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ATI PHARM CMS 2026|ACTUAL
QUESTIONS WITH ANSWERS
A nurse is planning care for a client who has a seizure disorder and a new
prescription for valproic acid. Which of the following lab values should the nurse
plan to monitor? Select all that apply.
a. BUN
b. PTT
c. Aspartate aminotransferase (AST)
d. Urinalysis
e. Alanine aminotransferase (ALT) - correct-answer - b. PTT
c. Aspartate aminotransferase (AST)
e. Alanine aminotransferase (ALT)
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A nurse is caring for a client who has a new diagnosis of oral candidiasis after
taking tetracycline for 7 days. The nurse should recognize that candidiasis is a
manifestation of which of the following adverse effects?
a. Allergic response
b. Superinfection
c. Renal toxicity
d.Hepatotoxicity - correct-answer - b. Superinfection
A nurse is caring for a client who has a prescription for chlorothiazide to treat
hypertension. The nurse should plan to monitor the client for which of the
following adverse effects?
a. Thrombophlebitis
b. Hyperactive reflexes
c. Muscle weakness
d. Hypoglycemia - correct-answer -
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A nurse on a medical unit is preparing to administer alendronate 40mg po for an
older adult client who has Paget's disease of the bone. Which of the following
actions should be the nurse's priority?
a. Administer the medication to the client's before breakfast in the morning.
b. Ambulate the client to a chair prior to administering the medication.
c. Give the medication to the client with water rather than milk.
d. Teach the client how to take the medication at home. - correct-answer - b.
Ambulate the client to a chair prior to administering the medication.
A nurse is caring for a client who has been taking isoniazid and rifampin for 3
weeks for the treatment of active pulmonary TB. The client reports his urine is an
orange color. Which of the following statements should the nurse make?
a. Stop taking isoniazid for 3 days and the discoloration should go away.
b. Rifampin can turn body fluids orange.
c. I'll make an appointment for you to see the provider this afternoon.
d. Isoniazid can cause bladder distention. - correct-answer - b. Rifampin can turn
body fluids orange.
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A nurse is caring for a client who had a new prescription for enalapril. The nurse
should monitor the client for which of the following adverse effects of this
medication?
a. Ecchymosis
b. Jaundice
c. Hypotension
d. Hypokalemia - correct-answer - c. Hypotension
A nurse is providing teaching to a newly licensed nurse about administering
morphine via IV bolus to a client. Which of the following information should the
nurse include in the teaching?
a. Respiratory depression can occur 7 min after the morphine is administered.
b. The morphine will peak in 10 min
c. Withhold the morphine if the client has a respiratory rate of less than 16/min
d. Administer the morphine over 2 min - correct-answer - a. Respiratory
depression can occur 7 min after the morphine is administered.
ATI PHARM CMS 2026|ACTUAL
QUESTIONS WITH ANSWERS
A nurse is planning care for a client who has a seizure disorder and a new
prescription for valproic acid. Which of the following lab values should the nurse
plan to monitor? Select all that apply.
a. BUN
b. PTT
c. Aspartate aminotransferase (AST)
d. Urinalysis
e. Alanine aminotransferase (ALT) - correct-answer - b. PTT
c. Aspartate aminotransferase (AST)
e. Alanine aminotransferase (ALT)
,2|Page
A nurse is caring for a client who has a new diagnosis of oral candidiasis after
taking tetracycline for 7 days. The nurse should recognize that candidiasis is a
manifestation of which of the following adverse effects?
a. Allergic response
b. Superinfection
c. Renal toxicity
d.Hepatotoxicity - correct-answer - b. Superinfection
A nurse is caring for a client who has a prescription for chlorothiazide to treat
hypertension. The nurse should plan to monitor the client for which of the
following adverse effects?
a. Thrombophlebitis
b. Hyperactive reflexes
c. Muscle weakness
d. Hypoglycemia - correct-answer -
,3|Page
A nurse on a medical unit is preparing to administer alendronate 40mg po for an
older adult client who has Paget's disease of the bone. Which of the following
actions should be the nurse's priority?
a. Administer the medication to the client's before breakfast in the morning.
b. Ambulate the client to a chair prior to administering the medication.
c. Give the medication to the client with water rather than milk.
d. Teach the client how to take the medication at home. - correct-answer - b.
Ambulate the client to a chair prior to administering the medication.
A nurse is caring for a client who has been taking isoniazid and rifampin for 3
weeks for the treatment of active pulmonary TB. The client reports his urine is an
orange color. Which of the following statements should the nurse make?
a. Stop taking isoniazid for 3 days and the discoloration should go away.
b. Rifampin can turn body fluids orange.
c. I'll make an appointment for you to see the provider this afternoon.
d. Isoniazid can cause bladder distention. - correct-answer - b. Rifampin can turn
body fluids orange.
, 4|Page
A nurse is caring for a client who had a new prescription for enalapril. The nurse
should monitor the client for which of the following adverse effects of this
medication?
a. Ecchymosis
b. Jaundice
c. Hypotension
d. Hypokalemia - correct-answer - c. Hypotension
A nurse is providing teaching to a newly licensed nurse about administering
morphine via IV bolus to a client. Which of the following information should the
nurse include in the teaching?
a. Respiratory depression can occur 7 min after the morphine is administered.
b. The morphine will peak in 10 min
c. Withhold the morphine if the client has a respiratory rate of less than 16/min
d. Administer the morphine over 2 min - correct-answer - a. Respiratory
depression can occur 7 min after the morphine is administered.
