ATI RN PHARM PRACTICE C EXAM 2024 WITH
ACTUAL CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|BRAND NEW
VERSION!!!|GUARANTEED PASS|LATEST UPDATE
During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to
smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to
increased
A. incidence of nausea.
B. tendency to bleed during menstruation.
C. levels of triglycerides.
D. risk for thrombosis.
D
Rationale: D; Smoking should be avoided during estrogen therapy because it adds to the risk for
thrombosis formation. The other options are not correct.
What of the following is an important hormonal medication for postmenopausal women limits bone
loss?
A. vitamin D
B. raloxifene (estrogen)
C. calcitonin
D. osteocalcin
B
Rationale: B is correct because estrogen replacement therapy reduces bone loss
When teaching about the best sources of calcium, you know that what ingredient found in milk is
essential for calcium absorption?
A. vitamin D
B. fructose
C. lactose
D. carbonate
A
1|Page
,Adalimumab (Humira) is prescribed for a patient with severe RA. The nurse checks the patient's medical
history, knowing that this medication is contraindicated if which disorder if present?
A. Hypertension
B. Urinary tract infection
C. Hypothyroidism
D. anemia
B
A patient has an order for the monoclonal antibody adalimumab (Humira). The nurse notes that the
patient does not have a history of cancer. What is another possible reason for administering this drug?
A. Severe anemia
B. Rheumatoid arthritis
C. Hypothyroidism
D. osteoporosis
During treatment of a patient who has breast cancer, the nurse hears the physician mention that the
patient has reached the "nadir." The nurse knows that this term means the
A. lowest level of neutrophils reached during therapy.
B. highest level of neutrophils reached during therapy.
C. point at which the adverse effects of chemotherapy will stop.
D. point at which the cytotoxic action against cancer cells is the highest.
Rationale: A; The lowest neutrophil count reached after a course of chemotherapy is known as the
nadir.
Which statement is not true regarding neutropenia and cancer?
A. The lower the WBC or ANC count is, the poorer the cancer prognosis.
B. The longer the WBC or ANC is low, the higher the risk for infection.
C. Frequent temperatures are necessary with the neutropenic patient.
D. Tylenol should be avoided to prevent hiding signs of infection.
Rationale: A is not true, lower ANC counts mean higher risk for infection not poorer prognosis for
cancer treatment. B is true, the longer a patient is neutropenic, the more risk of infection. C is true,
temperatures are an indicator for infection. D is true, in cancer patients, fever may be the only early
sign of infection.
One adverse effect of excessive immunosuppression is the development of:
A. Liver failure
B. Kidney failure
C. Myocardial infarction
D. Serious infection
D
A nurse is caring for a person undergoing antiemetic drug therapy to prevent nausea. The client reports
loss of appetite because of nausea. Which of the following would the nurse implement to enhance the
2|Page
,client's appetite?
A. suggest consumption of milk products.
B. suggest physical exercises to the client.
C. remove items with a strong smell and odor.
D. avoid giving frequent oral rinses to the client.
C
A patient is receiving cisplatin as part of her treatment for ovarian cancer. Which nursing diagnosis is
appropriate for this antineoplastic drug?
A. Ineffective tissue perfusion related to cardiotoxicity
B. Ineffective breathing pattern related to the adverse effect of pulmonary toxicity
C. Risk for injury related to effects of neurotoxicity (ataxia, numbness of hands and feet)
D. Impaired urinary elimination pattern related to hyperuricemia
Rationale: C; Risk for injury related to neurotoxicity is an appropriate nursing diagnosis specific to
cisplatin. Cisplatin does not cause cardiotoxicity, hyperuricemia, or pulmonary toxicity.
When giving cisplatin, the nurse is aware that the major dose-limiting toxicity of this drug is
A. alopecia.
B. kidney damage.
C. cardiotoxicity.
D. stomatitis.
Rationale: B; Cisplatin may cause nephrotoxicity, and the patient's renal function must be monitored
closely while on this drug. Ensuring hydration will help to prevent nephrotoxicity.
The nurse is developing a plan of care for a patient who is experiencing gastrointestinal adverse effects,
including anorexia and nausea, after her first course of antineoplastic therapy. What is an appropriate
goal for this patient when dealing with this problem? The patient will
A. eat 3 balanced meals a day within 4 days.
B. return to her normal eating pattern within 1 month.
C. maintain her normal weight by consuming healthful snacks as tolerated.
D. maintain a diet of frequent feedings with a nutrition supplement as a snack within 2 weeks.
Rationale: D; Consuming small, frequent meals and eating slowly; consuming clear liquids; and
maintaining a bland diet help to improve nutrition during antineoplastic therapy.
A patient is receiving methotrexate and is experiencing severe bone marrow suppression. The nurse will
expect which intervention to be ordered with this drug to reduce this problem?
A. A transfusion of whole blood
B. leucovorin rescue
C. filgrastim (Neupogen) therapy
D. epoetin alfa (Epogen) therapy
Rationale: B; High-dose methotrexate is associated with bone marrow suppression, and it is always
given in conjunction with the rescue drug leucovorin, which is an antidote for folic acid antagonists.
Basically, leucovorin rescues the healthy cells from methotrexate.
3|Page
, The nurse is reviewing prevention-of-infection measures with a patient who is receiving antineoplastic
drug therapy. Which statement by the patient, who is at risk for infection resulting from neutropenic
effects of antineoplastic drug therapy, shows that he still needs further teaching about his care?
A. "I should avoid those who have recently had a vaccination."
B. "I will eat only fresh fruits and vegetables."
C. "I should report a sore throat, cough, or low-grade temperature."
D. "It is important for both my family and me to practice good hand washing."
Rationale: B. Patients who are neutropenic and susceptible to infections should adhere to a low-
microbe diet by washing fresh fruits and vegetables and making sure foods are well cooked. The other
options are correct.
With each of the following lab data - what would be appropriate nursing interventions?
A. Hemoglobin 7.2
B. ANC 400
C. WBC 4,000
D. Platelets 48,000.
A. Hemoglobin 7.2 Anemia.
Energy conservation strategies - space out activities and provide rest periods.
Assist with ADL's.
B. ANC 400 severe risk for infection.
Remember WBC counts fall an absolute neutrophil count will be used to accurately portray the
patient's ability to fight infection. No fresh fruit - no raw food - no flowers - no salad - no visitors with
diarrhea - no visitors with infection.
C. WBC 4,000 Patient is exhibiting normal immune response.
No special precautions except for standard universal precautions.
D. Platelets 48,000. Thromobocytopenia
The nurse needs to implement bleeding precautions and avoid shaving the patient with a metal razor,
use caution with mouth care and avoid using rectal thermometers.
What advice would you give a patient that is experiencing myelosuppression, nausea or hair loss?
Myelosuppression is an expected consequence of chemotherapy. The blood counts will recover after the
chemotherapy is stopped. If a patient is experiencing low WBC counts it would be advisable to avoid
crowded areas like malls. It would also be advisable to eat cooked meals out and in some cases avoid
areas that may be contaminated like buffets or beverage fountains.
Nausea may occur in response to the chemotherapy or in anticipation (anticipatory nausea) of
chemotherapy administration. The best thing to do to prevent its occurrence is to eat mild foods and
4|Page
ACTUAL CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|BRAND NEW
VERSION!!!|GUARANTEED PASS|LATEST UPDATE
During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to
smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to
increased
A. incidence of nausea.
B. tendency to bleed during menstruation.
C. levels of triglycerides.
D. risk for thrombosis.
D
Rationale: D; Smoking should be avoided during estrogen therapy because it adds to the risk for
thrombosis formation. The other options are not correct.
What of the following is an important hormonal medication for postmenopausal women limits bone
loss?
A. vitamin D
B. raloxifene (estrogen)
C. calcitonin
D. osteocalcin
B
Rationale: B is correct because estrogen replacement therapy reduces bone loss
When teaching about the best sources of calcium, you know that what ingredient found in milk is
essential for calcium absorption?
A. vitamin D
B. fructose
C. lactose
D. carbonate
A
1|Page
,Adalimumab (Humira) is prescribed for a patient with severe RA. The nurse checks the patient's medical
history, knowing that this medication is contraindicated if which disorder if present?
A. Hypertension
B. Urinary tract infection
C. Hypothyroidism
D. anemia
B
A patient has an order for the monoclonal antibody adalimumab (Humira). The nurse notes that the
patient does not have a history of cancer. What is another possible reason for administering this drug?
A. Severe anemia
B. Rheumatoid arthritis
C. Hypothyroidism
D. osteoporosis
During treatment of a patient who has breast cancer, the nurse hears the physician mention that the
patient has reached the "nadir." The nurse knows that this term means the
A. lowest level of neutrophils reached during therapy.
B. highest level of neutrophils reached during therapy.
C. point at which the adverse effects of chemotherapy will stop.
D. point at which the cytotoxic action against cancer cells is the highest.
Rationale: A; The lowest neutrophil count reached after a course of chemotherapy is known as the
nadir.
Which statement is not true regarding neutropenia and cancer?
A. The lower the WBC or ANC count is, the poorer the cancer prognosis.
B. The longer the WBC or ANC is low, the higher the risk for infection.
C. Frequent temperatures are necessary with the neutropenic patient.
D. Tylenol should be avoided to prevent hiding signs of infection.
Rationale: A is not true, lower ANC counts mean higher risk for infection not poorer prognosis for
cancer treatment. B is true, the longer a patient is neutropenic, the more risk of infection. C is true,
temperatures are an indicator for infection. D is true, in cancer patients, fever may be the only early
sign of infection.
One adverse effect of excessive immunosuppression is the development of:
A. Liver failure
B. Kidney failure
C. Myocardial infarction
D. Serious infection
D
A nurse is caring for a person undergoing antiemetic drug therapy to prevent nausea. The client reports
loss of appetite because of nausea. Which of the following would the nurse implement to enhance the
2|Page
,client's appetite?
A. suggest consumption of milk products.
B. suggest physical exercises to the client.
C. remove items with a strong smell and odor.
D. avoid giving frequent oral rinses to the client.
C
A patient is receiving cisplatin as part of her treatment for ovarian cancer. Which nursing diagnosis is
appropriate for this antineoplastic drug?
A. Ineffective tissue perfusion related to cardiotoxicity
B. Ineffective breathing pattern related to the adverse effect of pulmonary toxicity
C. Risk for injury related to effects of neurotoxicity (ataxia, numbness of hands and feet)
D. Impaired urinary elimination pattern related to hyperuricemia
Rationale: C; Risk for injury related to neurotoxicity is an appropriate nursing diagnosis specific to
cisplatin. Cisplatin does not cause cardiotoxicity, hyperuricemia, or pulmonary toxicity.
When giving cisplatin, the nurse is aware that the major dose-limiting toxicity of this drug is
A. alopecia.
B. kidney damage.
C. cardiotoxicity.
D. stomatitis.
Rationale: B; Cisplatin may cause nephrotoxicity, and the patient's renal function must be monitored
closely while on this drug. Ensuring hydration will help to prevent nephrotoxicity.
The nurse is developing a plan of care for a patient who is experiencing gastrointestinal adverse effects,
including anorexia and nausea, after her first course of antineoplastic therapy. What is an appropriate
goal for this patient when dealing with this problem? The patient will
A. eat 3 balanced meals a day within 4 days.
B. return to her normal eating pattern within 1 month.
C. maintain her normal weight by consuming healthful snacks as tolerated.
D. maintain a diet of frequent feedings with a nutrition supplement as a snack within 2 weeks.
Rationale: D; Consuming small, frequent meals and eating slowly; consuming clear liquids; and
maintaining a bland diet help to improve nutrition during antineoplastic therapy.
A patient is receiving methotrexate and is experiencing severe bone marrow suppression. The nurse will
expect which intervention to be ordered with this drug to reduce this problem?
A. A transfusion of whole blood
B. leucovorin rescue
C. filgrastim (Neupogen) therapy
D. epoetin alfa (Epogen) therapy
Rationale: B; High-dose methotrexate is associated with bone marrow suppression, and it is always
given in conjunction with the rescue drug leucovorin, which is an antidote for folic acid antagonists.
Basically, leucovorin rescues the healthy cells from methotrexate.
3|Page
, The nurse is reviewing prevention-of-infection measures with a patient who is receiving antineoplastic
drug therapy. Which statement by the patient, who is at risk for infection resulting from neutropenic
effects of antineoplastic drug therapy, shows that he still needs further teaching about his care?
A. "I should avoid those who have recently had a vaccination."
B. "I will eat only fresh fruits and vegetables."
C. "I should report a sore throat, cough, or low-grade temperature."
D. "It is important for both my family and me to practice good hand washing."
Rationale: B. Patients who are neutropenic and susceptible to infections should adhere to a low-
microbe diet by washing fresh fruits and vegetables and making sure foods are well cooked. The other
options are correct.
With each of the following lab data - what would be appropriate nursing interventions?
A. Hemoglobin 7.2
B. ANC 400
C. WBC 4,000
D. Platelets 48,000.
A. Hemoglobin 7.2 Anemia.
Energy conservation strategies - space out activities and provide rest periods.
Assist with ADL's.
B. ANC 400 severe risk for infection.
Remember WBC counts fall an absolute neutrophil count will be used to accurately portray the
patient's ability to fight infection. No fresh fruit - no raw food - no flowers - no salad - no visitors with
diarrhea - no visitors with infection.
C. WBC 4,000 Patient is exhibiting normal immune response.
No special precautions except for standard universal precautions.
D. Platelets 48,000. Thromobocytopenia
The nurse needs to implement bleeding precautions and avoid shaving the patient with a metal razor,
use caution with mouth care and avoid using rectal thermometers.
What advice would you give a patient that is experiencing myelosuppression, nausea or hair loss?
Myelosuppression is an expected consequence of chemotherapy. The blood counts will recover after the
chemotherapy is stopped. If a patient is experiencing low WBC counts it would be advisable to avoid
crowded areas like malls. It would also be advisable to eat cooked meals out and in some cases avoid
areas that may be contaminated like buffets or beverage fountains.
Nausea may occur in response to the chemotherapy or in anticipation (anticipatory nausea) of
chemotherapy administration. The best thing to do to prevent its occurrence is to eat mild foods and
4|Page
