ATI PHARM PROCTORED LPN COMPLETE EXAM LATEST
VERSION 2026-2027 QUESTIONS AND ANSWERS
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the
following should be included in the list of instructions? - answer>>Maintain a high fluid intake.
Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct
the client to report which symptom if it developed during the course of this medication
therapy? - answer>>Sore throat
Phenazopyridine hydrochloride (Pyridium) is prescribed for a client for symptomatic relief of
pain resulting from a lower urinary tract infection. The nurse reinforces to the client: -
answer>>That a reddish orange discoloration of the urine may occur
Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which
disorder would be a contraindication to the administration of this medication? -
answer>>Urinary strictures
A nurse who is administering bethanechol chloride (Urecholine) is monitoring for acute toxicity
associated with the medication. The nurse checks the client for which sign of toxicity? -
answer>>Bradycardia
Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder. Which sign
would indicate a possible toxic effect related to this medication? - answer>>Restlessness
After kidney transplantation, cyclosporine (Sand immune) is prescribed for a client. Which
laboratory result would indicate an adverse effect from the use of this medication? -
answer>>Elevated blood urea nitrogen level
,Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. The nurse reviews the
client's medical record and should contact the health care provider (HCP) regarding which
documented finding to verify the prescription? - answer>>Renal insufficiency
A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following
indicate that this crisis exists? - answer>>Hypertension
A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for
signs and symptoms of cholinergic crisis caused by overdose of the medication. The nurse
checks the medication supply to ensure that which medication is available for administration if
a cholinergic crisis occurs? - answer>>Atropine sulfate
A client with myasthenia gravis becomes increasingly weak. The health care provider prepares
to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or
increasing severity of the disease (myasthenic crisis). An injection of edrophonium (Enlon) is
administered. Which of the following indicates that the client is in cholinergic crisis? -
answer>>A temporary worsening of the condition
Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson's disease, and the nurse
monitors the client for adverse reactions to the medication. Which of the following indicates
that the client is experiencing an adverse reaction? - answer>>Impaired voluntary movements
Phenytoin (Dilantin), 100 mg orally three times daily, has been prescribed for a client for seizure
control. The nurse reinforces instructions regarding the medication to the client. Which
statement by the client indicates an understanding of the instructions? - answer>>"I will use a
soft toothbrush to brush my teeth."
A client is taking phenytoin (Dilantin) for seizure control and a sample for a serum drug level is
drawn. Which of the following indicates a therapeutic serum drug range? - answer>>10 to 20
mcg/mL
,Ibuprofen (Advil) is prescribed for a client. The nurse tells the client to take the medication: -
answer>>With 8 oz of milk
A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. During
data collection, the nurse notes that the client is taking birth control pills. Which of the
following information should the nurse provide to the client? - answer>>The potential for
decreased effectiveness of the birth control pills exists while taking phenytoin (Dilantin).
A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which
laboratory result would indicate that the client is experiencing an adverse reaction to the
medication? - answer>>White blood cell count, 3000 cells/mm3
A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the following are
side effects of this medication. Select all that apply. - answer>>2. Tremors
3. Drowsiness
4. Hypotension
The client has been on treatment for rheumatoid arthritis for 3 weeks. During the
administration of etanercept (Enbrel), it is most important for the nurse to check: -
answer>>The white blood cell counts and platelet counts
Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse assists in
planning care, knowing that the primary therapeutic effect of this medication is which of the
following? - answer>>Decreased muscle spasms
A nurse is monitoring a client receiving baclofen (Lioresal) for side effects related to the
medication. Which of the following would indicate that the client is experiencing a side effect? -
answer>>Drowsiness
, A nurse is reinforcing discharge instructions to a client receiving baclofen (Lioresal). Which of
the following would the nurse include in the instructions? - answer>>Avoid the use of alcohol.
A client with acute muscle spasms has been taking baclofen (Lioresal). The client calls the clinic
nurse because of continuous feelings of weakness and fatigue and asks the nurse about
discontinuing the medication. The nurse should make which appropriate response to the
client? - answer>>"Weakness and fatigue commonly occur and will diminish with continued
medication use."
Dantrolene sodium (Dantrium) is prescribed for a client experiencing flexor spasms, and the
client asks the nurse about the action of the medication. The nurse responds, knowing that the
therapeutic action of this medication is which of the following? - answer>>Acts directly on the
skeletal muscle to relieve spasticity
A nurse is reviewing the laboratory studies on a client receiving dantrolene sodium (Dantrium).
Which laboratory test would identify an adverse effect associated with the administration of
this medication? - answer>>Liver function tests
A nurse is reviewing the record of a client who has been prescribed baclofen (Lioresal). Which
of the following disorders, if noted in the client's history, would alert the nurse to contact the
health care provider? - answer>>Seizure disorders
Cyclobenzaprine (Flexeril) is prescribed for a client to treat muscle spasms, and the nurse is
reviewing the client's record. Which of the following disorders, if noted in the client's record,
would indicate a need to contact the health care provider regarding the administration of this
medication? - answer>>Glaucoma
In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs), which
findings would the nurse interpret as acceptable responses? Select all that apply. - answer>>1.
Symptom control during periods of emotional stress
2. Normal white blood cell counts, platelet, and neutrophil counts
VERSION 2026-2027 QUESTIONS AND ANSWERS
A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the
following should be included in the list of instructions? - answer>>Maintain a high fluid intake.
Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct
the client to report which symptom if it developed during the course of this medication
therapy? - answer>>Sore throat
Phenazopyridine hydrochloride (Pyridium) is prescribed for a client for symptomatic relief of
pain resulting from a lower urinary tract infection. The nurse reinforces to the client: -
answer>>That a reddish orange discoloration of the urine may occur
Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which
disorder would be a contraindication to the administration of this medication? -
answer>>Urinary strictures
A nurse who is administering bethanechol chloride (Urecholine) is monitoring for acute toxicity
associated with the medication. The nurse checks the client for which sign of toxicity? -
answer>>Bradycardia
Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder. Which sign
would indicate a possible toxic effect related to this medication? - answer>>Restlessness
After kidney transplantation, cyclosporine (Sand immune) is prescribed for a client. Which
laboratory result would indicate an adverse effect from the use of this medication? -
answer>>Elevated blood urea nitrogen level
,Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. The nurse reviews the
client's medical record and should contact the health care provider (HCP) regarding which
documented finding to verify the prescription? - answer>>Renal insufficiency
A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following
indicate that this crisis exists? - answer>>Hypertension
A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for
signs and symptoms of cholinergic crisis caused by overdose of the medication. The nurse
checks the medication supply to ensure that which medication is available for administration if
a cholinergic crisis occurs? - answer>>Atropine sulfate
A client with myasthenia gravis becomes increasingly weak. The health care provider prepares
to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or
increasing severity of the disease (myasthenic crisis). An injection of edrophonium (Enlon) is
administered. Which of the following indicates that the client is in cholinergic crisis? -
answer>>A temporary worsening of the condition
Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson's disease, and the nurse
monitors the client for adverse reactions to the medication. Which of the following indicates
that the client is experiencing an adverse reaction? - answer>>Impaired voluntary movements
Phenytoin (Dilantin), 100 mg orally three times daily, has been prescribed for a client for seizure
control. The nurse reinforces instructions regarding the medication to the client. Which
statement by the client indicates an understanding of the instructions? - answer>>"I will use a
soft toothbrush to brush my teeth."
A client is taking phenytoin (Dilantin) for seizure control and a sample for a serum drug level is
drawn. Which of the following indicates a therapeutic serum drug range? - answer>>10 to 20
mcg/mL
,Ibuprofen (Advil) is prescribed for a client. The nurse tells the client to take the medication: -
answer>>With 8 oz of milk
A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. During
data collection, the nurse notes that the client is taking birth control pills. Which of the
following information should the nurse provide to the client? - answer>>The potential for
decreased effectiveness of the birth control pills exists while taking phenytoin (Dilantin).
A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which
laboratory result would indicate that the client is experiencing an adverse reaction to the
medication? - answer>>White blood cell count, 3000 cells/mm3
A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the following are
side effects of this medication. Select all that apply. - answer>>2. Tremors
3. Drowsiness
4. Hypotension
The client has been on treatment for rheumatoid arthritis for 3 weeks. During the
administration of etanercept (Enbrel), it is most important for the nurse to check: -
answer>>The white blood cell counts and platelet counts
Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse assists in
planning care, knowing that the primary therapeutic effect of this medication is which of the
following? - answer>>Decreased muscle spasms
A nurse is monitoring a client receiving baclofen (Lioresal) for side effects related to the
medication. Which of the following would indicate that the client is experiencing a side effect? -
answer>>Drowsiness
, A nurse is reinforcing discharge instructions to a client receiving baclofen (Lioresal). Which of
the following would the nurse include in the instructions? - answer>>Avoid the use of alcohol.
A client with acute muscle spasms has been taking baclofen (Lioresal). The client calls the clinic
nurse because of continuous feelings of weakness and fatigue and asks the nurse about
discontinuing the medication. The nurse should make which appropriate response to the
client? - answer>>"Weakness and fatigue commonly occur and will diminish with continued
medication use."
Dantrolene sodium (Dantrium) is prescribed for a client experiencing flexor spasms, and the
client asks the nurse about the action of the medication. The nurse responds, knowing that the
therapeutic action of this medication is which of the following? - answer>>Acts directly on the
skeletal muscle to relieve spasticity
A nurse is reviewing the laboratory studies on a client receiving dantrolene sodium (Dantrium).
Which laboratory test would identify an adverse effect associated with the administration of
this medication? - answer>>Liver function tests
A nurse is reviewing the record of a client who has been prescribed baclofen (Lioresal). Which
of the following disorders, if noted in the client's history, would alert the nurse to contact the
health care provider? - answer>>Seizure disorders
Cyclobenzaprine (Flexeril) is prescribed for a client to treat muscle spasms, and the nurse is
reviewing the client's record. Which of the following disorders, if noted in the client's record,
would indicate a need to contact the health care provider regarding the administration of this
medication? - answer>>Glaucoma
In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs), which
findings would the nurse interpret as acceptable responses? Select all that apply. - answer>>1.
Symptom control during periods of emotional stress
2. Normal white blood cell counts, platelet, and neutrophil counts
