ATI PN PHARMACOLOGY PROCTORED LATEST
PRACTICE EXAM WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED A+|EXPERT
VERIFIED FOR GUARANTEED PASS
2026|NCLEX-PN REVIEW GUIDE
Patient identifiers
-Medical record number
-home telephone number
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
What food should you increase when taking Lasix?
1|Page
,-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange
juice)
Patient reports IV discomfort, what is your first action?
color and temperature
Sumatriptan (treats migraine headaches) adverse effect
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
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
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
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%2
0RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium
chloride).
What to understand about Parkinson's Meds?
-they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med?
administered by subcutaneous injection or IV infusion
2|Page
,Lisinopril therapeutic effect
blood pressure answer (e.g. 120/80)
Medication for Schizophrenia
risperidone, Risperdal
Macrodantin medication
used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication.
-benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax
same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
Lipitor
-lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Garamycin-
Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects
-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair
used before exercise to prevent breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose?
acetylcysteine (Mucomyst) must be given IV
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
3|Page
, 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
oxygen saturation
Valporic Acid lab
liver
Lithium report immediately
slurred speech
Prednisone report
sore throat
Food to avoid when taking Lithium
-salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide
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)
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.
4|Page
PRACTICE EXAM WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED A+|EXPERT
VERIFIED FOR GUARANTEED PASS
2026|NCLEX-PN REVIEW GUIDE
Patient identifiers
-Medical record number
-home telephone number
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
What food should you increase when taking Lasix?
1|Page
,-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange
juice)
Patient reports IV discomfort, what is your first action?
color and temperature
Sumatriptan (treats migraine headaches) adverse effect
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
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
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
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%2
0RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium
chloride).
What to understand about Parkinson's Meds?
-they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med?
administered by subcutaneous injection or IV infusion
2|Page
,Lisinopril therapeutic effect
blood pressure answer (e.g. 120/80)
Medication for Schizophrenia
risperidone, Risperdal
Macrodantin medication
used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication.
-benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax
same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
Lipitor
-lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Garamycin-
Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects
-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair
used before exercise to prevent breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose?
acetylcysteine (Mucomyst) must be given IV
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
3|Page
, 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
oxygen saturation
Valporic Acid lab
liver
Lithium report immediately
slurred speech
Prednisone report
sore throat
Food to avoid when taking Lithium
-salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide
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)
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.
4|Page
