ATI PN PHARMACOLOGY PROCTORED
EXAM RETAKE 2023 WITH NGN 70
QUESTIONS
-Medical record number
-home telephone number - Patient identifiers
■ 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 lab values should a nurse monitor for a patient with chronic renal
failure?
-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) - What
food should you increase when taking Lasix?
,color and temperature - Patient reports IV discomfort, what is your first action?
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech - Sumatriptan (treats migraine headaches) adverse effect
-• 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. - Know about Transdermal patch
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). - RBC Blood transfusion
-they don't cure disease, they slow the process. - What to understand about Parkinson's Meds?
administered by subcutaneous injection or IV infusion - NEUPOGEN (filgrastim)-what is the appropriate
route of this med?
,blood pressure answer (e.g. 120/80) - Lisinopril therapeutic effect
risperidone, Risperdal - Medication for Schizophrenia
used to treat or prevent certain urinary tract infections - Macrodantin medication
-benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax. - Haldol-inform if
you are taking ____________ medication.
same as-Alendronate is used for treating osteoporosis in men and postmenopausal women. - Fosomax
-lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL. - Lipitor
Antibiotic that is toxic to the kidney, injected for radiology studies. - Garamycin-
-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting - Digoxin side effects
used before exercise to prevent breathing problems during exercise (bronchospasm). - Singulair
acetylcysteine (Mucomyst) must be given IV - What medication to administer with Tylenol overdose?
Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be
administered 6 months after the first dose.
, -HPV4 may be given to males starting at age 9 years of age. - HPV vaccine
oxygen saturation - Opioid toxicity-what to check first
liver - Valporic Acid lab
slurred speech - Lithium report immediately
sore throat - Prednisone report
-salty foods
-alcoholic beverages - Food to avoid when taking Lithium
Periodic determination of serum electrolytes to detect possible electrolyte imbalance should be done at
appropriate intervals. - Labs for patients taking hydrothiazide
3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium
gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a
result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin,
a thyroid hormone, decreases the plasma calcium level by inhibiting bone resorption and lowering the
serum calcium concentration. - 1) A nurse is caring for a client with hyperparathyroidism and notes that
the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer
as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
4. Orange juice
EXAM RETAKE 2023 WITH NGN 70
QUESTIONS
-Medical record number
-home telephone number - Patient identifiers
■ 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 lab values should a nurse monitor for a patient with chronic renal
failure?
-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) - What
food should you increase when taking Lasix?
,color and temperature - Patient reports IV discomfort, what is your first action?
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech - Sumatriptan (treats migraine headaches) adverse effect
-• 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. - Know about Transdermal patch
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). - RBC Blood transfusion
-they don't cure disease, they slow the process. - What to understand about Parkinson's Meds?
administered by subcutaneous injection or IV infusion - NEUPOGEN (filgrastim)-what is the appropriate
route of this med?
,blood pressure answer (e.g. 120/80) - Lisinopril therapeutic effect
risperidone, Risperdal - Medication for Schizophrenia
used to treat or prevent certain urinary tract infections - Macrodantin medication
-benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax. - Haldol-inform if
you are taking ____________ medication.
same as-Alendronate is used for treating osteoporosis in men and postmenopausal women. - Fosomax
-lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL. - Lipitor
Antibiotic that is toxic to the kidney, injected for radiology studies. - Garamycin-
-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting - Digoxin side effects
used before exercise to prevent breathing problems during exercise (bronchospasm). - Singulair
acetylcysteine (Mucomyst) must be given IV - What medication to administer with Tylenol overdose?
Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be
administered 6 months after the first dose.
, -HPV4 may be given to males starting at age 9 years of age. - HPV vaccine
oxygen saturation - Opioid toxicity-what to check first
liver - Valporic Acid lab
slurred speech - Lithium report immediately
sore throat - Prednisone report
-salty foods
-alcoholic beverages - Food to avoid when taking Lithium
Periodic determination of serum electrolytes to detect possible electrolyte imbalance should be done at
appropriate intervals. - Labs for patients taking hydrothiazide
3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium
gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a
result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin,
a thyroid hormone, decreases the plasma calcium level by inhibiting bone resorption and lowering the
serum calcium concentration. - 1) A nurse is caring for a client with hyperparathyroidism and notes that
the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer
as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
4. Orange juice
