ATI pharm proctored exam
Safe Medication Administration and Error Reduction: Identify a Situation Requiring an Incident Report
(Active Learning Template - Basic Concept, RM Pharm RN 7.0 Chp 2) - Answer-- Wrong medication or IV
fluid
- Incorrect dose or IV rate
- Wrong client, route, or time
- Administration of an allergy‐inducing medication
- Omission of a dose or administration of extra doses
- Incorrect discontinuation of a medication or IV fluid
- Inaccurate prescribing
- Inadvertently giving a medication that has a similar name
Treatment of Malignant Hyperthermia-Ch.15 - Answer-- Stop succinylcholine and other anesthetics.
-Administer oxygen at 100%.
-Initiate cooling measures including administration of iced 0.9% sodium chloride, applying a cooling
blanket, and placing ice bags in groin and other areas.
-Administer dantrolene to decrease metabolic activity of skeletal muscle.
Substance Use Disorders: Treatment for Cocaine Toxicity
(Active Learning Template - System Disorder, RM Pharm RN 7.0 Chp 12) - Answer-Benzodiazephone
(lorazepam, diazepam, chlordiazepoxide, oxazepam)
naloxone
,watch glucose
Adverse Effects, Interactions, and Contraindications: Using an Epinephrine Auto-Injector
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 5) -
Answer-for anaphylactic shock
tachycardia
arrythmias (v. fib)
can inject through clothes if necessary
Antibiotics Affecting Protein Synthesis: Aminoglycosides and Adverse Effects
(RN QSEN - Teamwork and Collaboration, Active Learning Template - Medication, RM Pharm RN 7.0 Chp
45) - Answer-"Mycin"
ototoxicity - hearing/balance loss
nephrotoxicity - look @ bun, creatinine, i/o
neuromuscular blockade- weakness, resp. depression
hypersensitivity
streptomycin = neurological disorder - optic nerve, tingling/numb, peripherial neuritis
, Airflow Disorders: Teaching About Theophylline
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 17) -
Answer-Xanthines
bronchodilator
avoid caffeine
missed dose doesnt mean doubling
swallow whole
will need levels monitores
prriodic glucose monitoeing
report toxicity - nausea, diarrhea, restlessness
Individual Considerations of Medication Administration: Client Medication Interactions
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45 - Answer-
erythomycin shouldnt mix with
-antihistamines
-warfarin
-digoxin
-thophylline
-HIV protease inhibitors
Safe Medication Administration and Error Reduction: Identify a Situation Requiring an Incident Report
(Active Learning Template - Basic Concept, RM Pharm RN 7.0 Chp 2) - Answer-- Wrong medication or IV
fluid
- Incorrect dose or IV rate
- Wrong client, route, or time
- Administration of an allergy‐inducing medication
- Omission of a dose or administration of extra doses
- Incorrect discontinuation of a medication or IV fluid
- Inaccurate prescribing
- Inadvertently giving a medication that has a similar name
Treatment of Malignant Hyperthermia-Ch.15 - Answer-- Stop succinylcholine and other anesthetics.
-Administer oxygen at 100%.
-Initiate cooling measures including administration of iced 0.9% sodium chloride, applying a cooling
blanket, and placing ice bags in groin and other areas.
-Administer dantrolene to decrease metabolic activity of skeletal muscle.
Substance Use Disorders: Treatment for Cocaine Toxicity
(Active Learning Template - System Disorder, RM Pharm RN 7.0 Chp 12) - Answer-Benzodiazephone
(lorazepam, diazepam, chlordiazepoxide, oxazepam)
naloxone
,watch glucose
Adverse Effects, Interactions, and Contraindications: Using an Epinephrine Auto-Injector
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 5) -
Answer-for anaphylactic shock
tachycardia
arrythmias (v. fib)
can inject through clothes if necessary
Antibiotics Affecting Protein Synthesis: Aminoglycosides and Adverse Effects
(RN QSEN - Teamwork and Collaboration, Active Learning Template - Medication, RM Pharm RN 7.0 Chp
45) - Answer-"Mycin"
ototoxicity - hearing/balance loss
nephrotoxicity - look @ bun, creatinine, i/o
neuromuscular blockade- weakness, resp. depression
hypersensitivity
streptomycin = neurological disorder - optic nerve, tingling/numb, peripherial neuritis
, Airflow Disorders: Teaching About Theophylline
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 17) -
Answer-Xanthines
bronchodilator
avoid caffeine
missed dose doesnt mean doubling
swallow whole
will need levels monitores
prriodic glucose monitoeing
report toxicity - nausea, diarrhea, restlessness
Individual Considerations of Medication Administration: Client Medication Interactions
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45 - Answer-
erythomycin shouldnt mix with
-antihistamines
-warfarin
-digoxin
-thophylline
-HIV protease inhibitors
