ATI PN PHARMACOLOGY PROCTORED EXAM PRACTICAL NURSING PHARMACOLOGY NOTES AND PRACTICE QUESTIONS –
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
1. Patient identifiers: -Medical record number
-home telephone number
2. What lab values should a nurse monitor for a patient with chronic renal
failure?: 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
3. What food should you increase when taking Lasix?: -increased amounts of potassi-
um-rich foods (e.g., bananas, prunes, raisins, and orange juice)
4. Patient reports IV discomfort, what is your first action?: color and temperature
5. Sumatriptan (treats migraine headaches) adverse effect: pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or diflcult speech
6. Know about Transdermal patch: -• 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
, ATI PN PHARMACOLOGY PROCTORED EXAM PRACTICAL NURSING PHARMACOLOGY NOTES AND PRACTICE QUESTIONS –
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
the risk of developing tolerance to
, ATI PN PHARMACOLOGY PROCTORED EXAM PRACTICAL NURSING PHARMACOLOGY NOTES AND PRACTICE QUESTIONS –
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
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.
7. RBC Blood transfusion: http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacon-
text/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
8. What to understand about Parkinson's Meds?: -they don't cure disease, they slow the
process.
9. NEUPOGEN (filgrastim)-what is the appropriate route of this med?: administered
by subcutaneous injection or IV infusion
10. Lisinopril therapeutic effect: blood pressure answer (e.g. 120/80)
11. Medication for Schizophrenia: risperidone, Risperdal
12. Macrodantin medication: used to treat or prevent certain urinary tract infections
13. Haldol-inform if you are taking medication.: -benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.
14. Fosomax: same as-Alendronate is used for treating osteoporosis in men and postmenopausal women.
15. Lipitor: -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
16. Garamycin-: Antibiotic that is toxic to the kidney, injected for radiology studies.
17. Digoxin side effects: -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
18. Singulair: used before exercise to prevent breathing problems during exercise (bronchospasm).
19. What medication to administer with Tylenol overdose?: acetylcysteine (Mucomyst)
must be given IV
, ATI PN PHARMACOLOGY PROCTORED EXAM PRACTICAL NURSING PHARMACOLOGY NOTES AND PRACTICE QUESTIONS –
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
20. HPV vaccine: 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.
21. Opioid toxicity-what to check first: oxygen saturation
22. Valporic Acid lab: liver
23. Lithium report immediately: slurred speech
24. Prednisone report: sore throat
25. Food to avoid when taking Lithium: -salty foods
-alcoholic beverages
26. Labs for patients taking hydrothiazide: Periodic determination of serum electrolytes to detect
possible electrolyte imbalance should be done at appropriate intervals.
27. 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)
4. Large doses of vitamin D: 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium gluconate
and calcium chloride are medications used for the treatment of tetany, which occurs as a result of acute hypocalcemia.
In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone, decreases the plasma
calcium level by inhibiting bone resorption and lowering the serum calcium concentration.
28. 2.) 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?
1. Milk
2. Water
3. Apple juice
4. Orange juice: 4. Orange juice
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
1. Patient identifiers: -Medical record number
-home telephone number
2. What lab values should a nurse monitor for a patient with chronic renal
failure?: 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
3. What food should you increase when taking Lasix?: -increased amounts of potassi-
um-rich foods (e.g., bananas, prunes, raisins, and orange juice)
4. Patient reports IV discomfort, what is your first action?: color and temperature
5. Sumatriptan (treats migraine headaches) adverse effect: pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or diflcult speech
6. Know about Transdermal patch: -• 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
, ATI PN PHARMACOLOGY PROCTORED EXAM PRACTICAL NURSING PHARMACOLOGY NOTES AND PRACTICE QUESTIONS –
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
the risk of developing tolerance to
, ATI PN PHARMACOLOGY PROCTORED EXAM PRACTICAL NURSING PHARMACOLOGY NOTES AND PRACTICE QUESTIONS –
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
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.
7. RBC Blood transfusion: http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacon-
text/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
8. What to understand about Parkinson's Meds?: -they don't cure disease, they slow the
process.
9. NEUPOGEN (filgrastim)-what is the appropriate route of this med?: administered
by subcutaneous injection or IV infusion
10. Lisinopril therapeutic effect: blood pressure answer (e.g. 120/80)
11. Medication for Schizophrenia: risperidone, Risperdal
12. Macrodantin medication: used to treat or prevent certain urinary tract infections
13. Haldol-inform if you are taking medication.: -benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.
14. Fosomax: same as-Alendronate is used for treating osteoporosis in men and postmenopausal women.
15. Lipitor: -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
16. Garamycin-: Antibiotic that is toxic to the kidney, injected for radiology studies.
17. Digoxin side effects: -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
18. Singulair: used before exercise to prevent breathing problems during exercise (bronchospasm).
19. What medication to administer with Tylenol overdose?: acetylcysteine (Mucomyst)
must be given IV
, ATI PN PHARMACOLOGY PROCTORED EXAM PRACTICAL NURSING PHARMACOLOGY NOTES AND PRACTICE QUESTIONS –
COMPREHENSIVE MEDICATION REVIEW GUIDE A+ VERIFIED LATEST VERSION (2026-2027)
20. HPV vaccine: 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.
21. Opioid toxicity-what to check first: oxygen saturation
22. Valporic Acid lab: liver
23. Lithium report immediately: slurred speech
24. Prednisone report: sore throat
25. Food to avoid when taking Lithium: -salty foods
-alcoholic beverages
26. Labs for patients taking hydrothiazide: Periodic determination of serum electrolytes to detect
possible electrolyte imbalance should be done at appropriate intervals.
27. 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)
4. Large doses of vitamin D: 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium gluconate
and calcium chloride are medications used for the treatment of tetany, which occurs as a result of acute hypocalcemia.
In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone, decreases the plasma
calcium level by inhibiting bone resorption and lowering the serum calcium concentration.
28. 2.) 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?
1. Milk
2. Water
3. Apple juice
4. Orange juice: 4. Orange juice
