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Pharmacology ATI Proctored Final Exam – Test Bank Questions & Answers

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This document is a comprehensive test bank for the ATI Proctored Final Exam in Pharmacology. It contains over 100 exam-style questions with correct answers and rationales covering a wide range of drug classes and clinical scenarios, including lactulose (liver failure), montelukast (asthma), nitrates (hypotension), oprelvekin (platelet stimulation), ribavirin (RSV), antiviral timing (influenza), phenytoin (dental care), gabapentin (neuropathic pain), hydroxychloroquine (malaria prophylaxis), adalimumab (rheumatoid arthritis), antitubercular drugs (hepatic impairment), sildenafil with nitrates (hypotension), epinephrine (cardiac arrest), vasopressin (urinary output), naloxone (opioid overdose), malignant hyperthermia, methylphenidate (height/weight monitoring), phenytoin IV (normal saline), antithyroid drugs (iodine avoidance, WBC monitoring), cholinergic drugs (myasthenia gravis), donepezil (Alzheimer’s), warfarin/heparin overlap, digoxin (hold for low pulse), allopurinol (uric acid), PPIs (stress ulcers), tamsulosin (orthostatic hypotension), isotretinoin (two contraceptives), MAOIs (tyramine avoidance), dopamine (continuous IV), ACE inhibitors (dry cough), nitroglycerin (chest pain unrelieved), digoxin toxicity (yellow halos), adenosine (asystole), vitamin K (warfarin antidote), niacin (flushing, aspirin pretreatment), spironolactone (hyperkalemia), blood transfusion reaction (stop infusion), somatropin (growth), hemoglobin A1C, thyroid replacement (morning), estrogen/smoking (thrombosis), antihistamines (drowsiness), albuterol (acute asthma), vancomycin (infuse over 1 hour), zidovudine (HIV in pregnancy), ethambutol (visual acuity), rifampin (oral contraceptives less effective), nystatin (dissolve lozenge), hydroxychloroquine (SLE), interleukin (hold for fluid retention), acetaminophen vs. aspirin (Reye’s), probiotics (antibiotic-associated diarrhea), epoetin alfa (anemia in renal failure), opioid overdose (respiratory depression), adrenergic effects (tachycardia, bronchodilation, dilated pupils), loop diuretics (hypokalemia symptoms), acetaminophen contraindication (liver disease), antilipemic teaching (muscle pain, bleeding), Vicodin (constipation, itching, urinary retention), vitamin C (scurvy, tissue repair), digitalis levels, anticholinergic effects, Exenatide, cyclosporine interactions, epidural opioids, H2 blockers (confusion in elderly), pilocarpine (glaucoma), Kayexalate (hyperkalemia), Lantus (24-hour), aspirin/ginkgo, Pyridium (orange urine), steroid tapering, infant injections (vastus lateralis), chemotherapy (bone marrow suppression), antidepressant (suicidal ideation), sumatriptan (nausea), hematopoietic stimulants, and hyperkalemia signs.

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PHARMACOLOGY ATI PROCTORED FINAL
TEST BANK EXAM 3
QUESTIONS AND CORRECT DETAILED
SOLUTIONS LATEST UPDATE



A patient is receiving lactulose (Enulose) three times a day. The nurse knows
that the patient is not constipated and is receiving this drug for which reason?
a. High ammonia levels due to liver failure b. Prevention of constipation
c. Chronic renal failure

d. Chronic diarrhea

A. High ammonia levels due to liver failure
The prescriber has changed the patient's medication regimen to include
the leukotriene receptor antagonist (LTRA) montelukast (Singulair) to
treat asthma. The nurse will emphasize which point about this
medication? a.
The proper technique for inhalation must be followed.
b. The patient needs to keep it close by at all times to treat acute asthma

attacks.
c. It needs to be taken every day on a continuous schedule, even if symptoms

improve.

,2



d. When the asthma symptoms improve, the dosage schedule can be tapered

and eventually discontinued.
C. It needs to be taken every day on a continuous schedule, even if symptoms
improve..
A patient arrives in the emergency department with severe chest pain. The
patient reports that the pain has been occurring off and on for a week now.
Which assessment finding would indicate the need for cautious use of nitrates
and nitrites?
a. Blood pressure of 88/62 mm Hg

b. Apical pulse rate of 110 beats/min

c. History of renal disease

d. History of a myocardial infarction 2 years ago

A. Blood pressure of 88/62 mm Hg
A patient who has received chemotherapy has a critically low platelet count.
The nurse expects which drug or drug class to be used to stimulate platelet
cell production?
a. Filgrastim (Neupogen)

b. Interferons

c. Oprelvekin (Neumega)

d. Epoetin alfa (Epogen) C. Oprelvekin (Neumega)

An infant has been hospitalized with a severe lung infection caused by
the respiratory syncytial virus (RSV) and will be receiving medication
via the inhalation route. The nurse expects which drug to be used? a.
Acyclovir (Zovirax)

, 3



b. Ganciclovir (Cytovene)

c. Amantadine (Symmetrel)

d. Ribavirin (Virazole) D. Ribavirin (Virazole)

A young adult calls the clinic to ask for a prescription for "that new flu drug."
He says he has had the flu for almost 4 days and just heard about a drug that
can reduce the symptoms. What is the nurse's best response to his request?
a. "Now that you've had the flu, you will need a booster vaccination, not the

antiviral drug."
b. "We will need to do a blood test to verify that you actually have the flu."

c. "Drug therapy should be started within 2 days of symptom onset, not 4

days."
d. "We'll get you a prescription. As long as you start treatment within the next

24 hours, the drug should be effective."
C. "Drug therapy should be started within 2 days of symptom onset, not 4
days."
The nurse has given medication instructions to a patient receiving phenytoin
(Dilantin). Which statement by the patient indicates that the patient has an
adequate understanding of the instructions?
a. "I will need to take extra care of my teeth and gums while on this

medication."
b. "I can go out for a beer while on this medication."

c. "I can skip doses if the side effects bother me."

d. "I will be able to stop taking this drug once the seizures stop."

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