pg. 1
,ATI Pharmacology NGN Exam 2025/2026
| Next Gen NCLEX-Style Questions,
Updated Answer Key & Study Guide | RN
Nursing Medication Review
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 - ANSWER -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.
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?
pg. 2
,1. Milk
2. Water
3. Apple juice
4. Orange juice - ANSWER -4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The
mother should be instructed to administer the medication with
a citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of the iron. Water will not assist in absorption.
Orange juice contains a greater amount of vitamin C than apple
juice.
3.) Salicylic acid is prescribed for a client with a diagnosis of
psoriasis. The nurse monitors the client, knowing that which of
the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations - ANSWER -1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic
toxicity (salicylism) can result. Symptoms include tinnitus,
dizziness, hyperpnea, and psychological disturbances.
Constipation and diarrhea are not associated with salicylism.
pg. 3
, 4.) The camp nurse asks the children preparing to swim in the lake if
they have applied sunscreen. The nurse reminds the children that
chemical sunscreens are most effective when applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun - ANSWER -4. At
least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before
exposure to the sun so that they can penetrate the skin. All sunscreens
should be reapplied after swimming or sweating.
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a
burn injury. When applying the medication, the client complains of local
discomfort and burning. Which of the following is the most appropriate
nursing action?
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site - ANSWER -
3. Informing the client that this is normal
Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-positive
organisms and is used to treat burns to reduce bacteria present in
pg. 4
,ATI Pharmacology NGN Exam 2025/2026
| Next Gen NCLEX-Style Questions,
Updated Answer Key & Study Guide | RN
Nursing Medication Review
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 - ANSWER -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.
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?
pg. 2
,1. Milk
2. Water
3. Apple juice
4. Orange juice - ANSWER -4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The
mother should be instructed to administer the medication with
a citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of the iron. Water will not assist in absorption.
Orange juice contains a greater amount of vitamin C than apple
juice.
3.) Salicylic acid is prescribed for a client with a diagnosis of
psoriasis. The nurse monitors the client, knowing that which of
the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations - ANSWER -1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic
toxicity (salicylism) can result. Symptoms include tinnitus,
dizziness, hyperpnea, and psychological disturbances.
Constipation and diarrhea are not associated with salicylism.
pg. 3
, 4.) The camp nurse asks the children preparing to swim in the lake if
they have applied sunscreen. The nurse reminds the children that
chemical sunscreens are most effective when applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun - ANSWER -4. At
least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before
exposure to the sun so that they can penetrate the skin. All sunscreens
should be reapplied after swimming or sweating.
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a
burn injury. When applying the medication, the client complains of local
discomfort and burning. Which of the following is the most appropriate
nursing action?
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site - ANSWER -
3. Informing the client that this is normal
Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-positive
organisms and is used to treat burns to reduce bacteria present in
pg. 4
