VATI PHARM PROCTORED EXAM
2026 CLINICAL SCRIPT SOLVED
QUESTIONS VERIFIED ANSWERS A+
◉ 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
-verapamil
-diltiazem
(bc toxicity)
penicillin and aminoglycosides cant mix inIV
aminoglycosides and loop diuretics increase hearing/balance issues
◉ Antibiotics Affecting Protein Synthesis: Planning Care for a Client
Prescribed Erythromycin Lactobionate
(RN QSEN - Safety , Active Learning Template - Medication, RM
Pharm RN 7.0 Chp 45
Answer: used if pt. has penicillin allergy
IV if severe
2026 CLINICAL SCRIPT SOLVED
QUESTIONS VERIFIED ANSWERS A+
◉ 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
-verapamil
-diltiazem
(bc toxicity)
penicillin and aminoglycosides cant mix inIV
aminoglycosides and loop diuretics increase hearing/balance issues
◉ Antibiotics Affecting Protein Synthesis: Planning Care for a Client
Prescribed Erythromycin Lactobionate
(RN QSEN - Safety , Active Learning Template - Medication, RM
Pharm RN 7.0 Chp 45
Answer: used if pt. has penicillin allergy
IV if severe
