ATI PN PHARMACOLOGY PROCTORED EXAM
WITH NGN 2026 COMPLETE EXAM PRACTICE
WITH MARK SCHEME
◉ 2.) 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?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the wound."
Answer: 3. "The medication will permanently stain my skin."
Rationale:
Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
spectrum of activity against gram-negative bacteria, gram-positive
bacteria, and yeast. It is applied directly to the wound to assist in
healing. It does not stain the skin.
◉ 3.) 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?
1. Notify the registered nurse.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.
Answer: 1. Notify the registered nurse.
Rationale:
When antineoplastic medications (Chemotheraputic Agents) are
administered via IV, great care must be taken to prevent the
medication from escaping into the tissues surrounding the injection
site, because pain, tissue damage, and necrosis can result. The nurse
monitors for signs of extravasation, such as redness or swelling at
the insertion site and a decreased infusion rate. If extravasation
occurs, the registered nurse needs to be notified; he or she will then
contact the health care provider.
◉ 13.) 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?
1. Echocardiography
2. Electrocardiography
3. Cervical radiography
, 4. Pulmonary function studies Answer: 4. Pulmonary function
studies
Rationale:
Bleomycin is an antineoplastic medication (Chemotheraputic
Agents) that can cause interstitial pneumonitis, which can progress
to pulmonary fibrosis. Pulmonary function studies along with
hematological, hepatic, and renal function tests need to be
monitored. The nurse needs to monitor lung sounds for dyspnea and
crackles, which indicate pulmonary toxicity. The medication needs to
be discontinued immediately if pulmonary toxicity occurs. Options
1, 2, and 3 are unrelated to the specific use of this medication.
◉ 14.) 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?
1. Clotting time
2. Uric acid level
3. Potassium level
4. Blood glucose level Answer: 2. Uric acid level
Rationale:
Busulfan (Myleran) can cause an increase in the uric acid level.
Hyperuricemia can produce uric acid nephropathy, renal stones, and
acute renal failure. Options 1, 3, and 4 are not specifically related to
this medication.
, ◉ 15.) 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?
1. Alopecia
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension Answer: 4. Orthostatic hypotension
Rationale:
A side effect specific to etoposide is orthostatic hypotension. The
client's blood pressure is monitored during the infusion. Hair loss
occurs with nearly all the antineoplastic medications. Chest pain and
pulmonary fibrosis are unrelated to this medication.
◉ 16.) The clinic nurse is reviewing a teaching plan for the client
receiving an antineoplastic medication. When implementing the
plan, the nurse tells the client:
1. To take aspirin (acetylsalicylic acid) as needed for headache
2. Drink beverages containing alcohol in moderate amounts each
evening
3. Consult with health care providers (HCPs) before receiving
immunizations
4. That it is not necessary to consult HCPs before receiving a flu
vaccine at the local health fair Answer: 3. Consult with health care
providers (HCPs) before receiving immunizations
WITH NGN 2026 COMPLETE EXAM PRACTICE
WITH MARK SCHEME
◉ 2.) 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?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the wound."
Answer: 3. "The medication will permanently stain my skin."
Rationale:
Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
spectrum of activity against gram-negative bacteria, gram-positive
bacteria, and yeast. It is applied directly to the wound to assist in
healing. It does not stain the skin.
◉ 3.) 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?
1. Notify the registered nurse.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.
Answer: 1. Notify the registered nurse.
Rationale:
When antineoplastic medications (Chemotheraputic Agents) are
administered via IV, great care must be taken to prevent the
medication from escaping into the tissues surrounding the injection
site, because pain, tissue damage, and necrosis can result. The nurse
monitors for signs of extravasation, such as redness or swelling at
the insertion site and a decreased infusion rate. If extravasation
occurs, the registered nurse needs to be notified; he or she will then
contact the health care provider.
◉ 13.) 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?
1. Echocardiography
2. Electrocardiography
3. Cervical radiography
, 4. Pulmonary function studies Answer: 4. Pulmonary function
studies
Rationale:
Bleomycin is an antineoplastic medication (Chemotheraputic
Agents) that can cause interstitial pneumonitis, which can progress
to pulmonary fibrosis. Pulmonary function studies along with
hematological, hepatic, and renal function tests need to be
monitored. The nurse needs to monitor lung sounds for dyspnea and
crackles, which indicate pulmonary toxicity. The medication needs to
be discontinued immediately if pulmonary toxicity occurs. Options
1, 2, and 3 are unrelated to the specific use of this medication.
◉ 14.) 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?
1. Clotting time
2. Uric acid level
3. Potassium level
4. Blood glucose level Answer: 2. Uric acid level
Rationale:
Busulfan (Myleran) can cause an increase in the uric acid level.
Hyperuricemia can produce uric acid nephropathy, renal stones, and
acute renal failure. Options 1, 3, and 4 are not specifically related to
this medication.
, ◉ 15.) 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?
1. Alopecia
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension Answer: 4. Orthostatic hypotension
Rationale:
A side effect specific to etoposide is orthostatic hypotension. The
client's blood pressure is monitored during the infusion. Hair loss
occurs with nearly all the antineoplastic medications. Chest pain and
pulmonary fibrosis are unrelated to this medication.
◉ 16.) The clinic nurse is reviewing a teaching plan for the client
receiving an antineoplastic medication. When implementing the
plan, the nurse tells the client:
1. To take aspirin (acetylsalicylic acid) as needed for headache
2. Drink beverages containing alcohol in moderate amounts each
evening
3. Consult with health care providers (HCPs) before receiving
immunizations
4. That it is not necessary to consult HCPs before receiving a flu
vaccine at the local health fair Answer: 3. Consult with health care
providers (HCPs) before receiving immunizations
