PROCTORED EXAM WITH NGN
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE
2025/2026 GRADED A + .
,1. Patient identifiers CORRECT ANSWER -Medical record number
-home telephone number
2. What lab values should a nurse monitor for a patient with chronic renal failure? CORRECT ANSWER
Urinalysis
Hematuria, proteinuria, and alterations in specific gravity Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF) exceeding 4 mg/dL
Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for CRF
- 180-200 mg/dL with (CRF) Serum
electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium, phosphorus, and magnesium
Complete blood count (CBC)
- Decreased hemoglobin
3. What food should you increase when taking Lasix? CORRECT ANSWER -increased amounts of potassium-
rich foods (e.g., bananas, prunes, raisins, and orange juice)
4. Patient reports IV discomfort, what is your first action? CORRECT ANSWER color and tempera- ture
5. Sumatriptan (treats migraine headaches) adverse effect CORRECT ANSWER pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
6. Know about Transdermal patch CORRECT ANSWER -• Apply at the same time once each day, preferably
in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce the risk of developing
tolerance to nitroglycerin. Be medication-free a minimum of
10 to 12 hr each day (usually at night).
• Do not cut patches to ensure appropriate dosage.
• Place the patch on a hairless area of skin
,(chest, back, or abdomen) and rotate sites to prevent skin
irritation.
• Wash skin with soap and water and dry thoroughly before
applying new patch.
7. RBC Blood transfusion CORRECT ANSWER http CORRECT ANSWER
//www.atitesting.com/ati_next_gen/Focuse- dReview/data/datacontext/RM%20AMS%20RN%208.0%20Chp%2044.pdf
(prime with normal saline and infuse with sodium chloride).
8. What to understand about Parkinson's Meds? CORRECT ANSWER -they don't cure disease, they slow the
process.
9. NEUPOGEN (filgrastim)-what is the appropriate route of this med? CORRECT ANSWER admin- istered by
subcutaneous injection or IV infusion
10. Lisinopril therapeutic effect CORRECT ANSWER blood pressure answer (e.g. 120/80)
11. Medication for Schizophrenia CORRECT ANSWER risperidone, Risperdal
12. Macrodantin medication CORRECT ANSWER used to treat or prevent certain urinary tract infec- tions
13. Haldol-inform if you are taking medication. CORRECT ANSWER -
benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
14. Fosomax CORRECT ANSWER same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
15. Lipitor CORRECT ANSWER -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.
16. Garamycin- CORRECT ANSWER Antibiotic that is toxic to the kidney, injected for radiology studies.
17. Digoxin side effects CORRECT ANSWER -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
18. Singulair CORRECT ANSWER used before exercise to prevent breathing problems during exercise
(bronchospasm).
19. What medication to administer with Tylenol overdose? CORRECT ANSWER acetylcysteine (Mu- comyst)
must be given IV
20. HPV vaccine CORRECT ANSWER Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over
a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
, -The second dose should be administered 2 months after the first dose, and the third dose should be administered 6
months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
21. Opioid toxicity-what to check first CORRECT ANSWER oxygen saturation
22. Valporic Acid lab CORRECT ANSWER liver
23. Lithium report immediately CORRECT ANSWER slurred speech
24.
Prednisone report CORRECT ANSWER sore throat
25. Food to avoid when taking Lithium CORRECT ANSWER -salty foods
-alcoholic beverages
26. Labs for patients taking hydrothiazide CORRECT ANSWER Periodic determination of serum elec- trolytes to
detect possible electrolyte imbalance should be done at appropriate intervals.
27. 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 CORRECT ANSWER 3. Calcitonin
(Miacalcin) Rationale CORRECT ANSWER
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
hypercal- cemia, 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.
28. 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?
1. Milk
2. Water
3. Apple juice
4. Orange juice CORRECT ANSWER 4.
Orange juice Rationale CORRECT ANSWER
Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication wit
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.