ATI PHARM PROCTORED LPN EXAM
2024-2025 ACTUAL EXAM TEST BANK
250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client? - Answer - Calcitonin (Miacalcin)
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia.
The nurse instructs the mother to administer the iron with which best food item? -
Answer - Orange juice
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors
the client, knowing that which of the following would indicate the presence of systemic
toxicity from this medication? - Answer - Tinnitus
The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens - Answer - At least
30 minutes before exposure to the sun
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When
applying the medication, the client complains of local discomfort and burning. Which of
the following is the most appropriate nursing action? - Answer - Informing the client that
this is normal
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the
site of injury. The nurse monitors the client, knowing that which of the following indicates
that a systemic effect has occurred? - Answer - Hyperventilation
Isotretinoin is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed? - Answer
- Triglyceride level
A client with severe acne is seen in the clinic and the health care provider (HCP)
prescribes isotretinoin. The nurse reviews the client's medication record and would
contact the (HCP) if the client is taking which medication? - Answer - Vitamin A
,The nurse is applying a topical corticosteroid to a client with eczema. The nurse would
monitor for the potential for increased systemic absorption of the medication if the
medication were being applied to which of the following body areas? - Answer - Axilla
The clinic nurse is performing an admission assessment on a client. The nurse notes
that the client is taking azelaic acid (Azelex). Because of the medication prescription,
the nurse would suspect that the client is being treated for: - Answer - Acne
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with
a partial-thickness burn, which has cultured positive for gram-negative bacteria. The
nurse is reinforcing information to the client about the medication. Which statement
made by the client indicates a lack of understanding about the treatments? - Answer -
"The medication will permanently stain my skin."
A nurse is caring for a client who is receiving an intravenous (IV) infusion of an
antineoplastic medication. During the infusion, the client complains of pain at the
insertion site. During an inspection of the site, the nurse notes redness and swelling and
that the rate of infusion of the medication has slowed. The nurse should take which
appropriate action? - Answer - Notify the registered nurse.
The client with squamous cell carcinoma of the larynx is receiving bleomycin
intravenously. The nurse caring for the client anticipates that which diagnostic study will
be prescribed? - Answer - Pulmonary function studies
The client with acute myelocytic leukemia is being treated with busulfan (Myleran).
Which laboratory value would the nurse specifically monitor during treatment with this
medication? - Answer - Uric acid level
The client with small cell lung cancer is being treated with etoposide (VePesid). The
nurse who is assisting in caring for the client during its administration understands that
which side effect is specifically associated with this medication? - Answer - Orthostatic
hypotension
The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic
medication. When implementing the plan, the nurse tells the client: - Answer - Consult
with health care providers (HCPs) before receiving immunizations
The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse
monitors the client, knowing that which of the following indicates a side effect specific to
this medication? - Answer - Numbness and tingling in the fingers and toes
The nurse is reviewing the history and physical examination of a client who will be
receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the
registered nurse regarding the administration of the medication if which of the following
is documented in the client's history? - Answer - Pancreatitis
, Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse
understands that the primary action of this medication is to: - Answer - Compete with
estradiol for binding to estrogen in tissues containing high concentrations of receptors.
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically
monitors which laboratory value while the client is taking this medication? - Answer -
Calcium level
A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select
the adverse effects that the nurse monitors for that are associated with this medication.
Select all that apply. - Answer - 1. Tinnitus
2. Ototoxicity
5. Nephrotoxicity
6. Hypomagnesemia
A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is
prescribed for the client. The nurse determines that this medication has been prescribed
to: - Answer - Treat hypocalcemic tetany.
A client who has been newly diagnosed with diabetes mellitus has been stabilized with
daily insulin injections. Which information should the nurse teach when carrying out
plans for discharge? - Answer - Rotate the insulin injection sites systematically.
A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH
insulin in the same syringe. Which of the following actions, if performed by the client,
indicates the need for further teaching? - Answer - Withdraws the NPH insulin first
A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking
Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of
insulin. The nurse tells the client to: - Answer - Refrigerate the insulin.
Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces
instructions for the client and tells the client to avoid which of the following while taking
this medication? - Answer - Alcohol
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse
reviews the client's medical record and would question the prescription if which of the
following is noted in the client's history? - Answer - Use of nitroglycerin
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1
diabetes mellitus who takes insulin. The nurse knows that which of the following is the
appropriate intervention? - Answer - The medication is withheld and the HCP is called to
question the prescription for the client.
2024-2025 ACTUAL EXAM TEST BANK
250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client? - Answer - Calcitonin (Miacalcin)
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia.
The nurse instructs the mother to administer the iron with which best food item? -
Answer - Orange juice
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors
the client, knowing that which of the following would indicate the presence of systemic
toxicity from this medication? - Answer - Tinnitus
The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens - Answer - At least
30 minutes before exposure to the sun
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When
applying the medication, the client complains of local discomfort and burning. Which of
the following is the most appropriate nursing action? - Answer - Informing the client that
this is normal
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the
site of injury. The nurse monitors the client, knowing that which of the following indicates
that a systemic effect has occurred? - Answer - Hyperventilation
Isotretinoin is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed? - Answer
- Triglyceride level
A client with severe acne is seen in the clinic and the health care provider (HCP)
prescribes isotretinoin. The nurse reviews the client's medication record and would
contact the (HCP) if the client is taking which medication? - Answer - Vitamin A
,The nurse is applying a topical corticosteroid to a client with eczema. The nurse would
monitor for the potential for increased systemic absorption of the medication if the
medication were being applied to which of the following body areas? - Answer - Axilla
The clinic nurse is performing an admission assessment on a client. The nurse notes
that the client is taking azelaic acid (Azelex). Because of the medication prescription,
the nurse would suspect that the client is being treated for: - Answer - Acne
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with
a partial-thickness burn, which has cultured positive for gram-negative bacteria. The
nurse is reinforcing information to the client about the medication. Which statement
made by the client indicates a lack of understanding about the treatments? - Answer -
"The medication will permanently stain my skin."
A nurse is caring for a client who is receiving an intravenous (IV) infusion of an
antineoplastic medication. During the infusion, the client complains of pain at the
insertion site. During an inspection of the site, the nurse notes redness and swelling and
that the rate of infusion of the medication has slowed. The nurse should take which
appropriate action? - Answer - Notify the registered nurse.
The client with squamous cell carcinoma of the larynx is receiving bleomycin
intravenously. The nurse caring for the client anticipates that which diagnostic study will
be prescribed? - Answer - Pulmonary function studies
The client with acute myelocytic leukemia is being treated with busulfan (Myleran).
Which laboratory value would the nurse specifically monitor during treatment with this
medication? - Answer - Uric acid level
The client with small cell lung cancer is being treated with etoposide (VePesid). The
nurse who is assisting in caring for the client during its administration understands that
which side effect is specifically associated with this medication? - Answer - Orthostatic
hypotension
The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic
medication. When implementing the plan, the nurse tells the client: - Answer - Consult
with health care providers (HCPs) before receiving immunizations
The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse
monitors the client, knowing that which of the following indicates a side effect specific to
this medication? - Answer - Numbness and tingling in the fingers and toes
The nurse is reviewing the history and physical examination of a client who will be
receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the
registered nurse regarding the administration of the medication if which of the following
is documented in the client's history? - Answer - Pancreatitis
, Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse
understands that the primary action of this medication is to: - Answer - Compete with
estradiol for binding to estrogen in tissues containing high concentrations of receptors.
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically
monitors which laboratory value while the client is taking this medication? - Answer -
Calcium level
A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select
the adverse effects that the nurse monitors for that are associated with this medication.
Select all that apply. - Answer - 1. Tinnitus
2. Ototoxicity
5. Nephrotoxicity
6. Hypomagnesemia
A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is
prescribed for the client. The nurse determines that this medication has been prescribed
to: - Answer - Treat hypocalcemic tetany.
A client who has been newly diagnosed with diabetes mellitus has been stabilized with
daily insulin injections. Which information should the nurse teach when carrying out
plans for discharge? - Answer - Rotate the insulin injection sites systematically.
A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH
insulin in the same syringe. Which of the following actions, if performed by the client,
indicates the need for further teaching? - Answer - Withdraws the NPH insulin first
A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking
Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of
insulin. The nurse tells the client to: - Answer - Refrigerate the insulin.
Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces
instructions for the client and tells the client to avoid which of the following while taking
this medication? - Answer - Alcohol
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse
reviews the client's medical record and would question the prescription if which of the
following is noted in the client's history? - Answer - Use of nitroglycerin
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1
diabetes mellitus who takes insulin. The nurse knows that which of the following is the
appropriate intervention? - Answer - The medication is withheld and the HCP is called to
question the prescription for the client.
