ATI PN Pharmacology Exam 2025/2026 – NGN Style
Test Bank with Verified Answers & Rationales
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)
C
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
LE
- Gradual increase with elevated serum creatinine over months to years for
ST
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
BE
- 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
heaviness 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.
C
• Remove the patch at night to reduce the
risk of developing tolerance to LE
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
ST
at night).
• Do not cut patches to ensure appropriate
dosage.
BE
• 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 injection or IV infusion
Lisinopril therapeutic effect - correct answer -blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - correct answer -risperidone, Risperdal
Macrodantin medication - correct answer -used to treat or prevent certain urinary tract infections
C
Haldol-inform if you are taking medication. - correct answer --benzodiazepine class
of anti-anxiety drugs (all ending with "pam") and even, Xanax.
LE
Fosomax - correct answer -same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
ST
Lipitor - correct answer --lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.
BE
Garamycin- - correct answer -Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - correct answer --Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - correct answer -used before exercise to prevent breathing problems during exercise
(bronchospasm).
, What medication to administer with Tylenol overdose? - correct answer -acetylcysteine (Mucomyst)
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 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 - correct answer -oxygen saturation
C
Valporic Acid lab - correct answer -liver
LE
Lithium report immediately - correct answer -slurred speech
ST
Prednisone report - correct answer -sore throat
BE
Food to avoid when taking Lithium - correct answer --salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - correct answer -Periodic determination of serum electrolytes to
detect possible electrolyte imbalance should be done at appropriate intervals.
1) 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?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
Test Bank with Verified Answers & Rationales
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)
C
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
LE
- Gradual increase with elevated serum creatinine over months to years for
ST
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
BE
- 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
heaviness 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.
C
• Remove the patch at night to reduce the
risk of developing tolerance to LE
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
ST
at night).
• Do not cut patches to ensure appropriate
dosage.
BE
• 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 injection or IV infusion
Lisinopril therapeutic effect - correct answer -blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - correct answer -risperidone, Risperdal
Macrodantin medication - correct answer -used to treat or prevent certain urinary tract infections
C
Haldol-inform if you are taking medication. - correct answer --benzodiazepine class
of anti-anxiety drugs (all ending with "pam") and even, Xanax.
LE
Fosomax - correct answer -same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
ST
Lipitor - correct answer --lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.
BE
Garamycin- - correct answer -Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - correct answer --Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - correct answer -used before exercise to prevent breathing problems during exercise
(bronchospasm).
, What medication to administer with Tylenol overdose? - correct answer -acetylcysteine (Mucomyst)
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 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 - correct answer -oxygen saturation
C
Valporic Acid lab - correct answer -liver
LE
Lithium report immediately - correct answer -slurred speech
ST
Prednisone report - correct answer -sore throat
BE
Food to avoid when taking Lithium - correct answer --salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - correct answer -Periodic determination of serum electrolytes to
detect possible electrolyte imbalance should be done at appropriate intervals.
1) 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?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
