ATI PN Pharmacology Proctored Exam
] ] ] ] ]
Review Questions and Answers – (2025-
] ] ] ] ]
2026)
Patient ]identifiers ]- ]correct ]answer: ]-Medical ]record ]number
-home ]telephone ]number
What ]lab ]values ]should ]a ]nurse ]monitor ]for ]a ]patient ]with ]chronic ]renal ]failure? ]- ]correct ]answer
: ]■ ]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
■ ]Complete ]blood ]count ](CBC)
- ]Decreased ]hemoglobin
,What ]food ]should ]you ]increase ]when ]taking ]Lasix? ]- ]correct ]answer: ]-
increased ]amounts ]of ]potassium-rich ]foods ](e.g., ]bananas, ]prunes, ]raisins, ]and ]orange ]juice)
Patient ]reports ]IV ]discomfort, ]what ]is ]your ]first ]action? ]- ]correct ]answer: ]color ]and ]temperature
Sumatriptan ]
(treats ]migraine ]headaches) ]adverse ]effect ]- ]correct ]answer: ]pain, ]tightness, ]pressure, ]or ]heavin
ess ]in ]the ]chest, ]throat, ]neck, ]and/or ]jaw
slow ]or ]difficult ]speech
Know ]about ]Transdermal ]patch ]- ]correct ]answer: ]-• ]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.
,RBC ]Blood ]transfusion ]- ]correct ]answer:
]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? ]- ]correct ]answer: ]-
they ]don't ]cure ]disease, ]they ]slow ]the ]process.
NEUPOGEN ](filgrastim)-
what ]is ]the ]appropriate ]route ]of ]this ]med? ]- ]correct ]answer: ]administered ]by ]subcutaneous ]injec
tion ]or ]IV ]infusion
Lisinopril ]therapeutic ]effect ]- ]correct ]answer: ]blood ]pressure ]answer ](e.g. ]120/80)
Medication ]for ]Schizophrenia ]- ]correct ]answer: ]risperidone, ]Risperdal
Macrodontia ]medication ]- ]correct ]answer: ]used ]to ]treat ]or ]prevent ]certain ]urinary ]tract ]infectio
ns
Haldol-inform ]if ]you ]are ]taking ]____________ ]medication. ]- ]correct ]answer: ]-
benzodiazepine ]class ]of ]anti-anxiety ]drugs ](all ]ending ]with ]"pam") ]and ]even, ]Xanax.
Fosamax ]- ]correct ]answer: ]same ]as-
Alendronate ]is ]used ]for ]treating ]osteoporosis ]in ]men ]and ]postmenopausal ]women.
Lipitor ]- ]correct ]answer: ]-lowers ]cholesterol ]in ]blood, ]"statins". ]Reduce ]LDL ]and ]total ]cholesterol.
]Raise ]HDL.
Apramycin- ]- ]correct ]answer: ]Antibiotic ]that ]is ]toxic ]to ]the ]kidney, ]injected ]for ]radiology ]studies.
, Digoxin ]side ]effects ]- ]correct ]answer: ]-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singular ]- ]correct ]answer: ]used ]before ]exercise ]to ]prevent ]breathing ]problems ]during ]exercise ]
(bronchospasm).
What ]medication ]to ]administer ]with ]Tylenol ]overdose? ]- ]correct ]answer: ]acetylcysteine ]
(Microcyst) ]must ]be ]given ]IV
HPV ]vaccine ]- ]correct ]answer: ]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 ]shoul
d ]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 ]- ]correct ]answer: ]oxygen ]saturation
Valproic ]Acid ]lab ]- ]correct ]answer: ]liver
Lithium ]report ]immediately ]- ]correct ]answer: ]slurred ]speech
Prednisone ]report ]- ]correct ]answer: ]sore ]throat
] ] ] ] ]
Review Questions and Answers – (2025-
] ] ] ] ]
2026)
Patient ]identifiers ]- ]correct ]answer: ]-Medical ]record ]number
-home ]telephone ]number
What ]lab ]values ]should ]a ]nurse ]monitor ]for ]a ]patient ]with ]chronic ]renal ]failure? ]- ]correct ]answer
: ]■ ]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
■ ]Complete ]blood ]count ](CBC)
- ]Decreased ]hemoglobin
,What ]food ]should ]you ]increase ]when ]taking ]Lasix? ]- ]correct ]answer: ]-
increased ]amounts ]of ]potassium-rich ]foods ](e.g., ]bananas, ]prunes, ]raisins, ]and ]orange ]juice)
Patient ]reports ]IV ]discomfort, ]what ]is ]your ]first ]action? ]- ]correct ]answer: ]color ]and ]temperature
Sumatriptan ]
(treats ]migraine ]headaches) ]adverse ]effect ]- ]correct ]answer: ]pain, ]tightness, ]pressure, ]or ]heavin
ess ]in ]the ]chest, ]throat, ]neck, ]and/or ]jaw
slow ]or ]difficult ]speech
Know ]about ]Transdermal ]patch ]- ]correct ]answer: ]-• ]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.
,RBC ]Blood ]transfusion ]- ]correct ]answer:
]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? ]- ]correct ]answer: ]-
they ]don't ]cure ]disease, ]they ]slow ]the ]process.
NEUPOGEN ](filgrastim)-
what ]is ]the ]appropriate ]route ]of ]this ]med? ]- ]correct ]answer: ]administered ]by ]subcutaneous ]injec
tion ]or ]IV ]infusion
Lisinopril ]therapeutic ]effect ]- ]correct ]answer: ]blood ]pressure ]answer ](e.g. ]120/80)
Medication ]for ]Schizophrenia ]- ]correct ]answer: ]risperidone, ]Risperdal
Macrodontia ]medication ]- ]correct ]answer: ]used ]to ]treat ]or ]prevent ]certain ]urinary ]tract ]infectio
ns
Haldol-inform ]if ]you ]are ]taking ]____________ ]medication. ]- ]correct ]answer: ]-
benzodiazepine ]class ]of ]anti-anxiety ]drugs ](all ]ending ]with ]"pam") ]and ]even, ]Xanax.
Fosamax ]- ]correct ]answer: ]same ]as-
Alendronate ]is ]used ]for ]treating ]osteoporosis ]in ]men ]and ]postmenopausal ]women.
Lipitor ]- ]correct ]answer: ]-lowers ]cholesterol ]in ]blood, ]"statins". ]Reduce ]LDL ]and ]total ]cholesterol.
]Raise ]HDL.
Apramycin- ]- ]correct ]answer: ]Antibiotic ]that ]is ]toxic ]to ]the ]kidney, ]injected ]for ]radiology ]studies.
, Digoxin ]side ]effects ]- ]correct ]answer: ]-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singular ]- ]correct ]answer: ]used ]before ]exercise ]to ]prevent ]breathing ]problems ]during ]exercise ]
(bronchospasm).
What ]medication ]to ]administer ]with ]Tylenol ]overdose? ]- ]correct ]answer: ]acetylcysteine ]
(Microcyst) ]must ]be ]given ]IV
HPV ]vaccine ]- ]correct ]answer: ]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 ]shoul
d ]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 ]- ]correct ]answer: ]oxygen ]saturation
Valproic ]Acid ]lab ]- ]correct ]answer: ]liver
Lithium ]report ]immediately ]- ]correct ]answer: ]slurred ]speech
Prednisone ]report ]- ]correct ]answer: ]sore ]throat
