ATI PHARM PROCTORED LPN EXAM 2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
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? -
(answer) Calcitonin (Miacalcin)
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? - (answer) Orange juice
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client,
knowing that which of the following would indicate the presence of systemic toxicity from this
medication? - (answer) Tinnitus
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The
nurse reminds the children that chemical sunscreens - (answer) At least 30 minutes before exposure to
the sun
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the
medication, the client complains of local discomfort and burning. Which of the following is the most
appropriate nursing action? - (answer) Informing the client that this is normal
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The
nurse monitors the client, knowing that which of the following indicates that a systemic effect has
occurred? - (answer) Hyperventilation
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the
nurse anticipates that which laboratory test will be prescribed? - (answer) Triglyceride level
A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin.
The nurse reviews the client's medication record and would contact the (HCP) if the client is taking which
medication? - (answer) Vitamin A
,ATI PHARM PROCTORED LPN EXAM 2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the
potential for increased systemic absorption of the medication if the medication were being applied to
which of the following body areas? - (answer) Axilla
The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is
taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the
client is being treated for: - (answer) Acne
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-
thickness burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing
information to the client about the medication. Which statement made by the client indicates a lack of
understanding about the treatments? - (answer) "The medication will permanently stain my skin."
A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic
medication. During the infusion, the client complains of pain at the insertion site. During an inspection of
the site, the nurse notes redness and swelling and that the rate of infusion of the medication has slowed.
The nurse should take which appropriate action? - (answer) Notify the registered nurse.
The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse
caring for the client anticipates that which diagnostic study will be prescribed? - (answer) Pulmonary
function studies
The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory
value would the nurse specifically monitor during treatment with this medication? - (answer) Uric acid
level
The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is
assisting in caring for the client during its administration understands that which side effect is specifically
associated with this medication? - (answer) Orthostatic hypotension
The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic medication. When
implementing the plan, the nurse tells the client: - (answer) Consult with health care providers (HCPs)
before receiving immunizations
,ATI PHARM PROCTORED LPN EXAM 2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors the client,
knowing that which of the following indicates a side effect specific to this medication? - (answer)
Numbness and tingling in the fingers and toes
The nurse is reviewing the history and physical examination of a client who will be receiving
asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding
the administration of the medication if which of the following is documented in the client's history? -
(answer) Pancreatitis
Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understands that the
primary action of this medication is to: - (answer) Compete with estradiol for binding to estrogen in
tissues containing high concentrations of receptors.
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which
laboratory value while the client is taking this medication? - (answer) Calcium level
A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adverse
effects that the nurse monitors for that are associated with this medication. Select all that apply. -
(answer) 1. Tinnitus
2. Ototoxicity
5. Nephrotoxicity
6. Hypomagnesemia
A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the
client. The nurse determines that this medication has been prescribed to: - (answer) Treat
hypocalcemic tetany.
A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin
injections. Which information should the nurse teach when carrying out plans for discharge? - (answer)
Rotate the insulin injection sites systematically.
, ATI PHARM PROCTORED LPN EXAM 2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the
same syringe. Which of the following actions, if performed by the client, indicates the need for further
teaching? - (answer) Withdraws the NPH insulin first
A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH
insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse tells the
client to: - (answer) Refrigerate the insulin.
Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces instructions for
the client and tells the client to avoid which of the following while taking this medication? - (answer)
Alcohol
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the client's
medical record and would question the prescription if which of the following is noted in the client's
history? - (answer) Use of nitroglycerin
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus
who takes insulin. The nurse knows that which of the following is the appropriate intervention? -
(answer) The medication is withheld and the HCP is called to question the prescription for the client.
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the
client and tells the client that the most likely time for a hypoglycemic reaction to occur is: - (answer) 4
to 12 hours after administration
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had
been well controlled with glyburide (DiaBeta) daily, but recently the fasting blood glucose level has been
180 to 200 mg/dL. Which medication, if added to the client's regimen, may have contributed to the
hyperglycemia? - (answer) Prednisone
A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for
the client and the nurse reinforces teaching for the client about the medication. Which statement, if
made by the client, indicates that further teaching is necessary? - (answer) "I can take aspirin or my
antihistamine if I need it."
DETAILED ANSWERS
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? -
(answer) Calcitonin (Miacalcin)
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? - (answer) Orange juice
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client,
knowing that which of the following would indicate the presence of systemic toxicity from this
medication? - (answer) Tinnitus
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The
nurse reminds the children that chemical sunscreens - (answer) At least 30 minutes before exposure to
the sun
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the
medication, the client complains of local discomfort and burning. Which of the following is the most
appropriate nursing action? - (answer) Informing the client that this is normal
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The
nurse monitors the client, knowing that which of the following indicates that a systemic effect has
occurred? - (answer) Hyperventilation
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the
nurse anticipates that which laboratory test will be prescribed? - (answer) Triglyceride level
A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin.
The nurse reviews the client's medication record and would contact the (HCP) if the client is taking which
medication? - (answer) Vitamin A
,ATI PHARM PROCTORED LPN EXAM 2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the
potential for increased systemic absorption of the medication if the medication were being applied to
which of the following body areas? - (answer) Axilla
The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is
taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the
client is being treated for: - (answer) Acne
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-
thickness burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing
information to the client about the medication. Which statement made by the client indicates a lack of
understanding about the treatments? - (answer) "The medication will permanently stain my skin."
A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic
medication. During the infusion, the client complains of pain at the insertion site. During an inspection of
the site, the nurse notes redness and swelling and that the rate of infusion of the medication has slowed.
The nurse should take which appropriate action? - (answer) Notify the registered nurse.
The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse
caring for the client anticipates that which diagnostic study will be prescribed? - (answer) Pulmonary
function studies
The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory
value would the nurse specifically monitor during treatment with this medication? - (answer) Uric acid
level
The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is
assisting in caring for the client during its administration understands that which side effect is specifically
associated with this medication? - (answer) Orthostatic hypotension
The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic medication. When
implementing the plan, the nurse tells the client: - (answer) Consult with health care providers (HCPs)
before receiving immunizations
,ATI PHARM PROCTORED LPN EXAM 2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors the client,
knowing that which of the following indicates a side effect specific to this medication? - (answer)
Numbness and tingling in the fingers and toes
The nurse is reviewing the history and physical examination of a client who will be receiving
asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding
the administration of the medication if which of the following is documented in the client's history? -
(answer) Pancreatitis
Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understands that the
primary action of this medication is to: - (answer) Compete with estradiol for binding to estrogen in
tissues containing high concentrations of receptors.
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which
laboratory value while the client is taking this medication? - (answer) Calcium level
A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adverse
effects that the nurse monitors for that are associated with this medication. Select all that apply. -
(answer) 1. Tinnitus
2. Ototoxicity
5. Nephrotoxicity
6. Hypomagnesemia
A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the
client. The nurse determines that this medication has been prescribed to: - (answer) Treat
hypocalcemic tetany.
A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin
injections. Which information should the nurse teach when carrying out plans for discharge? - (answer)
Rotate the insulin injection sites systematically.
, ATI PHARM PROCTORED LPN EXAM 2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the
same syringe. Which of the following actions, if performed by the client, indicates the need for further
teaching? - (answer) Withdraws the NPH insulin first
A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH
insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse tells the
client to: - (answer) Refrigerate the insulin.
Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces instructions for
the client and tells the client to avoid which of the following while taking this medication? - (answer)
Alcohol
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the client's
medical record and would question the prescription if which of the following is noted in the client's
history? - (answer) Use of nitroglycerin
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus
who takes insulin. The nurse knows that which of the following is the appropriate intervention? -
(answer) The medication is withheld and the HCP is called to question the prescription for the client.
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the
client and tells the client that the most likely time for a hypoglycemic reaction to occur is: - (answer) 4
to 12 hours after administration
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had
been well controlled with glyburide (DiaBeta) daily, but recently the fasting blood glucose level has been
180 to 200 mg/dL. Which medication, if added to the client's regimen, may have contributed to the
hyperglycemia? - (answer) Prednisone
A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for
the client and the nurse reinforces teaching for the client about the medication. Which statement, if
made by the client, indicates that further teaching is necessary? - (answer) "I can take aspirin or my
antihistamine if I need it."
