1|Page
ATI PN PHARMACOLOGY PROCTORED EXAM
REVIEW 2025–2026 (UPDATED EDITION)
COMPLETE VERIFIED QUESTION BANK WITH
CORRECT ANSWERS & DETAILED
PHARMACOLOGY RATIONALES | EXPERT-
REVIEWED PRACTICAL NURSING
MEDICATION MASTERY GUIDE
What lab values should a nurse monitor for a
patient with chronic renal failure?
- 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
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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
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What food should you increase when taking
Furosemide?
- ANSWER--increased amounts of potassium-rich
foods (e.g., bananas, prunes, raisins, and orange
juice)
Patient reports IV discomfort, what is your first
action?
- ANSWER-Assess color and temperature
Sumatriptan (treats migraine headaches) adverse
effect
- ANSWER-pain, tightness, pressure, or heaviness in
the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch
- ANSWER-
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-• 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.
RBC Blood transfusion - ANSWER-prime with normal
saline and infuse with sodium chloride only
ATI PN PHARMACOLOGY PROCTORED EXAM
REVIEW 2025–2026 (UPDATED EDITION)
COMPLETE VERIFIED QUESTION BANK WITH
CORRECT ANSWERS & DETAILED
PHARMACOLOGY RATIONALES | EXPERT-
REVIEWED PRACTICAL NURSING
MEDICATION MASTERY GUIDE
What lab values should a nurse monitor for a
patient with chronic renal failure?
- 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
,2|Page
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|Page
What food should you increase when taking
Furosemide?
- ANSWER--increased amounts of potassium-rich
foods (e.g., bananas, prunes, raisins, and orange
juice)
Patient reports IV discomfort, what is your first
action?
- ANSWER-Assess color and temperature
Sumatriptan (treats migraine headaches) adverse
effect
- ANSWER-pain, tightness, pressure, or heaviness in
the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch
- ANSWER-
, 4|Page
-• 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.
RBC Blood transfusion - ANSWER-prime with normal
saline and infuse with sodium chloride only
