop taking Levothyroxine.
9. Why is it important for clients taking bisphosphonates to remain upright for at
least 30 minutes after taking the medication?
Remaining upright helps prevent esophageal irritation and ensures
proper absorption of the medication.
Remaining upright enhances the medication's effectiveness against
osteoporosis.
Remaining upright is necessary to avoid interactions with other
medications.
Remaining upright allows the medication to dissolve faster in the
stomach.
10. What are the adverse effects of cyclophosphamide?
bone marrow suppression; thrombocytopenia; nausea, vomiting,
anorexia, diarrhea
cardiotoxicity, lower blood cell counts, hair loss, nausea and vomiting
, nausea, vomiting, hot flashes, fluid retention
nervous system toxicity; constipation
11. A 31-year-old multigravida client at 39 weeks' gestation admitted to the
hospital in active labor is receiving intravenous LR solution and a continuous
epidural anesthetic. During the first hour after administration of the
anesthetic, the nurse should monitor the client for which adverse reaction?
Hypotension
Tremors
Headache
Diaphoresis
12. Describe the contraindications for using an epinephrine auto-injector in
patients with specific medical conditions.
It is contraindicated only in children under 12.
Only patients with asthma should avoid it.
Patients with certain heart conditions or those who are
hypersensitive to epinephrine should avoid using an auto-injector.
All patients can use it regardless of medical history.
13. Which dietary supplements are known to interact with Tetracycline?
Vitamin C
Folic acid
Calcium supplements
Iron supplements
