ATI PHARM PROCTORED EXAM LPN QUESTIONS
WITH CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT 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 - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT ANSWER -Vitamin A
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? - CORRECT 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: - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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? -
CORRECT 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? - CORRECT 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: - CORRECT ANSWER -
Consult with health care providers (HCPs) before receiving immunizations
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? - CORRECT 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? - CORRECT ANSWER -Pancreatitis
Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understands
that the primary action of this medication is to: - CORRECT 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? - CORRECT 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. - CORRECT 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: - CORRECT
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? - CORRECT ANSWER -Rotate the insulin injection sites systematically.
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? - CORRECT 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: - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER -The medication is withheld and the HCP is called to question
the prescription for the client.
WITH CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT 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 - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT ANSWER -Vitamin A
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? - CORRECT 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: - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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? -
CORRECT 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? - CORRECT 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: - CORRECT ANSWER -
Consult with health care providers (HCPs) before receiving immunizations
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? - CORRECT 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? - CORRECT ANSWER -Pancreatitis
Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understands
that the primary action of this medication is to: - CORRECT 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? - CORRECT 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. - CORRECT 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: - CORRECT
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? - CORRECT ANSWER -Rotate the insulin injection sites systematically.
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? - CORRECT 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: - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER -The medication is withheld and the HCP is called to question
the prescription for the client.
