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ATI PN Pharmacology Proctored Exam

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This document contains questions and answers for the ATI PN Pharmacology Proctored Exam, focusing on medication administration, pharmacological principles, and patient safety. It covers key drug classes, therapeutic effects, adverse reactions, contraindications, and nursing responsibilities commonly tested in the 2025 ATI PN pharmacology assessment. The material is suitable for targeted exam preparation and review.

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ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf




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)

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? - correct answer --increased amounts of potassium-
rich foods (e.g., bananas, prunes, raisins, and orange juice)

,ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf

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.

• 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 - 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.

,ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf


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



Haldol-inform if you are taking ____________ medication. - correct answer --benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.



Fosomax - correct answer -same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.



Lipitor - correct answer --lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.



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).

, ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf

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



Valporic Acid lab - correct answer -liver



Lithium report immediately - correct answer -slurred speech



Prednisone report - correct answer -sore throat



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)

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