ATI RN Comprehensive Predictor 2026\2027 Proctored
Exams – with NGN-Style Questions & Case Scenarios | ATI
Exit Exam | 100% Verified Graded A+
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1. HYDROXYUREA - FINDINGS THAT SHOULD BE REPORTED TO HCP: low hemoglobin
levels
low platelet count
increased potassium levels
*Rationale*
low hemoglobin and platelet levels indicate toxicity
increase in potassium indicates tumor lysis syndrome
2. HYDROXYUREA - THERAPEUTIC USE: An anti-neoplastic agent used in the treatment for:
sickle cell anemia
myelogenous leukemia
ovarian cancer
squamous cell cancers
3. METHYLPREDNISONE (SOLU-MEDROL) - PATIENT TEACHING: monitor blood glucose
during therapy
avoid contact with people who have known infections
grapefruit juice can increase effects of medication
*Rationale*
glucocorticoids increase blood glucose and depress the immune system
grapefruit juice increases the level of medication in the body
4. DOXYCYCLINE (VIBRAMYCIN) - NURSING CONSIDERATION: tetracycline antibiotic
pregnancy category D a
contraindicated for women who are pregnant
,5. DOXYCYCLINE (VIBRAMYCIN) - PATIENT TEACHING: consume at least 3 liters of fluid daily
while taking this Rx
do not take this Rx if you are pregnant, or planning to become pregnant
6. PREDNISONE - LONG TERM EFFECTS: long term use of glucocorticoids leads to
*osteoporosis*
patients should be monitored regularly for adverse effects
diagnostic tests include bone density scans
7. RANITIDINE (ZANTAC) - PATIENT TEACHING: smoking decreases the effectiveness of this
medication
8. DTaP VACCINE - NEWBORNS: 5-dose series
first dose given at 2 months of age
9. CYCLOBENZAPRINE (FLEXERIL) - PATIENT TEACHING: muscle relaxant
*do not discontinue medication abruptly*
10. CYCLOBENZAPRINE (FLEXERIL) - PRECAUTIONS: this Rx has anticholinergic effects
this Rx should be used with caution in patients with:
history of urinary retention
angle-closure glaucoma
increased intraocular pressure
11. PROPRANOLOL (INDERAL) - CONTRAINDICATION: *do not give to patients with asthma*
this Rx is an adrenergic antagonist which blocks beta 2 receptors in the lungs
causes bronchoconstriction and increased airway resistance which leads to respiratory arrest
12. PROPRANOLOL (INDERAL) - ADVERSE EFFECT: this Rx can cause erectile dysfunction
A
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13. ANTIDOTE FOR OPIOID OVERDOSE: naloxone (Narcan)
14. NALOXONE (NARCAN): this Rx reverses respiratory depressive effects of opioid drugs (i.e.
heroin)
administer this Rx slowly
,side effects of this Rx include:
- hypertension
- tachycardia
- nausea/vomiting
15. NALOXONE (NARCAN) - NURSING CONSIDERATION: when this Rx is given for respiratory
depression to postoperative patients, it can reverse effects of analgesia
the nurse will need to assess/monitor for pain as patients may experience sudden increase in
pain level
16. AMITRIPTYLINE (ELAVIL) - ADVERSE EFFECTS: anticholinergic effects of this Rx include:
urinary retention
dry mouth
17. LATEX ALLERGY - NURSING SAFETY CONSIDERATION: cover tubes/cords in stockinet
prior to medical/surgical procedures
prevents direct contact with patient's skin
18. WARFARIN (COUMADIN) - ADVERSE EFFECT: bleeding gums
anticoagulant therapy increases bleeding risk
19. LABORING PATIENT WITH FHR INDICATING LATE DECELERATIONS - NURSING
INTERVENTION: *priority intervention*: turn patient to a side-lying position
greatest risk to fetus experiencing late decelerations is injury from uretroplacental insufficiency
20. FENTANYL (TRANSDERMAL) - PATIENT TEACHING: opioid medications cause constipation
patients can take stool softeners on a daily basis to prevent constipation
A
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21. CLOZAPINE (CLOZARIL) - LABORATORY TESTING BEFORE RX ADMINISTRATION: *review
cholesterol values*
this Rx can cause hyperlipidemia
*review WBC*
, this Rx can cause hematological reactions including agranulocytosis and leukopenia
22. CEFTAZIDIME (FORTAZ) - CONTRAINDICATION: should not be given to patients with
penicillin allergy due to cross-sensitivity
23. BACLOFEN (LIORESAL) - THERAPEUTIC USE: this Rx is a muscle relaxant/anti-spastic agent
decreases flexor/extensor muscle spasticity
used to treat spinal cord injury and multiple sclerosis
24. BACLOFEN (LIORESAL) - PATIENT TEACHING: drowsiness, weakness, and fatigue occur
during early treatment
these symptoms will diminish with continued use
continue to take the medication as directed
do not stop taking this Rx abruptly
25. DILTIAZEM (CARDIZEM) - ADVERSE EFFECT: shortness of breath/dyspnea
this Rx is a calcium channel blocker
treats hypertension, angina, and dysrhythmias
relaxes muscles of the heart and blood vessels
26. DILTIAZEM (CARDIZEM) - PATIENT TEACHING: this Rx is a calcium channel blocker with
cardio-suppressant effects at the SA and AV nodes, which can lead to bradycardia
patients should check heart rate before taking medication
A
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27. DILTIAZEM (CARDIZEM) - Tx FOR RAYNAUD'S PHENOMENON: Rx relaxes smooth
muscles
improves peripheral perfusion
reduces numbness in fingers
28. VERAPAMIL (CALAN) - PATIENT TEACHING: change positions slowly when taking this Rx
this Rx causes orthostatic hypotension and syncope
Exams – with NGN-Style Questions & Case Scenarios | ATI
Exit Exam | 100% Verified Graded A+
a
1. HYDROXYUREA - FINDINGS THAT SHOULD BE REPORTED TO HCP: low hemoglobin
levels
low platelet count
increased potassium levels
*Rationale*
low hemoglobin and platelet levels indicate toxicity
increase in potassium indicates tumor lysis syndrome
2. HYDROXYUREA - THERAPEUTIC USE: An anti-neoplastic agent used in the treatment for:
sickle cell anemia
myelogenous leukemia
ovarian cancer
squamous cell cancers
3. METHYLPREDNISONE (SOLU-MEDROL) - PATIENT TEACHING: monitor blood glucose
during therapy
avoid contact with people who have known infections
grapefruit juice can increase effects of medication
*Rationale*
glucocorticoids increase blood glucose and depress the immune system
grapefruit juice increases the level of medication in the body
4. DOXYCYCLINE (VIBRAMYCIN) - NURSING CONSIDERATION: tetracycline antibiotic
pregnancy category D a
contraindicated for women who are pregnant
,5. DOXYCYCLINE (VIBRAMYCIN) - PATIENT TEACHING: consume at least 3 liters of fluid daily
while taking this Rx
do not take this Rx if you are pregnant, or planning to become pregnant
6. PREDNISONE - LONG TERM EFFECTS: long term use of glucocorticoids leads to
*osteoporosis*
patients should be monitored regularly for adverse effects
diagnostic tests include bone density scans
7. RANITIDINE (ZANTAC) - PATIENT TEACHING: smoking decreases the effectiveness of this
medication
8. DTaP VACCINE - NEWBORNS: 5-dose series
first dose given at 2 months of age
9. CYCLOBENZAPRINE (FLEXERIL) - PATIENT TEACHING: muscle relaxant
*do not discontinue medication abruptly*
10. CYCLOBENZAPRINE (FLEXERIL) - PRECAUTIONS: this Rx has anticholinergic effects
this Rx should be used with caution in patients with:
history of urinary retention
angle-closure glaucoma
increased intraocular pressure
11. PROPRANOLOL (INDERAL) - CONTRAINDICATION: *do not give to patients with asthma*
this Rx is an adrenergic antagonist which blocks beta 2 receptors in the lungs
causes bronchoconstriction and increased airway resistance which leads to respiratory arrest
12. PROPRANOLOL (INDERAL) - ADVERSE EFFECT: this Rx can cause erectile dysfunction
A
a
13. ANTIDOTE FOR OPIOID OVERDOSE: naloxone (Narcan)
14. NALOXONE (NARCAN): this Rx reverses respiratory depressive effects of opioid drugs (i.e.
heroin)
administer this Rx slowly
,side effects of this Rx include:
- hypertension
- tachycardia
- nausea/vomiting
15. NALOXONE (NARCAN) - NURSING CONSIDERATION: when this Rx is given for respiratory
depression to postoperative patients, it can reverse effects of analgesia
the nurse will need to assess/monitor for pain as patients may experience sudden increase in
pain level
16. AMITRIPTYLINE (ELAVIL) - ADVERSE EFFECTS: anticholinergic effects of this Rx include:
urinary retention
dry mouth
17. LATEX ALLERGY - NURSING SAFETY CONSIDERATION: cover tubes/cords in stockinet
prior to medical/surgical procedures
prevents direct contact with patient's skin
18. WARFARIN (COUMADIN) - ADVERSE EFFECT: bleeding gums
anticoagulant therapy increases bleeding risk
19. LABORING PATIENT WITH FHR INDICATING LATE DECELERATIONS - NURSING
INTERVENTION: *priority intervention*: turn patient to a side-lying position
greatest risk to fetus experiencing late decelerations is injury from uretroplacental insufficiency
20. FENTANYL (TRANSDERMAL) - PATIENT TEACHING: opioid medications cause constipation
patients can take stool softeners on a daily basis to prevent constipation
A
a
21. CLOZAPINE (CLOZARIL) - LABORATORY TESTING BEFORE RX ADMINISTRATION: *review
cholesterol values*
this Rx can cause hyperlipidemia
*review WBC*
, this Rx can cause hematological reactions including agranulocytosis and leukopenia
22. CEFTAZIDIME (FORTAZ) - CONTRAINDICATION: should not be given to patients with
penicillin allergy due to cross-sensitivity
23. BACLOFEN (LIORESAL) - THERAPEUTIC USE: this Rx is a muscle relaxant/anti-spastic agent
decreases flexor/extensor muscle spasticity
used to treat spinal cord injury and multiple sclerosis
24. BACLOFEN (LIORESAL) - PATIENT TEACHING: drowsiness, weakness, and fatigue occur
during early treatment
these symptoms will diminish with continued use
continue to take the medication as directed
do not stop taking this Rx abruptly
25. DILTIAZEM (CARDIZEM) - ADVERSE EFFECT: shortness of breath/dyspnea
this Rx is a calcium channel blocker
treats hypertension, angina, and dysrhythmias
relaxes muscles of the heart and blood vessels
26. DILTIAZEM (CARDIZEM) - PATIENT TEACHING: this Rx is a calcium channel blocker with
cardio-suppressant effects at the SA and AV nodes, which can lead to bradycardia
patients should check heart rate before taking medication
A
a
27. DILTIAZEM (CARDIZEM) - Tx FOR RAYNAUD'S PHENOMENON: Rx relaxes smooth
muscles
improves peripheral perfusion
reduces numbness in fingers
28. VERAPAMIL (CALAN) - PATIENT TEACHING: change positions slowly when taking this Rx
this Rx causes orthostatic hypotension and syncope
