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.
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.
