ATI PHARMACOLOGY PROCTORED EXAM
2019/2020
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%20AMS%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
2019/2020
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%20AMS%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
