ATI PN PHARMACOLOGY EXAM
WITH NGN (2025/2026) TEST BANK
Patient identifiers
- >>>Answer -Medical record number
-home telephone number
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
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
What food should you increase when taking Lasix?
- >>>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 colour 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 -• 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
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20
RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
,What to understand about Parkinson's Meds? - >>>Answer -they don't cure disease, they
slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - >>>Answer
administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - >>>Answer blood pressure Answer (e.g. 120/80)
Medication for Schizophrenia - >>>Answer risperidone, Risperdal
Macrodantin medication - >>>Answer used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking medication. - >>>Answer -benzodiazepine
class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - >>>Answer same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
Lipitor - >>>Answer -lowers cholesterol in blood, "statins". Reduce LDL and total
cholesterol. Raise HDL.
Garamycin- - >>>Answer Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects
- >>>Answer -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - >>>Answer used before exercise to prevent breathing problems during exercise
(bronchospasm).
, What medication to administer with Tylenol overdose? - >>>Answer acetylcysteine
(Mucomyst) must be given IV
HPV vaccine - >>>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.
Opioid toxicity-what to check first - >>>Answer oxygen saturation
Valporic Acid lab - >>>Answer liver
Lithium report immediately - >>>Answer slurred speech
Prednisone report - >>>Answer sore throat
Food to avoid when taking Lithium
- >>>Answer -salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide
- >>>Answer Periodic determination of serum electrolytes to detect possible electrolyte
imbalance should be done at appropriate intervals.
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)
WITH NGN (2025/2026) TEST BANK
Patient identifiers
- >>>Answer -Medical record number
-home telephone number
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
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
What food should you increase when taking Lasix?
- >>>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 colour 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 -• 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
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20
RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
,What to understand about Parkinson's Meds? - >>>Answer -they don't cure disease, they
slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - >>>Answer
administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - >>>Answer blood pressure Answer (e.g. 120/80)
Medication for Schizophrenia - >>>Answer risperidone, Risperdal
Macrodantin medication - >>>Answer used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking medication. - >>>Answer -benzodiazepine
class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - >>>Answer same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
Lipitor - >>>Answer -lowers cholesterol in blood, "statins". Reduce LDL and total
cholesterol. Raise HDL.
Garamycin- - >>>Answer Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects
- >>>Answer -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - >>>Answer used before exercise to prevent breathing problems during exercise
(bronchospasm).
, What medication to administer with Tylenol overdose? - >>>Answer acetylcysteine
(Mucomyst) must be given IV
HPV vaccine - >>>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.
Opioid toxicity-what to check first - >>>Answer oxygen saturation
Valporic Acid lab - >>>Answer liver
Lithium report immediately - >>>Answer slurred speech
Prednisone report - >>>Answer sore throat
Food to avoid when taking Lithium
- >>>Answer -salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide
- >>>Answer Periodic determination of serum electrolytes to detect possible electrolyte
imbalance should be done at appropriate intervals.
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)
