ATI PN PHARMACOLOGY 2025/2026
EXAMINATION
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-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--• 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%20
AMS%20RN%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
EXAMINATION
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-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--• 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%20
AMS%20RN%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
