ATI Pharm Proctored Exam LPN ACTUAL EXAM
QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GRADED A+
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calciu
B B B B B B B B B B B B B B B
m level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed t
B B B B B B B B B B B B B B B
o the client? - ANSWER-
B B B B Calcitonin (Miacalcin) B
Oral iron supplements are prescribed for a 6-year-
B B B B B B B
old child with iron deficiency anemia. The nurse instructs the mother to administer the iron wi
B B B B B B B B B B B B B B B
th which best food item? - ANSWER-
B B B B B B Orange juice B
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the clie
B B B B B B B B B B B B B B B B
nt, knowing that which of the following would indicate the presence of systemic toxicity from t
B B B B B B B B B B B B B B B
his medication? - ANSWER-
B B B Tinnitus
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen.
B B B B B B B B B B B B B B B B
The nurse reminds the children that chemical sunscreens - ANSWER-
B B B B B B B B B B
At least 30 minutes before exposure to the sun
B B B B B B B B
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying t
B B B B B B B B B B B B B B
he medication, the client complains of local discomfort and burning. Which of the following is
B B B B B B B B B B B B B B B
the most appropriate nursing action? - ANSWER-
B B B B B B Informing the client that this is normalB B B B B B
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of i
B B B B B B B B B B B B B B B
njury. The nurse monitors the client, knowing that which of the following indicates that a syste
B B B B B B B B B B B B B B B
mic effect has occurred? - ANSWER-
B B B B B Hyperventilation
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medic
B B B B B B B B B B B B B B
ation, the nurse anticipates that which laboratory test will be prescribed? - ANSWER-
B B B B B B B B B B B B
Triglyceride level B
,A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isot
B B B B B B B B B B B B B B B B B
retinoin. The nurse reviews the client's medication record and would contact the (HCP) if the c
B B B B B B B B B B B B B B B
lient is taking which medication? - ANSWER-
B B B B B B Vitamin A B
The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monito
B B B B B B B B B B B B B B B
r for the potential for increased systemic absorption of the medication if the medication were
B B B B B B B B B B B B B B B
being applied to which of the following body areas? - ANSWER-
B B B B B B B B B B Axilla
The clinic nurse is performing an admission assessment on a client. The nurse notes that the cl
B B B B B B B B B B B B B B B B
ient is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would su
B B B B B B B B B B B B B B
spect that the client is being treated for: - ANSWER-
B B B B B B B B B Acne
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a par
B B B B B B B B B B B B B B
tial-thickness burn, which has cultured positive for gram- B B B B B B B
negative bacteria. The nurse is reinforcing information to the client about the medication. Whi
B B B B B B B B B B B B B
ch statement made by the client indicates a lack of understanding about the treatments? -
B B B B B B B B B B B B B B
B ANSWER- "The medication will permanently stain my skin."
B B B B B B
A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic
B B B B B B B B B B B B B B B B B
medication. During the infusion, the client complains of pain at the insertion site. During an in
B B B B B B B B B B B B B B B
spection of the site, the nurse notes redness and swelling and that the rate of infusion of the
B B B B B B B B B B B B B B B B B B
medication has slowed. The nurse should take which appropriate action? - ANSWER-
B B B B B B B B B B B
Notify the registered nurse. B B B
The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. Th
B B B B B B B B B B B B B
e nurse caring for the client anticipates that which diagnostic study will be prescribed? -
B B B B B B B B B B B B B B
B ANSWER- Pulmonary function studies B B
The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which lab
B B B B B B B B B B B B B
oratory value would the nurse specifically monitor during treatment with this medication? -
B B B B B B B B B B B B
B ANSWER- Uric acid level B B
,The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who
B B B B B B B B B B B B B B B
is assisting in caring for the client during its administration understands that which side effect
B B B B B B B B B B B B B B B B
is specifically associated with this medication? - ANSWER-
B B B B B B B Orthostatic hypotension B
The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic medicati
B B B B B B B B B B B B B B
on. When implementing the plan, the nurse tells the client: - ANSWER-
B B B B B B B B B B B
Consult with health care providers (HCPs) before receiving immunizations
B B B B B B B B
The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors t
B B B B B B B B B B B B B B
he client, knowing that which of the following indicates a side effect specific to this medication
B B B B B B B B B B B B B B B
? - ANSWER-
B B Numbness and tingling in the fingers and toes B B B B B B B
The nurse is reviewing the history and physical examination of a client who will be receiving as
B B B B B B B B B B B B B B B B
paraginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse rega
B B B B B B B B B B B B
rding the administration of the medication if which of the following is documented in the clien
B B B B B B B B B B B B B B B
t's history? - ANSWER-
B B B Pancreatitis
Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understand
B B B B B B B B B B B B
s that the primary action of this medication is to: - ANSWER-
B B B B B B B B B B B
Compete with estradiol for binding to estrogen in tissues containing high concentration
B B B B B B B B B B B
s of receptors.
B B
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitor
B B B B B B B B B B B B
s which laboratory value while the client is taking this medication? - ANSWER-
B B B B B B B B B B B B
Calcium level B
A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adv
B B B B B B B B B B B B B B B B B
erse effects that the nurse monitors for that are associated with this medication. Select all that
B B B B B B B B B B B B B B B
B apply. - ANSWER- B B 1. Tinnitus
B
2. Ototoxicity
B
5. Nephrotoxicity
B
6. Hypomagnesemia
B
, A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribe
B B B B B B B B B B B B B B B
d for the client. The nurse determines that this medication has been prescribed to: - ANSWER-
B B B B B B B B B B B B B B B
Treat hypocalcemic tetany.
B B
A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily in
B B B B B B B B B B B B B B B
sulin injections. Which information should the nurse teach when carrying out plans for dischar
B B B B B B B B B B B B B
ge? - ANSWER- B B Rotate the insulin injection sites systematically.
B B B B B
A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin
B B B B B B B B B B B B B B B B
in the same syringe. Which of the following actions, if performed by the client, indicates the n
B B B B B B B B B B B B B B B B B
eed for further teaching? - ANSWER-
B B B B B Withdraws the NPH insulin first B B B B
A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Hum
B B B B B B B B B B B B B B B
ulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The
B B B B B B B B B B B B B B B B B
B nurse tells the client to: - ANSWER-
B B B B B B Refrigerate the insulin. B B
Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces instru
B B B B B B B B B B B B B
ctions for the client and tells the client to avoid which of the following while taking this medica
B B B B B B B B B B B B B B B B B
tion? - ANSWER- B B Alcohol
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the c
B B B B B B B B B B B B B B B
lient's medical record and would question the prescription if which of the following is noted in
B B B B B B B B B B B B B B B B
the client's history? - ANSWER-
B B B B Use of nitroglycerinB B
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes
B B B B B B B B B B B B B B B
mellitus who takes insulin. The nurse knows that which of the following is the appropriate inte
B B B B B B B B B B B B B B B
rvention? - ANSWER- B B
The medication is withheld and the HCP is called to question the prescription for the cli
B B B B B B B B B B B B B B B
ent.
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions fo
B B B B B B B B B B B B B B
r the client and tells the client that the most likely time for a hypoglycemic reaction to occur is:
B B B B B B B B B B B B B B B B B B
B B - ANSWER- 4 to 12 hours after administration
B B B B B
QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GRADED A+
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calciu
B B B B B B B B B B B B B B B
m level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed t
B B B B B B B B B B B B B B B
o the client? - ANSWER-
B B B B Calcitonin (Miacalcin) B
Oral iron supplements are prescribed for a 6-year-
B B B B B B B
old child with iron deficiency anemia. The nurse instructs the mother to administer the iron wi
B B B B B B B B B B B B B B B
th which best food item? - ANSWER-
B B B B B B Orange juice B
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the clie
B B B B B B B B B B B B B B B B
nt, knowing that which of the following would indicate the presence of systemic toxicity from t
B B B B B B B B B B B B B B B
his medication? - ANSWER-
B B B Tinnitus
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen.
B B B B B B B B B B B B B B B B
The nurse reminds the children that chemical sunscreens - ANSWER-
B B B B B B B B B B
At least 30 minutes before exposure to the sun
B B B B B B B B
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying t
B B B B B B B B B B B B B B
he medication, the client complains of local discomfort and burning. Which of the following is
B B B B B B B B B B B B B B B
the most appropriate nursing action? - ANSWER-
B B B B B B Informing the client that this is normalB B B B B B
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of i
B B B B B B B B B B B B B B B
njury. The nurse monitors the client, knowing that which of the following indicates that a syste
B B B B B B B B B B B B B B B
mic effect has occurred? - ANSWER-
B B B B B Hyperventilation
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medic
B B B B B B B B B B B B B B
ation, the nurse anticipates that which laboratory test will be prescribed? - ANSWER-
B B B B B B B B B B B B
Triglyceride level B
,A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isot
B B B B B B B B B B B B B B B B B
retinoin. The nurse reviews the client's medication record and would contact the (HCP) if the c
B B B B B B B B B B B B B B B
lient is taking which medication? - ANSWER-
B B B B B B Vitamin A B
The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monito
B B B B B B B B B B B B B B B
r for the potential for increased systemic absorption of the medication if the medication were
B B B B B B B B B B B B B B B
being applied to which of the following body areas? - ANSWER-
B B B B B B B B B B Axilla
The clinic nurse is performing an admission assessment on a client. The nurse notes that the cl
B B B B B B B B B B B B B B B B
ient is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would su
B B B B B B B B B B B B B B
spect that the client is being treated for: - ANSWER-
B B B B B B B B B Acne
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a par
B B B B B B B B B B B B B B
tial-thickness burn, which has cultured positive for gram- B B B B B B B
negative bacteria. The nurse is reinforcing information to the client about the medication. Whi
B B B B B B B B B B B B B
ch statement made by the client indicates a lack of understanding about the treatments? -
B B B B B B B B B B B B B B
B ANSWER- "The medication will permanently stain my skin."
B B B B B B
A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic
B B B B B B B B B B B B B B B B B
medication. During the infusion, the client complains of pain at the insertion site. During an in
B B B B B B B B B B B B B B B
spection of the site, the nurse notes redness and swelling and that the rate of infusion of the
B B B B B B B B B B B B B B B B B B
medication has slowed. The nurse should take which appropriate action? - ANSWER-
B B B B B B B B B B B
Notify the registered nurse. B B B
The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. Th
B B B B B B B B B B B B B
e nurse caring for the client anticipates that which diagnostic study will be prescribed? -
B B B B B B B B B B B B B B
B ANSWER- Pulmonary function studies B B
The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which lab
B B B B B B B B B B B B B
oratory value would the nurse specifically monitor during treatment with this medication? -
B B B B B B B B B B B B
B ANSWER- Uric acid level B B
,The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who
B B B B B B B B B B B B B B B
is assisting in caring for the client during its administration understands that which side effect
B B B B B B B B B B B B B B B B
is specifically associated with this medication? - ANSWER-
B B B B B B B Orthostatic hypotension B
The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic medicati
B B B B B B B B B B B B B B
on. When implementing the plan, the nurse tells the client: - ANSWER-
B B B B B B B B B B B
Consult with health care providers (HCPs) before receiving immunizations
B B B B B B B B
The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors t
B B B B B B B B B B B B B B
he client, knowing that which of the following indicates a side effect specific to this medication
B B B B B B B B B B B B B B B
? - ANSWER-
B B Numbness and tingling in the fingers and toes B B B B B B B
The nurse is reviewing the history and physical examination of a client who will be receiving as
B B B B B B B B B B B B B B B B
paraginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse rega
B B B B B B B B B B B B
rding the administration of the medication if which of the following is documented in the clien
B B B B B B B B B B B B B B B
t's history? - ANSWER-
B B B Pancreatitis
Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understand
B B B B B B B B B B B B
s that the primary action of this medication is to: - ANSWER-
B B B B B B B B B B B
Compete with estradiol for binding to estrogen in tissues containing high concentration
B B B B B B B B B B B
s of receptors.
B B
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitor
B B B B B B B B B B B B
s which laboratory value while the client is taking this medication? - ANSWER-
B B B B B B B B B B B B
Calcium level B
A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adv
B B B B B B B B B B B B B B B B B
erse effects that the nurse monitors for that are associated with this medication. Select all that
B B B B B B B B B B B B B B B
B apply. - ANSWER- B B 1. Tinnitus
B
2. Ototoxicity
B
5. Nephrotoxicity
B
6. Hypomagnesemia
B
, A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribe
B B B B B B B B B B B B B B B
d for the client. The nurse determines that this medication has been prescribed to: - ANSWER-
B B B B B B B B B B B B B B B
Treat hypocalcemic tetany.
B B
A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily in
B B B B B B B B B B B B B B B
sulin injections. Which information should the nurse teach when carrying out plans for dischar
B B B B B B B B B B B B B
ge? - ANSWER- B B Rotate the insulin injection sites systematically.
B B B B B
A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin
B B B B B B B B B B B B B B B B
in the same syringe. Which of the following actions, if performed by the client, indicates the n
B B B B B B B B B B B B B B B B B
eed for further teaching? - ANSWER-
B B B B B Withdraws the NPH insulin first B B B B
A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Hum
B B B B B B B B B B B B B B B
ulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The
B B B B B B B B B B B B B B B B B
B nurse tells the client to: - ANSWER-
B B B B B B Refrigerate the insulin. B B
Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces instru
B B B B B B B B B B B B B
ctions for the client and tells the client to avoid which of the following while taking this medica
B B B B B B B B B B B B B B B B B
tion? - ANSWER- B B Alcohol
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the c
B B B B B B B B B B B B B B B
lient's medical record and would question the prescription if which of the following is noted in
B B B B B B B B B B B B B B B B
the client's history? - ANSWER-
B B B B Use of nitroglycerinB B
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes
B B B B B B B B B B B B B B B
mellitus who takes insulin. The nurse knows that which of the following is the appropriate inte
B B B B B B B B B B B B B B B
rvention? - ANSWER- B B
The medication is withheld and the HCP is called to question the prescription for the cli
B B B B B B B B B B B B B B B
ent.
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions fo
B B B B B B B B B B B B B B
r the client and tells the client that the most likely time for a hypoglycemic reaction to occur is:
B B B B B B B B B B B B B B B B B B
B B - ANSWER- 4 to 12 hours after administration
B B B B B
