#
1
ATI PHARM PROCTORED EXAM ACTUAL TEST
# # # # #
QUESTIONS AND ANSWERS # #
2026 JUST RELEASED VERSION
# # #
A#client#is#receiving#the#thrombopoietic#growth#factor#oprelvekin#(Interleukin-11).#The#nurse
recognizes#that#this#medication#is#being#given#to#correct#which#abnormal#laboratory
finding?#-# Correct#Answer# Platelet#count#22,000/mm#3
A#client#is#receiving#naproxen#(Aleve)#375#mg#3#times/day#by#mouth.#The#nurse#observes#the
client's#stools#are#becoming#darker#with#a#tarry#consistency.#Which#of#the#following#nursing
interventions#is#most#appropriate?#-# Correct#Answer# Give#the#medication#with#milk#or
food
The#parents#of#an#adolescent#male#client#question#the#nurse#about#the#possibility#of
androgen#therapy#for#their#son.#The#nurse#responds#appropriately#with#which#of#the
following#statements?#-# Correct#Answer# Androgens#are#useful#for#male#clients#when
puberty#will#not#take#place."
A#nurse#is#caring#for#a#client#with#heart#failure#who#is#receiving#spironolactone.#The#nurse
should#monitor#for#which#of#the#following#electrolyte#imbalances#related#to#side#effects
from#this#aldosterone#antagonist?#-# Correct#Answer# Hyperkalemia#also#during
Eletrocardio#Gram#(EKG# look#for#peaked#T#waves#as#an#indication#of#increased#K+++
,#
2
A#client#is#receiving#long-term#glucocorticoid#therapy#for#an#inflammatory#condition.#Which
of#the#following#findings#should#be#reported#to#the#primary#care#provider?#-# Correct
Answer# chills#and#fever
A#client#is#prescribed#alprazolam#(Xanax)#0.25#mg#three#times#a#day.# -# Correct#Answer# The
nurse#should#independently#hold#the#evening#dose#if#the#client#is#displaying
signs/symptoms#of#rage.
A#client#is#started#on#haloperidol#(Haldol)#to#control#antipsychotic#episodes#associated#with
schizophrenia.#The#nurse#should#instruct#the#client#to#observe#for#which#of#the#following
potential#adverse#medication#effects?#-# Correct#Answer# Muscle#spasm#and#parkinsonian
symptoms
A#nurse#is#administering#glucagon#intramuscularly#to#a#client.#Which#of#the#following
actions#will#help#the#nurse#evaluate#the#medication's#effectiveness?#-# Correct#Answer
Performing#a#blood#glucose#fingerstick
A#client#is#receiving#amphotericin#B#intravenously.#A#nurse#observes#for#what#common#side
effects#occurring#within#the#first#1#to#3#hr#of#initiating#the#infusion?#-# Correct#Answer# fever
and#chills
A#client#is#receiving#digoxin#(Lanoxin)#for#heart#failure.#Which#of#the#following#clinical
manifestations#is#an#early#rather#than#late#sign#of#medication#toxicity?#-# Correct#Answer
vommiting
A#nurse#is#monitoring#a#client#with#a#history#of#bulimia#in#regards#to#the#use#of#the#stimulant
laxative,#senna#(Senokot).#Which#of#the#following#client#findings#supports#a#suspicion#of
laxative#abuse?#-# Correct#Answer# The#client#has#no#urge#to#defecate#even#though#stools
are#in#the#rectal#vault.
,#
3
. A#client#is#prescribed#diphenoxylate/atropine#(Lomotil)#for#severe#diarrhea.#Which#of#the
following#statements#made#by#the#client#indicates#a#need#for#further#nursing#instruction
regarding#the#self-#administration#of#the#medication?#-# Correct#Answer# "I#will#continue#to
take#the#medication#as#long#as#necessary#until#my#diarrhea#is#resolved."
A#client#recently#diagnosed#with#peptic#ulcer#disease#(PUD)#is#prescribed#antacids#by#the
primary#care#provider.#The#client#is#being#instructed#by#the#nurse#on#when#to#take
the#antacids.#Which#of#the#following#responses#by#the#client#indicates#a#correct
understanding#of#when#to#take#the#antacids?#-# Correct#Answer# "I#will#take#my#antacid#at#1
and#3#hr#after#each#meal#and#at#bedtime."
A#primary#care#provider#has#prescribed#phenytoin#(Dilantin)#200#mg#extended#release
capsule#every#day#by#mouth#for#a#client.#-# Correct#Answer# The#nurse#recognizes#that#the
client#requires#further#instruction#when#the#client#states#the#medication#can#be#chewed.
A#client#with#a#history#of#alcoholism#is#taking#acetaminophen#(Tylenol)#for#headaches.#The
nurse#reviews#the#client's#laboratory#report.#For#which#of#the#following#laboratory#values
should#the#acetaminophen#use#be#discontinued#immediately?#-# Correct#Answer# An
elevated#serum#bilirubin
A#client#is#receiving#ferrous#sulfate#orally.# Which#of#the#following#findings#reported#by#the
client#indicates#that#the#medication#is#achieving#its#desired#outcome?# -# Correct#Answer
No#shortness#of#breath#with#exertion
. A#client#with#Parkinsonʼs#disease#is#taking#carbidopa-levodopa#(Sinemet)#daily.#The#client
reports#he#is#frustrated#that#he#has#"good"#days#with#few#symptoms#and#"bad"#days#where
he#has#poor#symptom#control.#-# Correct#Answer# The#nurse#understands#this#phenomenon
is#seen#in#clients#who#need#a#higher#medication#dose#to#control#symptoms.
A#client#is#taking#metoprolol#(Lopressor)#for#heart#failure.#The#nurse#notes#that#the#client's
heart#rate#is#50#beats/min,#and#the#client#has#a#systolic#blood#pressure#of#90#mm#Hg.#Which
of#the#following#should#the#nurse#do#first?#-# Correct#Answer# Hold#the#client's#medication.
,#
4
A#client#is#prescribed#intravenous#(IV)#heparin#by#a#primary#care#provider.#Which#of#the
following#client#statements#shows#understanding#of#the#rationale#for#the#IV#heparin#that
was#prescribed#by#the#primary#care#provider?#-# Correct#Answer# "My#right#leg#swelled#when
I#got#a#blood#clot#after#surgery."
A#nurse#is#assisting#a#client#in#planning#a#therapeutic#diet#to#enhance#the#effectiveness#of
cholestyramine#(Questran)#and#avoid#possible#adverse#effects.#Which#of#the#following
would#be#appropriate#to#incorporate#into#the#plan?#-# Correct#Answer# Select#from#foods
that#are#low#in#saturated#fat#and#cholesterol.
A#client#is#receiving#the#thrombolytic#medication#streptokinase#(Kabikinase).#Which#of#the
following#findings#indicates#that#the#client#is#experiencing#an#adverse#reaction#to#the
medication#that#should#be#reported#to#the#primary#care#provider?#-# Correct#Answer
Bleeding#from#a#previous#injection#site
When#reviewing#medication#teaching#with#a#client,#a#nurse#reinforces#that#which#of#the
following#food#and#medication#interactions#can#lead#to#medication#toxicity?#-# Correct
Answer# Grapefruit#juice#and#nifedipine#(Procardia)#also#a#calcium#channel#blocker
A#client#receives#a#prescription#for#calcium#channel#blockers.#The#nurse#should#expect
which#of#the#following#diagnostic#tests#to#be#prescribed#to#obtain#baseline#data#prior#to
starting#the#medication?#-# Correct#Answer# Electrocardiogram#(ECG)
A#client#is#being#discharged#with#a#prescription#for#warfarin#(Coumadin)#following#treatment
for#deep#vein#thrombosis#(DVT).#The#nurse#recognizes#that#teaching#has#been#effective
when#the#client#states,#-# Correct#Answer# "I#will#not#take#any#aspirin#for#pain#while#I#am#on
warfarin.#I#will#take#acetaminophen#instead."
An#immunizing#agent#that#confers#active#immunity#protects#by:#-# Correct#Answer
providing#antibodies#obtained#from#immune#humans#or#animals.
1
ATI PHARM PROCTORED EXAM ACTUAL TEST
# # # # #
QUESTIONS AND ANSWERS # #
2026 JUST RELEASED VERSION
# # #
A#client#is#receiving#the#thrombopoietic#growth#factor#oprelvekin#(Interleukin-11).#The#nurse
recognizes#that#this#medication#is#being#given#to#correct#which#abnormal#laboratory
finding?#-# Correct#Answer# Platelet#count#22,000/mm#3
A#client#is#receiving#naproxen#(Aleve)#375#mg#3#times/day#by#mouth.#The#nurse#observes#the
client's#stools#are#becoming#darker#with#a#tarry#consistency.#Which#of#the#following#nursing
interventions#is#most#appropriate?#-# Correct#Answer# Give#the#medication#with#milk#or
food
The#parents#of#an#adolescent#male#client#question#the#nurse#about#the#possibility#of
androgen#therapy#for#their#son.#The#nurse#responds#appropriately#with#which#of#the
following#statements?#-# Correct#Answer# Androgens#are#useful#for#male#clients#when
puberty#will#not#take#place."
A#nurse#is#caring#for#a#client#with#heart#failure#who#is#receiving#spironolactone.#The#nurse
should#monitor#for#which#of#the#following#electrolyte#imbalances#related#to#side#effects
from#this#aldosterone#antagonist?#-# Correct#Answer# Hyperkalemia#also#during
Eletrocardio#Gram#(EKG# look#for#peaked#T#waves#as#an#indication#of#increased#K+++
,#
2
A#client#is#receiving#long-term#glucocorticoid#therapy#for#an#inflammatory#condition.#Which
of#the#following#findings#should#be#reported#to#the#primary#care#provider?#-# Correct
Answer# chills#and#fever
A#client#is#prescribed#alprazolam#(Xanax)#0.25#mg#three#times#a#day.# -# Correct#Answer# The
nurse#should#independently#hold#the#evening#dose#if#the#client#is#displaying
signs/symptoms#of#rage.
A#client#is#started#on#haloperidol#(Haldol)#to#control#antipsychotic#episodes#associated#with
schizophrenia.#The#nurse#should#instruct#the#client#to#observe#for#which#of#the#following
potential#adverse#medication#effects?#-# Correct#Answer# Muscle#spasm#and#parkinsonian
symptoms
A#nurse#is#administering#glucagon#intramuscularly#to#a#client.#Which#of#the#following
actions#will#help#the#nurse#evaluate#the#medication's#effectiveness?#-# Correct#Answer
Performing#a#blood#glucose#fingerstick
A#client#is#receiving#amphotericin#B#intravenously.#A#nurse#observes#for#what#common#side
effects#occurring#within#the#first#1#to#3#hr#of#initiating#the#infusion?#-# Correct#Answer# fever
and#chills
A#client#is#receiving#digoxin#(Lanoxin)#for#heart#failure.#Which#of#the#following#clinical
manifestations#is#an#early#rather#than#late#sign#of#medication#toxicity?#-# Correct#Answer
vommiting
A#nurse#is#monitoring#a#client#with#a#history#of#bulimia#in#regards#to#the#use#of#the#stimulant
laxative,#senna#(Senokot).#Which#of#the#following#client#findings#supports#a#suspicion#of
laxative#abuse?#-# Correct#Answer# The#client#has#no#urge#to#defecate#even#though#stools
are#in#the#rectal#vault.
,#
3
. A#client#is#prescribed#diphenoxylate/atropine#(Lomotil)#for#severe#diarrhea.#Which#of#the
following#statements#made#by#the#client#indicates#a#need#for#further#nursing#instruction
regarding#the#self-#administration#of#the#medication?#-# Correct#Answer# "I#will#continue#to
take#the#medication#as#long#as#necessary#until#my#diarrhea#is#resolved."
A#client#recently#diagnosed#with#peptic#ulcer#disease#(PUD)#is#prescribed#antacids#by#the
primary#care#provider.#The#client#is#being#instructed#by#the#nurse#on#when#to#take
the#antacids.#Which#of#the#following#responses#by#the#client#indicates#a#correct
understanding#of#when#to#take#the#antacids?#-# Correct#Answer# "I#will#take#my#antacid#at#1
and#3#hr#after#each#meal#and#at#bedtime."
A#primary#care#provider#has#prescribed#phenytoin#(Dilantin)#200#mg#extended#release
capsule#every#day#by#mouth#for#a#client.#-# Correct#Answer# The#nurse#recognizes#that#the
client#requires#further#instruction#when#the#client#states#the#medication#can#be#chewed.
A#client#with#a#history#of#alcoholism#is#taking#acetaminophen#(Tylenol)#for#headaches.#The
nurse#reviews#the#client's#laboratory#report.#For#which#of#the#following#laboratory#values
should#the#acetaminophen#use#be#discontinued#immediately?#-# Correct#Answer# An
elevated#serum#bilirubin
A#client#is#receiving#ferrous#sulfate#orally.# Which#of#the#following#findings#reported#by#the
client#indicates#that#the#medication#is#achieving#its#desired#outcome?# -# Correct#Answer
No#shortness#of#breath#with#exertion
. A#client#with#Parkinsonʼs#disease#is#taking#carbidopa-levodopa#(Sinemet)#daily.#The#client
reports#he#is#frustrated#that#he#has#"good"#days#with#few#symptoms#and#"bad"#days#where
he#has#poor#symptom#control.#-# Correct#Answer# The#nurse#understands#this#phenomenon
is#seen#in#clients#who#need#a#higher#medication#dose#to#control#symptoms.
A#client#is#taking#metoprolol#(Lopressor)#for#heart#failure.#The#nurse#notes#that#the#client's
heart#rate#is#50#beats/min,#and#the#client#has#a#systolic#blood#pressure#of#90#mm#Hg.#Which
of#the#following#should#the#nurse#do#first?#-# Correct#Answer# Hold#the#client's#medication.
,#
4
A#client#is#prescribed#intravenous#(IV)#heparin#by#a#primary#care#provider.#Which#of#the
following#client#statements#shows#understanding#of#the#rationale#for#the#IV#heparin#that
was#prescribed#by#the#primary#care#provider?#-# Correct#Answer# "My#right#leg#swelled#when
I#got#a#blood#clot#after#surgery."
A#nurse#is#assisting#a#client#in#planning#a#therapeutic#diet#to#enhance#the#effectiveness#of
cholestyramine#(Questran)#and#avoid#possible#adverse#effects.#Which#of#the#following
would#be#appropriate#to#incorporate#into#the#plan?#-# Correct#Answer# Select#from#foods
that#are#low#in#saturated#fat#and#cholesterol.
A#client#is#receiving#the#thrombolytic#medication#streptokinase#(Kabikinase).#Which#of#the
following#findings#indicates#that#the#client#is#experiencing#an#adverse#reaction#to#the
medication#that#should#be#reported#to#the#primary#care#provider?#-# Correct#Answer
Bleeding#from#a#previous#injection#site
When#reviewing#medication#teaching#with#a#client,#a#nurse#reinforces#that#which#of#the
following#food#and#medication#interactions#can#lead#to#medication#toxicity?#-# Correct
Answer# Grapefruit#juice#and#nifedipine#(Procardia)#also#a#calcium#channel#blocker
A#client#receives#a#prescription#for#calcium#channel#blockers.#The#nurse#should#expect
which#of#the#following#diagnostic#tests#to#be#prescribed#to#obtain#baseline#data#prior#to
starting#the#medication?#-# Correct#Answer# Electrocardiogram#(ECG)
A#client#is#being#discharged#with#a#prescription#for#warfarin#(Coumadin)#following#treatment
for#deep#vein#thrombosis#(DVT).#The#nurse#recognizes#that#teaching#has#been#effective
when#the#client#states,#-# Correct#Answer# "I#will#not#take#any#aspirin#for#pain#while#I#am#on
warfarin.#I#will#take#acetaminophen#instead."
An#immunizing#agent#that#confers#active#immunity#protects#by:#-# Correct#Answer
providing#antibodies#obtained#from#immune#humans#or#animals.