ATI Pharm Proctored Exam LPN
Questions with Complete Answers
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.
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces
instructions for the client and tells the client that the most likely time for a
hypoglycemic reaction to occur is: - ANSWER-4 to 12 hours after administration
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus
previously had been well controlled with glyburide (DiaBeta) daily, but recently the
fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added
to the client's regimen, may have contributed to the hyperglycemia? - ANSWER-
Prednisone
A community health nurse visits a client at home. Prednisone 10 mg orally daily has
been prescribed for the client and the nurse reinforces teaching for the client about
, the medication. Which statement, if made by the client, indicates that further
teaching is necessary? - ANSWER-"I can take aspirin or my antihistamine if I need
it."
Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus.
The nurse monitors the client after medication administration for which therapeutic
response? - ANSWER-Decreased urinary output
The home health care nurse is visiting a client who was recently diagnosed with type
2 diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin
(Glucophage) and asks the nurse to explain these medications. The nurse should
reinforce which instructions to the client? Select all that apply. - ANSWER-1.
Diarrhea can occur secondary to the metformin.
2. The repaglinide is not taken if a meal is skipped.
3. The repaglinide is taken 30 minutes before eating.
4. Candy or another simple sugar is carried and used to treat mild hypoglycemia
episodes.
A client with Crohn's disease is scheduled to receive an infusion of infliximab
(Remicade). The nurse assisting in caring for the client should take which action to
monitor the effectiveness of treatment? - ANSWER-Checking the frequency and
consistency of bowel movements
The client has a PRN prescription for loperamide hydrochloride (Imodium). The
nurse understands that this medication is used for which condition? - ANSWER-An
episode of diarrhea
The client has a PRN prescription for ondansetron (Zofran). For which condition
should this medication be administered to the postoperative client? - ANSWER-
Nausea and vomiting
The client has begun medication therapy with pancrelipase (Pancrease MT). The
nurse evaluates that the medication is having the optimal intended benefit if which
effect is observed? - ANSWER-Reduction of steatorrhea
An older client recently has been taking cimetidine (Tagamet). The nurse monitors
the client for which most frequent central nervous system side effect of this
medication? - ANSWER-Confusion
The client with a gastric ulcer has a prescription for sucralfate (Carafate), 1 g by
mouth four times daily. The nurse schedules the medication for which times? -
ANSWER-One hour before meals and at bedtime
The client who chronically uses nonsteroidal anti-inflammatory drugs has been
taking misoprostol (Cytotec). The nurse determines that the medication is having the
intended therapeutic effect if which of the following is noted? - ANSWER-Relief of
epigastric pain
Questions with Complete Answers
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.
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces
instructions for the client and tells the client that the most likely time for a
hypoglycemic reaction to occur is: - ANSWER-4 to 12 hours after administration
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus
previously had been well controlled with glyburide (DiaBeta) daily, but recently the
fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added
to the client's regimen, may have contributed to the hyperglycemia? - ANSWER-
Prednisone
A community health nurse visits a client at home. Prednisone 10 mg orally daily has
been prescribed for the client and the nurse reinforces teaching for the client about
, the medication. Which statement, if made by the client, indicates that further
teaching is necessary? - ANSWER-"I can take aspirin or my antihistamine if I need
it."
Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus.
The nurse monitors the client after medication administration for which therapeutic
response? - ANSWER-Decreased urinary output
The home health care nurse is visiting a client who was recently diagnosed with type
2 diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin
(Glucophage) and asks the nurse to explain these medications. The nurse should
reinforce which instructions to the client? Select all that apply. - ANSWER-1.
Diarrhea can occur secondary to the metformin.
2. The repaglinide is not taken if a meal is skipped.
3. The repaglinide is taken 30 minutes before eating.
4. Candy or another simple sugar is carried and used to treat mild hypoglycemia
episodes.
A client with Crohn's disease is scheduled to receive an infusion of infliximab
(Remicade). The nurse assisting in caring for the client should take which action to
monitor the effectiveness of treatment? - ANSWER-Checking the frequency and
consistency of bowel movements
The client has a PRN prescription for loperamide hydrochloride (Imodium). The
nurse understands that this medication is used for which condition? - ANSWER-An
episode of diarrhea
The client has a PRN prescription for ondansetron (Zofran). For which condition
should this medication be administered to the postoperative client? - ANSWER-
Nausea and vomiting
The client has begun medication therapy with pancrelipase (Pancrease MT). The
nurse evaluates that the medication is having the optimal intended benefit if which
effect is observed? - ANSWER-Reduction of steatorrhea
An older client recently has been taking cimetidine (Tagamet). The nurse monitors
the client for which most frequent central nervous system side effect of this
medication? - ANSWER-Confusion
The client with a gastric ulcer has a prescription for sucralfate (Carafate), 1 g by
mouth four times daily. The nurse schedules the medication for which times? -
ANSWER-One hour before meals and at bedtime
The client who chronically uses nonsteroidal anti-inflammatory drugs has been
taking misoprostol (Cytotec). The nurse determines that the medication is having the
intended therapeutic effect if which of the following is noted? - ANSWER-Relief of
epigastric pain
