Facing the ATI Pharmacology & Critical Care Proctored Exam? Let ExamSharks.com Save Your Score and Help You Ace Your ATI Exams! With proper preparation, success in your ATI exams is within reach! Remember, consistent review and practice can enhance your confidence as you prepare for your ATI exams. ✨
Essential Strategies for Success in ATI Exams
To achieve success, understanding the structure and types of questions on the ATI exams is crucial, as these exams are designed to measure your comprehension and application of nursing knowledge.
Additionally, reviewing past ATI exams and quizzes can provide invaluable insights into the exam format and frequently tested concepts.
To excel in your ATI exams, consider mastering key strategies that address the complexities of your field. Understanding the format and expectations of ATI exams is crucial for your success.
The ATI Pharmacology, Emergency, and Critical Care Proctored Exam (NURS-450-003) challenges even the sharpest nursing students with real-world cases like hypertensive emergencies, traumatic hemorrhage management, chemotherapy side effects, magnesium toxicity, and cytokine release syndrome. Whether you’re figuring out when to administer calcium gluconate for magnesium sulfate toxicity or how to prioritize interventions for a gunshot wound to the femoral artery, every second—and every answer—counts in your ATI exams. With proctoring software like Respondus, Honorlock, or ProctorU watching your every move, the stress doubles. But here’s where ExamSharks.com comes in: we offer stealth, secure proctored exam assistance that bypasses detection while helping you answer accurately and confidently in your ATI exams. 🏥 From critical care pharmacology to trauma prioritization, we’ve guided thousands of nursing students nationwide to success—even on their toughest proctored ATI exams. 💯 Don’t leave your nursing future to chance—visit ExamSharks.com to access expert-led, proctoring-safe tutoring 24/7. We specialize in rare ATI exam questions, last-minute prep, and high-stakes proctored support. 🦈 Join the shark tank of winners and crush your ATI exam today!
54M PMHX Of HIN and USA presents with headache, AMS, lethargy.
ED vitals:
Temp: 37C
HR 61
RR 9
BP 211/143
Glucose is 188
STAT CT head non-con shows the following:
1st
4th
2nd
3rd
OR
remove tournaquit to eval
ensure a patent airway
draw labs
crystalloid bolus
whole blood via rapid tran
primary trauma survey
1
Matching 1 point
Remember, consistency and dedication in your studies are key to excelling in your ATI exams.
Incorporating practice tests into your study routine can significantly prepare you for the pacing and pressure of actual ATI exams.
Many students find that forming study groups to tackle challenging topics related to ATI exams fosters a deeper understanding and retention of material.
Utilizing flashcards focused on areas frequently tested in ATI exams can also enhance your retention and recall of critical information.
50
FAQs about ATI exams often revolve around test preparation tips, study strategies, and the types of questions encountered. Make sure to engage with resources that can boost your confidence as you tackle your ATI exams.
68M with gunshot wound to the right femoral artery. Obvious exsanguination at scene. Pt arrives to the ED with with a t significantly slowed. AMS and VS as follows:
HR 122
BP 65/42
RR 24
SpO2 98% on 2L NC
What’s the priority IN ORDER
1st
4th
2nd
Multiple Choice 1 point
A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse will anticipate that the provi to treat these symptoms?
Sildenafil (Viagra)
Finasteride (Proscar)
Gonadotropin-releasing hormone (Gn-RH)
Testosterone (Androderm)
49
Multiple Choice 1 point
Myelosuppression 2/2 fluorouracil (5-FU) causes which sequelae?
leukocytosis, hemoconcentration, thrombocytopenia
neutropenia, anemia, thrombocytosis
leukocytosis, anemia, thrombocytopenia
neutropenia, anemia, thrombocytopenia
48
Multiple Choice 1 point
47
A 35-year-old woman asks the nurse about oral contraceptives. The nurse learns that the patient smokes and has a fami thromboembolism (VTE). The nurse will suggest that the patient
will not be a candidate for oral contraceptive products.
discuss a progestin-only oral contraceptive with her provider.
may want to consider having a tubal ligation.
use a transdermal contraceptive product.
Multiple Choice 1 point
tendency to bleed during menstruation.
levels of triglycerides.
risk for thrombosis.
incidence of nausea.
46
Multiple Choice 1 point
“In women with established coronary heart disease, EPT can protect against myocardial infarction.”
“Principle benefits of ET are suppression of menopausal symptoms”
“EPT is generally safer than ET, especially in women who have undergone hysterectomies.”
45
Multiple Choice 1 point
levothyroxine
rituximab
famotidine
dexamethasone
44
Multiple Choice 1 point
A nurse is providing education to a patient who will begin taking alendronate [Fosamax]. Which complication should the immediately?
Drowsiness
Difficulty swallowing
Dizziness
Pallor
43
Multiple Choice 1 point
A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep. The nurse revi replacement therapy and tells this woman that hormone therapy
is very safe and may be used freely to treat menopausal symptoms.
may be used indefinitely to treat menopausal symptoms.
will be necessary to prevent osteoporosis caused by estrogen depletion.
should be used at the lowest dose possible for the lease amount of time possible
42
Multiple Choice 1 point
headache
bone pain
fatigue
hemorrhage
40
41
Multiple Choice 1 point
“I should apply this to my forearms and neck after showering.”
“I should apply this prior to sexual contact.”
Multiple Choice 1 point
nephrotoxicity, HTN, neurotoxicity, dysrhythmia
hepatotoxicity, HTN, infection, edema
nephrotoxicity, hypotension, neurotoxicity, dysrhythmia
hepatotoxicity, tinnitus, neurotoxicity, dysrhythmia
39
Multiple Choice 1 point
The nurse recognizes that which drug is approved for prevention of breast cancer in very high risk individuals?
Raloxifene
Tamoxifen
Toremifene
Fulvestrant
38
Multiple Choice 1 point
Significant decrease in blood pressure
Significant increase in pulse rate
Reduced effectiveness of the sildenafil
Increased risk of bleeding
37
Multiple Choice 1 point
36
Which of the following drugs specifically inhibits calcineurin in the activated T lymphocytes?
Methotrexate
Mycophenolate mofetil
Doxorubicin
Tacrolimus
Multiple Choice 1 point
48F with a PMHX of stage 3 breast cancer is admitted for chemotherapy induction. She develops acute SOB and VS are
Temp 37 C
HR 144
RR 32
BP 87/51
SpO2 81%
Common things being common, this is MOST LIKELY:
Septic Shock
Pulmonary embolism (PE)
Aspiration PNA
Hemorrhagic Shock
35
Multiple Answer 1 point
39F with Crohns disease will be started on infliximab (Remicade). The RN knows the mechanism of action of this drug is
Select all that apply
Disrupt the inflammatory process
Augment the patient’s own immune system
Neutralize tumor necrosis factor (TNF)
Delay disease progression
Reverse symptoms and disease progression
34
Multiple Choice 1 point
How would the nurse best describe the mechanism of action of selective estrogen receptor modulators?
They can have estrogenic and antiestrogenic activity.
They are strictly antiestrogenic.
They are strongly estrogenic.
They promote hormonal activity of gonadal tissue.
33
Multiple Choice 1 point
increase bone resorption to prevent fractures.
prevent deep vein thrombosis (DVT).
decrease her risk of endometrial cancer.
lower her risk of myocardial infarction (MI).
32
Multiple Answer 1 point
46F is being treated with cyclophosphamide for ovarian cancer. The nurse knows it important to be mindful of which saf cyclophosphamide?
Select all that apply
cyclophosphamide must be given through a central line or port if given IV
tumor lysis syndrome is a potentially fatal side effect
patient should receive volume before and after infusion to prevent hemorrhagic cystitis
additional volume should be avoided surrounding cyclophosphamide administration, to avoid the development of
cyclophosphamide is safe to be given through a peripheral IV
31
Multiple Choice 1 point
28F with a PMHx of polycystic ovarian syndrome (PCOS), obesity, cystic acne, HTN, anxiety, and depression, is admitted
While the nurse is reconciling her medications, she questions which of the following prescriptions with the provider?
amlodipine (Norvasc)
isotretinoin (Amnesteem)
combination OCP (Yasmin)
leuprolide (Lupron)
30
Multiple Choice 1 point
A patient with endometriosis is being treated with leuprolide [Lupron Depot]. A nurse is teaching the patient about the d patient indicates understanding of the teaching?
“I can continue to take the medication if I get pregnant.”
“I may have menopausal-like symptoms when taking this medication.”
“I can expect the medication to cure my symptoms.”
“I will need to take the medication for several years.”
29
Multiple Choice 1 point
59F with a PMHx of ovarian cancer is started on cisplatin (Platinol-AQ).
The RN is MOST concerned with which lab finding?
WBC decrease from 6K to 3.9K
creatinine increase from 0.8 mg/dL to 1.9 mg/dL
ALT increase from 18 U/L to 33 U/L
Hgb decrease from 11.8 g/dL to 10.4 g/dL
28
Multiple Choice 1 point
When prescribing Tretinoin (Retin-A) the NP advises the patient to
advise of seeing the results in one week
use a sunscreen as the drug is photo sensitizing
use it with Benzoyl peroxide to minimize irritating effects
Take a shower every day with medicated soap for better absorption
27
Multiple Choice 1 point
A student RN is rotating through L&D and notices nearly all neonates are receiving phytonadione. He asks his nurse why, intended effect is:
to decrease neonatal pulse pressure
to decrease bleeding tendency
to increase neonatal mental alertness
to increase red blood cell [RBC] indices
26
Multiple Choice 1 point
57F presents with severe sepsis 2/2 pneumonia.
PMHx of HTN, ESRD, anemia of chronic disease
PSHX of liver transplant in 2021, hysterectomy in 2014
Home medications:
amlodipine (Norvasc), epoetin alfa (Epogen), ferrous sulfate, mycophenolate mofetil (CellCept)
The RN know the medication that will most likely be d/c’d 2/2 to the active infection is:
ferrous sulfate
mycophenolate mofetil (CellCept)
amlodipine (Norvasc)
epoetin alfa (Epogen)
25
Multiple Choice 1 point
A nurse is teaching a patient about the use of tadalafil [Cialis] for erectile dysfunction. Which statement by the patient in teaching?
“If my erection lasts longer than 4 hours, I should contact my provider.”
“This drug may cause me to have an erection when I don’t want one.”
“I should not use ACE inhibitors within 12 hours of using tadalafil.”
“I should take this drug about 15 minutes before sexual activity.”
24
Multiple Choice 1 point
Which of the following is true about iron therapy is true?
Anemia should be reassessed after 9 months of therapy.
Ferrous fumarate contains 20% elemental iron.
Anaphylactic-like hypersensitivity reactions have occurred from parental replacement.
Oral preparations should be administered within 2 hours of an antacid.
23
Multiple Answer 1 point
22
21
The occupational health nurse is presenting information regarding prevention of skin cancer to a group of workers in an i information should the nurse include in the program? Select all that apply
Use a sunscreen with at least an SPF of 15 when outside
Tanning beds do not have the same damaging rays as the sun
Wear sunglasses that wrap around and block both UVA and UVB rays
Many antibiotics lose efficacy when the patient is exposed to sunlight
Do not use expired sunscreen as it may not be as effective
Multiple Choice 1 point
The nurse is caring for a patient after the third stage of labor, and the provider orders 20 units of oxytocin to be given int explain to the patient that this drug for which purpose?
To slow the progression of labor
To prevent postpartum uterine bleeding
To allow the cervix to close
To suppress lactation
Multiple Choice 1 point
increased prostate size.
urinary retention.
increased hair growth.
alopecia.
20
Multiple Choice 1 point
A patient is being treated for secondary amenorrhea. The nurse expects which drug to be used to treat this problem?
Raloxifene (Evista)
Methylergonovine (Methergine)
Medroxyprogesterone (Provera)
Estradiol transdermal (Estraderm)
19
Multiple Choice 1 point
18
17
16
A postpartum patient is receiving methylergonovine to prevent hemorrhage. The nurse assesses the patient and notes a minute, a respiratory rate of 16 breaths per minute, and a blood pressure of 120/80 mm Hg. The patient’s uterus is firm. moderate cramping. Bleeding is minimal. What will the nurse do?
Request an order to administer the methylergonovine intravenously.
Continue to monitor and tell the patient to report increased cramping.
Notify the provider of possible uterine hypertonicity.
Notify the provider of the patient’s blood pressure.
Multiple Choice 1 point
22M presents with 2nd and 3rd degree burns. The burn RN knows that the most likely topical antiinfective to be used to
bacitracin
polymyxin B (Neosporin)
silver sulfadiazine (Silvadene)
mupirocin (Bactroban)
Multiple Choice 1 point
A patient who has been diagnosed with rheumatoid arthritis (RA) for 1 month and has generalized symptoms is taking hig inflammatory drugs (NSAIDs) and an oral glucocorticoid. The provider has ordered methotrexate [Rheumatrex]. The patien methotrexate is necessary. The nurse will tell the patient:
starting methotrexate early can help delay joint degeneration.
the patient should take the methotrexate with grapefruit juice.
a methotrexate regimen can reduce overall costs and side effects of treatment.
starting methotrexate now will help increase life expectancy.
Multiple Choice 1 point
A 68-year-old male patient receives a prescription for 25-mg tablets of sildenafil [Viagra] for erectile dysfunction. When the medication, the nurse will tell him to:
begin taking one tablet twice daily, 12 hours apart.
take two tablets 1 hour before sexual activity with a high-fat meal.
take 25 to 100 mg every 72 hours
start with one tablet about 1 hour before anticipated sexual activity.
15
Multiple Answer 1 point
Which drugs are approved for treating osteoporosis in men? (Select all that apply.)
alendronate [Fosamax]
raloxifene [Evista]
teriparatide [Forteo]
calcitonin
14
Multiple Choice 1 point
A patient has been taking a progestin-only, or “minipill,” OC for 3 months and reports spotting and irregular menstrual cy
suggest that she use a backup form of contraception until these symptoms resolve.
question the patient about any possible missed doses of the pill.
recommend that she take a pregnancy test to rule out pregnancy.
reassure the patient that this is normal with this form of contraception.
13
Multiple Choice 1 point
A patient has just purchased a 1-year supply of 28-day-cycle oral contraceptives. She tells the nurse she wishes she had she has calculated that her period will begin during her upcoming honeymoon. What will the nurse suggest?
She should discuss a prescription for an extended-cycle product with her provider.
She should discuss DMPA (Depo-Provera) injections in addition to the OC with her provider.
She should discard the inert pills and start a new pack during the honeymoon.
She should discontinue the oral contraceptives and use an alternative form of birth control.
12
Multiple Choice 1 point
WBC: 0.24 K
Hgb 7.1 g/dL
Platelets 26K
The nurse understands this is a product of the chemotherapy nadir, and expects to give which medications?
filgrastim, epoeitin alfa
loperamide, darbepoetin alfa
oprelvekin, dexamethasone
sargramostim, tpa
11
Multiple Choice 1 point
29F G2 P1 is 26 weeks + 4 days with spontaneous rupture of membranes and subsequent precipitous delivery. The NI will be given a medication to help prevent respiratory distress syndrome secondary to collapsed alveoli. The medication
betamethasone IM
magnesium sulfate IV
surfactant IH
methotrexate PO
10
Multiple Choice 1 point
A 42-year-old child who has been receiving high-dose systemic glucocorticoids for several months comes to a clinic for s
usually include the DTaP vaccine; varicella virus vaccine [Varivax]: the measles, mumps, and rubella virus (MMR) vaccine; vaccine (IPV). The clinic nurse will expect to administer which vaccines to this child?
DTaP, OPV, and Varivax only
DTaP and IPV, along with immunoglobulins
DTaP and IPV only
All four school immunizations
9
Multiple Choice 1 point
respiratory failure
fever and tremors
renal failure
O agitation
8
Multiple Choice 1 point
The nurse understands that a patient taking tamoxifen (Nolvadex) is at risk for what?
Hyperlipidemia
Thromboembolism
Osteoporosis
Breast cancer
7
Numeric 1 point
You receive a patient into the ICU from a flight team. Their pump has norepinephrine (Levophed) running at 3.3 mg/hr. mcg/min. How many mcg/min will you program the norepinephrine to run? (just write the number)
Answer
6
Multiple Choice 1 point
A patient is about to begin therapy with fingolimod [Gilenya] to treat multiple sclerosis. The nurse learns that the patient chickenpox or the varicella zoster virus (VZV) vaccine. What will the nurse do?
Give the VZV vaccine and tell the patient to begin using fingolimod in 1 month.
Obtain an order for a VZV antibody test to assess immune status
Give the VZV vaccine with the initial dose of fingolimod.
Advise the patient to avoid individuals with chickenpox.
5
Multiple Choice 1 point
38F G1 PO is 33 weeks, and presents to the ED with preeclampsia. The patient is prescribed IV magnesium sulfate.
The nurse walks into the room to check the patient’s DTRs, and finds her in respiratory distress.
The RN stays with the patient, calls for help, and has her coworker bring which medication as the antidote?
sodium phosphate
potassium chloride
oxytocin (Pitocin)
calcium chloride or calcium gluconate
Ectopy on cardiac monitor
Echocardiogram with EF of 30%
HR 108
BP 82/51
RR 26
SpO2 is 86% on HFNC
Common things being common, this adverse effect 2/2 ILK toxicity is:
anaphylaxis
capillary leak syndrome
cytokine release syndrome
obstructive shock
