COMPLETE TEST BANK WITH ANSWER GUIDE
– ATI PHARM EXAM 4 2026/2027
Question 1: A nurse is providing teaching to a group of new
parents about medications. The nurse should include that aspirin is
contraindicated for children who have a viral infection due to the
risk of developing which adverse effect?
A. Reye's syndrome
B. Visual disturbances
C. Diabetes mellitus
D. Wilm's tumor
Correct Answer: A. Reye's syndrome
Rationale: Aspirin is contraindicated in children and adolescents
with viral infections (such as chickenpox or influenza) due to the
risk of Reye's syndrome, a potentially fatal condition causing
brain and liver damage. Reye's syndrome is characterized by
encephalopathy and fatty liver degeneration following aspirin
,use during viral illness. Visual disturbances, diabetes mellitus, and
Wilm's tumor are not associated with aspirin use in children.
Question 2: A nurse is providing teaching to a client who has
chronic kidney failure with an AV fistula for hemodialysis and a
new prescription for epoetin alfa. Which therapeutic effect of
epoetin alfa should the nurse include in the teaching?
A. Reduces blood pressure
B. Inhibits clotting of fistula
C. Promotes RBC production
D. Stimulates growth of neutrophils
Correct Answer: C. Promotes RBC production
Rationale: Epoetin alfa is a synthetic form of erythropoietin that
stimulates red blood cell (RBC) production in the bone marrow.
Clients with chronic kidney failure often have anemia due to
decreased endogenous erythropoietin production. The medication
does not reduce blood pressure, inhibit clotting, or stimulate
neutrophil growth.
,Question 3: A nurse is caring for a client who has peptic ulcer
disease and reports a headache. Which medication should the
nurse plan to administer?
A. Ibuprofen
B. Naproxen
C. Aspirin
D. Acetaminophen
Correct Answer: D. Acetaminophen
Rationale: Acetaminophen is the analgesic of choice for clients
with peptic ulcer disease because it does not cause gastric
irritation or increase bleeding risk. NSAIDs (ibuprofen, naproxen,
aspirin) can worsen peptic ulcers by inhibiting prostaglandin
synthesis, which reduces gastric mucosal protection.
Question 4: A nurse is caring for a client who has a prescription
for clopidogrel. The nurse should monitor the client for which
adverse effect?
A. Insomnia
B. Hypotension
C. Bleeding
, D. Constipation
Correct Answer: C. Bleeding
Rationale: Clopidogrel is an antiplatelet agent that inhibits
platelet aggregation, increasing the risk of bleeding. The nurse
should monitor for signs of bleeding such as bruising, petechiae,
epistaxis, and gastrointestinal bleeding. Insomnia, hypotension,
and constipation are not characteristic adverse effects of
clopidogrel.
Question 5: A nurse is teaching a newly licensed nurse about
contraindications to ceftriaxone. The nurse should include a
severe allergy to which medication as a contraindication to
ceftriaxone?
A. Gentamicin
B. Clindamycin
C. Piperacillin
D. Sulfamethoxazole-trimethoprim
Correct Answer: C. Piperacillin
Rationale: Ceftriaxone is a cephalosporin antibiotic. Clients with
a severe allergy to penicillin (such as piperacillin) may have
– ATI PHARM EXAM 4 2026/2027
Question 1: A nurse is providing teaching to a group of new
parents about medications. The nurse should include that aspirin is
contraindicated for children who have a viral infection due to the
risk of developing which adverse effect?
A. Reye's syndrome
B. Visual disturbances
C. Diabetes mellitus
D. Wilm's tumor
Correct Answer: A. Reye's syndrome
Rationale: Aspirin is contraindicated in children and adolescents
with viral infections (such as chickenpox or influenza) due to the
risk of Reye's syndrome, a potentially fatal condition causing
brain and liver damage. Reye's syndrome is characterized by
encephalopathy and fatty liver degeneration following aspirin
,use during viral illness. Visual disturbances, diabetes mellitus, and
Wilm's tumor are not associated with aspirin use in children.
Question 2: A nurse is providing teaching to a client who has
chronic kidney failure with an AV fistula for hemodialysis and a
new prescription for epoetin alfa. Which therapeutic effect of
epoetin alfa should the nurse include in the teaching?
A. Reduces blood pressure
B. Inhibits clotting of fistula
C. Promotes RBC production
D. Stimulates growth of neutrophils
Correct Answer: C. Promotes RBC production
Rationale: Epoetin alfa is a synthetic form of erythropoietin that
stimulates red blood cell (RBC) production in the bone marrow.
Clients with chronic kidney failure often have anemia due to
decreased endogenous erythropoietin production. The medication
does not reduce blood pressure, inhibit clotting, or stimulate
neutrophil growth.
,Question 3: A nurse is caring for a client who has peptic ulcer
disease and reports a headache. Which medication should the
nurse plan to administer?
A. Ibuprofen
B. Naproxen
C. Aspirin
D. Acetaminophen
Correct Answer: D. Acetaminophen
Rationale: Acetaminophen is the analgesic of choice for clients
with peptic ulcer disease because it does not cause gastric
irritation or increase bleeding risk. NSAIDs (ibuprofen, naproxen,
aspirin) can worsen peptic ulcers by inhibiting prostaglandin
synthesis, which reduces gastric mucosal protection.
Question 4: A nurse is caring for a client who has a prescription
for clopidogrel. The nurse should monitor the client for which
adverse effect?
A. Insomnia
B. Hypotension
C. Bleeding
, D. Constipation
Correct Answer: C. Bleeding
Rationale: Clopidogrel is an antiplatelet agent that inhibits
platelet aggregation, increasing the risk of bleeding. The nurse
should monitor for signs of bleeding such as bruising, petechiae,
epistaxis, and gastrointestinal bleeding. Insomnia, hypotension,
and constipation are not characteristic adverse effects of
clopidogrel.
Question 5: A nurse is teaching a newly licensed nurse about
contraindications to ceftriaxone. The nurse should include a
severe allergy to which medication as a contraindication to
ceftriaxone?
A. Gentamicin
B. Clindamycin
C. Piperacillin
D. Sulfamethoxazole-trimethoprim
Correct Answer: C. Piperacillin
Rationale: Ceftriaxone is a cephalosporin antibiotic. Clients with
a severe allergy to penicillin (such as piperacillin) may have
